The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases

Autoimmune diseases (AIDs) are a group of disorders in which the immune system attacks the body’s own tissues, leading to chronic inflammation and organ damage. These diseases are difficult to treat due to variability in drug PK among individuals, patient responses to treatment, and the side effects...

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Main Authors: Artur Świerczek, Dominika Batko, Elżbieta Wyska
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/16/12/1559
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author Artur Świerczek
Dominika Batko
Elżbieta Wyska
author_facet Artur Świerczek
Dominika Batko
Elżbieta Wyska
author_sort Artur Świerczek
collection DOAJ
description Autoimmune diseases (AIDs) are a group of disorders in which the immune system attacks the body’s own tissues, leading to chronic inflammation and organ damage. These diseases are difficult to treat due to variability in drug PK among individuals, patient responses to treatment, and the side effects of long-term immunosuppressive therapies. In recent years, pharmacometrics has emerged as a critical tool in drug discovery and development (DDD) and precision medicine. The aim of this review is to explore the diverse roles that pharmacometrics has played in addressing the challenges associated with DDD and personalized therapies in the treatment of AIDs. <b>Methods</b>: This review synthesizes research from the past two decades on pharmacometric methodologies, including Physiologically Based Pharmacokinetic (PBPK) modeling, Pharmacokinetic/Pharmacodynamic (PK/PD) modeling, disease progression (DisP) modeling, population modeling, model-based meta-analysis (MBMA), and Quantitative Systems Pharmacology (QSP). The incorporation of artificial intelligence (AI) and machine learning (ML) into pharmacometrics is also discussed. <b>Results</b>: Pharmacometrics has demonstrated significant potential in optimizing dosing regimens, improving drug safety, and predicting patient-specific responses in AIDs. PBPK and PK/PD models have been instrumental in personalizing treatments, while DisP and QSP models provide insights into disease evolution and pathophysiological mechanisms in AIDs. AI/ML implementation has further enhanced the precision of these models. <b>Conclusions</b>: Pharmacometrics plays a crucial role in bridging pre-clinical findings and clinical applications, driving more personalized and effective treatments for AIDs. Its integration into DDD and translational science, in combination with AI and ML algorithms, holds promise for advancing therapeutic strategies and improving autoimmune patients’ outcomes.
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spelling doaj-art-97ee800ee34c46878e8e266b87dc039d2025-08-20T02:01:16ZengMDPI AGPharmaceutics1999-49232024-12-011612155910.3390/pharmaceutics16121559The Role of Pharmacometrics in Advancing the Therapies for Autoimmune DiseasesArtur Świerczek0Dominika Batko1Elżbieta Wyska2Department of Pharmacokinetics and Physical Pharmacy, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna Street, 30-688 Krakow, PolandDepartment of Pharmacokinetics and Physical Pharmacy, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna Street, 30-688 Krakow, PolandDepartment of Pharmacokinetics and Physical Pharmacy, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna Street, 30-688 Krakow, PolandAutoimmune diseases (AIDs) are a group of disorders in which the immune system attacks the body’s own tissues, leading to chronic inflammation and organ damage. These diseases are difficult to treat due to variability in drug PK among individuals, patient responses to treatment, and the side effects of long-term immunosuppressive therapies. In recent years, pharmacometrics has emerged as a critical tool in drug discovery and development (DDD) and precision medicine. The aim of this review is to explore the diverse roles that pharmacometrics has played in addressing the challenges associated with DDD and personalized therapies in the treatment of AIDs. <b>Methods</b>: This review synthesizes research from the past two decades on pharmacometric methodologies, including Physiologically Based Pharmacokinetic (PBPK) modeling, Pharmacokinetic/Pharmacodynamic (PK/PD) modeling, disease progression (DisP) modeling, population modeling, model-based meta-analysis (MBMA), and Quantitative Systems Pharmacology (QSP). The incorporation of artificial intelligence (AI) and machine learning (ML) into pharmacometrics is also discussed. <b>Results</b>: Pharmacometrics has demonstrated significant potential in optimizing dosing regimens, improving drug safety, and predicting patient-specific responses in AIDs. PBPK and PK/PD models have been instrumental in personalizing treatments, while DisP and QSP models provide insights into disease evolution and pathophysiological mechanisms in AIDs. AI/ML implementation has further enhanced the precision of these models. <b>Conclusions</b>: Pharmacometrics plays a crucial role in bridging pre-clinical findings and clinical applications, driving more personalized and effective treatments for AIDs. Its integration into DDD and translational science, in combination with AI and ML algorithms, holds promise for advancing therapeutic strategies and improving autoimmune patients’ outcomes.https://www.mdpi.com/1999-4923/16/12/1559pharmacometricsautoimmune diseasespersonalized medicinePBPK modelingPK/PD modelingdisease progression modeling
spellingShingle Artur Świerczek
Dominika Batko
Elżbieta Wyska
The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
Pharmaceutics
pharmacometrics
autoimmune diseases
personalized medicine
PBPK modeling
PK/PD modeling
disease progression modeling
title The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
title_full The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
title_fullStr The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
title_full_unstemmed The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
title_short The Role of Pharmacometrics in Advancing the Therapies for Autoimmune Diseases
title_sort role of pharmacometrics in advancing the therapies for autoimmune diseases
topic pharmacometrics
autoimmune diseases
personalized medicine
PBPK modeling
PK/PD modeling
disease progression modeling
url https://www.mdpi.com/1999-4923/16/12/1559
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