The dose level of Drug XYZ is 60 mg/m2 (Hint: Use the table found in p.19 for the conversion factors) a. What is the dose in body weight (mg/kg) basis in dogs? b. What is the dose in body weight (mg/kg) basis in rats? c. What is the dose in body weight (mg/kg) basis in monkeys? d. What is the dose in body weight (mg/kg) basis in humans?
The dose level of Drug XYZ is 60 mg/m2 (Hint: Use the table found in p.19 for the conversion factors) a. What is the dose in body weight (mg/kg) basis in dogs? b. What is the dose in body weight (mg/kg) basis in rats? c. What is the dose in body weight (mg/kg) basis in monkeys? d. What is the dose in body weight (mg/kg) basis in humans?
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
The dose level of Drug XYZ is 60 mg/m2 (Hint: Use the table found in p.19 for the conversion factors)
a. What is the dose in body weight (mg/kg) basis in dogs?
b. What is the dose in body weight (mg/kg) basis in rats?
c. What is the dose in body weight (mg/kg) basis in monkeys?
d. What is the dose in body weight (mg/kg) basis in humans?
Reference:
Guidance for Industry
Estimating the Maximum Safe Starting Dose in Initial Clinical Trials for Therapeutics in Adult Healthy Volunteers
the picture attached to my question is page 19 on my pdf
![Pharmacologically active dose (PAD): The lowest dose tested in an animal species with the
intended pharmacologic activity.
Safety factor (SF): A number by which the HED is divided to introduce a margin of safety
between the HED and the maximum recommended starting dose.
W: Body weight in kg
15
Contains Nonbinding Recommendations
ΑPΡENDIX A:
Analysis of Allometric Exponent on HED Calculations
An analysis was conducted to determine the effect of the allometric exponent on the conversion
of an animal dose to the HED. One can derive the following equation (see Appendix C) for
converting animal doses to the HED based on body weights and the allometric exponent (b):
HED = animal NOAEL x (Wanimal/Whuman)
Conventionally, for a mg/m? normalization b would be 0.67, but a number of studies (including
the original Freireich data) have shown that MTDS scale best across species when b = 0.75. The
Interagency Pharmacokinetics Group has recommended that W.75 be used for interspecies
extrapolation of doses in carcinogenicity studies (EPA 1992). There are no data, however, to
indicate the optimal method for converting NOAELS to HEDS. Conversion factors were
calculated over a range of animal and human weights using (Wanimal/Whuman)-33
(Wanimal/Whuman)"
0.67. The results are shown in Table 2. Using an allometric exponent of 0.75 had a big effect on
the conversion factor for the smaller species mice and rats. Nonetheless, mice are not commonly
used for toxicology studies to support the first-in-human clinical trials. In addition, there is
evidence that the area under the plasma concentration versus time curves in rats and humans
correlates reasonably well when doses are normalized to mg/m (Contrera et al. 1995). We
conclude that the approach of converting NOAEL doses to an HED based on body surface area
correction factors (i.e., b = 0.67) should be maintained for selecting starting doses for initial
studies in healthy volunteers since: (1) mg/m² normalization is widely used throughout the
toxicology and pharmacokinetic research communities; (2) mg/m² normalization provides a more
conservative conversion; (3) there are no data to suggest a superior method for converting
NOAELS; and (4) CDER has significant experience in establishing safe starting doses based on
mg/m, and it is readily calculated.
or
0.25
to assess the effect on starting dose selection of using b = 0.75 instead of b
Table 2: Effect of Allometric Exponent on Conversion Factor"
Conversion Factors®
Ratio of
0.75 to 0.67
Weight Range
(kg)
Species
Standard
b = 0.67
b = 0.75
Mouse
Rat
Rabbit
Monkey
Dog
conversion factor = (Wanimal/Whuman)'
° human weight range used was 50-80 kg (110-176 lb)
' mean conversion factor calculated across entire animal weight range and human weight
0.018-0.033
0.081
0.075
0.141
1.88
0.09-0.40
0.162
0.156
0.245
1.57
1.30
1.27
1.5-3
0.324
0.33
0.43
1.5-4
0.324
0.37
0.47
6.5-13.0
0.541
0.53
0.62
1.17
(1-b)
range
16
Contains Nonbinding Recommendations](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F924f6e85-f7f7-4042-bb27-e5a5b7b59f4a%2F5b7acb40-d401-4593-adb3-06eab9faf9f9%2F5awdtp_processed.png&w=3840&q=75)
Transcribed Image Text:Pharmacologically active dose (PAD): The lowest dose tested in an animal species with the
intended pharmacologic activity.
Safety factor (SF): A number by which the HED is divided to introduce a margin of safety
between the HED and the maximum recommended starting dose.
W: Body weight in kg
15
Contains Nonbinding Recommendations
ΑPΡENDIX A:
Analysis of Allometric Exponent on HED Calculations
An analysis was conducted to determine the effect of the allometric exponent on the conversion
of an animal dose to the HED. One can derive the following equation (see Appendix C) for
converting animal doses to the HED based on body weights and the allometric exponent (b):
HED = animal NOAEL x (Wanimal/Whuman)
Conventionally, for a mg/m? normalization b would be 0.67, but a number of studies (including
the original Freireich data) have shown that MTDS scale best across species when b = 0.75. The
Interagency Pharmacokinetics Group has recommended that W.75 be used for interspecies
extrapolation of doses in carcinogenicity studies (EPA 1992). There are no data, however, to
indicate the optimal method for converting NOAELS to HEDS. Conversion factors were
calculated over a range of animal and human weights using (Wanimal/Whuman)-33
(Wanimal/Whuman)"
0.67. The results are shown in Table 2. Using an allometric exponent of 0.75 had a big effect on
the conversion factor for the smaller species mice and rats. Nonetheless, mice are not commonly
used for toxicology studies to support the first-in-human clinical trials. In addition, there is
evidence that the area under the plasma concentration versus time curves in rats and humans
correlates reasonably well when doses are normalized to mg/m (Contrera et al. 1995). We
conclude that the approach of converting NOAEL doses to an HED based on body surface area
correction factors (i.e., b = 0.67) should be maintained for selecting starting doses for initial
studies in healthy volunteers since: (1) mg/m² normalization is widely used throughout the
toxicology and pharmacokinetic research communities; (2) mg/m² normalization provides a more
conservative conversion; (3) there are no data to suggest a superior method for converting
NOAELS; and (4) CDER has significant experience in establishing safe starting doses based on
mg/m, and it is readily calculated.
or
0.25
to assess the effect on starting dose selection of using b = 0.75 instead of b
Table 2: Effect of Allometric Exponent on Conversion Factor"
Conversion Factors®
Ratio of
0.75 to 0.67
Weight Range
(kg)
Species
Standard
b = 0.67
b = 0.75
Mouse
Rat
Rabbit
Monkey
Dog
conversion factor = (Wanimal/Whuman)'
° human weight range used was 50-80 kg (110-176 lb)
' mean conversion factor calculated across entire animal weight range and human weight
0.018-0.033
0.081
0.075
0.141
1.88
0.09-0.40
0.162
0.156
0.245
1.57
1.30
1.27
1.5-3
0.324
0.33
0.43
1.5-4
0.324
0.37
0.47
6.5-13.0
0.541
0.53
0.62
1.17
(1-b)
range
16
Contains Nonbinding Recommendations
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