Interactive technique for optimizing drug development from the pre-clinical phases through phase-IV
First Claim
1. A method of performing interactive clinical trials for testing a new drug for cancer related studies, resulting in clinical trial designs, the method comprising:
- a) performing a pre-clinical phase in which a computer model for pharmacodynamics of a drug is determined;
b) obtaining data to determine the computer model for the pharmacodynamics of the drug of (a) from in vitro studies of the effect of the drug in animal cells, and optionally, in vivo studies in animals, and obtaining data for the pharmacokinetics of the drug of (a) from in vivo studies in animals;
c) performing a phase I clinical trial in which a clinical trial on at least a single dose of the drug of (a) is administered to at least one human, and the phase I clinical trial is performed in parallel by performing computer simulations using the computer model constructed in step (a);
d) adjusting the computer model based on comparison of the results of the clinical trial and computer simulations using the computer model, wherein the at least a single dose of step (c) is incrementally increased in at least one dose escalation step;
e) calculating the dose escalation step by the computer simulations performed using the computer model in step (d) to obtain a maximal tolerated dose, minimum effective dose, and a recommended dose;
f) checking the patient for cumulative drug effects after administration and providing this information to the computer model;
g) performing multiple simulations using the computer model with different doses and dosing intervals for different indications and patient populations;
h) determining, based on step (g) simulations results, an optimal regimen for the most responsive patient populations and clinical indications for a phase II clinical trial;
i) performing at least one phase II clinical trial where a number of small scale clinical trials are performed in parallel in order to test the optimal treatment regimen from step (h) for different pairs of clinical indications and patient populations;
j) performing at least one phase III clinical trial for a clinical indication chosen in step (h) using a regimen that was chosen in step (i); and
k) performing at least one phase IV clinical trial, based on, at least, one previous clinical trial, for post-marketing subpopulation analysis that may identify differences in efficacy and toxicity between the subpopulations, and long term product safety assessment.
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Abstract
A method of performing interactive clinical trials for testing a new drug. A pre-clinical phase is performed in which a computer model for pharmacokinetics and pharmacodynamics of the drug is created and adjusted based on in vitro studies and in vivo studies in animals. A phase I clinical research is performed in which a clinical trial on at least a single dose is performed in parallel with performing computer simulation studies using the computer model. An optimal protocol is determined for the most responsive patient populations and indications for a phase II clinical trial. Phase II clinical trial is performed where a number of small scale clinical trials are performed in parallel based on results of the above. Phase III clinical research is performed for chosen indications by chosen protocols. Phase IV studies are performed for post-marketing subpopulation analysis and long term product safety assessment.
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Citations
21 Claims
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1. A method of performing interactive clinical trials for testing a new drug for cancer related studies, resulting in clinical trial designs, the method comprising:
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a) performing a pre-clinical phase in which a computer model for pharmacodynamics of a drug is determined; b) obtaining data to determine the computer model for the pharmacodynamics of the drug of (a) from in vitro studies of the effect of the drug in animal cells, and optionally, in vivo studies in animals, and obtaining data for the pharmacokinetics of the drug of (a) from in vivo studies in animals; c) performing a phase I clinical trial in which a clinical trial on at least a single dose of the drug of (a) is administered to at least one human, and the phase I clinical trial is performed in parallel by performing computer simulations using the computer model constructed in step (a); d) adjusting the computer model based on comparison of the results of the clinical trial and computer simulations using the computer model, wherein the at least a single dose of step (c) is incrementally increased in at least one dose escalation step; e) calculating the dose escalation step by the computer simulations performed using the computer model in step (d) to obtain a maximal tolerated dose, minimum effective dose, and a recommended dose; f) checking the patient for cumulative drug effects after administration and providing this information to the computer model; g) performing multiple simulations using the computer model with different doses and dosing intervals for different indications and patient populations; h) determining, based on step (g) simulations results, an optimal regimen for the most responsive patient populations and clinical indications for a phase II clinical trial; i) performing at least one phase II clinical trial where a number of small scale clinical trials are performed in parallel in order to test the optimal treatment regimen from step (h) for different pairs of clinical indications and patient populations; j) performing at least one phase III clinical trial for a clinical indication chosen in step (h) using a regimen that was chosen in step (i); and k) performing at least one phase IV clinical trial, based on, at least, one previous clinical trial, for post-marketing subpopulation analysis that may identify differences in efficacy and toxicity between the subpopulations, and long term product safety assessment. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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- 15. A method of performing interactive clinical trials for a new drug for cancer related studies, resulting in clinical trial designs, the method comprising a step of administering at least a single dose of a drug in vitro or in vivo to obtain data for a pre-clinical phase in which a computer model for pharmacokinetics and phramacodynamics is created and adjusted based on data from in vitro studies and optionally in vivo studies in animals, wherein that pre-clinical phase is performed in parallel with simulated computer predictions, and wherein the simulated computer predictions are compared with the pre-clinical results and the comparison is used to adjust the computer model, wherein the computer model is an in silico patient that is adjusted according to the results of the pre-clinical trials.
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17. A method of performing interactive clinical trials for a new drug for cancer related studies, resulting in clinical trial designs, the method comprising a step of obtaining data from administration of a drug in a dose-escalation during phase I clinical trial performed in parallel with simulated computer predictions, and wherein the simulated computer predictions are compared with clinical results and the comparison is used to adjust the computer model, wherein the computer model is an in silico patient that is adjusted according to the results of the clinical trials.
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18. A method of performing interactive clinical trials for a new drug for cancer related studies, resulting in clinical trial designs, the method comprising:
- a step of administering at least a single dose of a drug to obtain data to develop a strategy for a phase I clinical trial wherein the phase I clinical trial is performed in parallel with simulated computer predictions, and wherein the simulated computer predictions comprise using a computer model that is an in silico patient that is adjusted according to the results of the clinical trials.
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19. A method of performing interactive clinical trials for a new drug for cancer related studies, resulting in clinical trial designs, the method comprising a step of administering at least a single dose of a drug to obtain data for performing a phase II clinical trial wherein at least one clinical trial is performed in parallel with simulations performed using a computer model, resulting in prediction of one or more trial outcomes,
wherein the prediction of one or more trial outcomes is compared with clinical results from the phase II clinical trials and the comparison is used to adjust the computer model, wherein the computer model is an in silico patient that is adjusted according to the results of the clinical trials.
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20. A method of performing interactive clinical trials for a new drug for cancer related studies;
- resulting in clinical trial designs, the method comprising a step of administering at least a single dose of a drug to obtain data for performing a phase III clinical trial in parallel with simulations performed using a computer model that predicts a better treatment for the design of further clinical trials, resulting in prediction of one or more trial outcomes,
wherein the prediction is compared with clinical results from the phase III clinical trials and the comparison is used to adjust the computer model, wherein the computer model is an in silico patient that is adjusted according to the results of the clinical trials.
- resulting in clinical trial designs, the method comprising a step of administering at least a single dose of a drug to obtain data for performing a phase III clinical trial in parallel with simulations performed using a computer model that predicts a better treatment for the design of further clinical trials, resulting in prediction of one or more trial outcomes,
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21. A method of performing interactive clinical trials for a new drug for cancer related studies, resulting in clinical trial designs, the method comprising a step of administering to a patient at least a single dose of a drug to obtain data for performing a phase IV clinical trial in parallel with simulations performed using a computer model that predicts post-marketing efficacy of a drug, and long term drug safety assessment, resulting in prediction of one or more trial outcomes,
wherein the prediction is compared with clinical results from the phase IV clinical trials and the comparison is used to adjust the computer model, wherein the computer model is an in silico patient that is adjusted according to the results of the clinical trials.
Specification