Table 3.
Cardiovascular and anticancer drugs cystatin C pharmacokinetic study
| Drug class | Drug | Study | Population | Detection method | Renal function | Renal function-PK | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of patients | Patients | Age (years) | Creatinine | CysC | Drug | Creatinine | CysC | Significant correlation between CysC and drug clearance (r2) | Significant correlation between CysC and drug C0 (r2) | CysC is better correlated with PK compared to creatinine (r2) | |||
| Cardiac drug | Digoxin | Hallberg et al. 41 | 149 | Adult and elderly patients | 55–106 | Jaffé | PENIA | FPIA | Concentration | Concentration | ― | Yes (0.20) | Yes (0.14) |
| Garcia et al. 42 | 61 | Adult and elderly patients with cardiac insufficiency | 24–92 | Jaffé | PENIA | FPIA | CG | Larsson | Yes (0.25) | Yes | Yes (0.16) | ||
| O'Riordan et al. 43 | 18 | Elderly healthy patients | 67–86 | Jaffé | PENIA | FPIA | Concentration | Concentration | ― | No (0.09) | No (0.16) | ||
| Anticancer | Carboplatin | Thomas et al. 40 | 45 | Adult and elderly patients with cancer | 21–79 | Jaffé | PENIA | FAAS | CG | Concentration | Yes | ― | Yes |
| Schmitt et al. 61 | 357 | Adult and elderly patients with cancer | 21–87 | Jaffé | PENIA | FAAS | Concentration | Concentration | Yes | ― | ― | ||
| Topotecan | Hoppe et al. 39 | 59 | Adult and elderly patients with cancer | 18–76 | Jaffé | PENIA | HPLC | Concentration | Concentration | Yes (0.43) | ― | Yes (0.23) | |
CG, Cockcroft–Gault equation
CysC, cystatin C
FAAS, flameless atomic absorption spectrophotometric analysis
FPIA, fluorescence polarization immunoassay
HPLC, high-performance liquid chromatography
PENIA, particle-enhanced nephelometric immunoassay.