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author:

Chen, Yueting (Chen, Yueting.) [1] | Gong, Cansheng (Gong, Cansheng.) [2] | Liu, Feng (Liu, Feng.) [3] | Jiao, Zheng (Jiao, Zheng.) [4] | Zheng, Xiaochun (Zheng, Xiaochun.) [5]

Indexed by:

Scopus SCIE

Abstract:

Remimazolam, widely used for procedural sedation and general anesthesia, is a new ultra short-acting benzodiazepine for intravenous sedation and anesthesia. We aim to characterize the pharmacokinetics/pharmacodynamics (PK/PD) of remimazolam and its metabolite CNS 7054 in healthy Chinese volunteers using population analysis and suggest an optimal dosing regimen for sedation therapy. Data were collected from a single-center, placebo-controlled, randomized, and dose-escalation clinical pharmacology study. Forty-six healthy volunteers received a single infusion dose of remimazolam, while nine healthy subjects received a continuous infusion of remimazolam. A population PK/PD model was established and RxODE and Shiny in R were used to design the remimazolam dosing regimens. A three-compartment model best described the PK of remimazolam and a two-compartment model with one transit compartment was adopted for CNS 7054. The relationship between exposure and the bispectral index was best described using an effect compartment model with an inhibitory sigmoid model. Additionally, a web-based dashboard was developed to provide individualized dosing regimens, complemented by a graphical illustration of the PK/PD profiles of the proposed dosing regimen. The established population PK/PD model characterized the dose-exposure-response relationship of remimazolam well, which could be applied to optimize individual dosing regimens.

Keyword:

individualized dosing regimens Monte Carlo simulation population pharmacokinetics/pharmacodynamics models remimazolam web-based dashboard

Community:

  • [ 1 ] [Chen, Yueting]Shanghai Jiao Tong Univ, Shanghai Chest Hosp, Dept Pharm, Sch Med, Shanghai 200030, Peoples R China
  • [ 2 ] [Jiao, Zheng]Shanghai Jiao Tong Univ, Shanghai Chest Hosp, Dept Pharm, Sch Med, Shanghai 200030, Peoples R China
  • [ 3 ] [Gong, Cansheng]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Anesthesiol,Shengli Clin Med Coll,Prov Hosp, Fuzhou 350001, Peoples R China
  • [ 4 ] [Zheng, Xiaochun]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Anesthesiol,Shengli Clin Med Coll,Prov Hosp, Fuzhou 350001, Peoples R China
  • [ 5 ] [Liu, Feng]Yichang Humanwell Pharmaceut Co Ltd, Wuhan 430075, Peoples R China
  • [ 6 ] [Zheng, Xiaochun]Fujian Prov Coconstructed Lab Belt & Rd, Fujian Prov Key Lab Emergency Med, Fujian Prov Key Lab Crit Care Med, Fuzhou 350001, Peoples R China

Reprint 's Address:

  • [Jiao, Zheng]Shanghai Jiao Tong Univ, Shanghai Chest Hosp, Dept Pharm, Sch Med, Shanghai 200030, Peoples R China;;[Zheng, Xiaochun]Fujian Med Univ, Fuzhou Univ, Fujian Prov Hosp, Dept Anesthesiol,Shengli Clin Med Coll,Prov Hosp, Fuzhou 350001, Peoples R China;;[Zheng, Xiaochun]Fujian Prov Coconstructed Lab Belt & Rd, Fujian Prov Key Lab Emergency Med, Fujian Prov Key Lab Crit Care Med, Fuzhou 350001, Peoples R China;;

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Source :

PHARMACEUTICS

Year: 2024

Issue: 9

Volume: 16

4 . 9 0 0

JCR@2023

CAS Journal Grade:3

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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