1. Simulation of clinical trials of oral treprostinil in pulmonary arterial hypertension using a virtual population.
- Author
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Stine AE, Parmar J, Smith AK, Cummins Z, Pillalamarri NR, and Bender RJ
- Subjects
- Humans, Clinical Trials as Topic, Computer Simulation, Administration, Oral, Vascular Resistance drug effects, Hypertension, Pulmonary drug therapy, Hypertension, Pulmonary physiopathology, Epoprostenol analogs & derivatives, Epoprostenol therapeutic use, Epoprostenol pharmacology, Antihypertensive Agents therapeutic use, Antihypertensive Agents pharmacology, Pulmonary Arterial Hypertension drug therapy, Pulmonary Arterial Hypertension physiopathology
- Abstract
Challenges in drug development for rare diseases such as pulmonary arterial hypertension can be addressed through the use of mathematical modeling. In this study, a quantitative systems pharmacology model of pulmonary arterial hypertension pathophysiology and pharmacology was used to predict changes in pulmonary vascular resistance and six-minute walk distance in the context of oral treprostinil clinical studies. We generated a virtual population that spanned the range of clinical observations and then calibrated virtual patient-specific weights to match clinical trials. We then used this virtual population to predict the results of clinical trials on the basis of disease severity, dosing regimen, time since diagnosis, and co-administered background therapies. The virtual population captured the effect of changes in trial design and patient subpopulation on clinical response. We also demonstrated the virtual trial workflow's potential for enriching populations based on clinical biomarkers to increase likelihood of trial success., Competing Interests: Competing interests: A.E.S. is an employee of United Therapeutics Corporation. J.P. was an employee of United Therapeutics Corporation at the time this study was conducted. A.K.S. is an employee of United Therapeutics Corporation. Z.C. is an employee of United Therapeutics Corporation. N.R.P. is an employee of United Therapeutics Corporation. R.J.B. is an employee of United Therapeutics Corporation., (© 2025. The Author(s).)
- Published
- 2025
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