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生长抑素类似物111In-DTPA-D-苯丙氨酸奥曲肽的安全性、药代动力学及剂量学的临床评估——1期研究报告

[Clinical evaluation of safety, pharmacokinetics and dosimetry of the somatostatin analog 111In-DTPA-D-Phe-octreotide--report of the phase 1 study].

作者信息

Inoue T, Ootake H, Hirano T, Tomiyoshi K, Endo K, Tanaka K, Shimizu N, Saito T

机构信息

Department of Nuclear Medicine, Gunma University School of Medicine.

出版信息

Kaku Igaku. 1995 May;32(5):511-21.

PMID:7596072
Abstract

The safety, pharmacokinetics and dosimetry of the somatostatin analog 111In-DTPA-D-Phe-octreotide (111In-octreotide) were investigated in four young normal volunteers as phase 1 study in Japan. Neither adverse reactions nor significant changes of vital signs and clinical laboratory data were observed after intravenous injection of 111 MBq of 111In octreotide. The plasma clearance curve consisted of fast and slow exponential components with mean half life of 9.2 minutes and 2.2 hours, respectively. Seventy three percent of the injected dose were excreted in the urine by 24 hours after the injection of 111In-octreotide. With respect to the radiation dose to normal tissue, the most important organs were the urinary bladder, the kidney, the spleen and the liver. The effective dose equivalent was calculated as 3.26 +/- 0.43 mSv/37 MBq (mean +/- s.d.). This phase 1 study demonstrated the safety of scintigraphy with 111In-octreotide.

摘要

作为日本的一项1期研究,在4名年轻正常志愿者中对生长抑素类似物111铟-二乙三胺五乙酸-D-苯丙氨酸-奥曲肽(111铟-奥曲肽)的安全性、药代动力学和剂量学进行了研究。静脉注射111兆贝可的111铟-奥曲肽后,未观察到不良反应,生命体征和临床实验室数据也无显著变化。血浆清除曲线由快速和慢速指数成分组成,平均半衰期分别为9.2分钟和2.2小时。注射111铟-奥曲肽后24小时内,73%的注射剂量经尿液排出。关于正常组织的辐射剂量,最重要的器官是膀胱、肾脏、脾脏和肝脏。有效剂量当量计算为3.26±0.43毫希沃特/37兆贝可(平均值±标准差)。这项1期研究证明了111铟-奥曲肽闪烁显像的安全性。

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