The GU Summer School on

Pharmacokinetic - Pharmacodynamic Data Analysis:

Concepts and Applications

19thto 24thAugust 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
ßBasic 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

IMAGE course-info01-mod.gif

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 modelsis 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 4thedition 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.

CLICK HERE! Click here for application!

2

Programme for ADVANCED COURSE ON PK/PD MODELING

IMAGE course-info02.gif

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)