Oda et al. 2024

Validation and development of population pharmacokinetic model of vancomycin using a real-world database from a nationwide free web application

Journal of Infection and Chemotherapy · 10.1016/j.jiac.2024.05.014

Structure

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

Study population

General and Mixed patients — Japan and Asia. Fitted to 7,146 patients and 13,372 concentration observations.

Covariate As reported
Age 70.1 ± 16.5 yr
Weight 55.7 ± 14.8 kg
CrCl 67.5 ± 40.1 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=4.9(min(CrCl,167.8)120)0.959CL = 4.9 \cdot \left(\frac{\min(CrCl, 167.8)}{120}\right)^{0.959}V1=32.1(Weight60)0.532V_1 = 32.1 \cdot \left(\frac{Weight}{60}\right)^{0.532}V2=58.2(Weight60)0.348V_2 = 58.2 \cdot \left(\frac{Weight}{60}\right)^{0.348}Q=8.33Q = 8.33
LaTeX source
CL = 4.9 \cdot \left(\frac{\min(CrCl, 167.8)}{120}\right)^{0.959}
V_1 = 32.1 \cdot \left(\frac{Weight}{60}\right)^{0.532}
V_2 = 58.2 \cdot \left(\frac{Weight}{60}\right)^{0.348}
Q = 8.33

Implementation notes

Large-scale model developed from nationwide web application database with CrCl upper limit.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr