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The following handle holds various files of this Leiden University dissertation:

http://hdl.handle.net/1887/59461

Author: Yamamoto, Y.

Title: Systems pharmacokinetic models to the prediction of local CNS drug concentrations in human

Issue Date: 2017-11-21

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SYSTEMS PHARMACOKINETIC

MODELS TO THE PREDICTION OF LOCAL CNS DRUG CONCENTRATIONS IN HUMAN

Yumi Yamamoto

Ph.D. Thesis, Leiden University, November 2017

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no. D2-501 of the former Dutch Top Institute Pharma, currently Lygature (Leiden, the Netherlands) at the Division of Pharmacology of the Leiden Academic Centre for Drug Research (LACDR), Leiden University, Leiden, the Netherlands.

Financial support for the printing of this thesis was provided by:

Leiden Academic Centre for Drug Research (LACDR)

Cover and Layout: Design Your Thesis, Rotterdam, the Netherlands Printing: Ridderprint B.V., Ridderkerk, the Netherlands

ISBN: 978-94-6299-684-7

©2017 Yumi Yamamoto. No part of this thesis may be reproduced or transmitted in

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SYSTEMS PHARMACOKINETIC

MODELS TO THE PREDICTION OF LOCAL CNS DRUG CONCENTRATIONS IN HUMAN

P R O E F S C H R I F T

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden op gezag van Rector Magnificus prof.mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 21 november 2017

klokke 13:45 uur

door

Yumi Yamamoto geboren te Tokio, Japan

in 1980

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Co-promotor:          Dr. E.C.M. de Lange  

Promotiecommissie:     Prof. Dr. H. Irth, voorzitter        Prof. Dr. J.A. Bouwstra, secretaris

            Prof. Dr. A. Rostami, University of Manchester               Prof. Dr. R. Masereeuw, Universiteit Utrecht                 Prof. Dr. J. Burggraaf, Universiteit Leiden               Prof. Dr. O.C. Meijer, Universiteit Leiden               Prof. Dr. T. Hankemeier, Universiteit Leiden

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Everything that humans can imagine is a possibility in reality - Willy Karen-

Aan allen die mij dierbaar zijn

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TABLE OF CONTENTS

CHAPTER 1 Scope and intent of investigations 9

CHAPTER 2 Microdialysis: the key to physiologically based model prediction of human CNS target site concentrations

19

CHAPTER 3 A generic multi-compartmental CNS distribution model structure for 9 drugs allows prediction of human brain target site concentrations

57

CHAPTER 4 Predicting drug concentration-time profiles in multiple CNS compartments using a comprehensive physiologically based pharmacokinetic model

105

CHAPTER 5 Prediction of human CNS pharmacokinetics using a physiologically based pharmacokinetic modeling approach

141

CHAPTER 6 General discussion and future perspectives 181

APPENDIX English summary 197

Nederlandse samenvatting 205

Acknowledgements 215

Curriculum vitae 217

List of publications 219

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