Review Article

Research Progress of Population Pharmacokinetic of Metformin

Table 3

Details of the covariate building process.

StudyTested covariateCovariate selection methodStatistical level for selecting significant covariate (p value)IIVRV
TypeValueTypeValue

2006 Charles [28]Age, weight(1) Forward stepwise inclusion
(2) Backward elimination
(1) p <0.01CL/F: Logarithmic17.1%AdditiveSD =0.32 mg/L
2008 Hong [25]Age, weight, CLCR  Univariate analysis  p <0.01Exponential23.0%Additive209 ng/mL
2012 Jung-woo [18]Gender, age, height, weight, CLCR, total bilirubin, haemoglobin  Forward stepwise inclusion  p <0.01Additive27.9%Additive23.1 ng/mL
2013 Yoon [22]Weight, age, BSA, ALT,
AST, ALP CLCR
(1) Forward stepwise inclusion
(2) Backward elimination
(1) p <0.05
(2) p <0.01
ExponentialProportional
2013 Duong [19]TBW, CLCR, LBW,57 single-nucleotide polymorphisms (SNPs) of metformin transporters (OCT1, OCT2, OCT3, MATE1 and PMAT)(1) Forward stepwise inclusion
(2) Backward elimination
(1) p <0.05
(2) p <0.01
Exponential34.1%CombinedNA
2014 Goswami [20]SNPs  Stepwise covariate analysis  p <0.01NA50%CombinedNA
2016 Chitnis [26]Race, metformin country source
Body weight, sex, and age
(1) Forward selection using likelihood ratio test
(2) Backward elimination
(1) α =0.05
(2) α =0.01
Combined22.5%Additive proportional
2016 Sam [23]Age, body weight, height, body mass index, sex, race, ethnicity, genotype group and so on(1) Univariate analysis
(2) Stepwise backward deletion
(2) p <0.001ExponentialAdditive
2018 Choi [21]Age, weight,
Height, and creatinine clearance
(1) Forward selected using likelihood-ratio tests
(2) Backward elimination
  p <0.05Combined19.6%Proportional
2020 Ling [24]Weight, BMI, age, eGFR and the genotype of the transporters(1) Forward stepwise inclusion
(2) Backward elimination
(1) p <0.05
(2) p <0.01
Exponential16.25%Exponential34.64%

Body surface area (BSA), creatinine clearance (CLCR), liver function [alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP)]; Total body weight (TBW), lean body weight (LBW), SNPs: Single-nucleotide polymorphisms (SNPs).