| HEPATICALLY
IMPAIRED SUBJECT POOL
The staff of CPMI has maintained
a population of patients with Hepatic Impairment for a number of
years. The size of this population varies but hovers in the 30 -50
patient range at any given time. Most of these patients are cirrhotic
patients as a result of alcohol abuse and are classified as either
Child-Pugh A or Child-Pugh B. Our ability to recruit Child-Pugh
C (severely impaired) patients is limited by the fact that these
subjects are usually quite sick and not able to participate in studies.
Nevertheless our population of patients has allowed us to complete
a number of FDA mandated studies every year according to the guidance
that they have published.
Guidance for Industry
Pharmacokinetics in Patients with Impaired Hepatic Function:
Study Design, Data Analysis, and Impact on Dosing and Labeling
2003 US Food and Drug Administration
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