Comparison of the safety, tolerability, and pharmacokinetic profile of a single oral dose of pitavastatin 4 mg in adult subjects with severe renal impairment not on hemodialysis versus healthy adult subjects.

Article Details

Citation

Morgan RE, Campbell SE, Yu CY, Sponseller CA, Muster HA

Comparison of the safety, tolerability, and pharmacokinetic profile of a single oral dose of pitavastatin 4 mg in adult subjects with severe renal impairment not on hemodialysis versus healthy adult subjects.

J Cardiovasc Pharmacol. 2012 Jul;60(1):42-8. doi: 10.1097/FJC.0b013e318256cdf0.

PubMed ID
22472908 [ View in PubMed
]
Abstract

Pitavastatin is a novel statin recently approved in the United States as an adjunctive therapy with diet to reduce elevated total cholesterol, low-density lipoprotein cholesterol, apolipoprotein B, and triglycerides and to increase high-density lipoprotein cholesterol. This open-label study enrolled 16 subjects as follows: group A: 8 adult subjects with severe renal impairment who were not on hemodialysis (estimated glomerular filtration rate of 15-29 mL/min/1.73 m2) and group B: 8 healthy adult subjects (estimated glomerular filtration rate >/=80 mL/min/1.73 m2). On day 1, the subjects received a single oral dose of pitavastatin 4 mg and remained in the clinic on days 1-3 for safety and pharmacokinetic assessments. Comparing group A with group B, the geometric mean ratio of AUC(0-inf) for pitavastatin was 1.36 (90% confidence interval, 0.88-2.11). For Cmax, the corresponding ratio was 1.18 (90% confidence interval, 0.68-2.02). There were no severe treatment-emergent adverse events (AEs), serious AEs, deaths, or treatment-emergent AEs leading to study drug discontinuation. A single dose of pitavastatin 4 mg was safe and well tolerated by the subjects in this study with severe renal impairment, who were not on hemodialysis.

DrugBank Data that Cites this Article

Drugs
Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
Pitavastatin3-hydroxy-3-methylglutaryl-coenzyme A reductaseProteinHumans
Yes
Inhibitor
Details
Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
PitavastatinCytochrome P450 2C8ProteinHumans
Unknown
Substrate
Details
PitavastatinCytochrome P450 2C9ProteinHumans
Unknown
Substrate
Details
PitavastatinUDP-glucuronosyltransferase 1-3ProteinHumans
Unknown
Substrate
Details
PitavastatinUDP-glucuronosyltransferase 2B7ProteinHumans
Unknown
Substrate
Details
Drug Transporters
DrugTransporterKindOrganismPharmacological ActionActions
PitavastatinATP-binding cassette sub-family G member 2ProteinHumans
Unknown
Substrate
Details
PitavastatinCanalicular multispecific organic anion transporter 1ProteinHumans
Unknown
Substrate
Details
PitavastatinP-glycoprotein 1ProteinHumans
Unknown
Substrate
Details
PitavastatinSodium/bile acid cotransporterProteinHumans
Unknown
Substrate
Details
PitavastatinSolute carrier organic anion transporter family member 2B1ProteinHumans
Unknown
Substrate
Details