Caccia S, Confalonieri S, Guiso G, Lucca U, Parma E, Guido M, Tettamanti M, Tiraboschi P, Spagnoli A
Laboratory of Drug Metabolism, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
J Clin Pharmacol. 1994 Jul;34(7):748-53. doi: 10.1002/j.1552-4604.1994.tb02035.x.
The pharmacokinetics and safety of CL 275,838, a new potential memory-enhancing compound, were examined after 14 daily doses (50 and 100 mg) in 16 healthy male volunteers, age 20 to 59 years, in a randomized, double-blind, placebo-controlled, parallel group study. Trough blood samples (predose) were collected on days 2, 4, 7, 10, and 14, and further samples were drawn after the final dose (day 14) to define the multiple-dose kinetics of the parent compound and its metabolites II and IV. Intercurrent clinical events, vital functions, EEG, ECG, and cognitive tests (attention, verbal memory, and spatial memory) were considered as outcome measures of safety. Performance in cognitive tests was also studied to collect preliminary information on possible therapeutic action. Predose plasma concentrations of the parent compound and its two metabolites increased approximately in proportion to the dose, and accumulation was complete within 7 days, regardless of the dose. At steady state, mean Cmax and AUC of the parent compound and its two metabolites were dose related. Mean wash-out t1/2 was 18 to 20 hours for the parent compound, 22-23 hours for metabolite II, and 28-33 hours for metabolite IV; these elimination t1/2 are comparable for the two doses, and are similar to those observed in single-dose studies. For the 50-mg-dose group, predicted and observed average plasma concentrations (Css) of CL 275,838 and its two metabolites did not differ significantly.(ABSTRACT TRUNCATED AT 250 WORDS)
在一项随机、双盲、安慰剂对照的平行组研究中,对16名年龄在20至59岁的健康男性志愿者每日服用14次剂量(50毫克和100毫克)的新型潜在记忆增强化合物CL 275,838的药代动力学和安全性进行了研究。在第2、4、7、10和14天采集谷血样本(给药前),并在最后一剂(第14天)后采集更多样本,以确定母体化合物及其代谢物II和IV的多剂量动力学。并发临床事件、生命功能、脑电图、心电图和认知测试(注意力、言语记忆和空间记忆)被视为安全性的结果指标。还对认知测试中的表现进行了研究,以收集有关可能治疗作用的初步信息。母体化合物及其两种代谢物的给药前血浆浓度大致与剂量成比例增加,且无论剂量如何,7天内蓄积完成。在稳态时,母体化合物及其两种代谢物的平均Cmax和AUC与剂量相关。母体化合物的平均清除t1/2为18至20小时,代谢物II为22 - 23小时,代谢物IV为28 - 33小时;这两种剂量的消除t1/2相当,且与单剂量研究中观察到的相似。对于50毫克剂量组,CL 275,838及其两种代谢物的预测平均血浆浓度(Css)与观察值无显著差异。(摘要截断于250字)