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Population pharmacokinetics of valproate in Chinese children with epilepsy

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机构: [1]Department of Pharmacy, Xuan-wu Hospital of Capital Medical University, Beijing 100053, China [2]Department of Pharmacology, Xuan-wu Hospital of Capital Medical University, Education Ministry Key Laboratory for Neurodegenerative Diseases, Beijing 100053, China [3]Department of Pediatrics, Peking University First Hospital, Beijing 100034, China [4]School of Pharmaceutical Science, Peking University, Beijing 100083, China
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关键词: population pharmacokinetics valproic acid epilepsy children Bayesian method NONMEM software individualized dosage regimens

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Aim: The aim of the present study is to establish a population pharmacokinetic (PPK) model of valproate (VPA) in Chinese epileptic children to promote the reasonable use of anti-epileptic drugs. Methods: Sparse data of VPA serum concentrations from 417 epileptic children were collected. These patients were divided into 2 groups: the PPK model group (n=317) and the PPK valid group (n=100). The PPK parameter values of VPA were calculated by NONMEM software using the data of the PPK model group. A basic model and a final model were set up. To validate the 2 models, the concentrations of PPK valid group were predicted by each model, respectively. The mean prediction error (MPE), mean squared prediction error (MSPE), root mean squared prediction error (RMSPE), weight residues (WRES), and the 95% confidence intervals (95% CI) were also calculated. Then, the values between the 2 models were compared. Results: The PPK of VPA was determined by a 1-compartment model with a first-order absorption process. The basic model was: Ka=3.09 (h(-1)), V/F=20.4 (L), CL/F=0.296 (L/h). The final model was: Ka=0.251+2.24.(1-HS) (h(-1)), V/F=2.88+0.157.WT (L), CL/F=0.106(0.98.CO)+ 0.0157.AGE (L/h). For the basic model, the MPE, MSPE, RMSPE, WRES, and the 95% CI were -23.53 (-30.36, -16.70), 3728.96 (2872.72, 4585.20), 39.62 (34.34, 44.90), and -0.06 (-0.14, 0.02), respectively. For the final model, the MPE, MSPE, RMSPE, WRES, and the 95% CI were -1.16 (-4.85, 2.53), 1002.83 (1050.64, 1143.61), 23.04 (21.12, 24.96), and 0.08 (-0.04, 0.20), respectively. The final model was more optimal than the basic model. Conclusion: The PPK model of VPA in Chinese epileptic children was successfully established. It will be valuable to facilitate individualized dosage regimens.

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出版当年[2006]版:
大类 | 4 区 医学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 药学 2 区 化学:综合
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出版当年[2005]版:
Q2 CHEMISTRY, MULTIDISCIPLINARY Q4 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2005版] 出版当年五年平均 出版前一年[2004版] 出版后一年[2006版]

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第一作者机构: [1]Department of Pharmacy, Xuan-wu Hospital of Capital Medical University, Beijing 100053, China [2]Department of Pharmacology, Xuan-wu Hospital of Capital Medical University, Education Ministry Key Laboratory for Neurodegenerative Diseases, Beijing 100053, China
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通讯机构: [1]Department of Pharmacy, Xuan-wu Hospital of Capital Medical University, Beijing 100053, China
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