دورية أكاديمية

Influence of mild and moderate hepatic impairment on axitinib pharmacokinetics

التفاصيل البيبلوغرافية
العنوان: Influence of mild and moderate hepatic impairment on axitinib pharmacokinetics
المؤلفون: Tortorici, Michael A., Toh, Melvin, Rahavendran, S. V., LaBadie, Robert R., Alvey, Christine W., Marbury, Thomas, Fuentes, Ernesto, Green, Matthew, Ni, Grace, Hee, Brian, Pithavala, Yazdi K.
بيانات النشر: Springer US
سنة النشر: 2010
مصطلحات موضوعية: Phase I Studies, psy, envir
الوصف: Objective: To evaluate the effects of hepatic impairment on the pharmacokinetics and safety of a single, oral axitinib dose in subjects with mild or moderate hepatic impairment. Methods: In this phase I, open-label, parallel-group study, a total of 24 subjects with either normal hepatic function (n = 8) or with mild (n = 8) or moderate (n = 8) hepatic impairment were administered a single, oral dose of axitinib (5 mg). Blood samples were collected at intervals up to 144 h following dosing, and plasma pharmacokinetics and safety were assessed. Changes in axitinib plasma exposures in subjects with mild or moderate hepatic impairment were predicted using computer simulations and used to guide initial dosing in the clinical study. Results: Axitinib exposure was similar in subjects with normal hepatic function and those with mild hepatic impairment, but approximately twofold higher in subjects with moderate hepatic impairment. Axitinib exposure weakly correlated with measures of hepatic function but was not affected by smoking status. Axitinib protein binding was similar in the three treatment groups. No significant treatment-related adverse events were reported. Conclusions: Compared with subjects with normal hepatic function, moderate hepatic impairment increased axitinib exposure, suggesting that the oral clearance of axitinib is altered in these subjects. In addition, these data indicate a possible need for a dose reduction in subjects who develop moderate or worse hepatic impairment during axitinib treatment. A single 5-mg dose of axitinib was well tolerated in subjects with mild or moderate hepatic impairment.
نوع الوثيقة: text
اللغة: English
العلاقة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3171651Test
الإتاحة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3171651Test
حقوق: undefined
رقم الانضمام: edsbas.41980A6A
قاعدة البيانات: BASE