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Title: Population pharmacokinetics of bisoprolol in patients with chronic heart failure
Authors: Nikolic V.
Jevtovic Stoimenov, Tatjana
Veličković-Radovanović R.
Ilic A.
Deljanin-Ilic M.
Marinković D.
Apostolovic, Svetlana
Stanojevic D.
Živanović, Slavoljub
Stefanović, Nikola
Pesic, Srdjan
Ruzic Zecevic, Dejana
Milovanovic, Jasmina
Jankovic, Slobodan
Issue Date: 2013
Abstract: Purpose: The aim of the study was to develop a population pharmacokinetic (PK) model for clearance of bisoprolol in patients with congestive heart failure (CHF). Methods: Parameters associated with the plasma concentrations of bisoprolol at steady-state were analyzed in 61 patients (mean age 66.21 ± 9.49 years; mean total body weight 8.90 ± 12.26 kg) with CHF using non-linear mixed-effect modeling (NONMEM). A validation set of 17 patients with heart failure was used to estimate the predictive performance of the pharmacokinetic model. Results: The typical mean value for bisoprolol clearance (CL), estimated by the base model (without covariates), in our population was 11.4 l h-1. In the full model, covariates such as bisoprolol total daily dose (DD) and creatinine clearance were included. The final regression model for the clearance of bisoprolol was the following: CL (l h-1) = 4.68 + 0.859*DD. Conclusion: The derived PK model describes the clearance of bisoprolol in patients with CHF, showing that the total daily dose of bisoprolol is the most important covariate. This finding will provide the basis for future PK studies on beta blockers in this specific patient population and lead to better overall management of heart failure. © 2012 Springer-Verlag Berlin Heidelberg.
Type: article
DOI: 10.1007/s00228-012-1427-y
ISSN: 0031-6970
SCOPUS: 2-s2.0-84876705544
Appears in Collections:Faculty of Medical Sciences, Kragujevac

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