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DA-6034 作为一种抗炎药物,在健康志愿者中单次和多次口服后的药代动力学、安全性和耐受性。

Pharmacokinetics, safety and tolerability of DA-6034, an anti-inflammatory agent, after single and multiple oral administrations in healthy volunteers.

机构信息

Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Korea.

出版信息

Clin Drug Investig. 2014 Jan;34(1):37-42. doi: 10.1007/s40261-013-0147-0.

Abstract

BACKGROUND AND OBJECTIVES

Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract. DA-6034 has been shown to be effective in an IBD model and has demonstrated a good toxicological profile in preclinical studies. This study evaluated the tolerability, safety and pharmacokinetics of DA-6034 in healthy volunteers.

METHODS

A double-blind, randomized, placebo-controlled, ascending-dose study was conducted in 67 healthy volunteers. In the single-ascending-dose study, 10, 20, 50, 100 or 200 mg of DA-6034 was administered orally to 40 subjects; in the multiple-ascending-dose study, 40, 100 or 200 mg/day of DA-6034 was administered orally to 27 subjects for 7 days. Serial blood and urine samples were taken for pharmacokinetic analysis. Plasma drug concentrations were determined by high-performance liquid chromatography. Safety and tolerability were assessed throughout the study.

RESULTS

DA-6034 had minimal absorption, and the pharmacokinetic parameters were highly variable among subjects. For both the single- and multiple-dose administrations, the coefficients of variation of the area under the plasma concentration-time curve to the last observation (AUClast) and the area under the plasma concentration-time curve over the dosing interval at steady state (AUCss,τ) ranged from 16.0 to 125.0 %. At doses of up to 200 mg of DA-6034, the mean maximum plasma concentration (C max) was <3 ng/mL, and the urine recovery ratio was 0.3 % of the dose, indicating a lack of absorption. Twenty-two mild adverse events were reported in 14 subjects. There were no serious adverse events and no significant changes in the safety assessment.

CONCLUSION

DA-6034 was well tolerated and minimally absorbed in healthy volunteers. The non-systemic, local exposure of the gastrointestinal tract to DA-6034 may be advantageous for IBD treatment.

摘要

背景与目的

炎症性肠病(IBD)是一种胃肠道的慢性炎症性疾病。DA-6034 在 IBD 模型中已被证明是有效的,并且在临床前研究中表现出良好的毒理学特征。本研究评估了 DA-6034 在健康志愿者中的耐受性、安全性和药代动力学。

方法

一项双盲、随机、安慰剂对照、递增剂量的研究在 67 名健康志愿者中进行。在单次递增剂量研究中,40 名受试者口服给予 10、20、50、100 或 200mg 的 DA-6034;在多次递增剂量研究中,27 名受试者每日口服给予 40、100 或 200mg 的 DA-6034,连续 7 天。连续采集血样和尿样进行药代动力学分析。通过高效液相色谱法测定血浆药物浓度。在整个研究过程中评估安全性和耐受性。

结果

DA-6034 几乎没有吸收,药代动力学参数在受试者之间高度可变。无论是单次还是多次给药,最后一次观测时的血浆浓度-时间曲线下面积(AUClast)和稳态下的血浆浓度-时间曲线下面积(AUCss,τ)的变异系数(CV)范围为 16.0%至 125.0%。在高达 200mg 的 DA-6034 剂量下,平均最大血浆浓度(C max)<3ng/mL,尿液回收率为剂量的 0.3%,表明吸收不足。14 名受试者中有 22 名报告了 22 例轻度不良事件。无严重不良事件,安全性评估无显著变化。

结论

DA-6034 在健康志愿者中耐受良好,几乎没有吸收。胃肠道局部暴露于 DA-6034 的非系统性可能有利于 IBD 的治疗。

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