Adane et al. 2015

Pharmacokinetics of Vancomycin in Extremely Obese Patients with Suspected or Confirmed Staphylococcus aureus Infections

Pharmacotherapy · 10.1002/phar.1531

Structure

A one-compartment model, driven by weight and creatinine clearance.

Study population

Obese patients — United States and North America. Fitted to 31 patients and 93 concentration observations.

Covariate As reported
Age 43 (IQR 38.5–53) yr
Weight 147.9 (IQR 142.8–178.3) kg
BMI 49.5 (IQR 44.3–54.8) kg/m²
CrCl 124.8 (IQR 106–133.9) mL/min

Reported as the source publication gives them — mean ± SD, or median with range or interquartile range.

Equations

The model's structural parameters as Chorus implements them.

CL=CrCl6.541.73125BSACL = CrCl \cdot \frac{6.54 \cdot 1.73}{125 \cdot BSA}V1=0.51WeightV_1 = 0.51 \cdot Weight
LaTeX source
CL = CrCl \cdot \frac{6.54 \cdot 1.73}{125 \cdot BSA}
V_1 = 0.51 \cdot Weight

Implementation notes

Extremely obese cohort (BMI ≥ 40). Clearance scales with BSA-standardized Cockcroft-Gault CrCl (Du Bois BSA); volume with total body weight.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr