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. 2025 Jul 21;64(9):1263–1282. doi: 10.1007/s40262-025-01548-7

Table 2.

Population pharmacokinetic parameters for each developed three-compartment model for remimazolam besylate

Study (year) V1 (L) V2 (L) V3 (L) CL (L/min) Q2 (L/min) Q3 (L/min) Covariates in model
Schüttler (2020) [30] 4.39 (RSE 5.9%) 14.5 (RSE 4.2%) 15.5 (RSE 6.4%) 1.14 (RSE 2.5%) 1.04 (RSE 4.9%) 0.19 (RSE 7.3%) Body weight
Zhou (2020) [32] 2.92 (RSE 6.27%) 9.81 (RSE 3.01%) 19.1 (RSE 4.49%)

1.03 in male subjects (RSE 1.56%)

1.14 in female subjects

1.16 (RSE (5.90%) 0.38 (RSE 4.54%) ASA-PS class 3, extracorporeal circulation, sex, time-dependent change
Zhou, nonhomogeneously (2021) [33] 4.83 18 (RSE 2.8%) 18.5 (RSE 5.3%)

1.18 in male subjects (RSE 2%)

1.30 in female subjects

1.92 (RSE 6%) 0.284 (RSE 2.7%) Body weight, sex, race
Masui (2022) [34]

3.52 in male subjects

3.38 in female subjects

11.14 in male subjects

10.69 in female subjects

21.53 in male subjects

21.76 in female subjects

1.01 in male subjects

1.16 in female subjects

1.08 in male subjects

1.08 in female subjects

0.40 in male subjects

0.40 in female subjects

Adjusted body weight, age, sex, ASA class
Vellinga (2024) [38] 5.36 11.7 32.7 1.25 0.74 0.39 None
Eleveld (2024) [35] 4.31 (99% CI 3.98–4.66) 12.3 (99% CI 11.2–13.5)

18.6 in male subjects

24.8 in female subjects

1.1 in male subjects

1.3 in female subjects

1.45 (99% CI 1.33–1.59)

0.298 in male subjects (99% CI 0.267–0.332)

0.369 in female subjects

Body weight, sex, age, concomitant opiates, hepatic function

Values for a reference individual: a 35-year-old man weighing 70 kg and having a height of 170 cm ASA-PS 1 or 2 and no liver failure, for arterial samples, not receivingconcomitant opiates. CIs are reported as stated in the original article, or RSE when given. No variance is given if the value is fixed. For the Masui (2022) model, no variances are given but instead the reader is referred to the original article, as variances are reported for individual theta values and model parameters are given as a descriptive formulas

ASA-PS American Society of Anesthesiologists Physical Score, CI confidence interval, CL clearance, RSE relative standard error