Table 2.
Pharmacokinetic parameters of difelikefalin [14C] equivalents in whole blood and plasma after a single IV bolus [14C]difelikefalin
| Parameter | Healthy subjects | |||||||
|---|---|---|---|---|---|---|---|---|
| Whole blood | Plasma | |||||||
| n | Mean | SD | CV% | n | Mean | SD | CV% | |
| tmax (h) | 6 | 0.0867 | 0.0163 | 18.84 | 6 | 0.0867 | 0.0163 | 18.84 |
| Cmax (ng-eq/mL) | 6 | 13.6 | 1.40 | 10.30 | 6 | 24.8 | 2.29 | 9.25 |
| AUClast (h*ng-eq/mL) | 6 | 23.3 | 3.43 | 14.71 | 6 | 42.2 | 5.82 | 13.79 |
| AUCinf (h*ng-eq/mL) | 6 | 24.5 | 3.89 | 15.88 | 6 | 44.3 | 6.63 | 14.96 |
| t1/2 (h) | 6 | 2.56 | 0.668 | 26.05 | 6 | 2.60 | 0.680 | 26.14 |
| CL (L/h) | 6 | 8.54 | 1.63 | 19.05 | 6 | 4.70 | 0.810 | 17.25 |
| Vz (L) | 6 | 30.5 | 4.37 | 14.36 | 6 | 17.0 | 2.62 | 15.35 |
| C0 (ng-eq/mL) | 6 | 16.2 | 1.95 | 12.07 | 6 | 29.7 | 3.10 | 10.43 |
| Parameter | Subjects on hemodialysis | |||||||
|---|---|---|---|---|---|---|---|---|
| Whole blood | Plasma | |||||||
| n | Mean | SD | CV% | n | Mean | SD | CV% | |
| tmax (h) | 6 | 0.0800 | 0.00 | 0.00 | 6 | 0.0800 | 0.00 | 0.00 |
| Cmax (ng-eq/mL) | 6 | 15.8 | 3.17 | 20.05 | 6 | 25.6 | 4.18 | 16.34 |
| AUClast (h*ng-eq/mL) | 6 | 208 | 39.1 | 18.77 | 6 | 338 | 49.7 | 14.70 |
| AUCinf (h*ng-eq/mL) | 6 | 290 | 67.6 | 23.31 | 6 | 474 | 122 | 25.61 |
| t1/2 (h) | 6 | 38.4 | 8.92 | 23.24 | 6 | 38.0 | 9.82 | 25.87 |
| CL (L/h) | 6 | 0.727 | 0.161 | 22.09 | 6 | 0.448 | 0.104 | 23.34 |
| Vz (L) | 6 | 39.3 | 7.88 | 20.06 | 6 | 23.4 | 1.45 | 6.22 |
| C0 (ng-eq/mL) | 6 | 18.9 | 3.88 | 20.51 | 6 | 30.9 | 5.46 | 17.65 |
AUCinf area under the curve from time 0 h to infinity, AUClast area under the curve from time 0 h to last quantifiable concentration, C0 concentration at time-zero for IV dosing, CL total systemic clearance, Cmax maximum concentration, CV% coefficient of variation, IV intravenous, tmax time to reach Cmax, t1/2 terminal elimination half-life, Vz volume of distribution in the terminal elimination phase