Watanabe M, Koyama M
Jpn J Antibiot. 1983 Nov;36(11):3291-301.
Pharmacokinetics of MCR administered by 1 hour intravenous drip infusion were studied in healthy volunteers by two-compartment model. In 120 mg-dosage group (n = 3) studies were made by single administration, and in 60 mg-dosage group (n = 4) were administered twice daily and continued until a total of 9 doses.
When MCR was administered in a 60 mg dosage, its Cmax was 4.3 +/- 0.3 micrograms/ml (mean +/- S.D.) after the 1st dose and 3.7 +/- 0.4 micrograms/ml after the 9th dose, while it was 8.8 +/- 1.0 micrograms/ml when the dosage was 120 mg. It should be noted that in the case of repeated dosing with 60 mg, serum levels just before administration were always below the analytical limit. The mean of T 1/2 was 1.69 +/- 0.14 hours, remaining stable at all determination. The kinetic parameters that showed different values between determinations performed after the 1st and 9th 60 mg doses were V1 (0.107 vs 0.164 L/kg) and Kel (1.02 vs 0.68 hr-1). This was also the case with comparison of 2 different dosage groups (60 mg 1st vs 120 mg; V1: 0.107 vs 0.135 L/kg, Kel: 1.02 vs 0.72 hr-1). There was no evidence indicative of side effect of MCR.
The above results demonstrated that Cmax and other kinetic parameters were little influenced by whether MCR was administered by intravenous drip infusion or by intramuscular injection. There was a little larger difference in AUC between those 2 routes of administration but the differences seemed negligible when the same dosage was used. Pharmacokinetic studies are to be continued in subjects whose renal function is impaired in different ways to establish the optimum dosage regimen for MCR.
采用二室模型在健康志愿者中研究了静脉滴注1小时给予MCR的药代动力学。在120mg剂量组(n = 3)进行单次给药研究,在60mg剂量组(n = 4)每日给药两次,持续至共9剂。
给予60mg剂量的MCR时,第1剂后的Cmax为4.3±0.3μg/ml(均值±标准差),第9剂后为3.7±0.4μg/ml;而给予120mg剂量时为8.8±1.0μg/ml。应注意,在60mg重复给药的情况下,给药前的血清水平始终低于分析限。T1/2的均值为1.69±0.14小时,在所有测定中保持稳定。在第1剂和第9剂60mg给药后进行的测定之间显示出不同值的动力学参数为V1(0.107对0.164L/kg)和Kel(1.02对0.68hr-1)。比较2个不同剂量组(60mg第1剂对120mg;V1:0.107对0.135L/kg,Kel:1.02对0.72hr-1)时也是如此。没有证据表明MCR有副作用。
上述结果表明,静脉滴注或肌肉注射给予MCR时,Cmax和其他动力学参数受影响较小。这两种给药途径之间的AUC差异稍大,但使用相同剂量时差异似乎可忽略不计。将继续在肾功能以不同方式受损的受试者中进行药代动力学研究,以确定MCR的最佳给药方案。