Skip to main content

Table 3 Posaconazole

From: Voriconazole and posaconazole therapeutic drug monitoring: a retrospective study

Overall (n = 100)

   

Drug concentration (μg/ml) (Median [IQR])

 

1.26 (0.50–1.91)

 

Comparison

Therapeutic drug level (n = 69)

Non-therapeutic drug level (n = 31)

p

PK parameters

 Drug concentration (μg/ml) (median [IQR])

1.61 (1.17–2.30)

0.19 (0.15–0.48)

<0.01

 Total daily dose (mg) (median [IQR])

300 (300–400)

800 (600–1200)

<0.01

 mg/kg/dose (median [IQR])

4.03 (3.3–4.9)

4.08 (2.5–5.5)

0.75

 mg/kg/day (median [IQR])

4.68 (3.8–7.5)

9.67 (5.5–13.9)

<0.01

 Weight (median [IQR])

72 (55.3–80.0)

77 (64.0–88.6)

0.05

 Concomitant interacting medication

13 (19)

8 (26)

0.44

PK parameters—initial dose only

(n = 21)

(n = 17)

 

 mg/kg/dose (median [IQR])

4.16 (3.6–5.2)

4.38 (2.5–5.4)

0.54

 mg/kg/day (median [IQR])

5.67 (4.0–9.6)

10.49 (5.4–14.4)

0.04

 Weight (median [IQR])

74 (59.0–84.5)

77 (64.0–87.7)

0.36

Patient characteristics

 Critically ill

34 (49)

16 (52)

1.00

 Solid organ transplant recipients

17 (25)

4 (13)

0.29

 Bone marrow transplant recipients

14 (20)

12 (39)

0.08

 Cystic fibrosis

1 (1)

1 (3)

0.53

 Immunocompromiseda

41 (59)

25 (81)

0.04

Outcomes

 Length of stay (days) (median [IQR])

27 (17–48)

43 (36-76)

<0.01

 Treatment failure

13 (18)

9 (30)

0.30

Comparison by patient

Therapeutic mean drug level (n = 22)

Non-therapeutic mean drug level (n = 16)

 

Outcomes

 Survive to hospital discharge (n = 38)

14 (64)

12 (75)

0.50

 Treatment failure

4 (18)

3 (18)

1.00

 Length of stay (days) (median [IQR])

23 (8–36)

40 (35–57)

<0.01

  1. Data are presented as n (%) or median (interquartile range)
  2. IQR interquartile range
  3. aNeutropenia, allogeneic stem cell transplant, solid organ transplant, prolonged use of corticosteroids, or T-cell immunosuppressive therapy