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10.5551/jat.64887

http://scihub22266oqcxt.onion/10.5551/jat.64887
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39231654!ä!39231654

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suck abstract from ncbi


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pmid39231654      J+Atheroscler+Thromb 2024 ; ä (ä): ä
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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
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