Pharmacokinetics of cyclosporin: a microemulsion in children with idiopathic nephrotic syndrome

Authors

  • Luciana dos Santos Henriques Universidade de São Paulo; Faculdade de Medicina; Instituto da Criança
  • Fabíola de Marcos Matos Universidade de São Paulo; Faculdade de Medicina; Instituto da Criança
  • Maria Helena Vaisbich Universidade de São Paulo; Faculdade de Medicina; Instituto da Criança

DOI:

https://doi.org/10.6061/clinics/2012(10)12

Keywords:

Cyclosporin-A, Nephrotic Syndrome, Children, Pharmacokinetics, Area Under Curve

Abstract

OBJECTIVE: We present a prospective study of a microemulsion of cyclosporin to treat idiopathic nephrotic syndrome in ten children with normal renal function who presented cyclosporin trough levels between 50 and 150 ng/ml and achieved complete remission with cyclosporin. To compare the pharmacokinetic parameters of cyclosporin in idiopathic nephrotic syndrome during remission and relapse of the nephrotic state. METHOD: The pharmacokinetic profile of cyclosporin was evaluated with the 12-hour area under the timeconcentration curve (auc0-12) using seven time-point samples. This procedure was performed on each patient during remission and relapse with the same cyclosporin dose in mg/kg/day. The 12-hour area under the timeconcentration curve was calculated using the trapezoidal rule. All of the pharmacokinetic parameters and the resumed 4-hour area under the time-concentration curve were correlated with the 12-hour area under the timeconcentration curve. ClinicalTrials.gov:NCT01616446. RESULTS: There were no significant differences in any parameters of the pharmacokinetic of cyclosporin during remission and relapse, even when the data were normalized by dose. The best correlation with the 12-hour area under the time-concentration curve was the 4-hour area under the time-concentration curve on remission and relapse of the disease, followed by the 2-hour level after cyclosporin (c2) dosing in both disease states. CONCLUSIONS: These data indicate that the same parameters used for cyclosporin therapeutic monitoring estimated during the nephrotic state can also be used during remission. Larger controlled studies are needed to confirm these findings.

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Published

2012-10-01

Issue

Section

Clinical Sciences

How to Cite

Henriques, L. dos S., Matos, F. de M., & Vaisbich, M. H. (2012). Pharmacokinetics of cyclosporin: a microemulsion in children with idiopathic nephrotic syndrome. Clinics, 67(10), 1197-1202. https://doi.org/10.6061/clinics/2012(10)12