@phdthesis{Vaeth2005,
  author    = {V{\"a}th, Thomas},
  title     = {Die Cerebrale Toxoplasmose bei AIDS : Untersuchungen zur Pharmakokinetik von Sulfadiazin unter Urinalkalisierung},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-20042},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2005},
  abstract  = {Die cerebrale Toxoplasmose stellt eine wichtige opportunistische Infektion im Verlauf einer HIV-Infektion dar. Unter der Standardtherapie mit Sulfadiazin kommt es h{\"a}ufig zu nephrotoxischen Nebenwirkungen aufgrund einer Kristallisation des Sulfadiazin und seines Metaboliten N4-Acetylsulfadiazin im Harntrakt. Die Therapie dieser Nebenwirkung erfordert unter Anderem die Alkalisierung des Harns. In der vorliegenden Arbeit wurde der Einfluss einer Urinalkalisierung auf die Pharmakokinetik beider Stoffe in vivo untersucht.},
  language  = {de}
}
@article{GernerAghaiTrommeschlaegerKrausetal.2022,
  author    = {Gerner, Bettina and Aghai-Trommeschlaeger, Fatemeh and Kraus, Sabrina and Grigoleit, G{\"o}tz Ulrich and Zimmermann, Sebastian and Kurlbaum, Max and Klinker, Hartwig and Isberner, Nora and Scherf-Clavel, Oliver},
  title     = {A physiologically-based pharmacokinetic model of ruxolitinib and posaconazole to predict CYP3A4-mediated drug-drug interaction frequently observed in graft versus host disease patients},
  series = {Pharmaceutics},
  volume    = {14},
  journal   = {Pharmaceutics},
  number    = {12},
  issn      = {1999-4923},
  doi       = {10.3390/pharmaceutics14122556},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-297261},
  year      = {2022},
  abstract  = {Ruxolitinib (RUX) is approved for the treatment of steroid-refractory acute and chronic graft versus host disease (GvHD). It is predominantly metabolized via cytochrome P450 (CYP) 3A4. As patients with GvHD have an increased risk of invasive fungal infections, RUX is frequently combined with posaconazole (POS), a strong CYP3A4 inhibitor. Knowledge of RUX exposure under concomitant POS treatment is scarce and recommendations on dose modifications are inconsistent. A physiologically based pharmacokinetic (PBPK) model was developed to investigate the drug-drug interaction (DDI) between POS and RUX. The predicted RUX exposure was compared to observed concentrations in patients with GvHD in the clinical routine. PBPK models for RUX and POS were independently set up using PK-Sim\(^®\) Version 11. Plasma concentration-time profiles were described successfully and all predicted area under the curve (AUC) values were within 2-fold of the observed values. The increase in RUX exposure was predicted with a DDI ratio of 1.21 (C\(_{max}\)) and 1.59 (AUC). Standard dosing in patients with GvHD led to higher RUX exposure than expected, suggesting further dose reduction if combined with POS. The developed model can serve as a starting point for further simulations of the implemented DDI and can be extended to further perpetrators of CYP-mediated PK-DDIs or disease-specific physiological changes.},
  language  = {en}
}