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重组人甲状旁腺激素[rhPTH(1-84)]在中国健康志愿者中的安全性、耐受性及药代动力学研究。

Safety, tolerability and pharmacokinetic study of recombinant human parathyroid hormone [rhPTH (1-84)] in Chinese healthy volunteers.

作者信息

Li Qian, Qiao Jian, Deng Jungang, Zeng Tianshu, Zhou Piqi, Li Weiyong

机构信息

Institute of Clinical Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2009 Aug;29(4):431-4. doi: 10.1007/s11596-009-0408-6. Epub 2009 Aug 7.

Abstract

The current study was designed to determine the safety, tolerability and pharmacokinetic parameters of recombinant human parathyroid hormone [rhPTH (1-84)] used for the treatment of osteoporosis. In the single-dose format pharmacokinetic study, thirty-six healthy male volunteers received three dose levels of rhPTH (1-84) subcutaneously: 1, 2, and 4 microg/kg. The blood was timing drawn and the serum concentration of rhPTH (1-84) was determined by enzyme linked immunosorbent assay (ELISA). Serum concentration-time curves of PTH (1-84) exhibited a double-peak pattern, the first peak appearing about 10 to 30 min after administration and the second peak occurring about 1.5 to 2 h after administration. Serum terminal half-time of PTH (1-84) was approximately 2 h. The parameters indicated the serum levels were directly proportional to the administered dose, with the mean C(max) and AUC(0-24) ranging from approximately 543.47 to 1845 pg/mL and 2358.6 to 9232.12 pg.h.mL(-1) over the dose range. The drug was well tolerated, the clinical symptoms were generally mild and of short duration.

摘要

本研究旨在确定用于治疗骨质疏松症的重组人甲状旁腺激素[rhPTH(1 - 84)]的安全性、耐受性和药代动力学参数。在单剂量药代动力学研究中,36名健康男性志愿者皮下接受了三个剂量水平的rhPTH(1 - 84):1、2和4微克/千克。定时采集血液,采用酶联免疫吸附测定(ELISA)法测定血清中rhPTH(1 - 84)的浓度。PTH(1 - 84)的血清浓度-时间曲线呈现双峰模式,第一个峰出现在给药后约10至30分钟,第二个峰出现在给药后约1.5至2小时。PTH(1 - 84)的血清末端半衰期约为2小时。这些参数表明血清水平与给药剂量成正比,在该剂量范围内,平均C(max)和AUC(0 - 24)分别约为543.47至1845 pg/mL和2358.6至9232.12 pg·h·mL⁻¹。该药物耐受性良好,临床症状一般较轻且持续时间较短。

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