Pharmacokinetics of bosentan in routinely treated Japanese pediatric patients with pulmonary arterial hypertension

Masato Taguchi, Fukiko Ichida, Keiichi Hirono, Toshio Miyawaki, Naoki Yoshimura, Tsuneyuki Nakamura, Chisato Akita, Tomotaka Nakayama, Tsutomu Saji, Yuya Kato, Isao Horiuchi, Yukiya Hashimoto*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

We evaluated the pharmacokinetics of routinely administered bosentan in 46 Japanese pediatric patients with pulmonary arterial hypertension. Plasma samples were taken twice at times corresponding to the peak and trough concentrations following repetitive oral administration. The population pharmacokinetic parameters of bosentan were estimated by use of the NONMEM program, in which a onecompartment model with repetitive bolus dosing was parameterized in terms of the oral clearance (CL/F) and elimination rate constant (k). Polymorphisms of CYP3A5, SLCO1B1, SLCO1B3, and SLCO2B1 had no significant effect on the disposition of bosentan. In addition, the pharmacokinetics of bosentan was not altered by heart failure or coadministration of sildenafil. In contrast, weight (WT)-normalized values of CL/F were correlated negatively with age (AGE). The final population mean values of CL/F and k were estimated to be 0.409 · (1-0.0377 · (AGE-3.81)) · WT L/h and 0.175 h-1, respectively.

Original languageEnglish
Pages (from-to)280-287
Number of pages8
JournalDrug Metabolism and Pharmacokinetics
Volume26
Issue number3
DOIs
StatePublished - 2011

Keywords

  • Bosentan
  • Cytochrome P450
  • Genetic polymorphisms
  • Organic anion transporting polypeptide
  • Pediatric patients
  • Pharmacokinetics
  • Pulmonary arterial hypertension

ASJC Scopus subject areas

  • Pharmacology
  • Pharmaceutical Science
  • Pharmacology (medical)

Fingerprint

Dive into the research topics of 'Pharmacokinetics of bosentan in routinely treated Japanese pediatric patients with pulmonary arterial hypertension'. Together they form a unique fingerprint.

Cite this