Personalising biologic therapy in psoriasis: Development, validation and user-testing of a precision dosing dashboard.

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Tác giả: Monica Arenas-Hernandez, Zehra Arkir, Jonathan Barker, David Baudry, Sarah Chapman, Bola Coker, Tejus Dasandi, Jenny Leung, Satveer K Mahil, Chioma Nwaogu, Andrew Pink, Kingsley Powell, Krystal Rawstron, Catherine H Smith, Joseph F Standing, Charlotte M Thomas, Richard Woolf

Ngôn ngữ: eng

Ký hiệu phân loại: 973.7092 Administration of Abraham Lincoln, 1861-1865 Civil War

Thông tin xuất bản: United States : The Journal of investigative dermatology , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 488215

 Rising numbers of individuals receiving psoriasis biologics achieve clear/nearly clear skin (disease control). Trial data indicate some maintain control with lower doses, especially those with higher serum drug concentrations. This indicates potential for Model-Informed Precision Dosing (MIPD), an advanced therapeutic drug monitoring technique, in guiding dose minimisation. We developed, validated, and user-tested a precision dosing dashboard. We applied a MIPD approach leveraging Bayesian estimation to predict individual pharmacokinetic (PK) parameters for personalised dosing recommendations. A PK model of the exemplar biologic risankizumab, derived from phase I-III psoriasis trial data (13123 observations/1899 patients), was externally validated using real-world UK psoriasis data. The Bayesian model (posterior prediction: mean absolute error 0.89 mg/L
  mean percentage error 19.55%
  root mean square error 1.24 mg/L
  R
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