Literature DB >> 17635499

The pharmacokinetic profile of sitaxsentan, a selective endothelin receptor antagonist, in varying degrees of renal impairment.

Neeraj Dhaun1, Vanessa Melville, William Kramer, Fiona Stavros, Terrance Coyne, Suzanne Swan, Jane Goddard, David J Webb.   

Abstract

AIM: To investigate the pharmacokinetic profile of a single 100-mg oral dose of sitaxsentan, a selective endothelin type A receptor antagonist, in subjects with normal and impaired renal function.
METHODS: This was an open label, single oral dose study in subjects with normal [creatinine clearance (CrCL) > or = 80 ml min(-1)] and impaired renal function (mild renal impairment CrCL 51-80 ml min(-1), moderate impairment CrCL 31-50 ml min(-1), severe impairment CrCL < or = 30 ml min(-1)). All subjects received a dose of 100 mg sitaxsentan.
RESULTS: Twenty-four subjects were enrolled, six in each of the normal and three renal impairment groups. The mean plasma sitaxsentan concentrations were comparable across the groups, as were the mean values for C(max) (10.3-13.9 microg ml(-1)), AUC(infinity) (18.7-22.5 h microg(-1) ml(-1)), oral clearance (CL/F, 82.3-94.9 ml min(-1)), volume of distribution (Vz/F, 64.8-69.6 l) and elimination half-life (t(1/2), 8.6-9.6 h). There was substantial overlap among the four groups in the individual subject values for CL/F and Vz/F and no relationship between either of these parameters and CrCL.
CONCLUSION: After a single 100-mg oral dose of sitaxsentan there were no differences in its pharmacokinetics among subjects with normal or impaired renal function.

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Year:  2007        PMID: 17635499      PMCID: PMC2198787          DOI: 10.1111/j.1365-2125.2007.02979.x

Source DB:  PubMed          Journal:  Br J Clin Pharmacol        ISSN: 0306-5251            Impact factor:   4.335


  11 in total

1.  Sitaxsentan: an endothelin-A receptor antagonist for the treatment of pulmonary arterial hypertension.

Authors:  D S O'Callaghan; S P Gaine
Journal:  Int J Clin Pract       Date:  2006-04       Impact factor: 2.503

2.  Prediction of creatinine clearance from serum creatinine.

Authors:  D W Cockcroft; M H Gault
Journal:  Nephron       Date:  1976       Impact factor: 2.847

3.  [125I]-PD151242: a selective ligand for endothelin ETA receptors in human kidney which localizes to renal vasculature.

Authors:  A P Davenport; R E Kuc; S L Hoskins; F E Karet; F Fitzgerald
Journal:  Br J Pharmacol       Date:  1994-12       Impact factor: 8.739

4.  Discovery of TBC11251, a potent, long acting, orally active endothelin receptor-A selective antagonist.

Authors:  C Wu; M F Chan; F Stavros; B Raju; I Okun; S Mong; K M Keller; T Brock; T P Kogan; R A Dixon
Journal:  J Med Chem       Date:  1997-05-23       Impact factor: 7.446

Review 5.  Endothelins in the normal and diseased kidney.

Authors:  D E Kohan
Journal:  Am J Kidney Dis       Date:  1997-01       Impact factor: 8.860

Review 6.  Profile of past and current clinical trials involving endothelin receptor antagonists: the novel "-sentan" class of drug.

Authors:  Bruno Battistini; Nathalie Berthiaume; Nicholas F Kelland; David J Webb; Donald E Kohan
Journal:  Exp Biol Med (Maywood)       Date:  2006-06

Review 7.  Endothelin receptor blockers in cardiovascular disease.

Authors:  Stuart Rich; Vallerie V McLaughlin
Journal:  Circulation       Date:  2003-11-04       Impact factor: 29.690

Review 8.  The endothelin system and its antagonism in chronic kidney disease.

Authors:  Neeraj Dhaun; Jane Goddard; David J Webb
Journal:  J Am Soc Nephrol       Date:  2006-03-15       Impact factor: 10.121

9.  Human kidney: endothelin isoforms detected by HPLC with radioimmunoassay and receptor subtypes detected using ligands BQ123 and BQ3020.

Authors:  F E Karet; A P Davenport
Journal:  J Cardiovasc Pharmacol       Date:  1993       Impact factor: 3.105

10.  Contribution of endogenous generation of endothelin-1 to basal vascular tone.

Authors:  W G Haynes; D J Webb
Journal:  Lancet       Date:  1994-09-24       Impact factor: 79.321

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