Düsterberg B, Hümpel M, Speck U
Contraception. 1981 Dec;24(6):673-83. doi: 10.1016/0010-7824(81)90018-4.
Norethisterone, levonorgestrel, cyproterone acetate and gestodene have been used for a long time in oral contraception and other indications, or are in the process of development for such indications. However, very little is known concerning the bioavailability and plasma levels of unmetabolized gestagens in the animal species used for chronic toxicity testing and pharmacological investigation. In this study the gestagens were administered intravenously, subcutaneously and orally to rats, beagles and rhesus monkeys. The drug plasma levels were determined by specific radioimmunoassay. The half-life of the terminal disposition phase was calculated following intravenous administration, and the extent of bioavailability was determined from the area under the drug level curves following subcutaneous and oral administration. The terminal half-lives of a particular compound in different animal species differed considerably. Furthermore, comparison of the different gestagens showed large variations in this parameter in all the animal species. In addition, inter-animal species comparison of a particular substance, and comparison of different substances in a single species, also showed great differences in bioavailability. The results are compared with the corresponding parameters in man. This investigation illustrates the fundamental problems inherent in the extrapolation of the results of toxicity studies and pharmacological investigations in animals, to man. The best tolerance and the lowest degree of pharmacological effect seem to occur where the bioavailability of a gestagen is poor and its terminal half-life short.
炔诺酮、左炔诺孕酮、醋酸环丙孕酮和孕二烯酮长期以来一直用于口服避孕及其他适应症,或者正处于针对此类适应症的研发过程中。然而,对于用于慢性毒性试验和药理研究的动物物种中未代谢孕激素的生物利用度和血浆水平,人们了解甚少。在本研究中,将这些孕激素通过静脉注射、皮下注射和口服的方式给予大鼠、比格犬和恒河猴。通过特异性放射免疫分析法测定药物血浆水平。静脉给药后计算终末处置相的半衰期,皮下和口服给药后根据药物水平曲线下面积确定生物利用度。特定化合物在不同动物物种中的终末半衰期差异很大。此外,不同孕激素的比较显示,在所有动物物种中该参数存在很大差异。另外,特定物质在不同动物物种间的比较,以及单一物种中不同物质的比较,在生物利用度方面也显示出很大差异。将结果与人的相应参数进行了比较。本研究阐明了将动物毒性研究和药理研究结果外推至人类所固有的基本问题。孕激素生物利用度差且终末半衰期短的情况下,似乎耐受性最佳且药理作用程度最低。