Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-2-25
pubmed:abstractText
The purpose of this open-label, parallel-group study was to investigate the effect of severe renal impairment on the pharmacokinetics (PK), tolerability, and safety of clazosentan, an intravenous endothelin receptor antagonist. Clazosentan was administered as a continuous intravenous infusion of 1 mg/h for a period of 6 hours in 9 subjects with severe renal impairment (group A) and 8 healthy subjects (group B) (creatinine clearance <30 mL/min and >80 mL/min, respectively). The subjects in both groups were well matched for sex, body mass index, and age (±10 years). The PK parameters of clazosentan were calculated by both model-independent and model-dependent methods. The differences in the PK parameters between the subjects with severe renal impairment and healthy subjects were minor. The geometric means for area under the curve (AUC) during the infusion, AUC(0-t), (AUC from zero to time t of the last measured concentration above the limit of quantification) AUC(0-?) (AUC from zero to infinity), and concentration at steady state were 7%, 8%, 8%, and 8%, respectively, higher in group A than in group B. The results obtained after 2-compartmental modeling were in agreement with those obtained after noncompartmental analysis. Administration of clazosentan was well tolerated in both groups. The data suggest that there is no need for dose adjustment of clazosentan in patients with renal impairment.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1552-4604
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
413-21
pubmed:meshHeading
pubmed-meshheading:20926750-Adult, pubmed-meshheading:20926750-Dioxanes, pubmed-meshheading:20926750-Female, pubmed-meshheading:20926750-Half-Life, pubmed-meshheading:20926750-Humans, pubmed-meshheading:20926750-Infusions, Intravenous, pubmed-meshheading:20926750-Kidney Failure, Chronic, pubmed-meshheading:20926750-Male, pubmed-meshheading:20926750-Metabolic Clearance Rate, pubmed-meshheading:20926750-Middle Aged, pubmed-meshheading:20926750-Models, Biological, pubmed-meshheading:20926750-Pyridines, pubmed-meshheading:20926750-Pyrimidines, pubmed-meshheading:20926750-Receptor, Endothelin A, pubmed-meshheading:20926750-Renal Insufficiency, pubmed-meshheading:20926750-Severity of Illness Index, pubmed-meshheading:20926750-Subarachnoid Hemorrhage, pubmed-meshheading:20926750-Sulfonamides, pubmed-meshheading:20926750-Tetrazoles, pubmed-meshheading:20926750-Vasospasm, Intracranial
pubmed:year
2011
pubmed:articleTitle
Influence of severe renal impairment on the pharmacokinetics of clazosentan.
pubmed:affiliation
Actelion Pharmaceuticals Ltd, Department of Clinical Pharmacology, Gewerbestrasse 3, 4123 Allschwil, Switzerland. Shirin.bruderer@actelion.com
pubmed:publicationType
Journal Article, Controlled Clinical Trial