Mapping the dose-effect relationship of orbofiban from sparse data with an artificial neural network

Donald E. Mager, Jason D. Shirey, Dermot Cox, Desmond J. Fitzgerald, Darrell R. Abernethy

Research output: Contribution to journalArticlepeer-review

Abstract

A neural network (NN) pharmacodynamic model was developed that correlates the inhibition of ex vivo platelet aggregation by orbofiban, an oral glycoprotein IIb/IIIa antagonist, with the administered dose and patient characteristics. Data were obtained from a Phase-II dose-finding study of orbofiban in patients presenting with acute coronary syndromes. A back-propagation NN was designed to predict drug effect measured at predose and 4 and 6 h on treatment days 1, 28, and 84 (nine responses/ patient). The training set consisted of patients for whom complete response profiles were reported (n = 67), and remaining patients were included in the validation data set (n = 47). The concentration-effect relationship was described additionally using a population direct-effect inhibitory sigmoidal model, and a comparison of the predictive performances of both models was performed. The final NN reasonably described orbofiban pharmacodynamics from sparse data sets without specifying a structural model or drug concentrations. Despite considerable inter-patient variability in response-time profiles, the population model revealed a strong correlation between drug concentration and effect and exhibited greater precision than the NN model. Although the population model showed greater precision, these results suggest that NNs may be useful for individualizing pharmacotherapy when drug concentrations are relatively unpredictable or unavailable.

Original languageEnglish (US)
Pages (from-to)2475-2486
Number of pages12
JournalJournal of Pharmaceutical Sciences
Volume94
Issue number11
DOIs
StatePublished - Nov 2005

Keywords

  • Dose-response
  • Humans
  • Mathematical model
  • Neural networks
  • Orbofiban
  • Pharmacodynamics
  • Population pharmacodynamics

ASJC Scopus subject areas

  • Pharmaceutical Science

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