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健康中国受试者口服单剂量和多剂量奥洛他定的药代动力学:一项开放标签研究。

Pharmacokinetics of orally administered single- and multiple-dose olopatadine in healthy Chinese subjects: an open-label study.

作者信息

Chu Nan-Nan, Chen Wei-Li, Xu Hong-Rong, Li Xue-Ning

机构信息

Department of Clinical Pharmacology, ZhongShan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, China.

出版信息

Clin Drug Investig. 2009;29(7):451-457. doi: 10.2165/00044011-200929070-00003.

Abstract

BACKGROUND AND OBJECTIVES

Olopatadine is a new selective histamine H(1) receptor antagonist with anti-inflammatory and anti-allergic effects. Its pharmacokinetics and safety have not previously been evaluated in Chinese subjects. The aims of this study were to assess the pharmacokinetics and safety of olopatadine after single- and multiple-dose oral administration in healthy Chinese subjects and to identify any differences in pharmacokinetics between males and females.

METHODS

The pharmacokinetic parameters for olopatadine in 12 healthy Chinese subjects (six males and six females) were assessed by determining olopatadine concentrations with a validated liquid chromatography-tandem mass spectrometry method. Safety and tolerability were evaluated by monitoring adverse events, laboratory assay results, vital signs, physical examination findings and 12-lead ECG results.

RESULTS

The pharmacokinetic parameters (mean +/- SD) for olopatadine following a single dose were: maximum plasma concentration (C(max)) 69.98 +/-20.87 ng/mL, time to reach C(max) (t(max)) 1.02 +/- 0.34 h, elimination half-life (t1/2) 5.87 +/- 4.24 h, area under the plasma-concentration curve (AUC) from time zero to the time of last quantifiable concentration (AUC(last)) 266.00 +/- 143.95 ng.h/mL, AUC from time zero extrapolated to infinity (AUC(infinity)) 283.46 +/- 152.96 ng.h/mL, apparent oral clearance (CL/F) 23.45 +/- 12.59 L/h and apparent volume of distribution after oral administration (V(d)/F) 133.83 +/- 43.07 L. The pharmacokinetic parameters of olopatadine after multiple doses were similar to those after a single dose. In both studies, significantly higher AUC(last), AUC(infinity) and C(max), longer t1/2 (single-dose only) and lower CL/F were observed in female subjects compared with male subjects after both single and multiple dosing. No serious adverse events occurred.

CONCLUSION

Olopatadine was shown to be safe and well tolerated in healthy Chinese subjects. There were no changes in absorption and elimination of olopatadine following multiple doses and no accumulation was found. Possible sex-related differences in absorption and elimination of olopatadine were observed.

摘要

背景与目的

奥洛他定是一种新型选择性组胺H(1)受体拮抗剂,具有抗炎和抗过敏作用。此前尚未在中国受试者中评估其药代动力学和安全性。本研究的目的是评估健康中国受试者单次和多次口服奥洛他定后的药代动力学和安全性,并确定男性和女性在药代动力学方面的差异。

方法

采用经过验证的液相色谱-串联质谱法测定奥洛他定浓度,评估12名健康中国受试者(6名男性和6名女性)体内奥洛他定的药代动力学参数。通过监测不良事件、实验室检测结果、生命体征、体格检查结果和12导联心电图结果来评估安全性和耐受性。

结果

单次给药后奥洛他定的药代动力学参数(平均值±标准差)为:最大血浆浓度(C(max))69.98±20.87 ng/mL,达峰时间(t(max))1.02±0.34 h,消除半衰期(t1/2)5.87±4.24 h,血浆浓度-时间曲线下面积(从零到最后可定量浓度的时间)(AUC(last))266.00±143.95 ng·h/mL,从零外推至无穷大的血浆浓度-时间曲线下面积(AUC(infinity))283.46±152.96 ng·h/mL,表观口服清除率(CL/F)23.45±12.59 L/h,口服给药后的表观分布容积(V(d)/F)133.83±43.07 L。多次给药后奥洛他定的药代动力学参数与单次给药后相似。在两项研究中,单次和多次给药后,女性受试者的AUC(last)、AUC(infinity)和C(max)均显著高于男性受试者,t1/2(仅单次给药)更长,CL/F更低。未发生严重不良事件。

结论

在健康中国受试者中,奥洛他定显示出安全性良好且耐受性良好。多次给药后奥洛他定的吸收和消除无变化,未发现蓄积现象。观察到奥洛他定在吸收和消除方面可能存在性别差异。

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