The goal of this observational study aims to reveal the pharmacokinetics of clinical probes and characteristics of endogenous biomarkers for drug-metabolizing enzymes and transporters in Chinese older adults and old older adults, to analyze their correlation with frailty, and to explore the exosome characteristics in this population.
This study is a non-intervention observational study in Chinese older adults and will not interfere with the routine medical treatment. 6-10 mL whole blood and 20 mL urine samples (only applicable for patients taking meropenem and metformin) will be collected from eligible subjects according to medical routine blood collection time. Concentration of clinical probes and respective metabolites (when required), endogenous biomarkers, genotype information of drug-metabolizing enzymes and transporters, and the exosome characteristics will be quantified or measured.
Study Type
OBSERVATIONAL
Enrollment
624
Inpatients taking one or more clinical probes of CYP2C19 (omeprazole, rabeprazole, pantoprazole), CYP2D6 (metoprolol, carvedilol), CYP3A4 (rivaroxaban, finasteride, amlodipine, simvastatin), OAT (meropenem), OATP1B1 (atorvastatin, rosuvastatin) and OCT (metformin) will be included in the study.
Peking University Third Hospital
Beijing, China
RECRUITINGConcentration of clinical probes in plasma
Plasma concentration of clinical probes and the respective metabolites (when required) will be quantified and measured by LC-MS/MS or HPLC
Time frame: Sampling will be performed according to routine medical follow-up, which should be no less than 3 samples over the period of one year
Concentration of clinical probes in urine
Urine concentration of meropenem and metformin will be quantified and measured by LC-MS/MS or HPLC
Time frame: Urine samples will be collected at any administration intervals, which should be no less than 1 sample over the period of one year
Level of endogenous biomarker
The level of endogenous biomarker (Dihydroxyeicosatrienoic acids, DHETs, 4β-hydroxycholesterol/cholesterol ratio, 4β-OHC/CHO, pyridoxic acids, PDA, Coproporphyrin, CP) will be quantified and measured by LC-MS/MS or HPLC or ELISA
Time frame: sampling will be performed according to routine medical follow-up, which should be no less than 3 samples over the period of one year
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