Dosage predictions in high-dose methotrexate infusions. Part 2: Bayesian estimation of methotrexate clearance

Cancer Drug Deliv. 1985 Fall;2(4):277-83. doi: 10.1089/cdd.1985.2.277.

Abstract

Population pharmacokinetics of methotrexate (MTX) was evaluated from intravenous test-dose (TD) data (n = 20 corresponding to 174 measured samples). Bayesian prediction of MTX clearance from TD experiments combining population data with measured levels (at times 0.5 and 6 h) was found to be feasible in routine situations with good performance (root mean squared error : rmse (precision) = 1.14 1.h-1 (11.2%) and mean error : me (bias) = 0.06 1.h-1 (NS) relatively to weighted least-square estimates, n = 50). The precision of Bayesian prediction was comparable to that of the model independent which is used in routine practice and involves 9 measured levels over 30 h, (rmse = 1.35 1.h-1 (10.9%), n = 50). However, the routine method presented a significative bias (me = -0.81 1.h-1, n = 50).

MeSH terms

  • Humans
  • Kinetics
  • Mathematics
  • Metabolic Clearance Rate
  • Methotrexate / administration & dosage
  • Methotrexate / metabolism*
  • Models, Biological*
  • Neoplasms / drug therapy
  • Time Factors

Substances

  • Methotrexate