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单次口服普卢利沙星后的药代动力学和耐受性

Pharmacokinetics and tolerability of prulifloxacin after single oral administration.

作者信息

Picollo Rossella, Brion Nils, Gualano Virginie, Millérioux Laurette, Marchetti Marcello, Rosignoli Maria Teresa, Dionisio Paolo

机构信息

Medical Department, A.C.R.A.F. S.p.A., Rome, Italy.

出版信息

Arzneimittelforschung. 2003;53(3):201-5. doi: 10.1055/s-0031-1297095.

DOI:10.1055/s-0031-1297095
PMID:12705176
Abstract

The pharmacokinetic properties and tolerability of three different strengths of prulifloxacin (CAS 123447-62-1), a new antibacterial agent prodrug of AF3013 (CAS 112984-60-8), have been investigated in a randomized, cross-over study performed in 12 Caucasian male subjects (age range 19-34 years). Prulifloxacin was administered as a single oral dose at the dosages of 300, 450 and 600 mg. Plasma concentrations of the active metabolite AF3013 were determined in blood samples collected before the administration (pre-dose) and at 15, 30, 45 min, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 h after dosing. Urine samples were also collected. Determination in biological samples was performed using validated and specific HPLC methods. The following parameters were calculated: Cmax, tmax, AUC0-t, AUC0--infinity, t1/2, V/F, Aeut, CLren and fe. The analysis of variance performed on dose-normalized data after logarithmic transformation evidenced no statistically significant differences between the three doses concerning Cmax and AUC. Friedman's test applied to tmax and t1/2 did not show any statistically significant difference between doses. A significant linear relationship between doses and AUC0-infinity was detected (p < 0.05). Very high urinary concentrations and the relatively long terminal half-life (10-12 h) suggest that a once-daily application would show adequate clinical efficacy, especially in urinary infections. The safety profile of the three doses was very good.

摘要

在一项对12名白种男性受试者(年龄范围19 - 34岁)进行的随机交叉研究中,对新型抗菌前体药物普鲁利沙星(化学物质登记号123447 - 62 - 1)的三种不同强度制剂的药代动力学特性和耐受性进行了研究。普鲁利沙星以300、450和600毫克的剂量单次口服给药。在给药前(给药前)以及给药后15、30、45分钟、1、1.5、2、3、4、6、8、10、12、16、24、36和48小时采集的血样中测定活性代谢物AF3013的血浆浓度。同时也收集尿样。使用经过验证的特异性高效液相色谱法对生物样品进行测定。计算了以下参数:Cmax、tmax、AUC0 - t、AUC0 - 无穷大、t1/2、V/F、Aeut、CLren和fe。对对数转换后的剂量标准化数据进行方差分析表明,三种剂量在Cmax和AUC方面无统计学显著差异。应用于tmax和t1/2的弗里德曼检验未显示剂量之间有任何统计学显著差异。检测到剂量与AUC0 - 无穷大之间存在显著的线性关系(p < 0.05)。极高的尿浓度和相对较长的终末半衰期(10 - 12小时)表明,每日一次给药可能显示出足够的临床疗效,尤其是在泌尿系统感染中。三种剂量的安全性非常好。

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