論文

国際誌
2019年11月

Pharmacokinetics of mycophenolate mofetil in juvenile patients with autoimmune diseases.

Modern rheumatology
  • Haruna Nakaseko
  • ,
  • Naomi Iwata
  • ,
  • Ryuhei Yasuoka
  • ,
  • Toaki Kohagura
  • ,
  • Naoki Abe
  • ,
  • Shinji Kawabe
  • ,
  • Masaaki Mori

29
6
開始ページ
1002
終了ページ
1006
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1080/14397595.2018.1532785

Objectives: This study aimed to determine the association between the dosage and pharmacokinetics of mycophenolate mofetil (MMF) in juvenile patients with autoimmune diseases.Methods: Totally, 29 patients were administered oral MMF. The blood concentrations of mycophenolate acid (MPA) at seven points, the area under the time-concentration curve (MPA-AUC0-12h), the peak concentration (Cmax), and the time to peak concentration (Tmax) were measured. To obtain a dose-normalized MPA-AUC0-12h value, the actual measured MPA-AUC0-12h value was divided by the dose value of the morning administration corrected for body weight (BW) or body surface area (BSA). The patients were classified into three age groups (group 1, ≤10 years; group 2, >10-≤15 years; and group 3, >15 years), and pharmacokinetic parameters were compared among the groups.Results: In total, we obtained 37 measurements. The actual measured MPA-AUC0-12h values and the MPA-AUC0-12h values corrected for dose per BW and Tmax were lower in young patients. The MPA-AUC0-12h values corrected for dose per BSA and Cmax were comparable among all the groups.Conclusion: In patients with juvenile autoimmune diseases, determining MMF administration dosage according to BSA may facilitate MPA-AUC0-12h value prediction.

リンク情報
DOI
https://doi.org/10.1080/14397595.2018.1532785
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30289014
ID情報
  • DOI : 10.1080/14397595.2018.1532785
  • PubMed ID : 30289014

エクスポート
BibTeX RIS