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Alexander Kulesza

Publications and source records attributed to Alexander Kulesza.

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Best Practices on QSP Model Reporting for Regulatory Use: perspectives from ISoP QSP SIG Working Group

Quantitative systems pharmacology (QSP) models are increasingly applied to inform decision making across drug development and to support regulatory interactions within model informed drug development (MIDD). QSP supports a broad range of applications across drug development and can be tailored to specific therapeutic areas, mechanisms of action, and contexts of use (CoU). While this diversity is a core strength of QSP, it also presents challenges for reporting for regulatory use. Despite the growing impact of QSP models, there is currently no established guidance on how QSP analyses should be documented and reported for regulatory purposes. This white paper, developed by the International Society of Pharmacometrics (ISoP) QSP Special Interest Group Working Group on Credibility Assessment of QSP for Regulatory Use, seeks to address this gap by proposing best practices for QSP model reporting in regulatory settings. The recommendations are grounded in collective real world experience from regulatory interactions and are aligned with reporting guidance established for physiologically based pharmacokinetic (PBPK) modeling and reporting principles outlined in ICH M15. Rather than prescribing a rigid, one size fits all template, this work proposes a flexible, tiered reporting framework that accounts for development phase and model impact. The proposed framework is intended to facilitate regulatory review and enhance transparency while accommodating the inherent diversity of QSP modeling.

math.DS

Possible Contexts of Use for In Silico trials methodologies: a consensus-based review

The term "In Silico Trial" indicates the use of computer modelling and simulation to evaluate the safety and efficacy of a medical product, whether a drug, a medical device, a diagnostic product or an advanced therapy medicinal product. Predictive models are positioned as new methodologies for the development and the regulatory evaluation of medical products. New methodologies are qualified by regulators such as FDA and EMA through formal processes, where a first step is the definition of the Context of Use (CoU), which is a concise description of how the new methodology is intended to be used in the development and regulatory assessment process. As In Silico Trials are a disruptively innovative class of new methodologies, it is important to have a list of possible CoUs highlighting potential applications for the development of the relative regulatory science. This review paper presents the result of a consensus process that took place in the InSilicoWorld Community of Practice, an online forum for experts in in silico medicine. The experts involved identified 46 descriptions of possible CoUs which were organised into a candidate taxonomy of nine CoU categories. Examples of 31 CoUs were identified in the available literature; the remaining 15 should, for now, be considered speculative.

physics.bio-ph