TABLE 5.
Multivariate analysis of the differences in AUC0-last, Cmax, and T1/2 between three groups of participants.
| Multivariate model | Midazolam | Dabigatran | Pitavastatina | Pitavastatin lactonea | Atorvastatina | 4-Hydroxy atorvastatina | Rosuvastatinb |
|---|---|---|---|---|---|---|---|
| N | 53 | 53 | 52 | 52 | 52 | 52 | 29 |
| AUC0-last | |||||||
| Healthy young adults | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Healthy elderly | 2.19 (1.61–2.98)** | 1.48 (1.06–2.05)* | 0.99 (0.79–1.25) | 1.25 (0.99–1.57) | 2.00 (1.41–2.85)** | 1.54 (1.10–2.14)* | 2.02 (1.16–3.51)* |
| Elderly with CKD | 2.68 (1.95–3.68)** | 3.80 (2.72–5.31)** | 1.57 (1.26–1.97)** | 2.16 (1.70–2.74)** | 4.15 (2.62–5.32)** | 2.55 (1.82–3.56)** | 2.09 (1.26–3.49)* |
| Elderly with CKD vs Healthy elderly | 1.22 (0.89–1.67) | 2.58 (1.85–3.59)** | 1.59 (1.26–2.01)** | 1.73 (1.37–2.18)** | 1.86 (1.30–2.66)* | 1.66 (1.17–2.34)* | 1.04 (0.57–1.88) |
| Body weight | – | – | – | 0.98 (0.98–0.99)** | – | – | – |
| Albumin | – | – | 0.64 (0.41–1.00)* | – | – | – | – |
| Total bilirubin | – | – | – | 0.79 (0.64–0.99)* | – | – | – |
| Cmax | |||||||
| Healthy young adults | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Healthy elderly | 1.83 (1.40–2.38)** | 1.30 (0.99–1.71) | 1.02 (0.80–1.31) | 1.06 (0.89–1.27) | 2.15 (1.41–3.27)* | 1.32 (0.97–1.79) | 1.69 (1.11–2.55)* |
| Elderly with CKD | 1.86 (1.42–2.44)** | 1.91 (1.43–2.56)** | 1.78 (1.38–2.30)** | 1.63 (1.35–1.96)** | 3.98 (2.61–6.08)** | 1.71 (1.26–2.33)* | 1.92 (1.28–2.87)* |
| Elderly with CKD vs Healthy elderly | 1.02 (0.77–1.34) | 1.47 (1.10–1.96)* | 1.74 (1.36–2.24)** | 1.53 (1.28–1.84)** | 1.85 (1.21–2.83)* | 1.30 (0.94–1.79) | 1.14 (0.73–1.78) |
| Body weight | – | 0.98 (0.97–0.99)** | 0.98 (0.97–0.99)** | 0.98 (0.98–0.99)** | – | – | 0.98 (0.97–0.99)* |
| T1/2 | |||||||
| Healthy young adults | 1.00 | 1.00 | |||||
| Healthy elderly | 2.31 (1.72–3.10)** | 1.15 (0.93–1.44) | |||||
| Elderly with CKD | 2.52 (1.89–3.36)** | 2.93 (2.35–3.64)** | |||||
| Elderly with CKD vs Healthy elderly | 1.09 (0.80–1.48) | 2.54 (2.01–3.19)** | |||||
Data are presented in the geometric mean ratio (95% confidence interval).
Variables with a p-value < 0.1 in the univariate analysis were included in the multivariable analysis.
A subject with SLCO1B1 wild-type’s plasma drug concentration was an outlier and was excluded from the model.
Twenty four subjects with ABCG2 variants (rs2231142, 421AA and 421CA) were excluded from the model.
*p < 0.05, **p < 0.001.
AUC0-last: area under the concentration-time curve of time zero to the last time point; Cmax: maximum plasma concentration; CKD: chronic kidney disease; T1/2: half-life.