Table 2. Individual and mean pharmacokinetic parameters after intravenous administration of 2 µg desmopressin to healthy subjects and to patients with varying degrees of renal impairment. The subjects were divided into four groups, based on the quantiles of the creatinine clearance (CrCL).
ID | CrCL (ml min−1) | CL (litres h−1) | CLr (litres h−1) | Vss (litres) | t1/2( λ1) (h) | t1/2( λ2) (h) | t1/2(λ3) (h) | fe |
---|---|---|---|---|---|---|---|---|
Group 1 | ||||||||
24 | 88 | 13 | 5.3 | 46 | 0.18 | 1.2 | 3.5 | 0.42 |
5 | 90 | 8.1 | 3.4 | 34 | 0.12 | 1.0 | 4.0 | 0.41 |
17 | 90 | 7.0 | 3.4 | 33 | 0.12 | 1.0 | 4.3 | 0.48 |
23 | 101 | 16 | 7.5 | 51 | 0.20 | 1.2 | 3.1 | 0.46 |
21 | 102 | 8.8 | 4.8 | 31 | 0.10 | 0.86 | 3.6 | 0.55 |
19 | 144 | 9.8 | 4.8 | 35 | 0.13 | 0.99 | 3.6 | 0.49 |
Mean | 103 | 10 | 4.9 | 38 | 0.14 | 1.0 | 3.7 | 0.47 |
SD | 21 | 3.4 | 1.5 | 8.1 | 0.04 | 0.13 | 0.41 | 0.05 |
CV% | 21 | 33 | 32 | 21 | 28 | 13 | 11 | 11 |
Group 2 | ||||||||
3 | 66 | 6.7 | 2.4 | 46 | 0.19 | 1.3 | 5.6 | 0.36 |
2 | 67 | 7.5 | 2.6 | 43 | 0.17 | 1.2 | 4.8 | 0.35 |
1 | 68 | 6.2 | 2.7 | 38 | 0.14 | 1.2 | 5.1 | 0.43 |
4 | 75 | 6.5 | 2.7 | 31 | 0.10 | 0.94 | 4.4 | 0.43 |
6 | 82 | 7.8 | 3.6 | 34 | 0.12 | 1.0 | 4.1 | 0.47 |
Mean | 72 | 6.9 | 2.8 | 38 | 0.15 | 1.1 | 4.8 | 0.41 |
SD | 6.8 | 0.68 | 0.48 | 6.3 | 0.04 | 0.2 | 0.59 | 0.05 |
CV% | 10 | 10 | 17 | 16 | 24 | 14 | 12 | 12 |
Group 3 | ||||||||
8 | 29 | 3.1 | 0.76 | 33 | 0.12 | 1.1 | 8.2 | 0.24 |
7 | 33 | 8.4 | 1.3 | 80 | 0.38 | 1.7 | 7.3 | 0.16 |
12 | 33 | 3.9 | 0.96 | 36 | 0.14 | 1.2 | 7.3 | 0.25 |
14 | 35 | 3.8 | 1.1 | 38 | 0.15 | 1.2 | 7.7 | 0.29 |
9 | 54 | 5.2 | 1.8 | 33 | 0.12 | 1.1 | 5.4 | 0.34 |
Mean | 37 | 4.9 | 1.2 | 44 | 0.18 | 1.3 | 7.2 | 0.26 |
SD | 9.9 | 2.1 | 0.38 | 20 | 0.11 | 0.2 | 1.1 | 0.07 |
CV% | 27 | 43 | 33 | 46 | 62 | 19 | 15 | 26 |
Group 4 | ||||||||
16 | 10 | 1.9 | 0.32 | 42 | 0.17 | 1.4 | 16 | 0.17 |
18 | 12 | 2.1 | 0.35 | 30 | 0.10 | 1.1 | 11 | 0.17 |
22 | 12 | 3.4 | 0.42 | 47 | 0.20 | 1.4 | 10 | 0.12 |
15 | 14 | 2.9 | 0.65 | 32 | 0.12 | 1.1 | 8.8 | 0.23 |
11 | 23 | 4.0 | 1.1 | 42 | 0.17 | 1.3 | 8.1 | 0.27 |
13 | 26 | 3.3 | 1.0 | 36 | 0.14 | 1.2 | 8.4 | 0.31 |
Mean | 16 | 2.9 | 0.65 | 38 | 0.15 | 1.3 | 10 | 0.21 |
SD | 6.6 | 0.82 | 0.35 | 6.4 | 0.04 | 0.13 | 2.9 | 0.07 |
CV% | 41 | 28 | 54 | 17 | 24 | 10 | 28 | 34 |
CrCL = creatinine clearance; CL = clearance; CLr = renal clearance; Vss = volume of distribution at steady state; t1/2λ1 = half-life for the first distribution phase; t1/2λ2 = half-life for the second distribution phase; t1/2λ3 = half-life for the terminal phase; fe = fraction of the dose excreted in the urine.