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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2019, Vol. 24 ›› Issue (9): 1015-1023.doi: 10.12092/j.issn.1009-2501.2019.09.009

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Research progress in population pharmacokinetics of voriconazole in adults

LIU Simin 1,2, CAI Jun 1, LI Huixin 1,2, YANG Li 3, ZHAO Yan 3, ZHANG Jinping 1   

  1. 1 Department of Pharmacy, Nanjing Drum Tower Hospital, Nanjing 210008, Jiangsu, China;2 Department of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 210009, Jiangsu, China;3 Department of Geriatrics, Nanjing Drum Tower Hospital, Nanjing 210008, Jiangsu, China
  • Received:2019-05-22 Revised:2019-08-19 Online:2019-09-26 Published:2019-09-26

Abstract:

AIM: Voriconazole has strong antifungal activity and broad antifungal spectrum, but its pharmacokinetics is highly variable due to various factors. In this paper, the pharmacokinetic characteristics of voriconazole were described based on the population pharmacokinetic model, which provided a theoretical basis for the individualized use of voriconazole. METHODS: The pharmacokinetics of voriconazole was characterized by searching the literatures of voriconazole population pharmacokinetics in CNKI, Pubmed and Web of Science. RESULTS:Nine studies reported the PPK model of voriconazole was one-compartment models and 4 studies were two-compartment models. The main influencing factors of voriconazole pharmacokinetics were age, body weight, CY2C19 phenotype, liver function and concomitant medication. CONCLUSION: There is considerable variation between voriconazole individuals. For specific populations, it is especially important to develop a personalized dosing regimen.

Key words: voriconazole, pharmacokinetics, population pharmacokinetics, influencing factors

CLC Number: