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食物对齐留通药代动力学的影响。

The effect of food on the pharmacokinetics of zileuton.

作者信息

Awni W M, Cavanaugh J H, Witt G, Granneman G R, Dubé L M

机构信息

Pharmacokinetics and Biopharmaceutics Department, Abbott Laboratories, Abbott Park, Illinois, USA.

出版信息

Clin Pharmacokinet. 1995;29 Suppl 2:62-6. doi: 10.2165/00003088-199500292-00009.

DOI:10.2165/00003088-199500292-00009
PMID:8620672
Abstract

The present study was undertaken to assess the effect of food on the pharmacokinetic parameters of zileuton. In a nonblinded crossover study, 18 healthy male volunteers who had fasted overnight were randomised to receive a single oral dose of zileuton 600mg in the presence or absence of food consisting of a standardised breakfast on the following morning. The mean zileuton peak plasma concentration (Cmax) increased significantly by 27% after food intake, while the mean area under the plasma concentration versus time curve increased by only 1.4%, a difference that was not statistically significant. The mean time to Cmax was unaffected by the presence of food, as were the other pharmacokinetic parameters assessed. Overall, the results suggest that food has a relatively small effect on the rate of zileuton absorption compared with the fasting state, while the bioavailability of the drug appears to be unaffected. Thus, it is concluded that it is appropriate to administer zileuton with or without food.

摘要

本研究旨在评估食物对齐留通药代动力学参数的影响。在一项非盲交叉研究中,18名过夜禁食的健康男性志愿者被随机分组,在次日早晨有无包含标准化早餐的食物的情况下接受单次口服600mg齐留通。进食后,齐留通的平均血浆峰浓度(Cmax)显著升高27%,而血浆浓度-时间曲线下的平均面积仅增加1.4%,差异无统计学意义。达到Cmax的平均时间不受食物存在的影响,其他评估的药代动力学参数也是如此。总体而言,结果表明与禁食状态相比,食物对齐留通吸收速率的影响相对较小,而药物的生物利用度似乎未受影响。因此,得出结论,无论有无食物,服用齐留通都是合适的。

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本文引用的文献

1
The pharmacokinetics of single oral doses of zileuton 200 to 800mg, its enantiomers, and its metabolites, in normal healthy volunteers.单次口服200至800毫克齐留通及其对映体和代谢物在正常健康志愿者体内的药代动力学。
Clin Pharmacokinet. 1995;29 Suppl 2:9-21. doi: 10.2165/00003088-199500292-00004.
2
Determination of a new 5-lipoxygenase inhibitor, zileuton, and its inactive N-dehydroxylated metabolite in plasma by high performance liquid chromatography.
Clin Pharmacokinet. 1995;29 Suppl 2:1-8. doi: 10.2165/00003088-199500292-00003.
3
The effect of inhibition of 5-lipoxygenase by zileuton in mild-to-moderate asthma.齐留通抑制5-脂氧合酶对轻至中度哮喘的影响。
Ann Intern Med. 1993 Dec 1;119(11):1059-66. doi: 10.7326/0003-4819-119-11-199312010-00001.
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Lancet. 1990 Mar 24;335(8691):683-5. doi: 10.1016/0140-6736(90)90803-d.
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Effect of a 5-lipoxygenase inhibitor on leukotriene generation and airway responses after allergen challenge in asthmatic patients.5-脂氧合酶抑制剂对哮喘患者变应原激发后白三烯生成及气道反应的影响。
Thorax. 1991 Mar;46(3):184-9. doi: 10.1136/thx.46.3.184.
8
5-lipoxygenase inhibitory activity of zileuton.齐留通的5-脂氧合酶抑制活性。
J Pharmacol Exp Ther. 1991 Mar;256(3):929-37.
9
Phase II study of the safety and efficacy of a 5-lipoxygenase inhibitor in patients with ulcerative colitis.5-脂氧合酶抑制剂治疗溃疡性结肠炎患者安全性和有效性的II期研究
Am J Gastroenterol. 1992 Mar;87(3):342-6.
10
The 5-lipoxygenase inhibitor zileuton blocks antigen-induced late airway responses, inflammation and airway hyperresponsiveness in allergic sheep.5-脂氧合酶抑制剂齐留通可阻断变应性绵羊抗原诱导的迟发性气道反应、炎症及气道高反应性。
Eur J Pharmacol. 1992 Jul 7;217(2-3):119-26. doi: 10.1016/0014-2999(92)90829-s.