The primary goal is to provide the computational services available to all the investigators that will allow them to fulfill their specific aims. In each instance, there will be a need to examine the data generated from the in vitro hollow fiber system experiments and animal model experiments, fit models to the data and translate this insight to the clinical arena so that appropriate doses and schedules can be chosen for treatment. This Core describes the process by which the data developed from the hollow fiber system studies (or animal studies, where necessary) are analyzed and translated to clinical doses and schedules. It is impossible to perform classical clinical trials to determine doses and schedules of drugs for emerging infectious disease such as SARS or for intentional release of bioterror agents. We have developed a new paradigm for robustly determining doses and schedules of drugs for agents for these situations. Because of the seriousness of these illnesses, drug doses and schedules have to be right the first time. In addition to being able to set drug exposure targets employing a validated in vitro hollow fiber infection model, we have developed a robust approach employing Monte Carlo simulation for translating the insights from the in vitro system (or animal model, where available) to man. This will provide the computational expertise and the infrastructure support to help solve this serious national problem.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Program Projects (P01)
Project #
5P01AI060908-05
Application #
7901024
Study Section
Special Emphasis Panel (ZAI1)
Project Start
Project End
2011-08-15
Budget Start
2009-07-01
Budget End
2011-08-15
Support Year
5
Fiscal Year
2009
Total Cost
$178,601
Indirect Cost
Name
Ordway Research Institute, Inc.
Department
Type
DUNS #
124361945
City
Albany
State
NY
Country
United States
Zip Code
12208
Heine, Henry S; Louie, Arnold; Adamovicz, Jeffrey J et al. (2014) Evaluation of imipenem for prophylaxis and therapy of Yersinia pestis delivered by aerosol in a mouse model of pneumonic plague. Antimicrob Agents Chemother 58:3276-84
Roberts, Jason A; Abdul-Aziz, Mohd H; Lipman, Jeffrey et al. (2014) Individualised antibiotic dosing for patients who are critically ill: challenges and potential solutions. Lancet Infect Dis 14:498-509
Louie, Arnold; Vanscoy, Brian; Liu, Weiguo et al. (2013) Hollow-fiber pharmacodynamic studies and mathematical modeling to predict the efficacy of amoxicillin for anthrax postexposure prophylaxis in pregnant women and children. Antimicrob Agents Chemother 57:5946-60
Louie, Arnold; VanScoy, Brian D; Brown, David L et al. (2012) Impact of spores on the comparative efficacies of five antibiotics for treatment of Bacillus anthracis in an in vitro hollow fiber pharmacodynamic model. Antimicrob Agents Chemother 56:1229-39
Louie, Arnold; Vanscoy, Brian D; Heine 3rd, Henry S et al. (2012) Differential effects of linezolid and ciprofloxacin on toxin production by Bacillus anthracis in an in vitro pharmacodynamic system. Antimicrob Agents Chemother 56:513-7
Louie, A; Heine, H S; VanScoy, B et al. (2011) Use of an in vitro pharmacodynamic model to derive a moxifloxacin regimen that optimizes kill of Yersinia pestis and prevents emergence of resistance. Antimicrob Agents Chemother 55:822-30
Louie, Arnold; Vanscoy, Brian; Liu, Weiguo et al. (2011) Comparative efficacies of candidate antibiotics against Yersinia pestis in an in vitro pharmacodynamic model. Antimicrob Agents Chemother 55:2623-8
Bulitta, Jurgen B; Landersdorfer, Cornelia B; Forrest, Alan et al. (2011) Relevance of pharmacokinetic and pharmacodynamic modeling to clinical care of critically ill patients. Curr Pharm Biotechnol 12:2044-61
Drusano, G L; Okusanya, O O; Okusanya, A O et al. (2009) Impact of spore biology on the rate of kill and suppression of resistance in Bacillus anthracis. Antimicrob Agents Chemother 53:4718-25
Louie, A; Heine, H S; Kim, K et al. (2008) Use of an in vitro pharmacodynamic model to derive a linezolid regimen that optimizes bacterial kill and prevents emergence of resistance in Bacillus anthracis. Antimicrob Agents Chemother 52:2486-96

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