Skip to main content
Top
Published in: Clinical Pharmacokinetics 2/2015

01-02-2015 | Commentary

Toward a Comprehensive Model of ∆9-Tetrahydrocannabinol Pharmacokinetics Using a Population Pharmacokinetics Approach

Author: Brett C. Ginsburg

Published in: Clinical Pharmacokinetics | Issue 2/2015

Login to get access

Excerpt

In the article “Population pharmacokinetic model of THC integrates oral, intravenous, and pulmonary dosing and characterizes short- and long-term pharmacokinetics”, Heuberger and colleagues [1] describe a model of ∆9-tetrahydrocannabinol (THC) pharmacokinetics derived from a population pharmacokinetics approach. Population pharmacokinetics is an analytical strategy that develops a statistical model describing the functional relationship between the concentration of a drug and time, typically using non-linear regression with data from individual subjects [2]. A major advantage of this approach over more traditional methods is that the model can be derived from sparsely sampled clinical data, requiring only a few samples from each subject [2, 3]. Further, the data can come from distinct studies with different experimental designs [2]. Population pharmacokinetics is often used to identify pharmacokinetic differences between populations of interest (e.g., adults vs. children). However, the model can also be used to characterize pharmacokinetics of different routes of administration, while still accounting for individual differences in drug disposition [3]. These features can produce detailed models that are relevant to clinical applications (e.g., by guiding a dosing strategy that maintains a drug’s concentration within its therapeutic range) [2]. …
Literature
1.
go back to reference Heuberger JAAC, Guan Z, Oyetayo O-O, Klumpers L, Morrison PD, Beumer TL, et al. Population pharmacokinetic model of THC integrates oral, intravenous, and pulmonary dosing and characterizes short- and long-term pharmacokinetics. Clin Pharmacokinet. Epub 2014 Oct 15. doi:10.1007/s40262-014-0195-5. Heuberger JAAC, Guan Z, Oyetayo O-O, Klumpers L, Morrison PD, Beumer TL, et al. Population pharmacokinetic model of THC integrates oral, intravenous, and pulmonary dosing and characterizes short- and long-term pharmacokinetics. Clin Pharmacokinet. Epub 2014 Oct 15. doi:10.​1007/​s40262-014-0195-5.
2.
go back to reference Steimer JL, Vozeh S, Racine-Poon A, Holford N, O’Neill R. The population approach: rationale, methods, and applications in clinical pharmacology and drug development. In: Welling P, Balant LP, editors. Pharmacokinetics of drugs. Berlin: Springer; 1994. p. 405–54.CrossRef Steimer JL, Vozeh S, Racine-Poon A, Holford N, O’Neill R. The population approach: rationale, methods, and applications in clinical pharmacology and drug development. In: Welling P, Balant LP, editors. Pharmacokinetics of drugs. Berlin: Springer; 1994. p. 405–54.CrossRef
3.
go back to reference Välitalo P, Ranta V-P, Hooker AC, Kokki M, Kokki H. Population pharmacometrics in support of analgesics studies. Acta Anaesthesiol Scand. 2014;58:143–56.PubMedCrossRef Välitalo P, Ranta V-P, Hooker AC, Kokki M, Kokki H. Population pharmacometrics in support of analgesics studies. Acta Anaesthesiol Scand. 2014;58:143–56.PubMedCrossRef
4.
go back to reference Koppel BS, Brust JCM, Fife T, Bronstein J, Youssof S, Gronseth G, et al. Systematic review: efficacy and safety of medical marijuana in selected neurologic disorders: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2014;82:1556–63.PubMedCrossRef Koppel BS, Brust JCM, Fife T, Bronstein J, Youssof S, Gronseth G, et al. Systematic review: efficacy and safety of medical marijuana in selected neurologic disorders: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2014;82:1556–63.PubMedCrossRef
5.
go back to reference Fukuda S, Kohsaka H, Takayasu A, Yokoyama W, Miyabe C, Miyabe Y, et al. Cannabinoid receptor 2 as a potential therapeutic target in rheumatoid arthritis. BMC Musculoskelet Disord. 2014;15:275.PubMedCentralPubMedCrossRef Fukuda S, Kohsaka H, Takayasu A, Yokoyama W, Miyabe C, Miyabe Y, et al. Cannabinoid receptor 2 as a potential therapeutic target in rheumatoid arthritis. BMC Musculoskelet Disord. 2014;15:275.PubMedCentralPubMedCrossRef
6.
go back to reference Nguyen BM, Kim D, Bricker S, Bongard F, Neville A, Putnam B, et al. Effect of marijuana use on outcomes in traumatic brain injury. Am Surg. 2014;80:979–83.PubMed Nguyen BM, Kim D, Bricker S, Bongard F, Neville A, Putnam B, et al. Effect of marijuana use on outcomes in traumatic brain injury. Am Surg. 2014;80:979–83.PubMed
8.
go back to reference Baggio S, Deline S, Studer J, Mohler-Kuo M, Daeppen J-B, Gmel G. Routes of administration of cannabis used for nonmedical purposes and associations with patterns of drug use. J Adolesc Health. 2014;54:235–40.PubMedCrossRef Baggio S, Deline S, Studer J, Mohler-Kuo M, Daeppen J-B, Gmel G. Routes of administration of cannabis used for nonmedical purposes and associations with patterns of drug use. J Adolesc Health. 2014;54:235–40.PubMedCrossRef
9.
go back to reference Abrams DI, Vizoso HP, Shade SB, Jay C, Kelly ME, Benowitz NL. Vaporization as a smokeless cannabis delivery system: a pilot study. Clin Pharmacol Ther. 2007;82:572–8.PubMedCrossRef Abrams DI, Vizoso HP, Shade SB, Jay C, Kelly ME, Benowitz NL. Vaporization as a smokeless cannabis delivery system: a pilot study. Clin Pharmacol Ther. 2007;82:572–8.PubMedCrossRef
10.
go back to reference Gieringer DH. Cannabis “vaporization”. J Cannabis Ther. 2001;1:153–70.CrossRef Gieringer DH. Cannabis “vaporization”. J Cannabis Ther. 2001;1:153–70.CrossRef
11.
go back to reference Karschner EL, Darwin WD, McMahon RP, Liu F, Wright S, Goodwin RS, et al. Subjective and physiological effects after controlled Sativex and oral THC administration. Clin Pharmacol Ther. 2011;89:400–7.PubMedCrossRef Karschner EL, Darwin WD, McMahon RP, Liu F, Wright S, Goodwin RS, et al. Subjective and physiological effects after controlled Sativex and oral THC administration. Clin Pharmacol Ther. 2011;89:400–7.PubMedCrossRef
12.
go back to reference Musshoff F, Madea B. Review of biologic matrices (urine, blood, hair) as indicators of recent or ongoing cannabis use. Ther Drug Monit. 2006;28:155–63.PubMedCrossRef Musshoff F, Madea B. Review of biologic matrices (urine, blood, hair) as indicators of recent or ongoing cannabis use. Ther Drug Monit. 2006;28:155–63.PubMedCrossRef
13.
go back to reference Wong A, Montebello ME, Norberg MM, Rooney K, Lintzeris N, Bruno R, et al. Exercise increases plasma THC concentrations in regular cannabis users. Drug Alcohol Depend. 2013;133:763–7.PubMedCrossRef Wong A, Montebello ME, Norberg MM, Rooney K, Lintzeris N, Bruno R, et al. Exercise increases plasma THC concentrations in regular cannabis users. Drug Alcohol Depend. 2013;133:763–7.PubMedCrossRef
14.
go back to reference Wong A, Keats K, Rooney K, Hicks C, Allsop DJ, Arnold JC, et al. Fasting and exercise increase plasma cannabinoid levels in THC pre-treated rats: an examination of behavioural consequences. Psychopharmacology. 2014;231:3987–96.PubMedCrossRef Wong A, Keats K, Rooney K, Hicks C, Allsop DJ, Arnold JC, et al. Fasting and exercise increase plasma cannabinoid levels in THC pre-treated rats: an examination of behavioural consequences. Psychopharmacology. 2014;231:3987–96.PubMedCrossRef
15.
go back to reference Leuschner JT, Harvey DJ, Bullingham RE, Paton WD. Pharmacokinetics of delta 9-tetrahydrocannabinol in rabbits following single or multiple intravenous doses. Drug Metab Dispos. 1986;14:230–8.PubMed Leuschner JT, Harvey DJ, Bullingham RE, Paton WD. Pharmacokinetics of delta 9-tetrahydrocannabinol in rabbits following single or multiple intravenous doses. Drug Metab Dispos. 1986;14:230–8.PubMed
16.
go back to reference Ogungbenro K, Aarons L. How many subjects are necessary for population pharmacokinetic experiments? Confidence interval approach. Eur J Clin Pharmacol. 2008;64:705–13.PubMedCrossRef Ogungbenro K, Aarons L. How many subjects are necessary for population pharmacokinetic experiments? Confidence interval approach. Eur J Clin Pharmacol. 2008;64:705–13.PubMedCrossRef
17.
go back to reference Mechoulam R, Hanuš L. A historical overview of chemical research on cannabinoids. Chem Phys Lipids. 2000;108:1–13.PubMedCrossRef Mechoulam R, Hanuš L. A historical overview of chemical research on cannabinoids. Chem Phys Lipids. 2000;108:1–13.PubMedCrossRef
18.
go back to reference Devinsky O, Cilio MR, Cross H, Fernandez-Ruiz J, French J, Hill C, et al. Cannabidiol: Pharmacology and potential therapeutic role in epilepsy and other neuropsychiatric disorders. Epilepsia. 2014;55:791–802.PubMedCrossRef Devinsky O, Cilio MR, Cross H, Fernandez-Ruiz J, French J, Hill C, et al. Cannabidiol: Pharmacology and potential therapeutic role in epilepsy and other neuropsychiatric disorders. Epilepsia. 2014;55:791–802.PubMedCrossRef
19.
20.
go back to reference Ginsburg BC, Schulze DR, Hruba L, McMahon LR. JWH-018 and JWH-073: Δ9-tetrahydrocannabinol-like discriminative stimulus effects in monkeys. J Pharmacol Exp Ther. 2012;340:37–45.PubMedCentralPubMedCrossRef Ginsburg BC, Schulze DR, Hruba L, McMahon LR. JWH-018 and JWH-073: Δ9-tetrahydrocannabinol-like discriminative stimulus effects in monkeys. J Pharmacol Exp Ther. 2012;340:37–45.PubMedCentralPubMedCrossRef
21.
go back to reference Hollister LE, Gillespie HK, Ohlsson A, Lindgren JE, Wahlen A, Agurell S. Do plasma concentrations of delta 9-tetrahydrocannabinol reflect the degree of intoxication? J Clin Pharmacol. 1981;21:171S–7S.PubMedCrossRef Hollister LE, Gillespie HK, Ohlsson A, Lindgren JE, Wahlen A, Agurell S. Do plasma concentrations of delta 9-tetrahydrocannabinol reflect the degree of intoxication? J Clin Pharmacol. 1981;21:171S–7S.PubMedCrossRef
22.
go back to reference Ginsburg BC, Hruba L, Zaki A, Javors MA, McMahon LR. Blood levels do not predict behavioral or physiological effects of Δ9-tetrahydrocannabinol in rhesus monkeys with different patterns of exposure. Drug Alcohol Depend. 2014;139:1–8.PubMedCrossRef Ginsburg BC, Hruba L, Zaki A, Javors MA, McMahon LR. Blood levels do not predict behavioral or physiological effects of Δ9-tetrahydrocannabinol in rhesus monkeys with different patterns of exposure. Drug Alcohol Depend. 2014;139:1–8.PubMedCrossRef
23.
go back to reference Nahas GG, Frick HC, Lattimer JK, Latour C, Harvey D. Pharmacokinetics of THC in brain and testis, male gametotoxicity and premature apoptosis of spermatozoa. Hum Psychopharmacol. 2002;17:103–13.PubMedCrossRef Nahas GG, Frick HC, Lattimer JK, Latour C, Harvey D. Pharmacokinetics of THC in brain and testis, male gametotoxicity and premature apoptosis of spermatozoa. Hum Psychopharmacol. 2002;17:103–13.PubMedCrossRef
24.
go back to reference Mura P, Kintz P, Dumestre V, Raul S, Hauet T. THC can be detected in brain while absent in blood. J Anal Toxicol. 2005;29:842–3.PubMedCrossRef Mura P, Kintz P, Dumestre V, Raul S, Hauet T. THC can be detected in brain while absent in blood. J Anal Toxicol. 2005;29:842–3.PubMedCrossRef
Metadata
Title
Toward a Comprehensive Model of ∆9-Tetrahydrocannabinol Pharmacokinetics Using a Population Pharmacokinetics Approach
Author
Brett C. Ginsburg
Publication date
01-02-2015
Publisher
Springer International Publishing
Published in
Clinical Pharmacokinetics / Issue 2/2015
Print ISSN: 0312-5963
Electronic ISSN: 1179-1926
DOI
https://doi.org/10.1007/s40262-014-0210-x

Other articles of this Issue 2/2015

Clinical Pharmacokinetics 2/2015 Go to the issue