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Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Atheroscler+Thromb 2024 ; ä (ä): ä Nephropedia Template TP
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Pharmacokinetics and Safety of Pemafibrate in Patients with both Dyslipidemia and Severe Renal Impairment: A Phase 4 Study #MMPMID39231654
Ishibashi S; Arai H; Yokote K; Araki E; Watanabe M; Nakanishi M; Makinose Y; Suganami H; Kurihara Y; Yamashita S
J Atheroscler Thromb 2024[Sep]; ä (ä): ä PMID39231654show ga
AIMS: Per the package insert, pemafibrate was contraindicated for use in patients with severe renal impairment despite its biliary excretion. To validate this, we evaluated the pharmacokinetics and safety of pemafibrate for 12 weeks in patients with hypertriglyceridemia and renal impairment. METHODS: In this phase 4, multicenter, placebo-controlled, double-blind, parallel-group, comparative study, 21 patients were randomly assigned to pemafibrate 0.2 mg/day or placebo within Groups A (estimated glomerular filtration rate [eGFR] ?30 mL/min/1.73m(2) without hemodialysis; pemafibrate n=4; placebo, n=2), B (hemodialysis; pemafibrate, n=4; placebo, n=1), and C (eGFR >/= 30 and ?60 mL/min/1.73m(2) without hemodialysis; pemafibrate, n=8; placebo, n=2) for 12 weeks. Area under the concentration vs time curve within the dosing interval (tau) (AUC(tau)) of pemafibrate was measured after 12-week administration. RESULTS: The AUC(tau) (geometric mean) of pemafibrate was 7.333 and 7.991 ng.h/mL in Groups A+B and C, respectively; in Groups A+B to C at 12 weeks, the geometric mean ratio of pemafibrate AUC(tau) was 0.92 (90% confidence interval [CI]: 0.62, 1.36). The upper limit of the 90% CI was = 2.0 (predetermined criterion). There was no consistent trend in the AUC(tau) and maximum plasma concentration of pemafibrate with/without statin use. Renal impairment degree did not affect the incidence of adverse events. No safety concerns were observed. CONCLUSION: Pemafibrate repeated administration in patients with severe renal impairment did not increase pemafibrate exposure.