General Pharmacometrics
Matthew Zierhut, PhD, MBA (he/him/his)
Vice President, Certara Drug Development Solutions
Certara
San Diego, California, United States
Monica Simeoni, PhD (she/her/hers)
Senior Director, Clinical Pharmacology and Quantitative Medicine
GSK, United Kingdom
Hongtao Yu, PhD (he/him/his)
Associate Director, Clinical Pharmacology and Quantitative Pharmacology
AstraZeneca, United States
Mats Karlsson, PhD, FISoP, FACCP (he/him/his)
Professor
Uppsala University, Sweden
Description of session (include background & scientific importance): Synthesizing results from multiple clinical trials (a.k.a. meta-analysis) is widely considered to be at the top of the hierarchy of evidence pyramid. However, when heterogeneity in outcomes exists across studies (e.g., caused by differing study designs), traditional meta-analysis commonly reduces the number of included studies to lessen the influence of heterogeneity on analysis conclusions. Model-based meta-analysis (MBMA) is a broad meta-analytic methodology that aims to explain between-trial heterogeneity using pharmacologic and statistical models. By integrating more comprehensive clinical trial information, an MBMA can be effectively used to simulate and predict unobserved scenarios. Thus, MBMA is a valuable drug development tool that can aid in clinical decision-making across all stages of drug development, from identifying appropriate differentiation targets and informing trial design to quantifying the probability of successful development and influencing health economics and reimbursement decisions. MBMA is an integrated component of the model-informed drug development (MIDD) toolbox.
This symposium session will focus on the diverse applications and impact of MBMA, while highlighting critical methodological details. Presentations will demonstrate how MBMA can be applied to inform critical decisions across multiple disease areas. These examples will explore multiple concepts and methodologies, including quantifying appropriate differentiation targets based on approved and not-yet-approved drugs, understanding how drugs’ efficacy translates across indications, and combining aggregate data with individual patient data. A panel discussion will follow, with the goal to engage with the audience and clarify any confusion about distinct MBMA methodologies or MBMA in general. Panelists’ perspectives will represent both industry and academia.
Speaker: Monica Simeoni, PhD (she/her/hers) – GSK
Speaker: Hongtao Yu, PhD (he/him/his) – AstraZeneca
Speaker: Mats O. Karlsson, PhD, FISoP, FACCP (he/him/his) – Uppsala University
Panelist: Matthew L. Zierhut, PhD, MBA (he/him/his) – Certara
Panelist: Monica Simeoni, PhD (she/her/hers) – GSK
Panelist: Hongtao Yu, PhD (he/him/his) – AstraZeneca
Panelist: Mats O. Karlsson, PhD, FISoP, FACCP (he/him/his) – Uppsala University