Title |
Leflunomide in dialysis patients with rheumatoid arthritis—a pharmacokinetic study
|
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Published in |
Clinical Rheumatology, November 2012
|
DOI | 10.1007/s10067-012-2122-1 |
Pubmed ID | |
Authors |
Raoul Bergner, Lena Peters, Verena Schmitt, Christian Löffler |
Abstract |
Pharmacokinetic data of disease modifying antirheumatic drugs during hemodialysis are limited to sulfasalazine, methotrexate, and cyclosporine. Only respective anecdotal data have been reported on leflunomide. We repeatedly measured teriflunomide (A77-1726), the active metabolite of leflunomide, during standard hemodialysis sessions and calculated teriflunomide clearances in five patients with rheumatoid arthritis (RA) and end-stage renal disease. The calculated teriflunomide clearances during a standardized dialysis session of 3-4.5 h at a blood flow rate of 160-300 ml/min were between 0 and 4.3 ml/min, the mean clearances of the total dialysis ranged between 1.1 and 3.4 ml/min. Total amount of teriflunomide removed was 5.8-8.8 μg per dialysis session. Dialytic removal of the active metabolite of leflunomide, teriflunomide (A77-1726), is negligible. Leflunomide can be used for RA patients on chronic dialysis without any dosage modification. |
X Demographics
Geographical breakdown
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Spain | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 23 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Doctoral Student | 4 | 17% |
Professor > Associate Professor | 3 | 13% |
Student > Master | 2 | 9% |
Lecturer | 1 | 4% |
Student > Bachelor | 1 | 4% |
Other | 6 | 26% |
Unknown | 6 | 26% |
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Pharmacology, Toxicology and Pharmaceutical Science | 2 | 9% |
Psychology | 1 | 4% |
Neuroscience | 1 | 4% |
Engineering | 1 | 4% |
Other | 0 | 0% |
Unknown | 7 | 30% |