RE: Covariate Models Using Weight
From: "Piotrovskij, Vladimir [JanBe]" <VPIOTROV@janbe.jnj.com>
Subject: RE: Covariate Models Using Weight
Date: Sun, 21 Nov 1999 10:28:24 +0100
1. I would certainly prefer 51Cr-EDTA to CLCR, but the former is rather an exception in clinical practice.
2. I would also prefer measured CLCR to calculated. If we speak about calculated CLCR as a single parameter describing renal function, there is a lot of formulas, all based on relatively small number of subjects. I personally like the formula appeared in NONMEM Users Guide Part V, p.33 (the calculated parameter is called RF which stands for "renal function"):
RF = WT*(1.66-0.011*AGE)/SCR
3. Applying any of the above mentioned formulas (Cockcroft-Gault including) is exactly what you suggest: "estimation of renal function/GFR by serum creatinine plus other covariates".
Vladimir
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Vladimir Piotrovsky, Ph.D.
Janssen Research Foundation
Clinical Pharmacokinetics
B-2340 Beerse
Belgium
Email: vpiotrov@janbe.jnj.com