Department of Cancer Studies and Molecular Medicine, University of Leicester, United Kingdom.
Ann N Y Acad Sci. 2011 Jan;1215:161-9. doi: 10.1111/j.1749-6632.2010.05853.x.
An expanding body of preclinical evidence suggests resveratrol has the potential to impact a variety of human diseases. To translate encouraging experimental findings into human benefits, information is first needed on the safety, pharmacokinetics, pharmacodynamics, and, ultimately, clinical efficacy of resveratrol. Published clinical trials have largely focused on characterizing the pharmacokinetics and metabolism of resveratrol. Recent studies have also evaluated safety and potential mechanisms of activity following multiple dosing, and have found resveratrol to be safe and reasonably well-tolerated at doses of up to 5 g/day. However, the occurrence of mild to moderate side effects is likely to limit the doses employed in future trials to significantly less than this amount. This review describes the available clinical data, outlines how it supports the continuing development of resveratrol, and suggests what additional information is needed to increase the chances of success in future clinical trials.
越来越多的临床前证据表明,白藜芦醇有可能对多种人类疾病产生影响。为了将令人鼓舞的实验发现转化为人类受益,首先需要了解白藜芦醇的安全性、药代动力学、药效学,最终还需要了解其临床疗效。已发表的临床试验主要集中在描述白藜芦醇的药代动力学和代谢。最近的研究还评估了多次给药后的安全性和潜在作用机制,发现白藜芦醇在每天高达 5 克的剂量下是安全且具有良好耐受性的。然而,轻度至中度副作用的发生很可能会限制未来试验中使用的剂量,使其明显低于这一剂量。本综述描述了现有的临床数据,概述了它如何支持白藜芦醇的持续开发,并提出了需要哪些额外信息来增加未来临床试验成功的机会。