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Mechanism-based pharmacokinetic-pharmocodynamic modelling of opioids : role of biophase distribution and target interaction kinetics

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Citation

Groenendaal, D. (2007, September 18). Mechanism-based pharmacokinetic-

pharmocodynamic modelling of opioids : role of biophase distribution and target

interaction kinetics. Retrieved from https://hdl.handle.net/1887/12321

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the

Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/12321

Note: To cite this publication please use the final published version (if applicable).

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MECHANISM-BASED PHARMACOKINETIC-

PHARMACODYNAMIC MODELLING OF OPIOIDS:

ROLE OF BIOPHASE DISTRIBUTION AND TARGET

INTERACTION KINETICS

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MECHANISM-BASED PHARMACOKINETIC-

PHARMACODYNAMIC MODELLING OF OPIOIDS:

ROLE OF BIOPHASE DISTRIBUTION AND TARGET

INTERACTION KINETICS

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 18 september 2007

klokke 15.00 uur

door

Dorien Groenendaal geboren te Velsen

in 1978

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(Université de Poitiers, Poitiers, France) Overige leden : Prof. Dr. A.P. IJzerman

Prof. Dr. E.R. de Kloet Prof. Dr. J. van der Greef Prof. Dr. J. Bouwstra

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ὥρη μὲν πολέων μύθων, ὥρη δὲ καὶ ὕπνου

There is a time for many words, and there is also a time for sleep

The Odyssey, book XI, l. 379

Aan allen die mij dierbaar zijn

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The printing of this thesis was financially supported by:

Astellas Pharma Europe B.V.

Leiden/Amsterdam Center for Drug Research Pharmachemie B.V.

Cover design and lay-out: Roel van de Meent

The picture on the cover represents a photograph of morphine, taken through a microscope with polarized light, by Lars Bech. Copyright Teva Pharmachemie Haarlem, The Netherlands Printed by Ponsen & Looijen, Wageningen, The Netherlands

ISBN: 987–90–6464–165–7

© 2007 Dorien Groenendaal, Leiden.

All rights reserved. No parts of this thesis may be reproduced or transmitted in any form or by any means without the prior written permission of the author.

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GENERAL INTRODUCTION

Pharmacokinetic-pharmacodynamic modelling of opioids: role of biophase distribution and target interaction kinetics

Scope and outline of investigations

CHARACTERISATION OF THE ROLE OF BIOPHASE DISTRIBUTION

High-performance liquid chromatography of nalbuphine, butorphanol and morphine in blood and brain microdialysate samples: Application to

pharmacokinetic-pharmacodynamic studies in rats

Membrane transport of opioids: Relative contribution of P-glycoprotein mediated transport and passive permeability in vitro

Population pharmacokinetic modelling of non-linear brain distribution of morphine: influence of active saturable influx and P-glycoprotein mediated efflux

Pharmacokinetic-pharmacodynamic modelling of the electroencephalogram effects of morphine: Influence of biophase distribution and P-glycoprotein interaction

PHARMACOKINETIC-PHARMACODYNAMIC MODELLING OF THE EEG

EFFECTS OF OPIOIDS

Pharmacokinetic-pharmacodynamic modelling of the EEG effects of opioids:

the role of complex biophase distribution kinetics

Identification of the operational model of agonism for the EEG effects of opioids:

estimation of the in vivo affinity and intrinsic efficacy at the μ-opioid receptor

CONCLUSIONS AND GENERAL DISCUSSION

Mechanism-based pharmacokinetic-pharmacodynamic modelling of opioids:

Summary, conclusions and perspectives

Samenvatting in het Nederlands (Synopsis in Dutch) List of abbreviations

Nawoord Curriculum vitae

List of publications

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