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临床前药代动力学数据外推至治疗药物应用。

Extrapolation of preclinical pharmacokinetic data to therapeutic drug use.

作者信息

Rahmani R, Richard B, Fabre G, Cano J P

机构信息

INSERM U-278, Laboratoire Hospitalo-Universitaire de Pharmacocinétique et de Toxicocinétique, Faculté de Pharmacie, Marseille, France.

出版信息

Xenobiotica. 1988 Jan;18 Suppl 1:71-88.

PMID:3344591
Abstract
  1. Preclinical in vivo and in vitro studies are fundamental to the safe and effective development of new drugs. 2. Pharmacokinetic and metabolic research is essential to a better understanding of the pharmacological and toxicological activities of drugs and their metabolites. 3. Data generated by such a strategy can be used to improve Phase I trials, particularly those for anticancer drugs. 4. Human and animal in vitro models are potentially powerful preclinical tools in: (i) The prediction of the pharmacological behaviour of analogues belonging to the same family, e.g. vinca alkaloids; (ii) The selection of the animal species most closely related to humans on the basis of metabolic pattern; (iii) The assessment of the duration of drug action--particularly those drugs exhibiting different metabolic clearances (e.g. benzodiazepines); (iv) The understanding and prediction of drug interactions, i.e. those described for cyclosporin A and macrolide antibiotics; and (v) The explanation of the metabolic origins of interindividual variabilities in pharmacological activity.
摘要
  1. 临床前的体内和体外研究是新药安全有效研发的基础。2. 药代动力学和代谢研究对于更好地理解药物及其代谢产物的药理和毒理活性至关重要。3. 通过这种策略产生的数据可用于改进I期试验,尤其是抗癌药物的试验。4. 人和动物的体外模型在以下方面可能是强大的临床前工具:(i)预测同一家族类似物的药理行为,例如长春花生物碱;(ii)根据代谢模式选择与人类关系最密切的动物物种;(iii)评估药物作用持续时间——特别是那些具有不同代谢清除率的药物(例如苯二氮䓬类);(iv)理解和预测药物相互作用,即环孢素A和大环内酯类抗生素所描述的相互作用;以及(v)解释个体间药理活性差异的代谢起源。

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引用本文的文献

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Clin Pharmacokinet. 1999 Mar;36(3):211-31. doi: 10.2165/00003088-199936030-00003.
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Liver cell models in in vitro toxicology.体外毒理学中的肝细胞模型
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Increase of cytochrome P-450 1A and glutathione transferase transcripts in cultured hepatocytes from dogs, monkeys, and humans after cryopreservation.
Cell Biol Toxicol. 1996 Dec;12(4-6):351-8. doi: 10.1007/BF00438170.
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Relationships between in vitro and in vivo biotransformation of drugs in humans and animals: pharmaco-toxicological consequences.人类和动物体内药物的体外与体内生物转化之间的关系:药物毒理学后果。
Cell Biol Toxicol. 1995 Aug;11(3-4):147-53. doi: 10.1007/BF00756516.
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In vivo and in vitro pharmacokinetics and metabolism of vincaalkaloids in rat. I. Vindesine (4-deacetyl-vinblastine 3-carboxyamide).
Eur J Drug Metab Pharmacokinet. 1990 Jan-Mar;15(1):49-55. doi: 10.1007/BF03190127.
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Human hepatocytes as a key in vitro model to improve preclinical drug development.
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Preclinical and clinical pharmacology of vinca alkaloids.长春花生物碱的临床前及临床药理学
Drugs. 1992;44 Suppl 4:1-16; discussion 66-9. doi: 10.2165/00003495-199200444-00002.