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British Journal of Clinical Pharmacology
Article . 2020 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
CORE
Other literature type . 2021
Data sources: CORE
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Population pharmacokinetics of olanzapine in children

Authors: Anil R. Maharaj; Huali Wu; Kanecia O. Zimmerman; Julie Autmizguine; Rohit Kalra; Amira Al‐Uzri; Catherine M.T. Sherwin; +6 Authors

Population pharmacokinetics of olanzapine in children

Abstract

AimsThe aim of this study was to evaluate the population pharmacokinetics (PopPK) of olanzapine in children and devise a model‐informed paediatric dosing scheme.MethodsThe PopPK of olanzapine was characterized using opportunistically collected plasma samples from children receiving olanzapine per standard of care for any indication. A nonlinear mixed effect modelling approach was employed for model development using the software NONMEM (v7.4). Simulations from the developed PopPK model were used to devise a paediatric dosing scheme that targeted comparable plasma exposures to adolescents and adults.ResultsForty‐five participants contributed 83 plasma samples towards the analysis. The median (range) postnatal age and body weight of participants were 3.8 years (0.2–19.2) and 14.1 kg (4.2–111.7), respectively. The analysis was restricted to pharmacokinetic (PK) samples collected following enteral administration (oral and feeding tube). A one‐compartment model with linear elimination provided an appropriate fit to the data. The final model included the covariates body weight and postmenstrual age (PMA) on apparent olanzapine clearance (CL/F). Typical CL/F and apparent volume of distribution (scaled to 70 kg) were 16.8 L/h (21% RSE) and 663 L (13% RSE), respectively. Developed dosing schemes used weight‐normalized doses for children ≤6 months postnatal age or <15 kg and fixed doses for children ≥15 kg.ConclusionWe developed a paediatric PopPK model for enterally‐administered olanzapine. To our knowledge, this analysis is the first study to characterize the PK of olanzapine in participants ranging from infants to adolescents. Body weight and PMA were identified as influential covariates for characterizing developmental changes in olanzapine apparent clearance.

Country
United States
Keywords

Adult, paediatric, Adolescent, olanzapine, Infant, Pediatrics, Models, Biological, dosing, children, Nonlinear Dynamics, Olanzapine, Medical Specialties, Medicine and Health Sciences, Humans, population pharmacokinetic, Child

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Average
Top 10%
bronze