炎症性肠病生物制剂群体药动学研究进展

    Research Progress in Population Pharmacokinetics of Biologics for Inflammatory Bowel Disease

    • 摘要: 炎症性肠病(inflammatory bowel diseases,IBD)是一种慢性、非特异性肠道炎症性疾病。近年来,生物制剂已成为IBD的重要治疗手段,显著改善了患者的临床预后。然而,生物制剂在临床应用中也面临着诸多挑战,其药动学和药效学存在显著的个体差异。随着IBD生物制剂群体药动学(population pharmacokinetics,PPK)研究的不断增加,研究者们逐渐揭示了生物制剂的PPK特征以及影响其清除率的诸多因素,为该类药物的临床合理应用提供了有力支撑。本文通过检索PubMed,EMBASE和Web of Science三大权威数据库,对IBD生物制剂的PPK模型研究进行全面汇总和深入分析,重点介绍影响生物制剂清除率的关键因素和PPK模型,并进一步探讨了当前研究中存在的挑战以及未来的发展方向,为生物制剂在IBD患者中的个体化应用和深入研究提供参考。

       

      Abstract: Inflammatory bowel disease(IBD) is a chronic, non-specific inflammatory disorder of the intestines. In recent years, biologics have emerged as a significant treatment approach for IBD, markedly improving patients’ clinical outcomes. However, their clinical application also presents multiple challenges, as notable individual variability exists in their pharmacokinetics and pharmacodynamics. With the growing number of population pharmacokinetic(PPK) studies on biologics for IBD, researchers are progressively uncovering the PPK characteristics of biologics and various factors influencing their clearance, providing strong support for the rational clinical use of these drugs. By searching three major authoritative databases: PubMed, EMBASE, and Web of Science, this article comprehensively summarizes and conducts an in-depth analysis of PPK model studies for biologics in IBD. It focuses on key factors and PPK models that affect biologic clearance, further discusses challenges in current research and future directions, and offers insights for the individualized application and further investigation of biologics in IBD patients.

       

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