Non-linear mixed effects models contributions to the study of pharmacokinetics and pharmacodynamics variability of antithrombotics drugs

Non-Linear Mixed Effects Models (NLMEM) play an increasing role in drug development process. This work presents various fields of application for NLMEM and improvements in antithrombotic drugs clinical research based on several clinical trials results analysis. A first part emphasis NLMEM interest in pharmacokinetic variability estimation for fondaparinux in unselected subjects and selected subjects with kidney impairment. A second part presents NLMEM usefulness when summarising complex pharmacokinetic - pharmacodynamic response model, with the example of fluindione and acenocoumarol when considering genetic response variability. Finally, an application of NMLEM in drug-drug interaction evaluation is presented with two examples: acenocoumarol-amoxocillin plus clavulanic acid and clopidogrel-fluoxetine interaction

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Source https://theses.hal.science/tel-00691432
Author Delavenne, Xavier
Maintainer CCSD
Last Updated May 20, 2026, 18:10 (UTC)
Created May 20, 2026, 18:10 (UTC)
Identifier NNT: 2011STET002T
Language fr
Rights https://about.hal.science/hal-authorisation-v1/
contributor Groupe de recherche sur la thrombose, pharmacologie des antithrombotiques et situations à risque (GRT) ; Université Jean Monnet - Saint-Étienne (UJM) ; Université Jean Monnet (EPSCPE) (UJM EPE)-Université Jean Monnet (EPSCPE) (UJM EPE)
creator Delavenne, Xavier
date 2011-04-21T00:00:00
harvest_object_id cf0ea535-37c8-42ec-8f89-6da065cf063d
harvest_source_id 3374d638-d20b-4672-ba96-a23232d55657
harvest_source_title test moissonnage SELUNE
metadata_modified 2026-04-23T00:00:00
set_spec type:THESE