loading page

Population pharmacokinetics of metoprolol in Chinese post-PCI patients
  • +1
  • Hui Chen,
  • Huiwu Hong,
  • Wenjiao Zhao,
  • Huan Wang
Hui Chen
The shengli clinical Medical college of Fujian Medical University

Corresponding Author:[email protected]

Author Profile
Huiwu Hong
The shengli clinical Medical college of Fujian Medical University
Author Profile
Wenjiao Zhao
Fuzhou second Hospital
Author Profile
Huan Wang
The shengli clinical Medical college of Fujian Medical University
Author Profile

Abstract

Abstract Aims: Metoprolol (MET) is widely used in post-PCI patient. This study aimed to establishment a new population pharmacokinetic (PPK) model of MET in Chinese post-PCI patients. Methods: Blood samples from subjects were collected and the CYP2D6*10 genotyping was detected by gene chip. The plasma concentration of MET was determined by LC-MS/MS. The PPK model of MET was developed by using NONMEM method. Pharmacogenetic analysis was carried out in the CYP2D6*10 genotyping. Results: Based on the data of 43 patients with coronary heart disease (CHD) after PCI, the final PPK model of MET was established as follows: ; . A covariate analysis showed that only the CYP2D6 gene mutation had a significantly effect on the MET clearance rate. The CYP2D6*10 mutation could reduce the MET clearance rate. Compared with the CYP2D6*1*1 genotype the CYP2D6*1*10 genotype decreased by 36.6%, the CYP2D*10/*10 decreased by 70.7% and showing a gene dose effect. Conclusions: The PPK model of MET established in this study is stable and reliable, which can provide reference for individual administration of MET. In Chinese patients with CHD after PCI, CYP2D6*10 gene mutation is one of the important factors affecting the MET clearance rate.