Kim DJ et al. 2019

A new population pharmacokinetic model for vancomycin in patients with variable renal function: Therapeutic drug monitoring based on extended covariate model using CKD-EPI estimation

Journal of Clinical Pharmacy and Therapeutics · 10.1111/jcpt.12995

Structure

A two-compartment model, driven by weight, serum creatinine and age.

Study population

General and Mixed patients — Korea and Asia. Fitted to 99 patients and 328 concentration observations.

Covariate As reported
Age 64.8 ± 12.6 yr
Weight 59.7 ± 11 kg
BMI 22.3 ± 3.93 kg/m²
SCr 1.7 ± 2.04 mg/dL

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=2.21(0.921eGFRbase+eGFR(t)68.4)CL = 2.21 \cdot \left( \frac{0.921}{eGFR_{base}} + \frac{eGFR(t)}{68.4} \right)eGFR=eGFRCKDEPIBSADuBois1.73eGFR = eGFR_{CKD-EPI} \cdot \frac{BSA_{DuBois}}{1.73}V1=32.6V_1 = 32.6V2=45.8V_2 = 45.8Q=3.06(Weight60)0.75Q = 3.06 \cdot \left(\frac{Weight}{60}\right)^{0.75}
LaTeX source
CL = 2.21 \cdot \left( \frac{0.921}{eGFR_{base}} + \frac{eGFR(t)}{68.4} \right)
eGFR = eGFR_{CKD-EPI} \cdot \frac{BSA_{DuBois}}{1.73}
V_1 = 32.6
V_2 = 45.8
Q = 3.06 \cdot \left(\frac{Weight}{60}\right)^{0.75}

Implementation notes

Extended covariate model for time-varying renal function, using CKD-EPI eGFR de-indexed to absolute mL/min via Du Bois BSA. The population median denominator is reconstructed from the paper's renal function categories, as the paper reports only a mean.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr