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多次静脉给药后盐酸安妥沙星在健康男性受试者中的药代动力学。

Pharmacokinetics of antofloxacin hydrochloride in healthy male subjects after multiple intravenous dose administration.

作者信息

Wang J, Xiao Y, Lu Y, Kang Z, Zhang M, Liu Y, Liang J, Zhang M, Li T

机构信息

Institute of Clinical Pharmacology, First Hospital, Peking University, Haidian District, Beijing, China.

出版信息

Xenobiotica. 2011 Jul;41(7):561-6. doi: 10.3109/00498254.2011.565820. Epub 2011 Mar 29.

Abstract

The purpose of the study was to evaluate pharmacokinetic characteristics of antofloxacin hydrochloride, a new fluoroquinolone antibiotic, during a multiple, intravenous dosing regimen. Twelve healthy, Chinese male volunteer subjects were each given 300 mg of antofloxacin by intravenous infusion once daily for 7 days. Blood and urine samples were taken at designated time points for analysis of antofloxacin concentration by high-performance liquid chromatography (HPLC). Safety and tolerability were assessed by evaluation of subject complaints, vital signs, electrocardiograms, electroencephalograms, clinical chemistry parameters, haematology and urinalysis and prothrombin time. The serum steady concentration of antofloxacin was obtained in 96 h after the administration of a daily intravenous dose of 300 mg of the drug. In the present study, the following pharmacokinetic parameters after 7 days of treatment with antofloxacin were determined to be: C(max) 3.81 ± 0.66 mg/L, C(min) 0.85 ± 0.19 mg/L, AUC(0-24) 60.51 ± 8.30 mg/L·h, C(av) 2.52 ± 0.35 mg/L, PTF 87.45 ± 3.37%, t(1/2)β 20.34 ± 1.88 h. The C(max) and AUC(0-24) after 7-day treatment were both higher than after the first dose (by 43% and 110%, respectively). The cumulative urinary elimination of antofloxacin within 96 h after the last dose was about 56%. During the study, there were neither subject complaints nor significant adverse clinical findings. Antofloxacin, administered intravenously as a single, daily 300 mg dose for 7 days, demonstrated favourable pharmacokinetic characteristics and tolerability. The results of this study indicate that antofloxacin hydrochloride is suitable for further clinical study.

摘要

本研究的目的是评估新型氟喹诺酮类抗生素盐酸安妥沙星在多次静脉给药方案中的药代动力学特征。12名健康的中国男性志愿者受试者,每人每天静脉输注300mg安妥沙星,共7天。在指定时间点采集血液和尿液样本,通过高效液相色谱法(HPLC)分析安妥沙星浓度。通过评估受试者主诉、生命体征、心电图、脑电图、临床化学参数、血液学、尿液分析和凝血酶原时间来评估安全性和耐受性。在每日静脉注射300mg该药物后96小时达到安妥沙星血清稳态浓度。在本研究中,安妥沙星治疗7天后的以下药代动力学参数确定为:C(max) 3.81±0.66mg/L,C(min) 0.85±0.19mg/L,AUC(0 - 24) 60.51±8.30mg/L·h,C(av) 2.52±0.35mg/L,PTF 87.45±3.37%,t(1/2)β 20.34±1.88小时。7天治疗后的C(max)和AUC(0 - 24)均高于首次给药后(分别高出43%和110%)。末次给药后96小时内安妥沙星的累积尿排泄量约为56%。在研究期间,既无受试者主诉,也无明显不良临床发现。每日单次静脉注射300mg剂量的安妥沙星,连续7天,显示出良好的药代动力学特征和耐受性。本研究结果表明,盐酸安妥沙星适合进一步进行临床研究。

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