Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital, Jongno-gu, Seoul, Republic of Korea.
J Cardiovasc Pharmacol. 2011 Jun;57(6):682-9. doi: 10.1097/FJC.0b013e31821795d0.
Fimasartan (BR-A-657) is a new angiotensin II receptor antagonist used as antihypertensive agent. The objective of this study was to investigate the effect of the coadministration of fimasartan and amlodipine on the steady-state pharmacokinetics of each drug.
This study comprised 2 separate parts, A and B; each was a multiple-dose, open-label, 2-period crossover study in healthy male volunteers. In part A, 20 subjects were administered 120 mg of fimasartan alone in period I and fimasartan with 10 mg of amlodipine in period II. In part B, 14 subjects were administered amlodipine alone, followed by coadministration with fimasartan. Blood samples for pharmacokinetics were collected up to 24 hours after the last dosing. The pharmacokinetics of the coadministration of fimasartan and amlodipine were compared with that of each drug alone.
The geometric mean ratio and 90% confidence intervals for C(max,ss) and area under the plasma concentration-time curve (AUC)(τ,ss) of fimasartan (with/without amlodipine) were 1.096 (0.746-1.610) and 1.163 (1.001-1.351), respectively. The geometric mean ratios (90% confidence interval) for C(max,ss) and AUC(τ,ss) of amlodipine (with/without fimasartan) after coadministration with fimasartan were 1.037 (0.969-1.110) and 0.975 (0.920-1.033), respectively.
Coadministration of fimasartan and amlodipine did not result in clinically relevant changes in the systemic exposure of fimasartan or amlodipine.
非奈沙坦(BR-A-657)是一种新型的血管紧张素 II 受体拮抗剂,用于抗高血压治疗。本研究的目的是研究非奈沙坦和氨氯地平联合给药对两种药物稳态药代动力学的影响。
本研究包括 2 个部分,A 部分和 B 部分;每个部分都是健康男性志愿者的 2 期、多剂量、开放标签交叉研究。在 A 部分中,20 名受试者在第 I 期单独给予 120mg 非奈沙坦,在第 II 期给予非奈沙坦加 10mg 氨氯地平。在 B 部分中,14 名受试者单独给予氨氯地平,然后给予非奈沙坦和氨氯地平联合用药。最后一次给药后 24 小时内采集药代动力学血样。比较了非奈沙坦和氨氯地平联合用药与单独用药的药代动力学。
非奈沙坦(联合/不联合氨氯地平)的 Cmax,ss 和 AUC(τ,ss)的几何均数比值和 90%置信区间分别为 1.096(0.746-1.610)和 1.163(1.001-1.351)。联合使用非奈沙坦后,氨氯地平(联合/不联合非奈沙坦)的 Cmax,ss 和 AUC(τ,ss)的几何均数比值(90%置信区间)分别为 1.037(0.969-1.110)和 0.975(0.920-1.033)。
非奈沙坦和氨氯地平联合用药不会导致非奈沙坦或氨氯地平的全身暴露发生临床相关变化。