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1.
J Clin Pharmacol ; 61(11): 1430-1441, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34018607

RESUMO

A combination of olanzapine and samidorphan was recently approved by the US Food and Drug Administration for the treatment of patients with schizophrenia or bipolar I disorder. Population pharmacokinetic models for olanzapine and samidorphan were developed using data from 11 clinical studies in healthy subjects or patients with schizophrenia. A 2-compartment disposition model with first-order absorption and elimination and a lag time for absorption adequately described concentration-time profiles of both olanzapine and samidorphan. Age, sex, race, smoking status, and body weight were identified as covariates that impacted the pharmacokinetics of olanzapine. A moderate effect of body weight on samidorphan pharmacokinetics was identified by the model but was not considered clinically meaningful. The effects of food, hepatic or renal impairment, and coadministration with rifampin on the pharmacokinetics of olanzapine and samidorphan, as estimated by the population pharmacokinetic analysis, were consistent with findings from dedicated clinical studies designed to evaluate these specific covariates of interest. Food intake did not have a clinically relevant effect on the pharmacokinetics of olanzapine or samidorphan. Consistent with the known metabolic pathways for olanzapine (primarily via uridine 5'-diphospho-glucuronosyltransferase-mediated direct glucuronidation and cytochrome P450 [CYP]-mediated oxidation) and for samidorphan (predominantly mediated by CYP3A4), coadministration of olanzapine and samidorphan with rifampin, a strong inducer of CYP3A4 and an inducer of uridine 5'-diphospho-glucuronosyltransferase enzymes, significantly decreased the systemic exposure of both olanzapine and samidorphan. Severe renal impairment or moderate hepatic impairment resulted in a modest increase in olanzapine and samidorphan exposure.


Assuntos
Antipsicóticos/farmacocinética , Naltrexona/análogos & derivados , Antagonistas de Entorpecentes/farmacocinética , Olanzapina/farmacocinética , Adolescente , Adulto , Fatores Etários , Idoso , Antipsicóticos/administração & dosagem , Peso Corporal , Fumar Cigarros/metabolismo , Citocromo P-450 CYP3A/efeitos dos fármacos , Combinação de Medicamentos , Feminino , Interações Alimento-Droga , Humanos , Falência Hepática/metabolismo , Masculino , Pessoa de Meia-Idade , Naltrexona/administração & dosagem , Naltrexona/farmacocinética , Antagonistas de Entorpecentes/administração & dosagem , Olanzapina/administração & dosagem , Grupos Raciais , Insuficiência Renal/metabolismo , Rifampina/farmacologia , Esquizofrenia/tratamento farmacológico , Fatores Sexuais , Adulto Jovem
2.
Eur J Drug Metab Pharmacokinet ; 43(4): 461-469, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29943125

RESUMO

BACKGROUND AND OBJECTIVES: Aripiprazole lauroxil (AL), a long-acting injectable antipsychotic for the treatment of schizophrenia, requires 21 days of oral aripiprazole supplementation upon initiation (21-day initiation regimen). An alternative 1-day initiation regimen utilizing a nano-crystalline milled dispersion of AL (ALNCD) plus a single 30 mg oral aripiprazole dose achieved aripiprazole concentrations associated with therapeutic doses of aripiprazole in the same time frame as the 21-day initiation regimen when starting AL (441 or 882 mg). A population pharmacokinetic (PopPK) model was developed to describe aripiprazole pharmacokinetics following administration of ALNCD, AL and oral aripiprazole, and evaluate dosing scenarios likely to be encountered in clinical practice. METHODS: In total, 12,768 plasma aripiprazole concentrations from 343 patients (from 4 clinical studies) were included in the PopPK analysis and used to construct the model. RESULTS: Concomitant administration of the 1-day initiation regimen with all approved AL dosing regimens (441, 662, or 882 mg monthly, 882 mg every 6 weeks, or 1064 mg every 2 months) is predicted to achieve aripiprazole concentrations associated with therapeutic doses of AL using the 21-day initiation regimen within 4 days, maintaining these concentrations until the next AL dose. Administration of the first AL injection 10 days after the 1-day initiation regimen resulted in median aripiprazole concentrations just before the second dose of AL ≥ 77% of that when coadministered on the same day. Coadministration of AL with a single ALNCD injection was predicted to be effective in rapidly re-establishing concentrations associated with therapeutic doses of AL following dose delay. CONCLUSIONS: Model-based simulations demonstrate that the 1-day initiation regimen is suitable for starting treatment with all AL doses, allowing a window of ≤ 10 days between initiation and AL administration. ALNCD may also be used to re-establish concentrations associated with therapeutic doses of AL in conjunction with a delayed AL dose.


Assuntos
Aripiprazol/farmacocinética , Simulação por Computador , Modelos Biológicos , Administração Oral , Antipsicóticos/sangue , Antipsicóticos/farmacocinética , Aripiprazol/administração & dosagem , Aripiprazol/sangue , Aripiprazol/química , Preparações de Ação Retardada/farmacocinética , Esquema de Medicação , Humanos , Injeções Intramusculares , Nanopartículas/química
3.
J Clin Pharmacol ; 58(6): 762-770, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29393971

RESUMO

Oliceridine is a novel G protein-biased ligand at the µ-opioid receptor that differentially activates G protein coupling while mitigating ß-arrestin recruitment. Unlike morphine, oliceridine has no known active metabolites; therefore, analgesic efficacy is predictably linked to its concentration in the plasma. Oliceridine is primarily hepatically metabolized by CYP3A4 and CYP2D6. Using a pharmacokinetic/pharmacodynamic model relating oliceridine plasma concentrations to its effect on pain intensity as measured by numeric pain-rating scale (NPRS) scores, we have simulated potential dosing regimens using both fixed-dose regimens and as-needed (prn) dosing regimens in which various doses of oliceridine were administered if NPRS scores indicated moderate to severe pain (≥4 on a 0-10 scale). In addition, regimens in which oliceridine was self-administered via a patient-controlled analgesia device were also simulated. The simulated population included 10% CYP2D6 poor metabolizers (PM). The simulation results suggest that oliceridine doses of 1-3 mg prn should be effective in reducing NPRS scores relative to placebo. The simulations also revealed that a 1-mg "supplemental dose" given 0.25 hour after the loading dose would decrease NPRS scores further in almost one-third of patients. In addition, if oliceridine is administered prn, a longer interval between doses is observed in simulated PM patients, consistent with their reduced oliceridine clearance. Because this longer average dosing interval is predicted to decrease oliceridine exposure in PM patients, the need to know the patient's CYP2D6 genotype for dosing is effectively obviated.


Assuntos
Ensaios Clínicos como Assunto/métodos , Modelos Biológicos , Dor/sangue , Dor/tratamento farmacológico , Compostos de Espiro/administração & dosagem , Compostos de Espiro/sangue , Tiofenos/administração & dosagem , Tiofenos/sangue , Analgésicos/administração & dosagem , Analgésicos/sangue , Analgésicos/farmacocinética , Protocolos Clínicos , Simulação por Computador , Citocromo P-450 CYP2D6/metabolismo , Humanos , Ligantes , Dor/metabolismo , Medição da Dor/métodos , Dor Pós-Operatória/tratamento farmacológico , Compostos de Espiro/farmacocinética , Tiofenos/farmacocinética
4.
J Clin Pharmacol ; 58(6): 750-761, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29412458

RESUMO

Conventional opioids bind to µ-opioid receptors and activate 2 downstream signaling pathways: G-protein coupling, linked to analgesia, and ß-arrestin recruitment, linked to opioid-related adverse effects and limiting efficacy. Oliceridine (TRV130) is a novel G protein-biased ligand at the µ-opioid receptor that differentially activates G-protein coupling while mitigating ß-arrestin recruitment. Using data derived from both phase 1 studies in healthy volunteers as well as data from a phase 2 study examining the efficacy of oliceridine for the treatment of postbunionectomy pain, we have developed a population pharmacokinetic/pharmacodynamic model linking the pharmacokinetics of oliceridine to its effect on pain, as measured by the Numeric Pain Rating Scale score. Phase 1 data consisted of 145 subjects (88% male, 12% female), who received single doses of oliceridine ranging between 0.15 and 7 mg, as well as multiple doses ranging from 0.4 to 4.5 mg every 4-6 hours. Sixteen of these subjects were CYP2D6 poor metabolizers, who have lower oliceridine clearance than extensive metabolizers. Approximately 265 subjects (10% male, 90% female) came from the phase 2 study, in which they received active doses ranging from 0.5 to 4 mg every 3-4 hours. The final model was a 3-compartment model that included covariates of body weight, sex, and CYP2D6 status. The PD model was an indirect response model linked to plasma oliceridine concentrations and included the placebo pain response over the 48-hour treatment period. The EC50 for oliceridine on pain relief was estimated as 10.1 ng/mL (95%CI, 8.4-12.1 ng/mL). Model qualification showed that the model robustly reproduced the original data.


Assuntos
Modelos Biológicos , Dor/tratamento farmacológico , Dor/metabolismo , Compostos de Espiro/farmacocinética , Compostos de Espiro/uso terapêutico , Tiofenos/farmacocinética , Tiofenos/uso terapêutico , Adulto , Idoso , Citocromo P-450 CYP2D6/metabolismo , Método Duplo-Cego , Feminino , Hallux Valgus/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/metabolismo , Compostos de Espiro/sangue , Tiofenos/sangue , Resultado do Tratamento , Adulto Jovem
5.
CPT Pharmacometrics Syst Pharmacol ; 7(1): 34-41, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29239147

RESUMO

The consumption of asparagus is associated with the production of malodorous urine with considerable interindividual variability (IIV). To characterize the urinary odor kinetics after consumption of asparagus spears, we conducted a study with consenting attendees from two American Society for Clinical Pharmacology and Therapeutics (ASCPT) meetings. Subjects were randomized to eat a specific number of asparagus spears, and then asked to report their urinary odor perception. Eighty-seven subjects were included in the final analysis. A mixed effect proportional odds model was developed that adequately characterized the dose-response relationship. We estimated the half-life of the asparagus effect on malodorous urine to be 4.7 hours (relative standard error (RSE) = 13.2%), and identified a dose-response slope term with good precision (24.3%). Age was found as the predictor of IIV in slope estimates. This study design and tools can be used as a demonstration "crowdsourcing" project for studying population kinetics in organizational and educational settings.


Assuntos
Asparagus/metabolismo , Modelos Teóricos , Odorantes/análise , Olfato , Urina/química , Verduras/metabolismo , Adulto , Asparagus/química , Crowdsourcing , Relação Dose-Resposta a Droga , Feminino , Humanos , Cinética , Masculino , Pessoa de Meia-Idade , Distribuição Aleatória , Verduras/química , Adulto Jovem
6.
CNS Drugs ; 31(7): 617-624, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28597226

RESUMO

BACKGROUND: Aripiprazole lauroxil (AL) is a long-acting injectable medication approved for the treatment of schizophrenia. Current AL regimens are 441 mg, 662 mg, and 882 mg administered monthly (every 4 weeks [q4wk]), or 882 mg administered every 6 weeks (q6wk). OBJECTIVE: We examined the feasibility of a 2-month (every 8 weeks [q8wk]) dosing interval of AL in a phase I open-label pharmacokinetic study investigating AL 1064 mg administered q8wk for 24 weeks, followed by 20 weeks of safety and pharmacokinetic measurements (ClinicalTrials.gov ID: NCT02320032). Second, a population pharmacokinetic model (referred to as the 2MPopPK model) was generated using data collected from the present trial, as well as data obtained from earlier studies. METHODS: The phase I study included patients with schizophrenia or schizoaffective disorder maintained on an oral antipsychotic (n = 140) who were assigned to one of three groups: AL 441 mg q4wk, AL 882 mg q6wk, or AL 1064 mg q8wk, with a total of seven, five, or four injections administered, respectively. No oral aripiprazole lead-in supplementation was administered and patients continued on maintenance oral antipsychotics. Pharmacokinetic samples were collected at various time points during the 24-week study period and the 20-week follow-up period. Plasma concentrations obtained from the phase I study were analyzed using non-compartmental methods. Additionally, the data were combined with data collected from prior studies to develop the 2MPopPK model. RESULTS: Following the final injection of AL in the phase I study, maximum aripiprazole concentrations were achieved 24.4-35.2 days after the last dose and persisted for the duration of the study. The mean C avg,ss values were 125.8 ng/ml, 131.1 ng/ml, and 140.7 ng/ml for the 441 mg q4wk, 882 mg q6wk, and 1064 mg q8wk doses, respectively. The mean elimination half-life of aripiprazole following the last dose was 53.9 days for the 1064 mg dose, 55.1 days for the 882 mg dose, and 57.2 days for the 441 mg dose. The 2MPopPK dataset included 14,524 aripiprazole concentrations from 700 patients with schizophrenia. The duration of absorption of aripiprazole was estimated as 43 days (95% confidence interval [CI] 42-45 days), which was preceded by a 3.2-day lag time (95% CI 3.0-3.5 days) for a total duration of input into the systemic circulation of 46 days following intramuscular administration of AL. Multiple-dose simulations showed that the 1064 mg q8wk regimen provides aripiprazole concentrations within the concentration range associated with 441 mg and 882 mg q4wk doses previously demonstrated to be efficacious in a phase III study. CONCLUSION: These data from the phase I study and the 2MPopPK model support the suitability of using the AL 1064 mg dose as a 2-month (q8wk) dose interval option for the treatment of schizophrenia.


Assuntos
Antipsicóticos/administração & dosagem , Antipsicóticos/farmacocinética , Aripiprazol/administração & dosagem , Aripiprazol/farmacocinética , Transtornos Psicóticos/tratamento farmacológico , Esquizofrenia/tratamento farmacológico , Administração Oral , Adulto , Antipsicóticos/efeitos adversos , Aripiprazol/efeitos adversos , Esquema de Medicação , Quimioterapia Combinada , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Injeções , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Transtornos Psicóticos/sangue , Esquizofrenia/sangue
7.
J Clin Psychopharmacol ; 37(3): 289-295, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28350572

RESUMO

BACKGROUND: Aripiprazole lauroxil is an extended-release prodrug of aripiprazole for intramuscular injection, approved for schizophrenia treatment. We developed a population pharmacokinetic (PopPK) model to characterize aripiprazole lauroxil PK and evaluate dosing scenarios likely to be encountered in clinical practice. METHODS: Data from 616 patients with schizophrenia, collected from 5 clinical studies, were used to construct the PopPK model. The model was subsequently used to evaluate various dose levels and frequency and the impact of dosing delay on aripiprazole concentrations. FINDINGS: The results of the model indicate that aripiprazole is released into the systemic circulation after 5 to 6 days, and release continues for an additional 36 days. The slow increase in aripiprazole concentration after injection necessitates the coadministration of oral aripiprazole for 21 days with the first injection. Based on the PopPK model simulations, a dosing interval of 882 mg every 6 weeks results in aripiprazole concentrations that fall within the concentration range associated with the efficacious aripiprazole lauroxil dose range (441-882 mg dosed monthly). A 662-mg monthly dose also resulted in aripiprazole concentrations within the efficacious dose range. Aripiprazole lauroxil administration results in prolonged exposure, such that dose delays of 2 to 4 weeks, depending on the dose regimen, do not require oral aripiprazole supplementation upon resumption of dosing. CONCLUSIONS: This PopPK model and model-based simulations were effective means for evaluating aripiprazole lauroxil dosing regimens and management of missed doses. Such analyses play an important role in determining the use of this long-acting antipsychotic in clinical practice.


Assuntos
Antipsicóticos/farmacocinética , Aripiprazol/farmacocinética , Esquizofrenia/tratamento farmacológico , Antipsicóticos/administração & dosagem , Aripiprazol/administração & dosagem , Ensaios Clínicos como Assunto , Preparações de Ação Retardada , Humanos , Injeções Intramusculares , Modelos Teóricos
8.
Opt Express ; 24(7): 6931-44, 2016 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-27136988

RESUMO

We present a catadioptric beacon localization system that can provide mobile network nodes with omnidirectional situational awareness of neighboring nodes. In this system, a receiver composed of a hyperboloidal mirror and camera is used to estimate the azimuth, elevation, and range of an LED beacon. We provide a general framework for understanding the propagation of error in the angle-of-arrival estimation and then present an experimental realization of such a system. The situational awareness provided by the proposed system can enable the alignment of communication nodes in an optical wireless network, which may be particularly useful in addressing RF-denied environments.

9.
Antimicrob Agents Chemother ; 60(5): 2782-9, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-26902761

RESUMO

BMS-663068 is an oral prodrug of the HIV-1 attachment inhibitor BMS-626529, which prevents viral attachment to host CD4(+) T cells by binding to HIV-1 gp120. To guide dose selection for the phase 3 program, pharmacokinetic/pharmacodynamic modeling was performed using data from two phase 2 studies with HIV-1-infected subjects (n = 244). BMS-626529 population pharmacokinetics were described by a two-compartment model with first-order elimination from the central compartment, zero-order release of prodrug from the extended-release formulation into a hypothetical absorption compartment, and first-order absorption into the central compartment. The covariates of BMS-663068 formulation type, lean body mass, baseline CD8(+) T-cell percentage, and ritonavir coadministration were found to be significant contributors to intersubject variability. Exposure-response analyses showed a relationship between the loge-transformed concentration at the end of a dosing interval (Ctau) normalized for the protein binding-adjusted BMS-626529 half-maximal (50%) inhibitory concentration (PBAIC50) and the change in the HIV-1 RNA level from the baseline level after 7 days of BMS-663068 monotherapy. The probability of achieving a decline in HIV-1 RNA level of >0.5 or >1.0 log10 copies/ml as a function of the loge-transformed PBAIC50-adjusted Ctau after 7 days of monotherapy was 99 to 100% and 57 to 73%, respectively, for proposed BMS-663068 doses of 400 mg twice daily (BID), 600 mg BID (not studied in the phase 2b study), 800 mg BID, 600 mg once daily (QD), and 1,200 mg QD. On the basis of a slight advantage in efficacy of BID dosing over QD dosing, similar responses for the 600- and 800-mg BID doses, and prior clinical observations, BMS-663068 at 600 mg BID was predicted to have the optimal benefit-risk profile and selected for further clinical investigation. (The phase 2a proof-of-concept study AI438006 and the phase 2b study AI438011 are registered at ClinicalTrials.gov under numbers NCT01009814 and NCT01384734, respectively.).


Assuntos
Fármacos Anti-HIV/uso terapêutico , Organofosfatos/uso terapêutico , Piperazinas/uso terapêutico , Triazóis/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Fármacos Anti-HIV/administração & dosagem , Fármacos Anti-HIV/farmacocinética , Esquema de Medicação , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Concentração Inibidora 50 , Masculino , Pessoa de Meia-Idade , Organofosfatos/administração & dosagem , Organofosfatos/farmacocinética , Piperazinas/administração & dosagem , Piperazinas/farmacocinética , Pró-Fármacos/administração & dosagem , Pró-Fármacos/farmacocinética , Pró-Fármacos/uso terapêutico , Triazóis/administração & dosagem , Triazóis/farmacocinética
10.
J Opt Soc Am A Opt Image Sci Vis ; 32(11): 2178-88, 2015 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-26560932

RESUMO

A compressive spectral and polarization imager based on a pixelized polarizer and colored patterned detector is presented. The proposed imager captures several dispersed compressive projections with spectral and polarization coding. Stokes parameter images at several wavelengths are reconstructed directly from 2D projections. Employing a pixelized polarizer and colored patterned detector enables compressive sensing over spatial, spectral, and polarization domains, reducing the total number of measurements. Compressive sensing codes are specially designed to enhance the peak signal-to-noise ratio in the reconstructed images. Experiments validate the architecture and reconstruction algorithms.

11.
Opt Express ; 23(12): 15748-61, 2015 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-26193553

RESUMO

By exploiting unique properties of the atmospheric propagation of radiation in the deep-ultraviolet band (200-300 nm), ultraviolet communications (UVC) offers the novel possibility of establishing non-line-of-sight (NLOS) optical links. UVC systems often employ photon-counting receivers, which may exhibit nonideal behavior owing to dead time, a period of time after the detection of a photon during which such a receiver is unable to detect subsequently impinging photons. In this paper, we extend a NLOS UVC channel model to account for dead time and then use this extended model to study the effects of dead time in representative system scenarios. Experimentally collected channel-sounding data is then used for model validation and real-world illustration of these effects. Finally, we investigate the effect of dead time on communication performance. The results demonstrate that dead time can have a significant impact in practical communication scenarios and suggest the usefulness of the proposed modeling framework in developing receiver designs that compensate for dead time effects.

12.
Br J Clin Pharmacol ; 80(3): 502-14, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25819132

RESUMO

AIM: Dolutegravir is the newest integrase inhibitor approved for HIV treatment and has demonstrated potent antiviral activity in patient populations with a broad range of treatment experience. This analysis aimed to characterize the population pharmacokinetics of dolutegravir in treatment-naive patients and to evaluate the influence of patient covariates. METHODS: A population pharmacokinetic model was developed using a non-linear mixed effect modelling approach based on data from 563 HIV-infected, treatment-naive adult patients in three phase 2/3 trials who received dolutegravir (ranging from 10-50 mg once daily) alone or in combination with abacavir/lamivudine or tenofovir/emtricitabine. RESULTS: The pharmacokinetics of dolutegravir were adequately described by a linear one compartment model with first order absorption, absorption lag time and first order elimination. Population estimates for apparent clearance, apparent volume of distribution, absorption rate constant and absorption lag time were 0.901 l h(-1) , 17.4 l, 2.24 h(-1) , and 0.263 h, respectively. Weight, smoking status, age and total bilirubin were predictors of clearance, weight was a predictor of volume of distribution and gender was a predictor of bioavailability. However, the magnitude of the effects of these covariates on steady-state dolutegravir plasma exposure was relatively small (<32%) and was not considered clinically significant. Race/ethnicity, HBV/HCV co-infection, CDC classification, albumin, creatinine clearance, alanine aminotransferase or aspartate aminotransferase did not influence the pharmacokinetics of dolutegravir in this analysis. CONCLUSIONS: A population model that adequately characterizes dolutegravir pharmacokinetics has been developed. No dolutegravir dose adjustment by patient covariates is necessary in HIV-infected treatment-naive patients.


Assuntos
Infecções por HIV/tratamento farmacológico , Inibidores de Integrase de HIV/farmacocinética , Compostos Heterocíclicos com 3 Anéis/farmacocinética , Modelos Biológicos , Adulto , Área Sob a Curva , Simulação por Computador , Infecções por HIV/sangue , Inibidores de Integrase de HIV/sangue , Inibidores de Integrase de HIV/uso terapêutico , Voluntários Saudáveis , Compostos Heterocíclicos com 3 Anéis/sangue , Compostos Heterocíclicos com 3 Anéis/uso terapêutico , Humanos , Oxazinas , Piperazinas , Piridonas , Ensaios Clínicos Controlados Aleatórios como Assunto
13.
Artigo em Inglês | MEDLINE | ID: mdl-25389158

RESUMO

State-of-the-art portable ultrasound imaging systems employ a small transducer array and a low carrier frequency to fit stringent constraints on power and form factor, and this tends to compromise the ultrasound imaging quality. In this paper, we present a low-complexity low-power asynchronous compressed beamformer (ACB) for portable diagnostic ultrasound. The proposed ACB integrates asynchronous sampling and compressive sensing (CS), and is capable of reducing data conversion power and handling a large data volume at the mixed-signal interface. A high-rate continuoustime ternary encoding (CT-TE) scheme eliminates the need for interpolation filters and coordinate rotation digital computer (CORDIC) units typically used in a conventional architecture. A split-projection least squares (SPLS) signal reconstruction algorithm is applied that replaces high-cost nonlinear signal recovery with a series of low-complexity and independent linear problems. Experiments with measured ultrasound data demonstrate the proposed ACB architecture, and the SPLS reconstruction algorithm achieves 9-fold data compression compared with Nyquist sampling.

14.
Pain ; 155(9): 1829-1835, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24954166

RESUMO

Opioids provide powerful analgesia but also efficacy-limiting adverse effects, including severe nausea, vomiting, and respiratory depression, by activating µ-opioid receptors. Preclinical models suggest that differential activation of signaling pathways downstream of these receptors dissociates analgesia from adverse effects; however, this has not yet translated to a treatment with an improved therapeutic index. Thirty healthy men received single intravenous injections of the biased ligand TRV130 (1.5, 3, or 4.5mg), placebo, or morphine (10mg) in a randomized, double-blind, crossover study. Primary objectives were to measure safety and tolerability (adverse events, vital signs, electrocardiography, clinical laboratory values), and analgesia (cold pain test) versus placebo. Other measures included respiratory drive (minute volume after induced hypercapnia), subjective drug effects, and pharmacokinetics. Compared to morphine, TRV130 (3, 4.5mg) elicited higher peak analgesia (105, 116 seconds latency vs 75 seconds for morphine, P<.02), with faster onset and similar duration of action. More subjects doubled latency or achieved maximum latency (180 seconds) with TRV130 (3, 4.5mg). Respiratory drive reduction was greater after morphine than any TRV130 dose (-15.9 for morphine versus -7.3, -7.6, and -9.4 h*L/min, P<.05). More subjects experienced severe nausea after morphine (n=7) than TRV130 1.5 or 3mg (n=0, 1), but not 4.5mg (n=9). TRV130 was generally well tolerated, and exposure was dose proportional. Thus, in this study, TRV130 produced greater analgesia than morphine at doses with less reduction in respiratory drive and less severe nausea. This demonstrates early clinical translation of ligand bias as an important new concept in receptor-targeted pharmacotherapy.


Assuntos
Analgésicos Opioides/efeitos adversos , Morfina/efeitos adversos , Dor/tratamento farmacológico , Compostos de Espiro/efeitos adversos , Tiofenos/efeitos adversos , Adolescente , Adulto , Analgesia , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/uso terapêutico , Estudos Cross-Over , Tontura/induzido quimicamente , Relação Dose-Resposta a Droga , Método Duplo-Cego , Cefaleia/induzido quimicamente , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Morfina/administração & dosagem , Morfina/uso terapêutico , Compostos de Espiro/administração & dosagem , Compostos de Espiro/uso terapêutico , Tiofenos/administração & dosagem , Tiofenos/uso terapêutico , Vômito/induzido quimicamente , Adulto Jovem
15.
Opt Express ; 22(9): 11107-18, 2014 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-24921809

RESUMO

We explore the design of an LED-based communication system comprising two free space optical links: one narrow-beam (primary) link for bulk data transmission and one wide-beam (beacon) link for alignment and support of the narrow-beam link. Such a system combines the high throughput of a highly directional link with the robust insensitivity to pointing errors of a wider-beam link. We develop a modeling framework for this dual-link configuration and then use this framework to explore system tradeoffs in power, range, and achievable rates. The proposed design presents a low-cost, compact, robust means of communication at short- to medium-ranges, and calculations show that data rates on the order of Mb/s are achievable at hundreds of meters with only a few LEDs.

16.
J Res Natl Inst Stand Technol ; 119: 529-39, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-26601042

RESUMO

The conventional analog-to-digital conversion (ADC) and digital signal processing (DSP) architecture has led to major advances in miniature and micro-systems technology over the past several decades. The outlook for these systems is significantly enhanced by advances in sensing, signal processing, communications and control, and the combination of these technologies enables autonomous robotics on the miniature to micro scales. In this article we look at trends in the combination of analog and digital (mixed-signal) processing, and consider a generalized sampling architecture. Employing a parallel analog basis expansion of the input signal, this scalable approach is adaptable and reconfigurable, and is suitable for a large variety of current and future applications in networking, perception, cognition, and control.

17.
J Clin Pharmacol ; 54(3): 351-7, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24122908

RESUMO

TRV130 is a G protein-biased ligand at the µ-opioid receptor. In preclinical studies it was potently analgesic while causing less respiratory depression and gastrointestinal dysfunction than morphine, suggesting unique benefits in acute pain management. A first-in-human study was conducted with ascending doses of TRV130 to explore its tolerability, pharmacokinetics, and pharmacodynamics in healthy volunteers. TRV130 was well-tolerated over the dose range 0.15 to 7 mg administered intravenously over 1 hour. TRV130 geometric mean exposure and Cmax were dose-linear, with AUC0-inf of 2.52 to 205.97 ng h/mL and Cmax of 1.04 to 102.36 ng/mL across the dose range tested, with half-life of 1.6-2.7 hours. A 1.5 mg dose of TRV130 was also well-tolerated when administered as 30, 15, 5, and 1 minute infusions. TRV130 pharmacokinetics were modestly affected by CYP2D6 phenotype: clearance was reduced by 53% in CYP2D6 poor metabolizers.TRV130 caused dose- and exposure-related pupil constriction, confirming central compartment µ-opioid receptor engagement. Marked pupil constriction was noted at 2.2, 4, and 7 mg doses. Nausea and vomiting observed at the 7 mg dose limited further dose escalation. These findings suggest that TRV130 may have a broad margin between doses causing µ-opioid receptor-mediated pharmacology and doses causing µ-opioid receptor-mediated intolerance.


Assuntos
Analgésicos , Compostos de Espiro , Tiofenos , Administração Intravenosa , Adulto , Analgésicos/administração & dosagem , Analgésicos/efeitos adversos , Analgésicos/farmacocinética , Analgésicos/farmacologia , Estudos Cross-Over , Método Duplo-Cego , Voluntários Saudáveis , Humanos , Ligantes , Masculino , Pessoa de Meia-Idade , Náusea/induzido quimicamente , Receptores Opioides mu/metabolismo , Compostos de Espiro/administração & dosagem , Compostos de Espiro/efeitos adversos , Compostos de Espiro/farmacocinética , Compostos de Espiro/farmacologia , Tiofenos/administração & dosagem , Tiofenos/efeitos adversos , Tiofenos/farmacocinética , Tiofenos/farmacologia , Vômito/induzido quimicamente , Adulto Jovem
18.
J Opt Soc Am A Opt Image Sci Vis ; 30(11): 2259-65, 2013 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-24322923

RESUMO

Modeling of the complex atmospheric propagation of deep-ultraviolet (UV) radiation is important for applications such as non-line-of-sight (NLOS) UV communications. Building upon prior work in which it was observed that short-range, singly scattered NLOS path loss varies linearly with range, we formalize this relationship, generalizing it to consider any order of scattering and more-general system characteristics. In particular, we derive the approximate relationship PL[proportionality]r(2-n) between path loss PL and range r for nth-order scattered radiation, and investigate the region of validity of this approximation. Insight arising from the analysis can be invaluable in the development and study of UV systems, as demonstrated by numerical results that illustrate implications of the analysis.


Assuntos
Modelos Teóricos , Espalhamento de Radiação , Raios Ultravioleta , Reprodutibilidade dos Testes
19.
J Opt Soc Am A Opt Image Sci Vis ; 28(4): 686-95, 2011 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-21478967

RESUMO

In large part because of advancements in the design and fabrication of UV LEDs, photodetectors, and filters, significant research interest has recently been focused on non-line-of-sight UV communication systems. This research in, for example, system design and performance prediction, can be greatly aided by accurate channel models that allow for the reproducibility of results, thus facilitating the fair and consistent comparison of different communication approaches. In this paper, we provide a comprehensive derivation of a multiple-scattering Monte Carlo UV channel model, addressing weaknesses in previous treatments. The resulting model can be used to study the contribution of different orders of scattering to the path loss and impulse response functions associated with general UV communication system geometries. Simulation results are provided that demonstrate the benefit of this approach.

20.
Opt Lett ; 36(7): 1224-6, 2011 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-21479037

RESUMO

Non-line-of-sight UV communication link path loss models have been explored for both coplanar and noncoplanar geometries, and these typically require numerical evaluation. In this Letter, we propose a closed-form and easily applied model to describe link behavior, applicable to noncoplanar geometry. The model is compared with a recently reported analytical model and shows good agreement.

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