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氯维地平及其代谢产物在犬和大鼠体内的药代动力学及组织分布

Pharmacokinetics and tissue distribution of clevidipine and its metabolite in dogs and rats.

作者信息

Zhou Ying, He Xiao-Meng, Li Hu-Qun, Ni Yang, Xu Ming-Zhen, Chen Hui, Li Wei-Yong

机构信息

Institute of Clinic Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2014 Dec;34(6):856-860. doi: 10.1007/s11596-014-1364-3. Epub 2014 Dec 6.

DOI:10.1007/s11596-014-1364-3
PMID:25480581
Abstract

The purpose of the current study was to examine the pharmacokinetic profiles and tissue distribution of clevidipine, an ultra-short-acting calcium antagonist in Beagle dogs and Sprague-Dawley rats, respectively. The pharmacokinetics and biodistribution of its primary metabolite H152/81 were also evaluated. Dogs received intravenous infusion of clevidipine at a dose rate of 17 μg/(kg·min), and rats were given intravenous administration of clevidipine at a dose of 5 mg/kg. Dog plasma and rat tissues were collected and assayed by HPLC-MS/MS. It was found that plasma clevidipine quickly reached the steady state concentration. The terminal half-life was short (16.8 min), pointing out a rapid elimination after the end of the infusion. The total clearance was 5 mL/(min·kg). In comparison, plasma concentration of H152/81 was increased more slowly and was significantly higher than that of clevidipine. After intravenous administration, clevidipine was distributed rapidly into all tissues examined, with the highest concentrations found in the brain, heart and liver. Maximal concentrations of clevidipine were found in most tissues at 10 min post-dosing. However, the proportion of clevidipine distributed in all tissues was quite small (0.042‰) compared to the total administration dose. It was suggested that clevidipine was mainly distributed in blood and it transformed to inactive metabolite rapidly.

摘要

本研究的目的是分别考察超短效钙拮抗剂克利夫地平在比格犬和斯普拉格-道利大鼠体内的药代动力学特征及组织分布情况。同时还评估了其主要代谢产物H152/81的药代动力学和生物分布。犬以17 μg/(kg·min)的剂量速率静脉输注克利夫地平,大鼠静脉注射5 mg/kg的克利夫地平。采集犬血浆和大鼠组织,采用高效液相色谱-串联质谱法进行测定。结果发现,血浆中克利夫地平迅速达到稳态浓度。终末半衰期较短(16.8分钟),表明输注结束后清除迅速。总清除率为5 mL/(min·kg)。相比之下,H152/81的血浆浓度上升较慢,且显著高于克利夫地平。静脉给药后,克利夫地平迅速分布到所有检测的组织中,在脑、心脏和肝脏中浓度最高。给药后10分钟,大多数组织中克利夫地平的浓度达到最大值。然而,与总给药剂量相比,克利夫地平在所有组织中的分布比例相当小(0.042‰)。提示克利夫地平主要分布在血液中,并迅速转化为无活性的代谢产物。

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Pharmacokinetics and tissue distribution of clevidipine and its metabolite in dogs and rats.氯维地平及其代谢产物在犬和大鼠体内的药代动力学及组织分布
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引用本文的文献

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Simultaneous Quantitation of Clevidipine and Its Active Metabolite H152/81 in Human Whole Blood by LC-MS/MS: Application to Bioequivalence Study.采用液相色谱-串联质谱法同时定量测定人全血中克利夫地平及其活性代谢物H152/81:在生物等效性研究中的应用
Front Chem. 2022 Apr 7;10:861952. doi: 10.3389/fchem.2022.861952. eCollection 2022.

本文引用的文献

1
Simultaneous determination of clevidipine and its primary metabolite in dog plasma by liquid chromatography-tandem mass spectrometry: Application to pharmacokinetic study.液相色谱-串联质谱法同时测定犬血浆中氯维地平及其主要代谢物:在药代动力学研究中的应用
J Pharm Biomed Anal. 2014 Nov;100:294-299. doi: 10.1016/j.jpba.2014.08.018. Epub 2014 Aug 17.
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Pharmacokinetics, pharmacodynamics, and safety of clevidipine after prolonged continuous infusion in subjects with mild to moderate essential hypertension.轻中度原发性高血压患者中长时间持续输注后拉贝洛尔的药代动力学、药效学和安全性。
Eur J Clin Pharmacol. 2012 Oct;68(10):1385-94. doi: 10.1007/s00228-012-1260-3. Epub 2012 Mar 29.
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Parenteral clevidipine for the acute control of blood pressure in the critically ill patient: a review.
肠外克利地平在危重症患者急性血压控制中的应用:综述。
Ther Clin Risk Manag. 2009 Jun;5(3):627-34. doi: 10.2147/tcrm.s5312. Epub 2009 Aug 3.
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Treatment of acute postoperative hypertension in cardiac surgery patients: an efficacy study of clevidipine assessing its postoperative antihypertensive effect in cardiac surgery-2 (ESCAPE-2), a randomized, double-blind, placebo-controlled trial.心脏手术患者急性术后高血压的治疗:一项评估氯维地平术后降压效果的疗效研究——心脏手术术后降压疗效研究-2(ESCAPE-2),一项随机、双盲、安慰剂对照试验。
Anesth Analg. 2008 Jul;107(1):59-67. doi: 10.1213/ane.0b013e3181732e53.
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Blood pressure management in acute hypertensive emergency.急性高血压急症的血压管理
Am J Health Syst Pharm. 2007 Dec 15;64(24):2579-82. doi: 10.2146/ajhp070105.
6
Clevidipine effectively and rapidly controls blood pressure preoperatively in cardiac surgery patients: the results of the randomized, placebo-controlled efficacy study of clevidipine assessing its preoperative antihypertensive effect in cardiac surgery-1.氯维地平可有效且迅速地控制心脏手术患者术前血压:氯维地平术前抗高血压作用评估的随机、安慰剂对照疗效研究-1的结果
Anesth Analg. 2007 Oct;105(4):918-25, table of contents. doi: 10.1213/01.ane.0000281443.13712.b9.
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Am J Ther. 2007 Mar-Apr;14(2):135-9. doi: 10.1097/01.pap.0000249908.55361.de.
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Exploring an optimum intra/postoperative management strategy for acute hypertension in the cardiac surgery patient.探索心脏手术患者急性高血压的最佳术中/术后管理策略。
J Card Surg. 2006 Mar-Apr;21 Suppl 1:S8-S14. doi: 10.1111/j.1540-8191.2006.00214.x.
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Pharmacodynamic, pharmacokinetic and clinical effects of clevidipine, an ultrashort-acting calcium antagonist for rapid blood pressure control.氯维地平(一种用于快速控制血压的超短效钙拮抗剂)的药效学、药代动力学及临床效果
Cardiovasc Drug Rev. 2004 Fall;22(3):227-50. doi: 10.1111/j.1527-3466.2004.tb00143.x.