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Table 3 Pharmacokinetic parameters of zibotentan in subjects with normal renal function and varying degrees of renal impairment, normal hepatic function and varying degrees of hepatic impairment

From: Pharmacokinetics and tolerability of zibotentan (ZD4054) in subjects with hepatic or renal impairment: two open-label comparative studies

  

Degree of hepatic impairment

 

Degree of renal impairment

PK parameter

Normal hepatic function (n = 8)

Mild (n = 8)

Moderate (n = 8)

Severe (n = 8)

Normal renal function (n = 18)

Mild (n = 12)

Moderate (n = 9)

Severe (n = 9)

AUC(0-t) (ng·h/mL)*

5460 (46.2)

7560 (65.1)

7850 (50.3)

15100 (49.8)

5560 (36.9)

6910 (57.5)

9090 (35.2)

9640 (37.7)

AUC (ng·h/mL)*

5480 (46.0)

7680 (68.8)

7940 (50.7)

15900 (52.9)

5490 (39.0)$

6950 (58.3)

8710 (3.8)£

9750 (38.8)

Cmax (ng/mL)*

566 (25.6)

526 (22.3)

505 (23.0)

536 (30.2)

545 (22.7)

531 (28.8)

550 (9.9)

619 (20.6)

tmax (h)†

2 (1-2)

2 (1-4)

2 (1-6)

2 (1-4)

1 (1-3)

1 (1-4)

2 (1-8)

1 (1-3)

t1/2 (h)‡

9.3 (3.6)

13.0 (9.4)

14.6 (6.5)

24.8 (10.9)

10.8 (2.7)$

11.3 (4.0)

13.5 (4.3)£

13.2 (4.7)

CL/F (mL/min)‡

33.2 (15.6)

25.0 (12.1)

23.6 (14.2)

11.9 (7.3)

32.7 (14.2)$

27.9 (18.9)

20.1 (6.5)£

18.2 (6.5)

Vss/F (L)‡

19.0 (6.1)

19.8 (3.1)

21.2 (7.2)

21.9 (7.1)

22.6 (7.0)$

20.8 (5.8)

19.3 (2.0)£

17.8 (3.4)

Fu (%)‡

22.5 (7.5)

23.4 (4.0)

20.2 (4.8)

29.2 (9.4)

22.8 (6.2)

25.4 (6.7)

26.6 (2.9)

27.9 (5.3)

CLR (mL/min)‡

-

-

-

-

17.4 (13.9)$

10.3 (16.8)

3.2 (5.6)£

2.3 (2.7)£

Fe (%)‡

-

-

-

-

47.2 (18.0)

27.1 (19.5)

12.7 (16.9)

10.5 (9.0)£

Free Cmax (ng/mL)*

121 (58.7)

123 (21.9)

97.3 (32.4)

149.2 (52.6)

121 (32.3)

131 (22.9)

145 (13.4)

170 (18.2)

Free AUC (ng·h/mL)*

1170 (69.3)

1800 (54.7)

1460 (56.5)

4430 (40.0)

1230 (39.1)$

1720 (60.6)

2260 (34.5)£

2680 (38.9)

Unbound CL/F (mL/min)‡

167 (98.4)

103 (46.8)

129 (69.8)

40 (14.7)

146 (67.3)$

115 (83.8)

77.4 (24.1)£

65.8 (22.3)

  1. *Geometric mean (coefficient of variation, %), †median (range), ‡arithmetic mean (standard deviation), $n = 16, £n = 8. AUC(0-t), area under the plasma concentration-time curve from 0 to the time of the last quantifiable concentration; AUC, area under the plasma concentration-time curve from 0 to infinity; CL/F, total apparent drug clearance; CLR, renal clearance; Cmax, maximum plasma concentration; Fe, fraction of dose excreted unchanged; Fu, ratio of unbound drug in plasma; tmax, time to reach Cmax; t1/2, terminal half-life; Vss/F, volume of distribution at steady state.