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. 2017 May 28;83(9):2015–2026. doi: 10.1111/bcp.13307

Table 3.

Best‐fit parameters for the oxypurinol concentration– and allopurinol dose–response relationships with serum urate in gout patients (47 patients, 98 plasma samples)

ID 50 [Allopurinol mg dose‐resp, mg] or IC 50 [Oxypurinol mg l –1 conc–response] (95% CI) U R , mmol l –1 (95% CI) k or d a (95% CI) r 2 , OFV P‐value
Concentration–response
No U R (Eqn (2) , U R = 0) 21.0 (19.2–23.0) 0 0.60, 0.29
With U R (Eqn (2) ) 11.3 (8.0–16.2) 0.17 (0.09–0.23) 0.64, 0.26 7.71 × 10–4 b
With U R , k*CL CR (Eqn (4) ) 11.7 (8.1–17.1) 0.18 (0.09–0.25) –1.0 × 10–4 (–4.0 × 10–4 – 2.5 × 10–4) 0.66, 0.25 0.51c
With U R , d*DIU ( Eqn (6) ) 10.6 (7.4–15.3) 0.18 (0.10–0.24) 0.01 (–0.01–0.04) 0.64, 0.25 0.26c
Dose–response
No U R (Eqn (3) , U R = 0) 417 (371–472) 0 0.36, 0.47
With U R (Eqn (3) ) 117 (82–163) 0.26 (0.22–0.30) 0.60, 0.29 7.27 × 10–12 d
With U R , k*CL CR (Eqn (5) ) 112 (81–153) 0.22 (0.17–0.27) 4.5 × 10–4 (4.8 × 10–5 – 8.6 × 10–4) 0.62, 0.28 0.03e
With U R , d * DIU ( Eqn (7) ) 121 (83–176) 0.26 (0.22–0.30) ‐0.01 (–0.03–0.02) 0.59, 0.29 0.67e

CLCR, creatinine clearance; d, covariate constant for diuretic use; DIU, concomitant diuretic use; Eqn, equation; IC50, the concentration of oxypurinol that has reduced the inhibitable urate concentration (UP – UR) by 50%; ID50, the dose of allopurinol that has reduced the inhibitable urate concentration (UP – UR) by 50%; k, covariate constant for CLCR; OFV, objective function value; r, correlation coefficient; r 2, coefficient of determination; UP, pretreatment serum urate concentration; UR, ‘resistant’ serum urate concentration.

a

covariate constants depending on whether CLCR (k) or DIU (d) were entered as covariates.

b

P‐value compared to fit to Equation (2) where UR = 0.

c

P‐value compared to fit to Equation (2).

d

P‐value compared the fit to Equation (3) where UR = 0.

e

p‐value compared the fit to Equation (3).