Pharmacokinetics of valsartan in pediatric and adolescent subjects with hypertension

J Clin Pharmacol. 2009 Feb;49(2):235-41. doi: 10.1177/0091270008329547.

Abstract

An open-label, single-dose study is conducted in 26 children with hypertension to characterize the pharmacokinetics of valsartan. Valsartan is administered as an oral suspension (dose of 2 mg/kg), with the maximum single dose being 80 mg. Subjects are stratified into 4 age categories: group 1, 1 to less than 4 years; group 2, 4 to less than 6 years; group 3, 6 to less than 12 years; group 4, 12 to 16 years. Blood samples are collected before and for 24 hours after dosing to quantitate valsartan. Because the body weight of most children in groups 3 and 4 exceeds 40 kg and they received a dose of less than 2 mg/kg, major pharmacokinetic parameters are dose normalized for comparison across the age groups. Dose-normalized maximum plasma concentration and area under the plasma-concentration curve and body weight-normalized apparent oral clearance are comparable for the 4 groups (P > or = .1011). Body weight-normalized apparent oral clearance ranges from 0.061 to 0.089 L/h/kg.

Publication types

  • Controlled Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adolescent
  • Age Factors
  • Antihypertensive Agents / pharmacokinetics*
  • Antihypertensive Agents / therapeutic use
  • Area Under Curve
  • Body Weight
  • Child
  • Child, Preschool
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Hypertension / drug therapy*
  • Infant
  • Male
  • Tetrazoles / pharmacokinetics*
  • Tetrazoles / therapeutic use
  • Valine / analogs & derivatives*
  • Valine / pharmacokinetics
  • Valine / therapeutic use
  • Valsartan

Substances

  • Antihypertensive Agents
  • Tetrazoles
  • Valsartan
  • Valine