S. Laporte et al., Population pharmacokinetic of nadroparin calcium (Fraxiparine (R)) in children hospitalised for open heart surgery, EUR J PH SC, 8(2), 1999, pp. 119-125
Administration of low molecular weight heparin following heart surgery in p
aediatric patients in order to prevent thromboembolic events results in a l
arge variation in anti-Xa activities. A population study was undertaken to
determine pharmacokinetic parameters after nadroparin calcium (Fraxiparine(
R)) administration and the effects of potential covariates; this study incl
uded 154 children divided into two groups: a model group (124 patients) and
a validation group (30 patients). The 432 anti-Xa activities were analysed
using NONMEM on the basis of a one-compartment model with three parameters
: apparent clearance, apparent volume of distribution and absorption rate.
The influence of body weight, age, sex and dose regimen (once or twice dail
y) were investigated, The best fit corresponds to the formula: apparent cle
arance (1/min)=0.541.weight(1.51)/(6.15(1.51)+weight(1.51)) and apparent vo
lume (1)=0.355.weight. The inter-individual variability (expressed in coeff
icient of variation) of these parameters are high, especially with regard t
o the apparent volume (92%), but no other available covariate was found to
explain this variability. (C) 1999 Elsevier Science B.V. All rights reserve
d.