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...
| Autores: | , , , , , , , , , |
|---|---|
| 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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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 |
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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 |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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1869415857899175936 |
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15.300719 |