Table 4 Physicochemical properties and clearance of drugs by extracorporeal blood purification techniques

From: The nephrotoxic effects of anti-cancer therapies: consensus report of the 34th Acute Disease Quality Initiative workgroup

Drug

Estimated clearance by extracorporeal blood purificationa

Refs.

Name

Molecular weight

Protein binding

Volume of distribution

CRRTb

Plasma exchangec

Intermittent haemodialysisd

Peritoneal dialysis

Cisplatin

300 Da

>90%

20–80 l/m2

Not cleared

70%

Not cleared

Not cleared

171,172

Methotrexate

454 Da

46%

1 l/kg

37%

70%

70%

Unknown

Gemcitabine

263 Da

<10%

0.82 l/kg

37%

70%

70%

Unknown

Pazopanib

437 Da

>99%

11 l (0.16 l/kg)

Not cleared

70%

Not cleared

Unknown

Pembrolizumab

149 kDa

NA

3.2 l (0.05 l/kg)

Not cleared

70%

Not cleared

Unknown

  1. CRRT, continuous renal replacement therapy; NA, not available. aClearance estimates are based on the physicochemical properties of each drug. bPercentage clearance based on effluent rate of 25 ml/kg/h over 24 h, which yields a Kt/V of 1. cPercentage clearance based on total plasma volume exchange of 1.5. dPercentage clearance based on single pool Kt/V of 1.4.