RE: between-patient variability in PK and PD
From: "Bhattaram, Atul" BhattaramA@cder.fda.gov
Subject: RE: [NMusers] between-patient variability in PK and PD
Date: Wed, May 4, 2005 11:26 am
Hello Mathot
Couple of comments:
1. It is better to use concentrations rather than AUC in the model to derive
PK/PD relationships.
2. Even without the use of any model, just looking at the data do you think
that there is a lot of variability in the effects?
3. If PK is not very variable, but PD is highly variable then I would
suggest to look for sources to minimize this variability if possible.
4. Having reasonable information on drug concentrations in your registration
trials will always help you in identifying and justifying any findings which
you might not anticipated based on the limited experience from early
dose-response studies.
Venkatesh Atul Bhattaram
Pharmacometrics
US Food and Drug Administration