Table II.
NCA | Midpoint-CA | Integral-CA | ||
---|---|---|---|---|
Structural model | – | 4 compartment mammillary | 4 compartment mammillary | |
Structural PK parameters | ||||
Vtot [l] | 104 | 82.7 | 81.1 | |
CL [l/h] | 8.26 | 7.35 | 7.78 | |
Qtot [l/h] | – | 115 | 97.6 | |
Adipose tissue k13/k31 | – | 1.51 | 2.14 | |
Muscle k14/k41 | – | 4.44 | 1.03 | |
Impact influential patient characteristics | ||||
CL-CLCR [(ml/min)−1] a | 0.90%1 | 1.26%2 | 1.12%2 | |
CLsepsis b | −45.5%1 | −52.8%2 | −43.4%2 | |
Qadi-albumin [(g/l)-1] c | – | 8.19%2 | 7.25%2 | |
Stochastic parameters | ||||
IIV (range) | – | 46.5%CV-143%CV | 26.4%CV-72.6%CV | |
RR related variability (adipose/muscle) | – | – | 40.1%CV/50.3%CV | |
Residual variability | – | 30.3%CV3 | 8.83%CV-28.3%CV4 |
1Estimated via linear regression of CL versus CLCR centred on median and separate intercepts for sepsis patients and patients without sepsis. 2Estimated via linear/categorical parameter-covariate relationships. 3Single residual variability term for all biological matrices. 4Separate residual variability terms for all biological matrices. aChange of clearance per ml/min deviation of CLCR from 82.1 ml/min. bChange of clearance in patients with sepsis compared to patients without sepsis. cChange of Qadi per g/l deviation of serum albumin concentration from 22.4 g/l.
CL: clearance, CLCR: creatinine clearance, CV: coefficient of variation, IIV: interindividual variability, k13: transfer rate constant from central to adipose interstitial space fluid compartment, k14: rate constant from central to muscle compartment, k31: rate constant from adipose tissue compartment to central compartment, k41: rate constant from muscle compartment to central compartment, Qtot: sum of intercompartmental flows, Qadi: intercompartmental flow between central compartment and adipose tissue compartment, Vtot: total volume of distribution, RR: relative recovery