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非诺贝特酸胆碱盐ABT-335与瑞舒伐他汀在人体内不存在具有临床意义的药代动力学相互作用。

ABT-335, the choline salt of fenofibric acid, does not have a clinically significant pharmacokinetic interaction with rosuvastatin in humans.

作者信息

Zhu Tong, Awni Walid M, Hosmane Balakrishna, Kelly Maureen T, Sleep Darryl J, Stolzenbach James C, Wan Katty, Chira Titus O, Pradhan Rajendra S

机构信息

Abbott, Abbott Park, IL 60064-6104, USA.

出版信息

J Clin Pharmacol. 2009 Jan;49(1):63-71. doi: 10.1177/0091270008325671. Epub 2008 Oct 24.

DOI:10.1177/0091270008325671
PMID:18952910
Abstract

ABT-335 is the choline salt of fenofibric acid under clinical development as a combination therapy with rosuvastatin for the management of dyslipidemia. ABT-335 and rosuvastatin have different mechanisms of actions and exert complementary pharmacodynamic effects on lipids. The current study assessed the pharmacokinetic interaction between the 2 drugs following a multiple-dose, open-label, 3-period, randomized, crossover design. Eighteen healthy men and women received 40 mg rosuvastatin alone, 135 mg ABT-335 alone, and the 2 drugs in combination once daily for 10 days. Blood samples were collected prior to dosing on multiple days and up to 120 hours after day 10 dosing for the measurements of fenofibric acid and rosuvastatin plasma concentrations. Coadministering 40 mg rosuvastatin had no significant effect on the steady-state Cmax, Cmin, or AUC24 of fenofibric acid (P > .05). Coadministering ABT-335 had no significant effect on the steady-state Cmin or AUC24 of rosuvastatin (P > .05) but increased Cmax by 20% (90% confidence interval: 12%-28%). All 3 regimens were generally well tolerated with no clinically significant changes in clinical laboratory values, vital signs, or electrocardiograms during the study. Results from this study demonstrate no clinically significant pharmacokinetic interaction between ABT-335 at the full clinical dose and rosuvastatin at the highest approved dose.

摘要

ABT - 335是非诺贝特酸的胆碱盐,目前正处于临床开发阶段,用于与瑞舒伐他汀联合治疗血脂异常。ABT - 335和瑞舒伐他汀具有不同的作用机制,对血脂发挥互补的药效学作用。本研究采用多剂量、开放标签、3期、随机、交叉设计评估了这两种药物之间的药代动力学相互作用。18名健康男性和女性分别接受以下治疗:单独服用40 mg瑞舒伐他汀、单独服用135 mg ABT - 335以及两种药物联合服用,均每日一次,共10天。在多个给药日前以及第10天给药后长达120小时采集血样,用于测定非诺贝特酸和瑞舒伐他汀的血浆浓度。联合服用40 mg瑞舒伐他汀对非诺贝特酸的稳态Cmax、Cmin或AUC24无显著影响(P > 0.05)。联合服用ABT - 335对瑞舒伐他汀的稳态Cmin或AUC24无显著影响(P > 0.05),但使Cmax增加了20%(90%置信区间:12% - 28%)。所有三种治疗方案总体耐受性良好,研究期间临床实验室值、生命体征或心电图均无临床显著变化。本研究结果表明,在全临床剂量的ABT - 335与最高批准剂量的瑞舒伐他汀之间不存在临床显著的药代动力学相互作用。

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