Pharmacokinetic models are used to understand and describe the movement of drugs in the body mathematically. There are two main approaches: compartment models which divide the body into compartments and use rate constants to describe drug transfer, and non-compartmental models which do not assume a compartment structure and describe kinetics using time and concentration parameters. Common compartment models include one, two, and three compartment mammillary models as well as perfusion-limited and diffusion-limited physiological models. Both approaches have advantages and limitations in analyzing pharmacokinetic data.
2. Need Of Pharmacokinetic Models
• Drug movement within the body is a complex process.
• To understand the movement of drug in biological system
pharmacokinetic models come under consideration.
• For ease of mathematical equation understanding
pharmacokinetic models are required.
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3. Pharmacokinetic Models
• Model is a hypothetical space bound by an unspecified
membrane across which drugs are transferred in and out.
• Model is a hypothesis that employs mathematical terms to
concisely describe quantitative relationships.
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4. Methods For Analysis Of Pharmacokinetic Data
• The two major approaches in the quantitative study of
various kinetic process of drug disposition in body are
1. Model approach
2. Model-independent approach
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5. Model Approach
• In this approach, models are used to describe changes in drug
concentration in the body with time.
1 Compartment Model (empirical model)
(a) Mammillary Model
(b) Catenary Model
2 Physiological Model
(a) Perfusion-Limited Model (b) Diffusion-Limited Model
3 Distributed Parameter Model
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6. Mammillary model
• Arrangement of compartments in a manner similar to
connection of satellites to a planet
• Central compartment (compartment 1)
• Plasma
• Highly perfused tissues (such as lung, liver
kidney)
• Peripheral compartment (denoted by no. 2,3, etc)
• Other organs
• Elimination occurs from central compartment
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7. Mammillary model continuous…
• Movement of drug between compartments is defined by
characteristic first order rate constant denoted by later K.
• The number of rate constant in a particular compartment
model is given by R.
For IV administration R= 2n-1
For extravascular administration R=2n
n= number of compartment
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8. Model 1 One-compartment open model, intravenous
bolus administration.
Model 2 One-compartment open model, extravascular
administration.
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1
K10
1
K10K01
9. Model 3 Two-compartment open model , intravenous
bolus administration.
Model 4 Two-compartment open model , extravascular
administration.
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1 2
K12
K10
1 2
K12
K10
K01
K 21
10. Model 5 Three-compartment open model, intravenous
administration.
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2
31
K21K12
K13
K31
K10
12. Catenary Model
• In this model compartments are joined to one another in a
series.
• This model is rarely used.
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1
2 3
K01 K12
K21
K23
K32
13. ADVANTAGES OF COMPARTMENT
MODELING
• It is a simple and flexible approach.
• It gives a visual representation of various rate processes
involved in drug disposition.
• It is important in development of dose regimens.
• Used for comparison of multiple therapeutic agents.
• It show how many rate constant required for describing
these process.
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14. DISADVANTAGES OF COMPARTMENT
MODEL
• The compartment and parameters have no relationship with
physiological functions or anatomical structure of the
species.
• Model may vary within population pharmacokinetics.
• This approach is limited to specific drug only.
• Difficulties generally arises when using model to interpret
the differences between results from human and animal
experiments.
• The model is based on curve fitting of plasma
concentration with complex multi-exponential
mathematical equations.
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15. Physiological Model
• Also know as physiologically-based pharmacokinetic
models (PB-PK models).
• It describe the drug disposition in terms of realistic
physiological parameters.
• Number of compartments in the model depends upon
the disposition characteristics of drug.
• Organs such as bone that have no drug penetration are
excluded.
• RET (rapidly equilibrating tissue)- lungs, liver, brain, and
kidney.
• SET (slowly equilibrating tissue)- muscles and adipose tisse.
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17. Physiological Model Continuous…
The rate of drug carried to a tissue/organ or tissue drug uptake is
dependent upon two major factors
• Rate of blood flow to the organ
• Tissue/Blood partition coefficient or diffusion coefficient of drug
On this basis physiological model are two type-
Blood flow rate limited models (Perfusion rate-limited model)
Membrane permeation rate limited models (Diffusion-limited model)
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18. Perfusion rate-limited model
• This model is based on the assumption that the drug movement
within a body region is much more rapid than its rate of delivery to
that region by the per fusing blood.
• Applicable only for highly membrane permeable drug(s) i.e. low
molecular weight, poorly-Ionized, and high lipophilic drugs.
thiopental, lidocaine
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19. Diffusion-limited model
• Model is applicable for highly polar, ionized drugs for
which cell membrane act as a barrier and gradually
permeates it by diffusion.
• Equation for these models are very complicated.
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20. Advantages Of Physiological Modeling
• Mathematical treatment is straightforward.
• The model is suitable where tissue drug concentration and
binding are know.
• Data fitting is not required.
• Exact description of drug concentration-time profile in any
organ or tissue can be obtained.
• The influence of altered physiology or pathology on drug
disposition can be easily predicted from changes in various
pharmacokinetic parameter.
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21. Disadvantages Of Physiological Modeling
• Obtaining experimental data, which is very exhaustive.
• Prediction of individualized dosing is difficult.
• Number of data point is less than the pharmacokinetic
parameters to be assessed.
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22. Distributed Parameter Model
• Analogous to physiological model.
• Designed only for determining Variation in blood flow to
an organ, Variation in drug diffusion in an organ.
• Specifically used for assessing regional differences in
drug concentration in tumors or necrotic tissue.
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24. NON-COMPARTMENTAL MODEL
• Also know as model-independent-method.
• Based on the assumption that the drugs or metabolites follow
linear kinetics.
• It dose not require the assumption of specific compartment
model.
• Applicable to any compartment model.
• Describe the pharmacokinetics of drug disposition using time
and concentration parameters.
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27. Advantages Of Non-compartmental Model
• Pharmacokinetic parameters can be easily derived.
• A detailed description of drug disposition is not required.
• Applicable for any drug or metabolite which follow first-
order kinetics.
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28. Disadvantages Of Non-compartmental Model
• Provide limited information regarding the plasma drug
concentration-time profile.
• This method does not adequately treat non-linear cases.
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