Risk Factors for Subtherapeutic Posaconazole Concentrations for a Target Concentration ≥ 1.8 µg/mL
. | Posaconazole Level <1.8 µg/mL (n = 67) . | Posaconazole Level ≥1.8 µg/mL (n = 31) . | . | Multivariable Logistic Regression . | |||
---|---|---|---|---|---|---|---|
Risk Factor . | P Value . | OR (95% CI) . | P Value . | ||||
Age, median (IQR), y | 60.00 (53.00–68.00) | … | 64.00 (57.00–69.00) | … | .206 | … | … |
Weight, median (IQR), kg | 83.00 (68.20–93.00) | … | 75.90 (61.10–91.70) | … | .148 | 0.99 (0.96–1.02) | .487 |
Weight >90 kg | 19 | 28.4% | 9 | 29.0% | .945 | … | … |
Height, median (IQR), cm | 177.00 (168.00–182.00) | … | 167.00 (160.00–177.00) | … | .004 | … | … |
IBW, median (IQR), kg | 70.46 (62.34–76.80) | … | 63.22 (52.38–72.28) | … | .003 | … | … |
IBW ≥60 kg | 54 | 80.6% | 16 | 51.6% | .003 | 0.26 (0.06–1.11) | .070 |
BMI, median (IQR), kg/m2 | 26.04 (23.49–30.30) | … | 28.84 (23.71–30.55) | … | .529 | … | … |
Female gender | 17 | 25.4% | 16 | 51.6% | .011 | 0.90 (0.20–4.03) | 0.895 |
AML | 32 | 47.8% | 15 | 48.4% | .954 | … | … |
Myeloid malignancy | 47 | 70.1% | 21 | 67.7% | .810 | … | … |
AlloSCT | 32 | 47.8% | 17 | 54.8% | .515 | … | … |
GI aGVHD | 4 | 6.0% | 6 | 19.4% | .068 | 3.80 (0.82–17.58) | .087 |
Interacting drug—any | 55 | 82.1% | 27 | 87.1% | .533 | … | … |
PPI | 34 | 50.7% | 17 | 54.8% | .706 | … | … |
Antacid, single agent | 54 | 80.6% | 26 | 83.9% | .697 | … | … |
Diarrhea | 16 | 23.9% | 5 | 16.1% | .384 | … | … |
Albumin ≤3 g/dL | 37 | 55.2% | 10 | 32.3% | .034 | 0.35 (0.13–0.94) | .036 |
. | Posaconazole Level <1.8 µg/mL (n = 67) . | Posaconazole Level ≥1.8 µg/mL (n = 31) . | . | Multivariable Logistic Regression . | |||
---|---|---|---|---|---|---|---|
Risk Factor . | P Value . | OR (95% CI) . | P Value . | ||||
Age, median (IQR), y | 60.00 (53.00–68.00) | … | 64.00 (57.00–69.00) | … | .206 | … | … |
Weight, median (IQR), kg | 83.00 (68.20–93.00) | … | 75.90 (61.10–91.70) | … | .148 | 0.99 (0.96–1.02) | .487 |
Weight >90 kg | 19 | 28.4% | 9 | 29.0% | .945 | … | … |
Height, median (IQR), cm | 177.00 (168.00–182.00) | … | 167.00 (160.00–177.00) | … | .004 | … | … |
IBW, median (IQR), kg | 70.46 (62.34–76.80) | … | 63.22 (52.38–72.28) | … | .003 | … | … |
IBW ≥60 kg | 54 | 80.6% | 16 | 51.6% | .003 | 0.26 (0.06–1.11) | .070 |
BMI, median (IQR), kg/m2 | 26.04 (23.49–30.30) | … | 28.84 (23.71–30.55) | … | .529 | … | … |
Female gender | 17 | 25.4% | 16 | 51.6% | .011 | 0.90 (0.20–4.03) | 0.895 |
AML | 32 | 47.8% | 15 | 48.4% | .954 | … | … |
Myeloid malignancy | 47 | 70.1% | 21 | 67.7% | .810 | … | … |
AlloSCT | 32 | 47.8% | 17 | 54.8% | .515 | … | … |
GI aGVHD | 4 | 6.0% | 6 | 19.4% | .068 | 3.80 (0.82–17.58) | .087 |
Interacting drug—any | 55 | 82.1% | 27 | 87.1% | .533 | … | … |
PPI | 34 | 50.7% | 17 | 54.8% | .706 | … | … |
Antacid, single agent | 54 | 80.6% | 26 | 83.9% | .697 | … | … |
Diarrhea | 16 | 23.9% | 5 | 16.1% | .384 | … | … |
Albumin ≤3 g/dL | 37 | 55.2% | 10 | 32.3% | .034 | 0.35 (0.13–0.94) | .036 |
Abbreviations: AlloSCT, allogeneic stem cell transplant; AML, acute myeloid leukemia; BMI, body mass index; GI aGVHD, acute gastrointestinal graft-vs-host disease; IBW, ideal body weight; IQR, interquartile range; PPI, proton pump inhibitor.
Risk Factors for Subtherapeutic Posaconazole Concentrations for a Target Concentration ≥ 1.8 µg/mL
. | Posaconazole Level <1.8 µg/mL (n = 67) . | Posaconazole Level ≥1.8 µg/mL (n = 31) . | . | Multivariable Logistic Regression . | |||
---|---|---|---|---|---|---|---|
Risk Factor . | P Value . | OR (95% CI) . | P Value . | ||||
Age, median (IQR), y | 60.00 (53.00–68.00) | … | 64.00 (57.00–69.00) | … | .206 | … | … |
Weight, median (IQR), kg | 83.00 (68.20–93.00) | … | 75.90 (61.10–91.70) | … | .148 | 0.99 (0.96–1.02) | .487 |
Weight >90 kg | 19 | 28.4% | 9 | 29.0% | .945 | … | … |
Height, median (IQR), cm | 177.00 (168.00–182.00) | … | 167.00 (160.00–177.00) | … | .004 | … | … |
IBW, median (IQR), kg | 70.46 (62.34–76.80) | … | 63.22 (52.38–72.28) | … | .003 | … | … |
IBW ≥60 kg | 54 | 80.6% | 16 | 51.6% | .003 | 0.26 (0.06–1.11) | .070 |
BMI, median (IQR), kg/m2 | 26.04 (23.49–30.30) | … | 28.84 (23.71–30.55) | … | .529 | … | … |
Female gender | 17 | 25.4% | 16 | 51.6% | .011 | 0.90 (0.20–4.03) | 0.895 |
AML | 32 | 47.8% | 15 | 48.4% | .954 | … | … |
Myeloid malignancy | 47 | 70.1% | 21 | 67.7% | .810 | … | … |
AlloSCT | 32 | 47.8% | 17 | 54.8% | .515 | … | … |
GI aGVHD | 4 | 6.0% | 6 | 19.4% | .068 | 3.80 (0.82–17.58) | .087 |
Interacting drug—any | 55 | 82.1% | 27 | 87.1% | .533 | … | … |
PPI | 34 | 50.7% | 17 | 54.8% | .706 | … | … |
Antacid, single agent | 54 | 80.6% | 26 | 83.9% | .697 | … | … |
Diarrhea | 16 | 23.9% | 5 | 16.1% | .384 | … | … |
Albumin ≤3 g/dL | 37 | 55.2% | 10 | 32.3% | .034 | 0.35 (0.13–0.94) | .036 |
. | Posaconazole Level <1.8 µg/mL (n = 67) . | Posaconazole Level ≥1.8 µg/mL (n = 31) . | . | Multivariable Logistic Regression . | |||
---|---|---|---|---|---|---|---|
Risk Factor . | P Value . | OR (95% CI) . | P Value . | ||||
Age, median (IQR), y | 60.00 (53.00–68.00) | … | 64.00 (57.00–69.00) | … | .206 | … | … |
Weight, median (IQR), kg | 83.00 (68.20–93.00) | … | 75.90 (61.10–91.70) | … | .148 | 0.99 (0.96–1.02) | .487 |
Weight >90 kg | 19 | 28.4% | 9 | 29.0% | .945 | … | … |
Height, median (IQR), cm | 177.00 (168.00–182.00) | … | 167.00 (160.00–177.00) | … | .004 | … | … |
IBW, median (IQR), kg | 70.46 (62.34–76.80) | … | 63.22 (52.38–72.28) | … | .003 | … | … |
IBW ≥60 kg | 54 | 80.6% | 16 | 51.6% | .003 | 0.26 (0.06–1.11) | .070 |
BMI, median (IQR), kg/m2 | 26.04 (23.49–30.30) | … | 28.84 (23.71–30.55) | … | .529 | … | … |
Female gender | 17 | 25.4% | 16 | 51.6% | .011 | 0.90 (0.20–4.03) | 0.895 |
AML | 32 | 47.8% | 15 | 48.4% | .954 | … | … |
Myeloid malignancy | 47 | 70.1% | 21 | 67.7% | .810 | … | … |
AlloSCT | 32 | 47.8% | 17 | 54.8% | .515 | … | … |
GI aGVHD | 4 | 6.0% | 6 | 19.4% | .068 | 3.80 (0.82–17.58) | .087 |
Interacting drug—any | 55 | 82.1% | 27 | 87.1% | .533 | … | … |
PPI | 34 | 50.7% | 17 | 54.8% | .706 | … | … |
Antacid, single agent | 54 | 80.6% | 26 | 83.9% | .697 | … | … |
Diarrhea | 16 | 23.9% | 5 | 16.1% | .384 | … | … |
Albumin ≤3 g/dL | 37 | 55.2% | 10 | 32.3% | .034 | 0.35 (0.13–0.94) | .036 |
Abbreviations: AlloSCT, allogeneic stem cell transplant; AML, acute myeloid leukemia; BMI, body mass index; GI aGVHD, acute gastrointestinal graft-vs-host disease; IBW, ideal body weight; IQR, interquartile range; PPI, proton pump inhibitor.
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