Bakhtiar Ray, Tse Francis L S
Novartis Institute for Biomedical Research, One Health Plaza, East Hanover, NJ 07936, USA.
Biomed Chromatogr. 2004 Jun;18(5):275-81. doi: 10.1002/bmc.313.
Ritalin or methylphenidate (MPH) is prescribed for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. The present report describes the determination of plasma concentrations of D-threo- and L-threo-enantiomers of MPH in toxicokinetic (TK) studies in pregnant Wistar Hannover rats and New Zealand white rabbits following repeated daily oral dosing of D,L-MPH (racemate). A previously reported chiral liquid chromatography tandem mass spectrometric (LC-MS/MS) method with a lower limit of quantification (LLOQ) of 1.09 ng/mL was utilized. Oral (gavage) doses of 7, 25 and 75 mg/kg/day of racemic MPH were selected for the rat study. An over-proportional increase in exposure was observed with increasing doses of MPH racemate, the effect being more profound with the D- than the L-enantiomer. In contrast, Cmax values of both enantiomers were approximately proportional to the dose. Oral (gavage) doses of 20, 60 and 200 mg/kg were selected for the rabbit study. In general, for the D-isomer, an over-proportional increase in exposure was observed with increasing doses of MPH racemate. Conversely, for the L-isomer, a slight under-proportionality was detected in exposure with increasing doses of D,L-MPH. For mean Cmax, while L-isomer exhibited dose proportionality with increasing doses of MPH racemate, the D-isomer appeared to be over-proportional. Herein, the experimental design and observed TK parameters in each study are presented.
利他林或哌醋甲酯(MPH)被用于治疗注意力缺陷多动障碍(ADHD)和发作性睡病。本报告描述了在怀孕的Wistar Hannover大鼠和新西兰白兔中进行的毒代动力学(TK)研究,这些动物在每日重复口服给予D,L-MPH(外消旋体)后,对MPH的D-苏式和L-苏式对映体的血浆浓度进行了测定。采用了一种先前报道的手性液相色谱串联质谱(LC-MS/MS)方法,定量下限(LLOQ)为1.09 ng/mL。在大鼠研究中,选择了7、25和75 mg/kg/天的外消旋MPH口服(灌胃)剂量。随着MPH外消旋体剂量的增加,观察到暴露量呈超比例增加,D-对映体的这种效应比L-对映体更为显著。相比之下, 两种对映体的Cmax值与剂量大致成比例。在兔子研究中,选择了20、60和200 mg/kg的口服(灌胃)剂量。一般来说,对于D-异构体,随着MPH外消旋体剂量的增加,观察到暴露量呈超比例增加。相反,对于L-异构体,随着D,L-MPH剂量的增加,在暴露量中检测到轻微的比例不足。对于平均Cmax,虽然L-异构体随着MPH外消旋体剂量的增加表现出剂量比例性,但D-异构体似乎呈超比例。本文介绍了每项研究中的实验设计和观察到的TK参数。