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A Multiple-Dose Study of Oral Oseltamivir in Participants on Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD)

A Single Center, Open Label, Multiple-Dose Oral Oseltamivir Suspension Study in End-Stage-Renal Disease (ESRD) Patients on Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02617784
Enrollment
24
Registered
2015-12-01
Start date
2001-10-31
Completion date
2002-06-30
Last updated
2016-02-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

End Stage Renal Disease

Brief summary

This study is designed to assess the pharmacokinetics (PK) and safety of oseltamivir and its metabolite oseltamivir carboxylate in participants undergoing routine HD and CAPD for end-stage renal disease (ESRD). Participants will receive 6.5 and 6 weeks of the marketed oral oseltamivir suspension dosed according to the HD or CAPD schedule, respectively.

Interventions

DRUGOseltamivir

Oseltamivir will be given as marketed oral suspension, 30 mg after HD or CAPD treatment.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adults greater than or equal to (\>/=) 18 years of age * ESRD defined as no residual renal function or a creatinine clearance (CrCl) less than (\<) 10 milliliters per minute (mL/min) * Well established HD or CAPD therapy over a period of 3 months with stable CrCl \< 10 mL/min * Body mass index (BMI) 18 to 34 kilograms per meter-squared (kg/m\^2) * Use of contraception among women of childbearing potential

Exclusion criteria

* Clinical significant comorbid disease or terminal illness * Known human immunodeficiency virus (HIV) or hepatitis B or C * History of drug or alcohol abuse within the prior year * Donation or loss of \>/= 400 milliliters (mL) of blood in the 3 months prior to Screening * Participation in a clinical study with an investigational drug in the 3 months prior to study drug * Pregnant or lactating women

Design outcomes

Primary

MeasureTime frameDescription
Maximum Plasma Concentration (Cmax) of Oseltamivir in HD Participants During Days 1 to 5Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 1 (D1) dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in nanograms per milliliter (ng/mL).
Cmax of Oseltamivir in HD Participants During Days 38 to 43Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 38 (D38) dosePlasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dosePlasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Area Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 12 hours (AUC12) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in nanograms by hours per milliliter (ng\*h/mL).
AUC of Oseltamivir in HD Participants During Days 38 to 43Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dosePlasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.
AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 42 hours (AUC42) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng\*h/mL.
AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dosePlasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC42 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.
Cmax of Oseltamivir in CAPD Participants During Days 1 to 6Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Cmax of Oseltamivir in CAPD Participants During Days 36 to 43Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from Day 36 (D36) dosePlasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dosePlasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
AUC of Oseltamivir in CAPD Participants During Days 1 to 6Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.
AUC of Oseltamivir in CAPD Participants During Days 36 to 43Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dosePlasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.
AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC was determined from 0 to 48 hours (AUC48) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng\*h/mL.
AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dosePlasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC48 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Secondary

MeasureTime frameDescription
Elimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The elimination rate constant was calculated as \[natural log (ln)(2) divided by the half-life\] and expressed as inverse hours (1/h).
Terminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The time required for the concentration to decrease by one-half was recorded and averaged among all participants and expressed in hours.
CL/F of Oseltamivir in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12 hours from D1 and D36 dosePlasma samples up to 12 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
CL/F of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 and D36 dosePlasma samples up to 48 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
CLr of Oseltamivir in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dosePlasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as \[amount of drug excreted divided by the AUC12\]. The CLr was averaged among all participants and expressed in L/h.
CLr of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 dose; urine samples 0 to 48 hours from D1 dosePlasma and urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as \[amount of metabolite excreted divided by the AUC48\]. The CLr was averaged among all participants and expressed in L/h.
CLd of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dosePlasma samples up to 120 hours and dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLd, computed as \[amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval\]. The CLd was averaged among all participants and expressed in L/h.
Percentage of Oseltamivir Dose Renally Excreted as Unchanged Drug in CAPD ParticipantsUrine samples 0 to 48 hours from D1 doseUrine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as \[amount of drug in urine divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Percentage of Oseltamivir Dose Renally Excreted as Metabolite Oseltamivir Carboxylate in CAPD ParticipantsUrine samples 0 to 48 hours from D1 doseUrine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as \[amount of metabolite in urine divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Percentage of Oseltamivir Dose Eliminated by Dialysis as Unchanged Drug in CAPD ParticipantsDialysate samples 0 to 48 hours from D1 doseDialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as \[amount of drug in dialysate divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Plasma Concentration of Oseltamivir by Timepoint in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
Percentage of Oseltamivir Dose Eliminated by Dialysis as Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDialysate samples 0 to 48 hours from D1 doseDialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as \[amount of metabolite in dialysate divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dosePlasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
Time to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dosePlasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
Tmax of Metabolite Oseltamivir Carboxylate in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dosePlasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
Oral Plasma Clearance (CL/F) of Oseltamivir in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12 hours from D1 and D38 dosePlasma samples up to 12 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in liters per hour (L/h).
CL/F of Metabolite Oseltamivir Carboxylate in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 and D38 dosePlasma samples up to 42 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
Renal Clearance (CLr) of Oseltamivir in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dosePlasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as \[amount of drug excreted divided by the AUC12\]. The CLr was averaged among all participants and expressed in L/h.
CLr of Metabolite Oseltamivir Carboxylate in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 dose; urine samples 0 to 42 hours from D1 dosePlasma and urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as \[amount of metabolite excreted divided by the AUC42\]. The CLr was averaged among all participants and expressed in L/h.
Dialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from from D1 and D38 dose; dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40Plasma samples up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, in addition to dialyzer samples obtained on Days 3 and 40, were used to calculate CLd, computed as \[amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval\]. The CLd with each dose was averaged among all participants and expressed in L/h.
Percentage of Oseltamivir Dose Excreted as Unchanged Drug in HD ParticipantsUrine samples 0 to 42 hours from D1 doseUrine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate drug excretion, computed as \[amount of drug excreted divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Percentage of Oseltamivir Dose Excreted as Metabolite Oseltamivir Carboxylate in HD ParticipantsUrine samples 0 to 42 hours from D1 doseUrine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate metabolite excretion, computed as \[amount of metabolite excreted divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
Plasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsDialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40Dialyzer samples were obtained up to 5 hours from the start of dialysis on Days 3 and 40 (corresponding to HD sessions 2 and 18). Arterial concentrations were estimated using the inflow to the dialyzer, and venous concentrations were estimated using the outflow from the dialyzer. The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
Plasma Concentration of Oseltamivir by Timepoint in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dosePlasma samples were obtained up to 120 post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
Tmax of Oseltamivir in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
Tmax of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsBlood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dosePlasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

Countries

New Zealand

Participant flow

Participants by arm

ArmCount
Oseltamivir With HD
Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
12
Oseltamivir With CAPD
Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
12
Total24

Baseline characteristics

CharacteristicOseltamivir With HDOseltamivir With CAPDTotal
Age, Continuous48.00 years
STANDARD_DEVIATION 13.23
54.42 years
STANDARD_DEVIATION 14.3
51.21 years
STANDARD_DEVIATION 13.87
Sex: Female, Male
Female
1 Participants7 Participants8 Participants
Sex: Female, Male
Male
11 Participants5 Participants16 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 1210 / 12
serious
Total, serious adverse events
1 / 122 / 12

Outcome results

Primary

Area Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 12 hours (AUC12) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in nanograms by hours per milliliter (ng\*h/mL).

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDArea Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5AUC1263.9 ng*h/mLStandard Deviation 24.6
Oseltamivir With HDArea Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5AUClast62.1 ng*h/mLStandard Deviation 26.8
Primary

AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC was determined from 0 to 48 hours (AUC48) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6AUC4833400 ng*h/mLStandard Deviation 9700
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6AUClast56800 ng*h/mLStandard Deviation 18300
Primary

AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43

Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC48 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43AUC4832400 ng*h/mLStandard Deviation 8210
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43AUClast60800 ng*h/mLStandard Deviation 18800
Primary

AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 42 hours (AUC42) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5AUC4231600 ng*h/mLStandard Deviation 14100
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5AUClast44400 ng*h/mLStandard Deviation 19000
Primary

AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43

Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC42 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43AUC4238200 ng*h/mLStandard Deviation 11500
Oseltamivir With HDAUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43AUClast60400 ng*h/mLStandard Deviation 16700
Primary

AUC of Oseltamivir in CAPD Participants During Days 1 to 6

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Oseltamivir in CAPD Participants During Days 1 to 6AUC1285.6 ng*h/mLStandard Deviation 40.7
Oseltamivir With HDAUC of Oseltamivir in CAPD Participants During Days 1 to 6AUClast78.5 ng*h/mLStandard Deviation 41.8
Primary

AUC of Oseltamivir in CAPD Participants During Days 36 to 43

Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Oseltamivir in CAPD Participants During Days 36 to 43AUClast67.7 ng*h/mLStandard Deviation 27.7
Oseltamivir With HDAUC of Oseltamivir in CAPD Participants During Days 36 to 43AUC1272.4 ng*h/mLStandard Deviation 28.3
Primary

AUC of Oseltamivir in HD Participants During Days 38 to 43

Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng\*h/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDAUC of Oseltamivir in HD Participants During Days 38 to 43AUC1268.5 ng*h/mLStandard Deviation 19.5
Oseltamivir With HDAUC of Oseltamivir in HD Participants During Days 38 to 43AUClast65.6 ng*h/mLStandard Deviation 20.1
Primary

Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6885 ng/mLStandard Deviation 244
Primary

Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43

Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43849 ng/mLStandard Deviation 200
Primary

Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5943 ng/mLStandard Deviation 393
Primary

Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43

Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 431120 ng/mLStandard Deviation 320
Primary

Cmax of Oseltamivir in CAPD Participants During Days 1 to 6

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Oseltamivir in CAPD Participants During Days 1 to 632.0 ng/mLStandard Deviation 20.4
Primary

Cmax of Oseltamivir in CAPD Participants During Days 36 to 43

Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from Day 36 (D36) dose

Population: PK Analysis Population (Second Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Oseltamivir in CAPD Participants During Days 36 to 4327.7 ng/mLStandard Deviation 15.9
Primary

Cmax of Oseltamivir in HD Participants During Days 38 to 43

Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 38 (D38) dose

Population: PK Analysis Population (Second Dose Subpopulation): All participants who completed treatment and provided evaluable data during the second dose assessment period.

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCmax of Oseltamivir in HD Participants During Days 38 to 4322.6 ng/mLStandard Deviation 9.69
Primary

Maximum Plasma Concentration (Cmax) of Oseltamivir in HD Participants During Days 1 to 5

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in nanograms per milliliter (ng/mL).

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 1 (D1) dose

Population: Pharmacokinetic (PK) Analysis Population (First Dose Subpopulation): All participants who completed treatment and provided evaluable data during the first dose assessment period.

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDMaximum Plasma Concentration (Cmax) of Oseltamivir in HD Participants During Days 1 to 520.2 ng/mLStandard Deviation 12.3
Secondary

CLd of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma samples up to 120 hours and dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLd, computed as \[amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval\]. The CLd was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCLd of Metabolite Oseltamivir Carboxylate in CAPD Participants0.425 L/hStandard Deviation 0.0456
Secondary

CL/F of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma samples up to 48 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 and D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDCL/F of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 1 to 60.882 L/hStandard Deviation 0.25
Oseltamivir With HDCL/F of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 36 to 430.898 L/hStandard Deviation 0.246
Secondary

CL/F of Metabolite Oseltamivir Carboxylate in HD Participants

Plasma samples up to 42 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 and D38 dose

Population: PK Analysis Population; n = number of participants included in the specific dose analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDCL/F of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 1 to 5 (n=12)1.20 L/hStandard Deviation 1.05
Oseltamivir With HDCL/F of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 38 to 43 (n=11)0.779 L/hStandard Deviation 0.239
Secondary

CL/F of Oseltamivir in CAPD Participants

Plasma samples up to 12 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDCL/F of Oseltamivir in CAPD ParticipantsDays 1 to 6424 L/hStandard Deviation 183
Oseltamivir With HDCL/F of Oseltamivir in CAPD ParticipantsDays 36 to 43485 L/hStandard Deviation 215
Secondary

CLr of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma and urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as \[amount of metabolite excreted divided by the AUC48\]. The CLr was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 dose; urine samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCLr of Metabolite Oseltamivir Carboxylate in CAPD Participants0.0665 L/hStandard Deviation 0.114
Secondary

CLr of Metabolite Oseltamivir Carboxylate in HD Participants

Plasma and urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as \[amount of metabolite excreted divided by the AUC42\]. The CLr was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 dose; urine samples 0 to 42 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCLr of Metabolite Oseltamivir Carboxylate in HD Participants0.0203 L/hStandard Deviation 0.0568
Secondary

CLr of Oseltamivir in CAPD Participants

Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as \[amount of drug excreted divided by the AUC12\]. The CLr was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDCLr of Oseltamivir in CAPD Participants0.146 L/hStandard Deviation 0.25
Secondary

Dialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD Participants

Plasma samples up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, in addition to dialyzer samples obtained on Days 3 and 40, were used to calculate CLd, computed as \[amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval\]. The CLd with each dose was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from from D1 and D38 dose; dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40

Population: PK Analysis Population; n = number of participants included in the specific dose analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDDialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 1 to 5 (n=12)7.42 L/hStandard Deviation 0.447
Oseltamivir With HDDialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 38 to 43 (n=11)8.43 L/hStandard Deviation 3.02
Secondary

Elimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The elimination rate constant was calculated as \[natural log (ln)(2) divided by the half-life\] and expressed as inverse hours (1/h).

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDElimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 1 to 60.0211 1/hStandard Deviation 0.00578
Oseltamivir With HDElimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 36 to 430.0200 1/hStandard Deviation 0.00488
Secondary

Oral Plasma Clearance (CL/F) of Oseltamivir in HD Participants

Plasma samples up to 12 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in liters per hour (L/h).

Time frame: Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D38 dose

Population: PK Analysis Population; n = number of participants included in the specific dose analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDOral Plasma Clearance (CL/F) of Oseltamivir in HD ParticipantsDays 1 to 5 (n=12)677 L/hStandard Deviation 727
Oseltamivir With HDOral Plasma Clearance (CL/F) of Oseltamivir in HD ParticipantsDays 38 to 43 (n=11)474 L/hStandard Deviation 141
Secondary

Percentage of Oseltamivir Dose Eliminated by Dialysis as Metabolite Oseltamivir Carboxylate in CAPD Participants

Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as \[amount of metabolite in dialysate divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Dialysate samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Eliminated by Dialysis as Metabolite Oseltamivir Carboxylate in CAPD Participants32.6 percentage of oseltamivir doseStandard Deviation 8.77
Secondary

Percentage of Oseltamivir Dose Eliminated by Dialysis as Unchanged Drug in CAPD Participants

Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as \[amount of drug in dialysate divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Dialysate samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Eliminated by Dialysis as Unchanged Drug in CAPD Participants0.00367 percentage of oseltamivir doseStandard Deviation 0.0127
Secondary

Percentage of Oseltamivir Dose Excreted as Metabolite Oseltamivir Carboxylate in HD Participants

Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate metabolite excretion, computed as \[amount of metabolite excreted divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Urine samples 0 to 42 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Excreted as Metabolite Oseltamivir Carboxylate in HD Participants1.86 percentage of osteltamivir doseStandard Deviation 4.66
Secondary

Percentage of Oseltamivir Dose Excreted as Unchanged Drug in HD Participants

Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate drug excretion, computed as \[amount of drug excreted divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Urine samples 0 to 42 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Excreted as Unchanged Drug in HD Participants0.00982 percentage of oseltamivir doseStandard Deviation 0.0221
Secondary

Percentage of Oseltamivir Dose Renally Excreted as Metabolite Oseltamivir Carboxylate in CAPD Participants

Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as \[amount of metabolite in urine divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Urine samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Renally Excreted as Metabolite Oseltamivir Carboxylate in CAPD Participants6.44 percentage of oseltamivir doseStandard Deviation 10.8
Secondary

Percentage of Oseltamivir Dose Renally Excreted as Unchanged Drug in CAPD Participants

Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as \[amount of drug in urine divided by the oral oseltamivir dose\] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

Time frame: Urine samples 0 to 48 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDPercentage of Oseltamivir Dose Renally Excreted as Unchanged Drug in CAPD Participants0.0290 percentage of oseltamivir doseStandard Deviation 0.049
Secondary

Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants

Plasma samples were obtained up to 120 post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants0 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants1 hour from D1 dose20.3 ng/mLStandard Deviation 19.9
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants2 hours from D1 dose121 ng/mLStandard Deviation 72.7
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants4 hours from D1 dose381 ng/mLStandard Deviation 171
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants8 hours from D1 dose691 ng/mLStandard Deviation 217
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants12 hours from D1 dose812 ng/mLStandard Deviation 251
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants24 hours from D1 dose879 ng/mLStandard Deviation 245
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants48 hours from D1 dose580 ng/mLStandard Deviation 193
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants72 hours from D1 dose360 ng/mLStandard Deviation 148
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants120 hours from D1 dose147 ng/mLStandard Deviation 80.9
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants0 hours from D36 dose69.2 ng/mLStandard Deviation 40.1
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants1 hour from D36 dose97.0 ng/mLStandard Deviation 52.3
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants2 hours from D36 dose184 ng/mLStandard Deviation 84.7
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants4 hours from D36 dose403 ng/mLStandard Deviation 149
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants8 hours from D36 dose663 ng/mLStandard Deviation 179
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants12 hours from D36 dose802 ng/mLStandard Deviation 200
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants24 hours from D36 dose831 ng/mLStandard Deviation 201
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants48 hours from D36 dose563 ng/mLStandard Deviation 172
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants72 hours from D36 dose362 ng/mLStandard Deviation 138
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants120 hours from D36 dose149 ng/mLStandard Deviation 71.6
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants168 hours from D36 dose63.0 ng/mLStandard Deviation 38.1
Secondary

Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose

Population: PK Analysis Population; n = number of participants included at specified timepoints in the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants0 hours from D1 dose (n=12)0.908 ng/mLStandard Deviation 3.15
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants1 hour from D1 dose (n=12)25.7 ng/mLStandard Deviation 24.5
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants2 hours from D1 dose (n=12)107 ng/mLStandard Deviation 83.7
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants4 hours from D1 dose (n=12)276 ng/mLStandard Deviation 181
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants8 hours from D1 dose (n=12)589 ng/mLStandard Deviation 321
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants12 hours from D1 dose (n=12)772 ng/mLStandard Deviation 363
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants20 hours from D1 dose (n=12)908 ng/mLStandard Deviation 383
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants32 hours from D1 dose (n=12)926 ng/mLStandard Deviation 399
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants42 hours from D1 dose (n=12)877 ng/mLStandard Deviation 393
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants48 hours from D1 dose (n=12)212 ng/mLStandard Deviation 78.6
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants49 hours from D1 dose (n=12)233 ng/mLStandard Deviation 88.2
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants90 hours from D1 dose (n=12)240 ng/mLStandard Deviation 123
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants0 hours from D38 dose (n=11)59.0 ng/mLStandard Deviation 32.1
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants1 hour from D38 dose (n=11)95.0 ng/mLStandard Deviation 32.8
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants2 hours from D38 dose (n=11)200 ng/mLStandard Deviation 58.7
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants4 hours from D38 dose (n=11)413 ng/mLStandard Deviation 137
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants8 hours from D38 dose (n=11)745 ng/mLStandard Deviation 239
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants12 hours from D38 dose (n=11)933 ng/mLStandard Deviation 295
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants20 hours from D38 dose (n=11)1090 ng/mLStandard Deviation 327
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants32 hours from D38 dose (n=11)1080 ng/mLStandard Deviation 328
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants42 hours from D38 dose (n=11)1050 ng/mLStandard Deviation 340
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants48 hours from D38 dose (n=11)263 ng/mLStandard Deviation 61.4
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants49 hours from D38 dose (n=11)279 ng/mLStandard Deviation 66.4
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants114 hours from D38 dose (n=11)283 ng/mLStandard Deviation 112
Secondary

Plasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD Participants

Dialyzer samples were obtained up to 5 hours from the start of dialysis on Days 3 and 40 (corresponding to HD sessions 2 and 18). Arterial concentrations were estimated using the inflow to the dialyzer, and venous concentrations were estimated using the outflow from the dialyzer. The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

Time frame: Dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 1 hour (Day 3)570 ng/mLStandard Deviation 229
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 2 hours (Day 3)412 ng/mLStandard Deviation 157
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 4 hours (Day 3)227 ng/mLStandard Deviation 82.2
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 5 hours (Day 3)171 ng/mLStandard Deviation 61.8
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 1 hour (Day 3)284 ng/mLStandard Deviation 121
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 2 hours (Day 3)202 ng/mLStandard Deviation 74.4
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 4 hours (Day 3)127 ng/mLStandard Deviation 69.1
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 5 hours (Day 3)84.3 ng/mLStandard Deviation 29.6
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 1 hour (Day 40)666 ng/mLStandard Deviation 179
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 2 hours (Day 40)496 ng/mLStandard Deviation 125
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 4 hours (Day 40)281 ng/mLStandard Deviation 58.8
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsArterial: 5 hours (Day 40)218 ng/mLStandard Deviation 45.6
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 1 hour (Day 40)317 ng/mLStandard Deviation 103
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 2 hours (Day 40)229 ng/mLStandard Deviation 69.6
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 4 hours (Day 40)128 ng/mLStandard Deviation 37.3
Oseltamivir With HDPlasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD ParticipantsVenous: 5 hours (Day 40)95.4 ng/mLStandard Deviation 27.7
Secondary

Plasma Concentration of Oseltamivir by Timepoint in CAPD Participants

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants0 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants1 hour from D1 dose27.8 ng/mLStandard Deviation 21.9
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants2 hours from D1 dose22.6 ng/mLStandard Deviation 12.6
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants4 hours from D1 dose6.98 ng/mLStandard Deviation 2.7
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants8 hours from D1 dose0.630 ng/mLStandard Deviation 0.833
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants12 hours from D1 dose0.100 ng/mLStandard Deviation 0.346
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants24 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants48 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants72 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants120 hours from D1 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants0 hours from D36 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants1 hour from D36 dose24.8 ng/mLStandard Deviation 16.8
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants2 hours from D36 dose18.0 ng/mLStandard Deviation 8.88
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants4 hours from D36 dose5.78 ng/mLStandard Deviation 2.09
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants8 hours from D36 dose0.754 ng/mLStandard Deviation 0.705
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants12 hours from D36 dose0.103 ng/mLStandard Deviation 0.358
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants24 hours from D36 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants48 hours from D36 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants72 hours from D36 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants120 hours from D36 dose0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in CAPD Participants168 hours from D36 dose0.0 ng/mLStandard Deviation 0
Secondary

Plasma Concentration of Oseltamivir by Timepoint in HD Participants

Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose

Population: PK Analysis Population; number (n) equals (=) number of participants included at specified timepoints in the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants0 hours from D1 dose (n=12)0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants1 hour from D1 dose (n=12)18.0 ng/mLStandard Deviation 14.2
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants2 hours from D1 dose (n=12)12.5 ng/mLStandard Deviation 6.58
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants4 hours from D1 dose (n=12)6.06 ng/mLStandard Deviation 2.37
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants8 hours from D1 dose (n=12)1.93 ng/mLStandard Deviation 1.64
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants12 hours from D1 dose (n=12)0.513 ng/mLStandard Deviation 0.783
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants20 hours from D1 dose (n=12)0.104 ng/mLStandard Deviation 0.361
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants32 hours from D1 dose (n=12)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants42 hours from D1 dose (n=12)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants48 hours from D1 dose (n=12)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants49 hours from D1 dose (n=12)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants90 hours from D1 dose (n=12)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants0 hours from D38 dose (n=11)0.413 ng/mLStandard Deviation 0.938
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants1 hour from D38 dose (n=11)21.5 ng/mLStandard Deviation 9.96
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants2 hours from D38 dose (n=11)15.4 ng/mLStandard Deviation 5.98
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants4 hours from D38 dose (n=11)6.07 ng/mLStandard Deviation 2.8
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants8 hours from D38 dose (n=11)1.30 ng/mLStandard Deviation 0.801
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants12 hours from D38 dose (n=11)0.193 ng/mLStandard Deviation 0.429
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants20 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants32 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants42 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants48 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants49 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Oseltamivir With HDPlasma Concentration of Oseltamivir by Timepoint in HD Participants114 hours from D38 dose (n=11)0.0 ng/mLStandard Deviation 0
Secondary

Renal Clearance (CLr) of Oseltamivir in HD Participants

Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as \[amount of drug excreted divided by the AUC12\]. The CLr was averaged among all participants and expressed in L/h.

Time frame: Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose

Population: PK Analysis Population (First Dose Subpopulation).

ArmMeasureValue (MEAN)Dispersion
Oseltamivir With HDRenal Clearance (CLr) of Oseltamivir in HD Participants0.0521 L/hStandard Deviation 0.133
Secondary

Terminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The time required for the concentration to decrease by one-half was recorded and averaged among all participants and expressed in hours.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDTerminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 1 to 634.8 hoursStandard Deviation 8.39
Oseltamivir With HDTerminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 36 to 4336.3 hoursStandard Deviation 7.53
Secondary

Time to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD Participants

Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose

Population: PK Analysis Population; n = number of participants included in the specific dose analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDTime to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD ParticipantsDays 1 to 5 (n=12)1.75 hoursStandard Deviation 1.14
Oseltamivir With HDTime to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD ParticipantsDays 38 to 43 (n=11)1.18 hoursStandard Deviation 0.4
Secondary

Tmax of Metabolite Oseltamivir Carboxylate in CAPD Participants

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDTmax of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 1 to 620.0 hoursStandard Deviation 5.91
Oseltamivir With HDTmax of Metabolite Oseltamivir Carboxylate in CAPD ParticipantsDays 36 to 4319.0 hoursStandard Deviation 6.18
Secondary

Tmax of Metabolite Oseltamivir Carboxylate in HD Participants

Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose

Population: PK Analysis Population; n = number of participants included in the specific dose analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDTmax of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 1 to 5 (n=12)29.7 hoursStandard Deviation 8
Oseltamivir With HDTmax of Metabolite Oseltamivir Carboxylate in HD ParticipantsDays 38 to 43 (n=11)29.2 hoursStandard Deviation 9.61
Secondary

Tmax of Oseltamivir in CAPD Participants

Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

Time frame: Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

Population: PK Analysis Population.

ArmMeasureGroupValue (MEAN)Dispersion
Oseltamivir With HDTmax of Oseltamivir in CAPD ParticipantsDays 1 to 61.50 hoursStandard Deviation 0.52
Oseltamivir With HDTmax of Oseltamivir in CAPD ParticipantsDays 36 to 431.28 hoursStandard Deviation 0.047

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026