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托瑞米芬的药代动力学

Pharmacokinetics of toremifene.

作者信息

Anttila M, Valavaara R, Kivinen S, Mäenpää J

机构信息

Farmos Group Ltd., Research Center, Turku, Finland.

出版信息

J Steroid Biochem. 1990 Jun 22;36(3):249-52. doi: 10.1016/0022-4731(90)90019-o.

DOI:10.1016/0022-4731(90)90019-o
PMID:2142247
Abstract

The pharmacokinetics of toremifene has been investigated in man after single and multiple oral doses. Toremifene was completely absorbed without first-pass metabolism. Peak concentration in serum was achieved in 4 h. Mean half-lives of distribution and elimination were 4 h and 5 days, respectively. Kinetics was linear in the studied dose-range of 10-680 mg. Toremifene was over 99% bound to plasma proteins and extensively metabolized. The main metabolites in serum were demethyl- and deaminohydroxytoremifene. In patients receiving multiple dosing of 60 mg/day serum steady-state level of toremifene was 0.8 microgram/ml on average. The level of demethyl metabolite was twice and that of deaminohydroxy metabolite was one tenth of toremifene.

摘要

已对托瑞米芬在人体单剂量和多剂量口服后的药代动力学进行了研究。托瑞米芬可被完全吸收,且无首过代谢。血清中的峰值浓度在4小时时达到。分布半衰期和消除半衰期的平均值分别为4小时和5天。在所研究的10 - 680毫克剂量范围内,药代动力学呈线性。托瑞米芬与血浆蛋白的结合率超过99%,且代谢广泛。血清中的主要代谢产物为去甲基托瑞米芬和脱氨基羟基托瑞米芬。在接受每日60毫克多剂量给药的患者中,托瑞米芬的血清稳态水平平均为0.8微克/毫升。去甲基代谢产物的水平是托瑞米芬的两倍,脱氨基羟基代谢产物的水平是托瑞米芬的十分之一。

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1
Pharmacokinetics of toremifene.托瑞米芬的药代动力学
J Steroid Biochem. 1990 Jun 22;36(3):249-52. doi: 10.1016/0022-4731(90)90019-o.
2
Metabolism of toremifene in the rat.
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Breast Cancer Res Treat. 1990 Aug;16 Suppl:S19-26. doi: 10.1007/BF01807140.
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Phase I clinical and pharmacokinetics study of high-dose toremifene in postmenopausal patients with advanced breast cancer.托瑞米芬高剂量用于绝经后晚期乳腺癌患者的I期临床及药代动力学研究。
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A phase I study of toremifene.托瑞米芬的I期研究。
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Pharmacokinetics of (deaminohydroxy)toremifene in humans: a new, selective estrogen-receptor modulator.(脱氨基羟基)托瑞米芬在人体中的药代动力学:一种新型选择性雌激素受体调节剂
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Pharmacokinetics of selective estrogen receptor modulators.
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Clin Pharmacokinet. 2003;42(4):361-72. doi: 10.2165/00003088-200342040-00004.
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Clinical pharmacokinetics of toremifene.
Clin Pharmacokinet. 2000 Nov;39(5):327-34. doi: 10.2165/00003088-200039050-00002.
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Toremifene in postmenopausal breast cancer. Efficacy, safety and cost.托瑞米芬用于绝经后乳腺癌。疗效、安全性及成本。
Drugs Aging. 1997 Oct;11(4):261-70. doi: 10.2165/00002512-199711040-00002.
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Toremifene. A review of its pharmacological properties and clinical efficacy in the management of advanced breast cancer.托瑞米芬。对其治疗晚期乳腺癌的药理特性及临床疗效的综述。
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Effect of toremifene on antipyrine elimination in the isolated perfused rat liver.托瑞米芬对离体灌注大鼠肝脏中安替比林消除的影响。
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Breast Cancer Res Treat. 1990 Aug;16 Suppl:S3-7. doi: 10.1007/BF01807138.
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Biochemical and pharmacological effects of toremifene metabolites.
Cancer Chemother Pharmacol. 1990;27(1):8-12. doi: 10.1007/BF00689269.
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Clin Pharmacokinet. 1992 May;22(5):327-58. doi: 10.2165/00003088-199222050-00002.