Pain medicine

Morphine and hydromorphone pharmacokinetics in human volunteers: population-based modelling of interindividual and opioid-related variability

Br J AnaesthPublished Secondary analysis of a randomised crossover study

Authors' conclusion

Morphine and hydromorphone did not differ in a statistically significant or clinically meaningful manner in their interindividual pharmacokinetic variability.

Study context

Population
Healthy volunteerscrossover
Participants
51 volunteers
Comparison
i.v. hydromorphone vs i.v. morphine, 2-h infusion, 1-2 weeks apart
Primary endpoint
Interindividual variability in pharmacokinetics (%CV of individual model parameters)
Methodological detailspopulation pharmacokinetic modelling, population modelling (NONMEM)
  • Population pharmacokinetic modelling
  • Population modelling (NONMEM)

Primary result

As reported in the abstract

Interindividual PK variability, structural model parameters (combined analysis)

Interindividual variabilities comparable for hydromorphone and morphine; %CV range for structural model parameters

9% to 31%

Further findings

Residual error variability (combined analysis)

Additive residual error, comparable for morphine and hydromorphone
20-40%
Relative residual error, comparable for morphine and hydromorphone
72-87%

Original publication

Morphine and hydromorphone pharmacokinetics in human volunteers: population-based modelling of interindividual and opioid-related variability. Br J Anaesth. Published 26 November 2024. doi:10.1016/j.bja.2024.08.042

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