Si Tianmei, Shu Liang, Liu Yi, Su Yun' Ai, Guo Chunmei, Zhang Hongyan
Department of Clinical Psychopharmacology, Peking University Institute of Mental Health, Haidian District, Beijing, China.
Hum Psychopharmacol. 2010 Jul;25(5):404-9. doi: 10.1002/hup.1132.
Paliperidone is the active metabolite of risperidone. This single-center, double-blind, randomized, single-dose study characterized the pharmacokinetics of 3 mg and 9 mg of paliperidone ER OROS in healthy Chinese subjects.
24 subjects (13 male, 11 female), aged 19-35 years, with a BMI of 19.0-24.6 kg/m(2) participated. Blood samples were collected immediately before and over 96 h following single oral doses of 3 mg and 9 mg paliperidone. Plasma paliperidone concentrations were determined, and pharmacokinetic parameters were analyzed.
Paliperidone's disposition after oral administration was characterized by a one-compartment pharmacokinetic model. Paliperidone was well absorbed (median t(max): 24 h after a 3-mg dose, and 26 h after a 9-mg dose). Apparent clearance and apparent volume of distribution were not significantly different between the two doses. C(max), AUC(0-t), and AUC(0-infinity) were dose-dependent. Pharmacokinetics was linear with respect to time; Geometric mean t(1/2) was 22.8 h and 21.4 h in 3-mg and 9-mg groups, respectively. No clinically significant safety issues were identified.
The pharmacokinetic results obtained in Chinese subjects were similar to those obtained in Japanese and Caucasian subjects.
帕利哌酮是利培酮的活性代谢产物。这项单中心、双盲、随机、单剂量研究对3毫克和9毫克缓释型帕利哌酮口服渗透控释系统(OROS)在健康中国受试者中的药代动力学特征进行了描述。
24名受试者(13名男性,11名女性)参与研究,年龄在19至35岁之间,体重指数为19.0至24.6千克/米²。在单次口服3毫克和9毫克帕利哌酮之前及之后96小时内采集血样。测定血浆帕利哌酮浓度,并分析药代动力学参数。
口服给药后帕利哌酮的处置符合单室药代动力学模型。帕利哌酮吸收良好(3毫克剂量时中位达峰时间为24小时,9毫克剂量时为26小时)。两剂量组的表观清除率和表观分布容积无显著差异。Cmax、AUC(0-t)和AUC(0-∞)呈剂量依赖性。药代动力学在时间上呈线性;3毫克组和9毫克组的几何平均半衰期分别为22.8小时和21.4小时。未发现具有临床意义的安全问题。
在中国受试者中获得的药代动力学结果与在日本和白种人受试者中获得的结果相似。