Individualized treatment with voriconazole in the Chinese population: Inflammation level as a novel marker for dose optimization

Aims The aim of this study was to explore the influence and possible mechanisms of pharmacokinetics‐related gene polymorphisms, especially CYP2C19 polymorphisms, and non‐genetic factors combined with the inflammatory status on the voriconazole (VRC) metabolism of the Chinese population. Methods Clin...

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Veröffentlicht in:British journal of clinical pharmacology 2024-02, Vol.90 (2), p.440-451
Hauptverfasser: Hao, Xu, Li, Yuanyuan, Zhang, Ying, Bian, Jialu, Zhao, Jinxia, Zhao, Yinyu, Hu, Lei, Luo, Xingxian, Yang, Changqing, Feng, Yufei, Huang, Lin
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Sprache:eng
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Zusammenfassung:Aims The aim of this study was to explore the influence and possible mechanisms of pharmacokinetics‐related gene polymorphisms, especially CYP2C19 polymorphisms, and non‐genetic factors combined with the inflammatory status on the voriconazole (VRC) metabolism of the Chinese population. Methods Clinical studies were performed by collecting more than one VRC trough concentration and C‐reactive protein (CRP) level. A total of 265 blood samples were collected from 120 patients. Results Results of multiple regression analyses demonstrated that CYP2C19 genotypes and albumin (Alb) level remained predictors of Cminss/D in patients with no to mild inflammation (R2 = 0.12, P 
ISSN:0306-5251
1365-2125
DOI:10.1111/bcp.15916