The GU Summer School on
Pharmacokinetic - Pharmacodynamic Data Analysis:
Concepts and Applications
19
th
to 24th
August 2007, Gothenburg University, Gothenburg
There is a tremendous demand for PK and PKPD trained analysts within
Academia, Industry and Regulatory Agencies. There is also a costly time-lag from
the Industry’s need of this competence and request for new courses, to the final
output of competent scientists. The gap between need and what is provided by
educational institutions is continuously growing. Since there are no formal ac-
ademic training programs on the Master level within Europe in this field, this ad-
vanced Summer School is aimed to bridge some of that gap. It will also serve as an
embryo from which a more module-based Master-program can evolve. The
programme is aimed to give the participant a sense that when he/she is entering
the scientific area, this is knowledge that has immediate bearings on the drug
discovery-development process. The course provides an interface between the
computer analysis of PK and PD data and physiological concepts. Based on the
background and concepts provided by the course lecturers, delegates will apply
this information to the WinNonlin industry standard modelling package. A unique
feature of the course is the access to the computer package to undertake hands-
on exercises on real-life case studies and availability of course tutors to help in
problem solving. The participants will be exposed to a wide range of real life
preclinical and clinical pkpd datasets based on single/multiple subjects. There will
be a half a day preparatory course on how to use WinNonlin prior to the main
course (Sunday 19th
of August afternoon).
A residential course organised by Dept. of Neuroscience and Physiology, Section of
Pharmacology, Gothenburg University, Gothenburg, in collaboration with Astra-
Zeneca R&D.
COURSE TEAM
Dr Johan Gabrielsson is a Senior
Principal Scientist at AstraZeneca
R&D Mölndal. He has conducted
numerous workshops on biological
(PK/PD) data analysis.
MSc Christine Isaksson is a graduate
student at dept of Pharmacology
at GU, and Dr Anders Hall is a
DMPK team manager and project
leader at AstraZeneca R&D Lund.
OUTLINE PROGRAMME
ß
Basic pharmacodynamic theory
ß
Turnover concept and
modelling
ß
Effect compartment models
ß
Receptor on/off binding models
ß
Pharmacodynamic complexities
ß
Single/multiple dose dynamics
ß
Inter-species scaling of PD data
ß
Tolerance & rebound models
ß
Transduction, synergy
ß
PKPD in discov & development
ß
Antibody/protein/peptide PKPD

1
Aim
This unique advanced workshop provides an interface between the computer analysis of
PK & PD data and physiological concepts. Based on the background and concepts
provided by the course lecturers, delegates will apply this information to the appropriate
modelling package (WinNonlin) in hands-on exercises on real-life case studies.
Who should attend?
Biochemists, DMPK, pharmacology, clinical pharmacology and toxicology scientists, partici-
pants who attended the earlier introductory workshop, and researchers with a working
knowledge of WinNonlin who want to learn more about the advanced features of
the pro-
gramme.
Course outline
Morning sessions consist of advanced lectures dealing with pharmacodynamic theory, inter-
pretation of computer output, practical experimental design, discrimination between rival
models and combining data of different sources. Afternoon/evening sessions are devoted to
applying the methods discussed in the lectures to actual data using
WinNonlin. One group
session of going from data to insight and building conceptual models
is planned.
An extensive number of pharmacodynamic models and real life data sets will be covered.
Users of software other than WinNonlin would also benefit from the methods discussed in the
lectures and hands-on sessions. This includes single and multiple dose dynamics, steady-state
data, receptor on/off models, turnover (indirect response) models, link models, tolerance, re-
bound and synergistic models, bi-phasic response data, physiological kinetic/dynamic
modelling, transduction models, diurnal variations, allometric models for scaling kinetic and
dynamic data-parameters. Participants are strongly encouraged to bring their own kinetic-
dynamic data. There will be a half a day preparatory course on how to use WinNonlin prior to
the main course (Sunday 19th
of August afternoon).
Course Material
The delegate pack, which is provided at the start of the workshop, includes copies of all
presentation material, group exercises, project exercise, and reference list.
The 4th
edition of “Pharmacokinetic/Pharmacodynamic Data Analysis: Concepts and
Applications” (Swedish Pharmaceutical Press 2006, 1250 pages).
Limited number of available seats
The total number of seats are limited to 20. A few seats are also available for participants
outside academia. The latter category will be billed for the bench fee.
2
Programme for ADVANCED COURSE ON PK/PD MODELING
DAY ONE Monday 20th, 2007
8:15am – 8:30am
1
Introduction and mental contract
♦
What are our expectations
♦
Course layout & course material
♦
Course evaluation form
(Gunnar/Johan)
8:30am – 9:30am
2
Pharmacodynamic I (Equilibrium)
♦
Introduction to PKPD reasoning
♦
Steady-state models
♦
Kinetics of drug action
♦
Initial parameter estimates
♦
Design issues and case studies
(Johan)
9:30 – 9:45am
Coffee/tea
9:45 – 10:30am
3
Pharmacodynamic II (Distributional delays)
♦
Steady-state models vs. time delay
♦
Basic concepts on distributional delays
♦
Modeling QT-data with link models
♦
Initial parameter estimates
♦
Design issues and case studies
(Johan)
10:30 – 12:00am
4
Hands-on 1 (Tutors/Johan)
♦
♦
♦
♦
Inst. equil. models, steady-state, log-linear, sigmoidal
Incomplete datasets
Adair model
Design issues and case studies
12:00 – 1:00pm
Lunch
1:00 – 4:00pm
5
Hands-on 2 (Tutors/Johan)
♦
♦
♦
Modeling EEG-data with link models
Modeling QT-data with link models
Design issues and case studies
2:30 – 2:45am
Coffee/tea
4:30 – 4:45pm
Wrap-up & Project presentation
(Johan/project presenter)
3
DAY TWO Tuesday 21st, 2007
8:15 – 9:30am
6
Pharmacodynamics III (Turnover A)
(Johan)
♦
Residual questions from Day 1
♦
Turnover concepts I - ‘The Gang of four’
♦
Constant and variable baseline
♦
Comparing link- and turnover models
♦
The thought process
♦
Initial estimates
♦
Design issues and case studies
9:30 – 9:45am
Coffee/tea
9:45 – 12:00am
7
Hands-on 3 (Tutors/Johan)
♦
Turnover models I-IV
12:00 – 1:00am
Lunch
1:00 – 5:00pm
7
Hands-on 3 cont. (Tutors/Johan)
♦
Collapsing hysteresis loops
♦
Turnover model I of blood clotting data
♦
Design issues and case studies
2:30 – 2:45am
Coffee/tea
4:30 – 4:45pm
Wrap-up & Sniffer time (Johan/ Tutors)
5:00
Course dinner
4
DAY THREE Wednesday 22nd, 2007
8:15 - 9:30am
8
Pharmacodynamics IV (Turnover B)
(Johan)
♦
Residual questions from Day 2
♦
The thought process
♦
Peak shifts
♦
Limited production and loss
♦
Synergy by means of turnover models
♦
Transduction models
♦
Irreversible response
♦
Initial parameter estimates
♦
Confounding factors
9:30 – 9:45am
Coffee/tea
9:45 - 12:00am
9
Hands-on 4
(Johan/Tutors)
♦
Turnover models I-IV
♦
Comparing IRP and Link
♦
Design issues and case studies
12:00 - 1:00pm
Lunch
1:00 - 4:00pm
9
Hands-on 4 cont. (Johan/Tutors)
♦
Turnover models I-IV cont.
♦
Fitting multiple dose PD data
2:30 – 2:45am
Coffee/tea
4:00 - 4:15pm
Wrap-up & Project presentation
(Johan/project presenter)
Outdoor activity
5
DAY FOUR Thursday 23rd, 2007
8:15 - 9:30am
10
Pharmacodynamics V (Adaptation)
(Johan)
♦
Residual questions from Day 4
♦
Models for adaptation, Tolerance and rebound
♦
Feed-back systems
♦
The thought process
♦
Oscillating baselines
♦
Initial parameter estimates
9:30 – 9:45am
Coffee/tea
9:30 - 12:00am
11
Hands-on 5
(Tutors/Johan)
♦
Turnover models I-IV continue
♦
Synergy
♦
Transduction models
♦
Irreversible response
♦
Design issues and case studies
12:00 - 1:00pm
Lunch
1:00 - 2:00pm
11
Hands-on 5 cont. (Tutors/Johan)
♦
Own datasets
♦
Synergy
♦
Transduction models
♦
Irreversible response
♦
Analyzing PD data from Phase I study
2:00 - 5:00pm
12
Introduction and group exercises (Johan/ Tutors)
♦
Group 1-3
♦
Group 4-6
2:30 – 2:45pm
Coffee/tea
3:30 – 5:00pm
12
Presentations of group exercises
♦
Group 1-3
♦
Group 4-6
(All)
6
DAY FIVE Friday 24th, 2007
8:15 - 9:30am
13
Pharmacodynamic VI (Philosophy)
(Johan)
♦
Going from data to insight
♦
Going from idea to mechanistic to conceptual model
♦
Close of workshop and farewell
9:30 – 9:45am
Coffee/tea
9:45 - 15:00am
14
Hands-on 6 (Johan/ Tutors)
♦
Residual questions from Day 4
♦
Multiple subjects dataset
♦
Tolerance and rebound
♦
Feed-back systems
♦
Initial parameter estimates
12:00 - 1:00pm
Lunch
14:45am
Information about project exercise
(Johan/ Tutors)
16:00am
Wrap-up & end of workshop
(Gunnar/Johan)