J 2017

Estimating and interpreting the pharmacokinetic profiles of individual patients with hemophilia A or B using a population pharmacokinetic approach: communication from the SSC of the ISTH

IORIO, A., V. BLANCHETTE, Jan BLATNÝ, P. COLLINS, K. FISCHER et. al.

Basic information

Original name

Estimating and interpreting the pharmacokinetic profiles of individual patients with hemophilia A or B using a population pharmacokinetic approach: communication from the SSC of the ISTH

Authors

IORIO, A., V. BLANCHETTE, Jan BLATNÝ, P. COLLINS, K. FISCHER and E. NEUFELD

Edition

Journal of Thrombosis and Haemostasis, Hoboken, Wiley, 2017, 1538-7933

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30205 Hematology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.899

Organization unit

Faculty of Medicine

UT WoS

000417211100022

Keywords in English

hemophilia A; hemophilia B

Tags

Tags

International impact, Reviewed
Změněno: 20/3/2018 13:09, Soňa Böhmová

Abstract

V originále

The ISTH SSC on Factor VIII/IX has previously issued guidelines for studies assessing the pharmacokinetics (PK) of factor concentrates [1, 2]. It suggested drawing 10 or 11 blood samples over a period of 32-48 h or 50-72 h, after infusing 25-50 IU kg-1 or 50-75 IU kg-1, respectively, for FVIII or FIX, in cohorts of 12-15 patients with a crossover design. Such PK studies are not ideal for tailoring the treatment of individual patients, mostly because of the requirement for several blood samples. Owing to broad interindividual variation, the individual disposition of FVIII and FIX cannot be predicted from morphometric characteristics and average PK parameters, but requires empirical assessment in each individual [3-6]. Previous guidance of this ISTH SSC described the PK methodology for the prediction of individual trough levels of FVIII [7]. The present communication, building on recent advances in the population pharmacokinetics (PopPK) of FVIII and FIX [8], adds to the former documents.