Pharmacokinetics of oral valganciclovir solution and intravenous ganciclovir in pediatric renal and liver transplant recipients
dc.contributor.author | Pescovitz, M. D. | en_US |
dc.contributor.author | Ettenger, Robert | en_US |
dc.contributor.author | Strife, C. F. | en_US |
dc.contributor.author | Sherbotie, Joseph R. | en_US |
dc.contributor.author | Thomas, S. E. | en_US |
dc.contributor.author | Mcdiarmid, S. | en_US |
dc.contributor.author | Bartosh, S. | en_US |
dc.contributor.author | Ives, J. | en_US |
dc.contributor.author | Bouw, M. R. | en_US |
dc.contributor.author | Bucuvalas, John C. | en_US |
dc.date.accessioned | 2011-01-13T19:37:41Z | |
dc.date.available | 2011-01-13T19:37:41Z | |
dc.date.issued | 2010-06 | en_US |
dc.identifier.citation | Pescovitz, M.D.; Ettenger, R.B.; Strife, C.F.; Sherbotie, J.R.; Thomas, S.E.; Mcdiarmid, S.; Bartosh, S.; Ives, J.; Bouw, M.R.; Bucuvalas, J.; (2010). "Pharmacokinetics of oral valganciclovir solution and intravenous ganciclovir in pediatric renal and liver transplant recipients." Transplant Infectious Disease 12(3): 195-203. <http://hdl.handle.net/2027.42/78598> | en_US |
dc.identifier.issn | 1398-2273 | en_US |
dc.identifier.issn | 1399-3062 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/78598 | |
dc.description.abstract | M.D. Pescovitz, R.B. Ettenger, C.F. Strife, J.R. Sherbotie, S.E. Thomas, S. McDiarmid, S. Bartosh, J. Ives, M.R. Bouw, J. Bucuvalas. Pharmacokinetics of oral valganciclovir solution and intravenous ganciclovir in pediatric renal and liver transplant recipients. Transpl Infect Dis 2010: 12: 195–203. All rights reservedIn an open-label, prospective, pharmacokinetic assessment, we evaluated total drug exposure (area under the curve [AUC]) of intravenous (IV) ganciclovir (GCV) and oral (p.o.) valganciclovir when normalized for body surface area (BSA) in pediatric liver ( n =20) and renal ( n =26) transplant patients Reference doses for IV GCV (200 mg/m 2 ) and p.o. valganciclovir (520 mg/m 2 ) were based on adult doses, and adjusted for BSA initially, and BSA and renal function (estimated via creatinine clearance [CrCL]) thereafter. Renal transplant patients received GCV on days 1–2, valganciclovir 260 mg/m 2 on day 3, and valganciclovir 520 mg/m 2 on day 4. Liver transplant patients received twice daily GCV from enrollment to day 12, and then valganciclovir twice daily on days 13–14. GCV pharmacokinetics were described using a population pharmacokinetic approach. Type of solid organ transplant (kidney or liver) had no effect on GCV pharmacokinetics. Median GCV exposure following valganciclovir 520 mg/m 2 was similar to that with IV GCV, and to that reported in adults. Patients <5 years of age had AUC values approximately 50% of those compared with older age ranges; dosing based on both BSA and CrCL increased drug exposure in younger patients. A dosing algorithm based on BSA and CrCL should be tested in future studies. | en_US |
dc.format.extent | 194743 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Valganciclovir | en_US |
dc.subject.other | Ganciclovir | en_US |
dc.subject.other | Kidney Transplant | en_US |
dc.subject.other | Liver Transplant | en_US |
dc.subject.other | Pediatric | en_US |
dc.subject.other | Pharmacokinetics | en_US |
dc.title | Pharmacokinetics of oral valganciclovir solution and intravenous ganciclovir in pediatric renal and liver transplant recipients | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbsecondlevel | Microbiology and Immunology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Pediatric Nephrology, C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationother | Departments of Surgery and Microbiology/Immunology, Indiana University, Indianapolis, Indiana, USA | en_US |
dc.contributor.affiliationother | Division of Pediatric Nephrology, UCLA Medical Center, Los Angeles, California, USA | en_US |
dc.contributor.affiliationother | Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA | en_US |
dc.contributor.affiliationother | Pediatric Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, Utah, USA | en_US |
dc.contributor.affiliationother | Department of Pediatrics, University of Wisconsin Medical School, Madison, Wisconsin, USA | en_US |
dc.contributor.affiliationother | Roche Products Ltd, Welwyn Garden City, Herts, UK | en_US |
dc.contributor.affiliationother | Pediatric Liver Care Center, Cincinnati Children's Hospital, Cincinnati, Ohio, USA | en_US |
dc.identifier.pmid | 20002356 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/78598/1/j.1399-3062.2009.00478.x.pdf | |
dc.identifier.doi | 10.1111/j.1399-3062.2009.00478.x | en_US |
dc.identifier.source | Transplant Infectious Disease | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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