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We have found a statistically significant 40% increase in Vss in children
compared to adults for a large molecular weight compound.
Including BMI in the statistical model reduced the difference to 28%.
The geometric mean values of Vss are 64.2 and 89.6 mL/kg in adults and children
respectively.
Notwithstanding the small difference, could it be explained in part by a
relatively larger plasma volume in children?
Any references for a smaller plasma volume in children?
Thanks
Charlie Brindley
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Charlie, blood volume in infants and children as a percent of body weight is
larger (~12%) than in adults but the CV% of the measurement is ~10%. Pediatric
and adult population simulations in GastroPlus(TM) utilize equations for
blood
volume that include body weight and height for any age from birth to 85
yo.
Naturally, the physicochemical and biopharmaceutical properties of your
molecule
play a large role in estimation of Vss for PBPK models prior to in vivo
testing.
Ref. Linderkamp O., Eur. J. Pediat., 125:227 (1977)
Mike
Michael B. Bolger, Ph.D.
Chief Scientist
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