Estimation of target occupancy in repeated dosing design studies using positron emission tomography: Biases due to target upregulation Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.1177/0271678x231214443
Positron emission tomography (PET) has become indispensable in the quantification of target engagement by brain targeting medications. The relationship between the drug plasma concentration (or drug dose administered) and target occupancy determined during a PET occupancy study has provided valuable information for the assessment of novel pharmaceuticals in the early phases of drug development. Such information is also critical for the understanding of the mechanisms of action and side-effect profile of approved medication commonly used in the clinic. Occupancy studies conducted following repeated drug dosing (RD) can produce systematic differences from those conducted following single drug dose (SD), differences that have not been adequately explored. We have hypothesised that when differences are observed between RD and SD studies, they are related to changes in target density induced by repeated drug accumulation. We have developed a modified occupancy model to account for potential changes in target density and tested it on a sample dataset. We found that target upregulation can parsimoniously explain the differences in drug affinity estimated in SD and RD studies. Our findings have implications for the interpretation of RD occupancy data in the literature and the relationship between specific target occupancy levels and drug efficacy and tolerability.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/0271678x231214443
- OA Status
- green
- Cited By
- 2
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388516834
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4388516834Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/0271678x231214443Digital Object Identifier
- Title
-
Estimation of target occupancy in repeated dosing design studies using positron emission tomography: Biases due to target upregulationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
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2023-11-09Full publication date if available
- Authors
-
Eugenii A. Rabiner, Roger N. GunnList of authors in order
- Landing page
-
https://doi.org/10.1177/0271678x231214443Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/10981403Direct OA link when available
- Concepts
-
Occupancy, Positron emission tomography, Dosing, Drug, Drug development, Pharmacology, Tolerability, Medicine, Downregulation and upregulation, Medical physics, Nuclear medicine, Adverse effect, Chemistry, Biology, Ecology, Biochemistry, GeneTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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