Model-Informed Drug Development (MIDD)
Population PK/PD modeling is an extremely valuable tool and has been extensively used in the pharmaceutical industry to facilitate drug development. I gained extensive hands-on experience in building various types of population PK/PD models when I worked as a Senior Clinical Pharmacokineticist in the Department of Clinical Pharmacology and Pharmacometrics at Abbott (currently known as AbbVie). Since I became an independent investigator in academia, developing and utilizing population PK/PD models for dose regimen optimization for new drug candidates, also known as model-informed drug development (MIDD), continues to be one of my major research interests.
Representative papers
- Xu M, Sun D, and An G *. Exploring the Impact of Pharmacological Target-Mediated Low Plasma Exposure in Lead Compound Selection in Drug Discovery – a Modeling Approach. The AAPS Journal 2024 Oct 28;26(6):112. doi: 10.1208/s12248-024-00979-7.
- Wu N, Katz D, and An G*. Population Target-Mediated Pharmacokinetics/ Pharmacodynamics Modeling to Quantitatively Evaluate SPI-62 Exposure and Its Inhibition on Hepatic 11β-Hydroxysteroid Dehydrogenase Type 1 (HSD-1) In Healthy Adults. Clinical Pharmacokinetics 2023 Sep; 62(9):1275-1288. doi: 10.1007/s40262-023-01278-8.
- An G*, Katz D. Importance of target-mediated drug disposition (TMDD) of small-molecule compounds and its impact on drug development – example of the class effect of HSD-1 inhibitors. Journal of Clinical Pharmacology 2023 May;63(5):526-538. doi: 10.1002/jcph.2185.
- Xu M, and An G*. A pharmacometric model to characterize a new type of target-mediated drug disposition (TMDD) – nonlinear pharmacokinetics of small-molecule PF-07059013 mediated by its high-capacity pharmacological target hemoglobin with positive cooperative binding. The AAPS Journal 2023 Apr 13;25(3):41. doi: 10.1208/s12248-023-00808-3.
- Bach T, Deye G, Codd E, Horton J, Winokur P, An G*. Population pharmacokinetic-pharmacodynamic model of oxfendazole in healthy adults in a multiple ascending doses and food effect study and target attainment analysis. Antimicrob Agents Chemother. 2022 Jan 18;66(1):e0143221. doi: 10.1128/AAC.01432-21.
- Wu N, Hammock BD, Lee KSS*, An G*. Simultaneous Target-Mediated Drug Disposition (TMDD) Model for Two Small-Molecule Compounds Competing for Their Pharmacological Target: Soluble Epoxide Hydrolase. Journal of Pharmacology and Experimental Therapeutics 2020;374(1):223-232
Clinical Pharmacology in Special Populations
Besides new drug development in the pharmaceutical industry, pharmacometrics (i.e., PK/PD modeling) also plays an important role in clinical practice in hospital setting. This is particularly the case for special/vulnerable populations (e.g., infants, pregnant women, critically ill patients), where traditional PK study with frequent serial blood sampling is no longer feasible. As only a few limited blood samplings per subject may be collected in clinical studies, the sparse individual data makes the PK/PD analysis considerably more challenging and the ONLY way to handle this type of data is to perform population PK modeling. This strategy is known as opportunistic clinical study design combined with population-based pharmacometrics models, which has proven to be powerful when used in tandem as they can provide comprehensive information about drug kinetics and guide dose regimen optimization in vulnerable populations. My group is fortunate to work on many interesting projects in this direction, and our modeling & simulation results have played important roles in identifying rational dose regimens of various drugs in these special/vulnerable populations.
Representative Papers
- Al Hroot J, Reeder J, Yuan X, Gu K, Walter EB, Boole L, Que LG, An G *. Determining an Appropriate Fosfomycin (ZTI-01) Dosing Regimen in Pneumonia Patients by Utilizing minimal PBPK Modeling and Target Attainment Analysis. Antimicrob Agents Chemother. 2025;69(6):e0186924 doi: 10.1128/aac.01869-24.
- Reeder JA, O’Sullivan CT, Xu M, Wu N, Ince D, Rogers WK, An G*. Model-Informed Clinical Practice - Determining an Appropriate Ampicillin-Sulbactam Redosing Regimen in Surgical Patients by Utilizing Population Pharmacokinetics and Target Attainment Analysis. Antimicrob Agents Chemother 2023;67(4):e0124822. doi: 10.1128/aac.01248-22.
- An G*, Creech B, Wu N, et al. Population Pharmacokinetics and Target Attainment Analysis to Identify a Rational Empiric Dosing Strategy for Cefepime in Critically Ill Patients. J Antimicrob Chemother 2023;78(6):1460-1470. doi: 10.1093/jac/dkad106.
- D’Cunha R, Schmidt R, Widness JA, Mock DM, Yan X, Cress GA, Kuruvilla D, Veng-Pedersen P, An G*. Target-Mediated Disposition Population Pharmacokinetics Model of Erythropoietin in Premature Neonates Following Multiple Dosing Regimens. European Journal of Pharmaceutical Sciences. 2019; 138:105013.
- D’Cunha R, Widness JA, Yan X, Schmidt R, Veng-Pedersen P, An G*. A Mechanism-Based Population Pharmacokinetics Model of Erythropoietin in Premature Infants and Healthy Adults Following Multiple Intravenous Doses Journal of Clinical Pharmacology 2019;59(6):835-846
- An G*, Ohls RK, Christensen RD, Widness JA, Mock DM, Veng-Pedersen P. Population Pharmacokinetics of Darbepoetin in Infants Following Single Intravenous and Subcutaneous Dosing. Journal of Pharmaceutical Sciences. 2017;106(6):1644-1649.
Mechanism-based models, PBPK, and quantitative systems pharmacology (QSP)
Some drugs have complicated PK, and simple compartmental models won't be able to characterize their disposition; this brings the need of building mechanism-based PK models.
Sometimes we get luxury tissue data on hand; this brings the opportunity of building physiologically-based PK (PBPK) model. My group has extensive hands-on experience in building various mechanism-based models and PBPK models.
QSP: represents the youngest branch of the PK/PD discipline, and it has immense potential in drug discovery and development. For QSP models, some of them are essentially an “enhanced” version of mechanism-based PK/PD modeling, which may contain multiscale structures to characterize mRNA/protein data, biomarker data, drug concentration-time profiles, clinical responses simultaneously; QSP models could also include complicated network model (commonly seen in systems biology) combined with drug kinetics component. This is a promising and meanwhile challenging research direction. My group has just started research in this direction.
Representative Papers
- Wu N, and An G*. A Quantitative Systems Pharmacology Model of the Incretin Hormones GIP and GLP1, Glucagon, Glucose, Insulin, and the Small Molecule DPP-4 Inhibitor, Linagliptin. J Pharm Sci 2024; 113(1): 278-289. doi: 10.1016/j.xphs.2023.09.006.
- Wu N, and An G*. Incorporating target-mediated drug disposition (TMDD) in a whole-body physiologically-based pharmacokinetic (PBPK) model of linagliptin in rat and scale up to human. The AAPS Journal 2020;22(6):125. doi: 10.1208/s12248-020-00481-w.
- Jiang Y, Milavetz G, James MO, An G*. A Mechanism-based Pharmacokinetic Enzyme Turnover Model for Dichloroacetic Acid Auto-Inhibition in Rats. Journal of Pharmaceutical Sciences. 2017;106(5):1396-1404.
- Bi Y, Deng J, Murry DJ, An G*. A Whole-Body Physiologically Based Pharmacokinetic Model of Gefitinib in Mice and Scale-Up to Humans. The AAPS Journal. 2016;18(1):228-238.
- An G and Morris ME. A physiologically based pharmacokinetic model of mitoxantrone in mice and scale-up to humans: a semi-mechanistic model incorporating DNA and protein binding. The AAPS Journal 2012; 14(2):352-64.