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胆固醇酯转运蛋白抑制剂阿那曲匹的单治疗剂量和超治疗剂量均不会延长健康志愿者的QTcF间期。

Single therapeutic and supratherapeutic doses of anacetrapib, a cholesteryl ester transfer protein inhibitor, do not prolong the QTcF interval in healthy volunteers.

作者信息

Lauring Brett, Liu Yang, Li Xiujiang Susie, Larson Patrick, Moreau Allison, Farmer H Frank, Johnson-Levonas Amy O, Wagner John A, Lai Eseng

机构信息

Merck & Co. Inc., Whitehouse Station, NJ, USA.

出版信息

J Clin Pharmacol. 2014 Jul;54(7):765-75. doi: 10.1002/jcph.278. Epub 2014 Mar 6.

DOI:10.1002/jcph.278
PMID:24615657
Abstract

Anacetrapib is a cholesteryl ester transfer protein inhibitor in Phase III development. This double-blind, double-dummy, randomized, placebo- and active-comparator-controlled, 4-period, balanced crossover study evaluated the effects of anacetrapib (100 mg and 800 mg) on QTcF interval in healthy subjects. QTcF measurements were made up to 24 h following administration of single doses of anacetrapib 100 or 800 mg, moxifloxacin 400 mg, or placebo in the fed state. The primary hypothesis was supported if the 90% CI for the least squares (LS) mean differences between anacetrapib 800 mg and placebo in QTcF interval change from baseline were entirely <10 msec at every post-dose time point (1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 24 h). The upper bounds of the 90% CIs for LS mean differences from placebo in changes from baseline in QTcF intervals for anacetrapib 100 and 800 mg were <5 msec at every time point. In conclusion, single doses of anacetrapib 100 and 800 mg do not prolong the QTcF interval to a clinically meaningful degree relative to placebo and are generally well tolerated in healthy subjects.

摘要

阿那曲匹是一种处于III期研发阶段的胆固醇酯转运蛋白抑制剂。这项双盲、双模拟、随机、安慰剂和活性对照药对照、4周期、平衡交叉研究评估了阿那曲匹(100毫克和800毫克)对健康受试者QTcF间期的影响。在进食状态下,单次给予100毫克或800毫克阿那曲匹、400毫克莫西沙星或安慰剂后,长达24小时进行QTcF测量。如果在每个给药后时间点(1、2、2.5、3、4、5、6、8、12和24小时),800毫克阿那曲匹与安慰剂之间QTcF间期相对于基线变化的最小二乘(LS)均值差异的90%置信区间(CI)完全<10毫秒,则原假设得到支持。在每个时间点,100毫克和800毫克阿那曲匹相对于安慰剂的QTcF间期从基线变化的LS均值差异的90%CI上限<5毫秒。总之,相对于安慰剂,单次给予100毫克和800毫克阿那曲匹不会将QTcF间期延长至具有临床意义的程度,并且在健康受试者中通常耐受性良好。

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