PMID- 24797229 OWN - NLM STAT- MEDLINE DCOM- 20150514 LR - 20181211 IS - 1099-081X (Electronic) IS - 0142-2782 (Linking) VI - 35 IP - 6 DP - 2014 Sep TI - Development of physiologically based pharmacokinetic model to evaluate the relative systemic exposure to quetiapine after administration of IR and XR formulations to adults, children and adolescents. PG - 341-52 LID - 10.1002/bdd.1899 [doi] AB - Quetiapine is an atypical antipsychotic drug with a high permeability, moderate solubility and defined as a Biopharmaceutics Classification System class ll compound. The pharmacokinetics (PK) of the quetiapine immediate-release (IR) formulation has been studied in both adults and children, but the quetiapine extended-release (XR) formulation has only been conducted in adults. The purpose of the current study was to use physiologically based pharmacokinetic modeling (PBPK) quantitatively to predict the PK of the XR formulation in children and adolescents. Using a 'learn and confirm' approach, PBPK models were developed employing in vitro ADME and physicochemical data, clinical PK data of quetiapine IR/XR in adults and clinical PK data of quetiapine IR in children. These models can predict well the effects of CYP3A4 inhibition and induction on the PK of quetiapine, the PK profile of quetiapine IR in children and adults, and the PK profile of quetiapine XR in adults. The AUC and Cmax ratios (children vs adults) for the different age groups were in reasonable agreement with the observed ratios. In addition, the PBPK model predicted that children and adolescents are likely to achieve a similar exposure following administration of either the XR formulation once daily or the IR formulation twice daily at similar total daily doses. The results from the study can help inform dosing regimens in pediatrics using the quetiapine XR formulation. CI - Copyright (c) 2014 John Wiley & Sons, Ltd. FAU - Johnson, Trevor N AU - Johnson TN AD - Simcyp Ltd, Sheffield, UK. FAU - Zhou, Diansong AU - Zhou D FAU - Bui, Khanh H AU - Bui KH LA - eng PT - Clinical Trial PT - Journal Article DEP - 20140806 PL - England TA - Biopharm Drug Dispos JT - Biopharmaceutics & drug disposition JID - 7911226 RN - 0 (Antipsychotic Agents) RN - 0 (Delayed-Action Preparations) RN - 0 (Dibenzothiazepines) RN - 2S3PL1B6UJ (Quetiapine Fumarate) RN - 33CM23913M (Carbamazepine) RN - 90Y4QC304K (Ketoprofen) RN - EC 1.14.13.- (CYP2C9 protein, human) RN - EC 1.14.13.- (Cytochrome P-450 CYP2C9) RN - EC 1.14.14.1 (Cytochrome P-450 CYP2D6) RN - EC 1.14.14.1 (Cytochrome P-450 CYP3A) RN - EC 1.14.14.55 (CYP3A4 protein, human) SB - IM MH - Adolescent MH - Adult MH - Antipsychotic Agents/administration & dosage/blood/*pharmacokinetics MH - Carbamazepine/pharmacology MH - Child MH - Computer Simulation MH - Cytochrome P-450 CYP2C9/metabolism MH - Cytochrome P-450 CYP2D6/metabolism MH - Cytochrome P-450 CYP3A/metabolism MH - Delayed-Action Preparations/administration & dosage/pharmacokinetics MH - Dibenzothiazepines/administration & dosage/blood/*pharmacokinetics MH - Drug Administration Schedule MH - Drug Interactions MH - Female MH - Humans MH - Ketoprofen/pharmacology MH - Male MH - Middle Aged MH - *Models, Biological MH - Quetiapine Fumarate MH - Tissue Distribution MH - Young Adult OTO - NOTNLM OT - PBPK OT - extended-release formulation OT - quetiapine EDAT- 2014/05/07 06:00 MHDA- 2015/05/15 06:00 CRDT- 2014/05/07 06:00 PHST- 2014/02/05 00:00 [received] PHST- 2014/04/08 00:00 [revised] PHST- 2014/04/23 00:00 [accepted] PHST- 2014/05/07 06:00 [entrez] PHST- 2014/05/07 06:00 [pubmed] PHST- 2015/05/15 06:00 [medline] AID - 10.1002/bdd.1899 [doi] PST - ppublish SO - Biopharm Drug Dispos. 2014 Sep;35(6):341-52. doi: 10.1002/bdd.1899. Epub 2014 Aug 6.