Electronic Resource

Effect of hepatic impairment on the pharmacokinetics of pasireotide (SOM230): results from a multicenter phase I study.

التفاصيل البيبلوغرافية
العنوان: Effect of hepatic impairment on the pharmacokinetics of pasireotide (SOM230): results from a multicenter phase I study.
المؤلفون: UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, UCL - (SLuc) Service de gastro-entérologie, Horsmans, Yves, Hu, Ke, Ruffin, Matthieu, Wang, Ying, Song, Dongweon, Bouillaud, Emmanuel, Wang, Yanfeng, Mazur, Dago, Botha, Frans-Peter, Heuman, Douglas M
المصدر: The Journal of Clinical Pharmacology, Vol. 52, no. 4, p. 552-558 (2012)
بيانات النشر: Sage Publications, Inc. 2012
نوع الوثيقة: Electronic Resource
مستخلص: Pasireotide is a novel, multireceptor-targeted somatostatin analogue with high affinity for sst(1,2,3) and sst(5) under clinical evaluation in tumors of neuroendocrine origin, including Cushing's disease, acromegaly, and neuroendocrine tumors. In this phase I, open-label, multicenter study, the pharmacokinetics and safety of a single subcutaneous (SC) injection of pasireotide 600 µg were evaluated in adults with normal hepatic function (n = 15) and mild (n = 6), moderate (n = 7), or severe hepatic impairment (n = 6). Following a single dose of pasireotide SC 600 µg, there were no significant differences in the plasma exposure of pasireotide between participants with normal hepatic function or mild hepatic impairment. Subjects with moderate and severe hepatic impairment showed an increase in AUC(∞) by 56% and 42%, respectively; this increase was 60% and 79% respectively, after adjusting for differences in age, BMI, and baseline serum albumin level between treatment groups. The incidence and severity of adverse events were similar across cohorts, with no clinically relevant differences in type or frequency of adverse events between cohorts. In conclusion, a single dose of pasireotide SC 600 µg was well tolerated in subjects with hepatic impairment. Drug exposure in subjects with mild hepatic impairment was similar to that seen in healthy volunteers, whereas subjects with moderate and severe hepatic impairment experienced higher exposure to pasireotide. Adjustment of the pasireotide dose may be required for patients with moderate and severe hepatic impairment.
مصطلحات الفهرس: Adolescent, Middle Aged, Severity of Illness Index, Somatostatin, Young Adult, Adult, Aged, Area Under Curve, Case-Control Studies, Female, Humans, Liver Diseases, Male, info:eu-repo/semantics/article
URL: http://hdl.handle.net/2078.1/116567
الاتاحة: Open access content. Open access content
info:eu-repo/semantics/restrictedAccess
ملاحظة: English
Other Numbers: UCDLC oai:dial.uclouvain.be:boreal:116567
boreal:116567
info:doi/10.1177/0091270011400072
info:pmid/22282526
urn:ISSN:0091-2700
urn:EISSN:1552-4604
1130510458
المصدر المساهم: UNIVERSITE CATHOLIQUE DE LOUVAIN
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رقم الانضمام: edsoai.on1130510458
قاعدة البيانات: OAIster