单位:[1]Department of Pharmacy, Tianjin First Central Hospital, Tianjin 300192, China.[2]Basic Medical College, Tianjin Medical University, Tianjin 300070, China.[3]Department of Liver Transplantation, Tianjin First Central Hospital, Tianjin 300192, China.[4]Department of Liver Transplantation, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.临床科室国家中心普外分中心普外四科(肝脏移植外科)首都医科大学附属北京友谊医院
Aim. The aim of this study was to establish population pharmacokinetic models of tacrolimus in Chinese adult liver transplantation patients. Methods. Tacrolimus dose and concentration data (n = 435) were obtained from 47 Chinese adult liver transplant recipients, and the data were analyzed using a nonlinear mixed-effect modeling (NONMEM) method. Results. The structural model was a two-compartment model with first-order absorption. The typical population values of tacrolimus for the pharmacokinetic parameters of apparent clearance (CL/F), apparent distribution volume of the central compartment (V 2/F), intercompartmental clearance (Q/F), apparent distribution volume of the peripheral compartment (V 3/F), and absorption rate (k a ) were 11.2 L/h, 406 L, 57.3 L/h, 503 L, and 0.723 h(-1), respectively. The interindividual variabilities of these parameters were 16.2%, 163%, 19.7%, 199%, and 74.3%, respectively, and the intraindividual variability of observed concentration was 26.54%. The covariates retained in the final models were postoperative days (POD) and dosage per day (DOSE) on CL/F. Conclusion. Population pharmacokinetic models of tacrolimus were developed in Chinese adult liver transplant patients. These results could provide the interpretation of the outcome of pharmacokinetics modeling and the impact of covariate tested on individualized tacrolimus therapy.
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第一作者单位:[1]Department of Pharmacy, Tianjin First Central Hospital, Tianjin 300192, China.
推荐引用方式(GB/T 7714):
Zhu Liqin,Wang Hao,Sun Xiaoye,et al.The Population Pharmacokinetic Models of Tacrolimus in Chinese Adult Liver Transplantation Patients.[J].Journal of Pharmaceutics.2014,2014:713650.doi:10.1155/2014/713650.
APA:
Zhu Liqin,Wang Hao,Sun Xiaoye,Rao Wei,Qu Wei...&Sun Liying.(2014).The Population Pharmacokinetic Models of Tacrolimus in Chinese Adult Liver Transplantation Patients..Journal of Pharmaceutics,2014,
MLA:
Zhu Liqin,et al."The Population Pharmacokinetic Models of Tacrolimus in Chinese Adult Liver Transplantation Patients.".Journal of Pharmaceutics 2014.(2014):713650