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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Yousef, A. M. Melhem, M. Xue, B. Arafat, T. Reynolds, D. K. Van Wart, S. A. |
| Spatial Coverage | Jordan |
| Description | Country affiliation: Jordan Author Affiliation: Yousef AM ( Department of Biopharmaceutics and Clinical Pharmacy, University of Jordan, Amman, Jordan.) |
| Abstract | AIM: Clopidogrel is metabolized primarily into an inactive carboxyl metabolite (clopidogrel-IM) or to a lesser extent an active thiol metabolite. A population pharmacokinetic (PK) model was developed using NONMEM(®) to describe the time course of clopidogrel-IM in plasma and to design a sparse-sampling strategy to predict clopidogrel-IM exposures for use in characterizing anti-platelet activity. METHODS: Serial blood samples from 76 healthy Jordanian subjects administered a single 75 mg oral dose of clopidogrel were collected and assayed for clopidogrel-IM using reverse phase high performance liquid chromatography. A two-compartment (2-CMT) PK model with first-order absorption and elimination plus an absorption lag-time was evaluated, as well as a variation of this model designed to mimic enterohepatic recycling (EHC). Optimal PK sampling strategies (OSS) were determined using WinPOPT based upon collection of 3-12 post-dose samples. RESULTS: A two-compartment model with EHC provided the best fit and reduced bias in C(max) (median prediction error (PE%) of 9.58% versus 12.2%) relative to the basic two-compartment model, AUC(0-24) was similar for both models (median PE% = 1.39%). The OSS for fitting the two-compartment model with EHC required the collection of seven samples (0.25, 1, 2, 4, 5, 6 and 12 h). Reasonably unbiased and precise exposures were obtained when re-fitting this model to a reduced dataset considering only these sampling times. CONCLUSIONS: A two-compartment model considering EHC best characterized the time course of clopidogrel-IM in plasma. Use of the suggested OSS will allow for the collection of fewer PK samples when assessing clopidogrel-IM exposures. |
| File Format | HTM / HTML |
| ISSN | 01422782 |
| Issue Number | 4 |
| Volume Number | 34 |
| e-ISSN | 1099081X |
| Journal | Biopharmaceutics & Drug Disposition |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2013-05-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pharmacology Models, Biological Platelet Aggregation Inhibitors Pharmacokinetics Ticlopidine Analogs & Derivatives Administration, Oral Adolescent Adult Area Under Curve Chromatography, High Pressure Liquid Chromatography, Reverse-phase Humans Jordan Male Middle Aged Time Factors Young Adult Clinical Trial Comparative Study Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pharmacology Pharmacology (medical) Pharmaceutical Science |
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