PMID- 22472908 OWN - NLM STAT- MEDLINE DCOM- 20121228 LR - 20120709 IS - 1533-4023 (Electronic) IS - 0160-2446 (Linking) VI - 60 IP - 1 DP - 2012 Jul TI - Comparison of the safety, tolerability, and pharmacokinetic profile of a single oral dose of pitavastatin 4 mg in adult subjects with severe renal impairment not on hemodialysis versus healthy adult subjects. PG - 42-8 LID - 10.1097/FJC.0b013e318256cdf0 [doi] AB - Pitavastatin is a novel statin recently approved in the United States as an adjunctive therapy with diet to reduce elevated total cholesterol, low-density lipoprotein cholesterol, apolipoprotein B, and triglycerides and to increase high-density lipoprotein cholesterol. This open-label study enrolled 16 subjects as follows: group A: 8 adult subjects with severe renal impairment who were not on hemodialysis (estimated glomerular filtration rate of 15-29 mL/min/1.73 m2) and group B: 8 healthy adult subjects (estimated glomerular filtration rate >/=80 mL/min/1.73 m2). On day 1, the subjects received a single oral dose of pitavastatin 4 mg and remained in the clinic on days 1-3 for safety and pharmacokinetic assessments. Comparing group A with group B, the geometric mean ratio of AUC(0-inf) for pitavastatin was 1.36 (90% confidence interval, 0.88-2.11). For Cmax, the corresponding ratio was 1.18 (90% confidence interval, 0.68-2.02). There were no severe treatment-emergent adverse events (AEs), serious AEs, deaths, or treatment-emergent AEs leading to study drug discontinuation. A single dose of pitavastatin 4 mg was safe and well tolerated by the subjects in this study with severe renal impairment, who were not on hemodialysis. FAU - Morgan, Roger E AU - Morgan RE AD - Kowa Research Institute, Inc, Morrisville, NC 27560, USA. rmorgan@kowaus.com FAU - Campbell, Stuart E AU - Campbell SE FAU - Yu, Christine Y AU - Yu CY FAU - Sponseller, Craig A AU - Sponseller CA FAU - Muster, Heather A AU - Muster HA LA - eng PT - Clinical Trial, Phase IV PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Quinolines) RN - M5681Q5F9P (pitavastatin) SB - IM MH - Adult MH - Aged MH - Area Under Curve MH - Case-Control Studies MH - Female MH - Glomerular Filtration Rate MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*adverse effects/pharmacokinetics MH - Male MH - Middle Aged MH - Quinolines/*adverse effects/pharmacokinetics MH - Renal Insufficiency/*physiopathology MH - Severity of Illness Index EDAT- 2012/04/05 06:00 MHDA- 2012/12/29 06:00 CRDT- 2012/04/05 06:00 PHST- 2012/04/05 06:00 [entrez] PHST- 2012/04/05 06:00 [pubmed] PHST- 2012/12/29 06:00 [medline] AID - 10.1097/FJC.0b013e318256cdf0 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 2012 Jul;60(1):42-8. doi: 10.1097/FJC.0b013e318256cdf0.