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盐酸达泊西汀在中国健康男性中的药代动力学和安全性:剂量和高脂肪餐的影响。

Pharmacokinetics and Safety of Dapoxetine Hydrochloride in Healthy Chinese Men: Impact of Dose and High-Fat Meal.

机构信息

School of Pharmacy Lanzhou University, Lanzhou, China.

出版信息

Clin Pharmacol Drug Dev. 2021 Oct;10(10):1216-1224. doi: 10.1002/cpdd.919. Epub 2021 Feb 2.

Abstract

Dapoxetine is the first oral medication specifically developed for the on-demand treatment of premature ejaculation. The pharmacokinetics and safety of 30 mg (n = 40) and 60 mg (n = 38) dapoxetine in healthy Chinese under fasted and fed states were assessed in 2 studies. Both studies are random, single-center, 2-period, open-label, 2-way crossover designs. Plasma concentration of dapoxetine was determined by high-performance liquid chromatography-tandem mass spectrometry, and the pharmacokinetic parameters were calculated using noncompartmental analysis. Dapoxetine was quickly absorbed and reached maximum concentration 1 to 3 hours after oral administration. Elimination was biphasic, and the plasma concentration decreased to 3% to 7% of maximum concentration by 24 hours while half-life was 15 to 18 hours. Meantime, high-fat meals slightly increased its exposure. Both doses of dapoxetine were well tolerated. The adverse events in the high-dose group under fasted and fed states were 37.9% and 19.0%, respectively.

摘要

达泊西汀是专门为按需治疗早泄而开发的第一种口服药物。在两项研究中,评估了健康中国人体内禁食和进食状态下 30mg(n=40)和 60mg(n=38)达泊西汀的药代动力学和安全性。这两项研究均为随机、单中心、2 期、开放标签、2 向交叉设计。通过高效液相色谱-串联质谱法测定达泊西汀的血浆浓度,采用非房室分析计算药代动力学参数。达泊西汀吸收迅速,口服后 1 至 3 小时达到最大浓度。消除呈双相,24 小时时血浆浓度降至最大浓度的 3%至 7%,半衰期为 15 至 18 小时。同时,高脂肪餐略微增加了它的暴露量。两种剂量的达泊西汀均具有良好的耐受性。禁食和进食状态下高剂量组的不良事件发生率分别为 37.9%和 19.0%。

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