Grützmacher P, Scheuermann E, Lang W
Proc Eur Dial Transplant Assoc. 1981;18:169-75.
The pharmacokinetics and therapeutic effects of bezafibrate were studied in 15 RDT patients in a placebo controlled trial. Serum half life of bezafibrate was prolonged to 17--21.5 hours compared to 1.6--2.1 hours in normals. Adequate dosage in RDT patients was found to be 200mg every 3rd day. Bezafibrate treatment resulted in significant decrease in the serum concentrations of triglycerides, total cholesterol and LDL-cholesterol, whereas HDL-cholesterol serum levels increased. Under this dosage regimen no adverse side effects were observed. Bezafibrate offers the possibility of correcting disturbances of lipid metabolism of RDT patients, possibly involved in the pathogenesis of atherosclerosis of these patients.
在一项安慰剂对照试验中,对15名接受肾透析(RDT)的患者研究了苯扎贝特的药代动力学和治疗效果。与正常人1.6 - 2.1小时的血清半衰期相比,苯扎贝特在肾透析患者中的血清半衰期延长至17 - 21.5小时。发现肾透析患者的适当剂量为每三天200毫克。苯扎贝特治疗使甘油三酯、总胆固醇和低密度脂蛋白胆固醇的血清浓度显著降低,而高密度脂蛋白胆固醇的血清水平升高。在这种给药方案下未观察到不良副作用。苯扎贝特为纠正肾透析患者脂质代谢紊乱提供了可能性,而这种紊乱可能与这些患者动脉粥样硬化的发病机制有关。