Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus

A population pharmacokinetics analysis was performed after intravenous ganciclovir and oral valganciclovir in solid organ transplant patients with cytomegalovirus. Patients received ganciclovir at 5 mg/kg of body weight (5 days) and then 900 mg of valganciclovir (16 days), both twice daily with dose...

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Detalles Bibliográficos
Autores: Caldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36, Colom, H. (H.)|||/items/bc43f225-25a0-441e-a0e0-539de3cc89d9, Armendariz, Y. (Y.)|||/items/46f549fb-2955-4234-bb51-06a772da1357, Garrido-Cid, M.J. (María Jesús)|||/items/02b0ddd8-23bb-4f81-8a99-5d1296b3c703, Troconiz, I.F. (Iñaki F.)|||/items/e6782d1e-7a2a-42cc-95d6-55223215bf44, Gil-Vernet, S. (S.)|||/items/1196b9aa-c343-4e85-be62-51fb790e4259, Lloberas, N. (N.)|||/items/2081eb64-206d-4f3e-8cd6-b0bb2a2bbfa0, Pou, L. (L.)|||/items/6e40b772-5dcd-47e7-a78f-489b98bcc9a9, Peraire, C. (Concepción)|||/items/4b20a69b-9272-44dd-954a-cb446dd8784b, Grinyó, J.M. (J. M.)|||/items/bef9745b-064f-4da4-8700-a9e695c87986
Tipo de recurso: artículo
Fecha de publicación:2009
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/21704
Acceso en línea:https://hdl.handle.net/10171/21704
Access Level:acceso abierto
Palabra clave:Pharmacokinetic
Intravenous ganciclovir
Oral valganciclovir
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spelling Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirusCaldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36Colom, H. (H.)|||/items/bc43f225-25a0-441e-a0e0-539de3cc89d9Armendariz, Y. (Y.)|||/items/46f549fb-2955-4234-bb51-06a772da1357Garrido-Cid, M.J. (María Jesús)|||/items/02b0ddd8-23bb-4f81-8a99-5d1296b3c703Troconiz, I.F. (Iñaki F.)|||/items/e6782d1e-7a2a-42cc-95d6-55223215bf44Gil-Vernet, S. (S.)|||/items/1196b9aa-c343-4e85-be62-51fb790e4259Lloberas, N. (N.)|||/items/2081eb64-206d-4f3e-8cd6-b0bb2a2bbfa0Pou, L. (L.)|||/items/6e40b772-5dcd-47e7-a78f-489b98bcc9a9Peraire, C. (Concepción)|||/items/4b20a69b-9272-44dd-954a-cb446dd8784bGrinyó, J.M. (J. M.)|||/items/bef9745b-064f-4da4-8700-a9e695c87986PharmacokineticIntravenous ganciclovirOral valganciclovirA population pharmacokinetics analysis was performed after intravenous ganciclovir and oral valganciclovir in solid organ transplant patients with cytomegalovirus. Patients received ganciclovir at 5 mg/kg of body weight (5 days) and then 900 mg of valganciclovir (16 days), both twice daily with dose adjustment for renal function. A total of 382 serum concentrations from days 5 and 15 were analyzed with NONMEM VI. Renal function given by creatinine clearance (CL(CR)) was the most influential covariate in CL. The final pharmacokinetic parameters were as follows: ganciclovir clearance (CL) was 7.49.(CL(CR)/57) liter/h (57 was the mean population value of CL(CR)); the central and peripheral distribution volumes were 31.9 liters and 32.0 liters, respectively; intercompartmental clearance was 10.2 liter/h; the first-order absorption rate constant was 0.895 h(-1); bioavailability was 0.825; and lag time was 0.382 h. The CL(CR) was the best predictor of CL, making dose adjustment by this covariate important to achieve the most efficacious ganciclovir exposure.American Society for MicrobiologyDadun. Depósito Académico Digital Universidad de Navarra20122012-04-2020092009-01-0120092009-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/21704reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/217042026-06-21T12:47:57Z
dc.title.none.fl_str_mv Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
title Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
spellingShingle Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
Caldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36
Pharmacokinetic
Intravenous ganciclovir
Oral valganciclovir
title_short Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
title_full Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
title_fullStr Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
title_full_unstemmed Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
title_sort Population pharmacokinetics of ganciclovir after intravenous ganciclovir and oral valganciclovir administration in solid organ transplant patients infected with cytomegalovirus
dc.creator.none.fl_str_mv Caldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36
Colom, H. (H.)|||/items/bc43f225-25a0-441e-a0e0-539de3cc89d9
Armendariz, Y. (Y.)|||/items/46f549fb-2955-4234-bb51-06a772da1357
Garrido-Cid, M.J. (María Jesús)|||/items/02b0ddd8-23bb-4f81-8a99-5d1296b3c703
Troconiz, I.F. (Iñaki F.)|||/items/e6782d1e-7a2a-42cc-95d6-55223215bf44
Gil-Vernet, S. (S.)|||/items/1196b9aa-c343-4e85-be62-51fb790e4259
Lloberas, N. (N.)|||/items/2081eb64-206d-4f3e-8cd6-b0bb2a2bbfa0
Pou, L. (L.)|||/items/6e40b772-5dcd-47e7-a78f-489b98bcc9a9
Peraire, C. (Concepción)|||/items/4b20a69b-9272-44dd-954a-cb446dd8784b
Grinyó, J.M. (J. M.)|||/items/bef9745b-064f-4da4-8700-a9e695c87986
author Caldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36
author_facet Caldés, A. (A.)|||/items/94ed7497-d85a-4a92-af1e-65f4e882ed36
Colom, H. (H.)|||/items/bc43f225-25a0-441e-a0e0-539de3cc89d9
Armendariz, Y. (Y.)|||/items/46f549fb-2955-4234-bb51-06a772da1357
Garrido-Cid, M.J. (María Jesús)|||/items/02b0ddd8-23bb-4f81-8a99-5d1296b3c703
Troconiz, I.F. (Iñaki F.)|||/items/e6782d1e-7a2a-42cc-95d6-55223215bf44
Gil-Vernet, S. (S.)|||/items/1196b9aa-c343-4e85-be62-51fb790e4259
Lloberas, N. (N.)|||/items/2081eb64-206d-4f3e-8cd6-b0bb2a2bbfa0
Pou, L. (L.)|||/items/6e40b772-5dcd-47e7-a78f-489b98bcc9a9
Peraire, C. (Concepción)|||/items/4b20a69b-9272-44dd-954a-cb446dd8784b
Grinyó, J.M. (J. M.)|||/items/bef9745b-064f-4da4-8700-a9e695c87986
author_role author
author2 Colom, H. (H.)|||/items/bc43f225-25a0-441e-a0e0-539de3cc89d9
Armendariz, Y. (Y.)|||/items/46f549fb-2955-4234-bb51-06a772da1357
Garrido-Cid, M.J. (María Jesús)|||/items/02b0ddd8-23bb-4f81-8a99-5d1296b3c703
Troconiz, I.F. (Iñaki F.)|||/items/e6782d1e-7a2a-42cc-95d6-55223215bf44
Gil-Vernet, S. (S.)|||/items/1196b9aa-c343-4e85-be62-51fb790e4259
Lloberas, N. (N.)|||/items/2081eb64-206d-4f3e-8cd6-b0bb2a2bbfa0
Pou, L. (L.)|||/items/6e40b772-5dcd-47e7-a78f-489b98bcc9a9
Peraire, C. (Concepción)|||/items/4b20a69b-9272-44dd-954a-cb446dd8784b
Grinyó, J.M. (J. M.)|||/items/bef9745b-064f-4da4-8700-a9e695c87986
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Pharmacokinetic
Intravenous ganciclovir
Oral valganciclovir
topic Pharmacokinetic
Intravenous ganciclovir
Oral valganciclovir
description A population pharmacokinetics analysis was performed after intravenous ganciclovir and oral valganciclovir in solid organ transplant patients with cytomegalovirus. Patients received ganciclovir at 5 mg/kg of body weight (5 days) and then 900 mg of valganciclovir (16 days), both twice daily with dose adjustment for renal function. A total of 382 serum concentrations from days 5 and 15 were analyzed with NONMEM VI. Renal function given by creatinine clearance (CL(CR)) was the most influential covariate in CL. The final pharmacokinetic parameters were as follows: ganciclovir clearance (CL) was 7.49.(CL(CR)/57) liter/h (57 was the mean population value of CL(CR)); the central and peripheral distribution volumes were 31.9 liters and 32.0 liters, respectively; intercompartmental clearance was 10.2 liter/h; the first-order absorption rate constant was 0.895 h(-1); bioavailability was 0.825; and lag time was 0.382 h. The CL(CR) was the best predictor of CL, making dose adjustment by this covariate important to achieve the most efficacious ganciclovir exposure.
publishDate 2009
dc.date.none.fl_str_mv 2009
2009-01-01
2009
2009-01-01
2012
2012-04-20
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/21704
url https://hdl.handle.net/10171/21704
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv American Society for Microbiology
publisher.none.fl_str_mv American Society for Microbiology
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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