Zheng N X, Sato H, Adachi I, Kanamoto I, Horikoshi I
Department of Hospital Pharmacy, Toyama Medical and Pharmaceutical University, Japan.
Biol Pharm Bull. 1995 Dec;18(12):1738-43. doi: 10.1248/bpb.18.1738.
The pharmacokinetic and pharmacodynamic (PK/PD) characteristics of ozagrel, a new potent and selective thromboxane synthetase inhibitor, were investigated in rabbits after its intravenous, oral, and rectal administration. Serum level of TXB2 (the stable metabolite of TXA2), a direct pharmacological marker, was measured after each dosing. A marked reduction of serum TXB2 within 30 min was shown after the three routes of administration, reflecting rapid onset of action. Due to rapid and complete absorption (i.e., Tmax; 20 min, bioavailability; 100%) and longer duration of pharmacological action after rectal dosing, the rectum offers a practical delivery route for ozagrel. An Emax model was employed to fit the pharmacological data, and IC50 and Emax for thromboxane synthetase inhibition were estimated to be 56.0 ng/ml and 94%, respectively. These pharmacodynamic parameters were incorporated into an integrated mathematical model to simulate the PK/PD profiles of ozagrel after i.v., oral, and rectal administration at lower (50 mg) and higher (200 mg) doses, and good agreement between the experimental and calculated values was achieved. The present PK/PD model may be useful for optimizing the therapeutic regimens of ozagrel.
新型强效选择性血栓素合成酶抑制剂奥扎格雷的药代动力学和药效学(PK/PD)特性在兔静脉注射、口服和直肠给药后进行了研究。每次给药后测定直接药理学标志物TXB2(TXA2的稳定代谢产物)的血清水平。三种给药途径后30分钟内血清TXB2均显著降低,反映了起效迅速。由于直肠给药后吸收迅速且完全(即达峰时间;20分钟,生物利用度;100%)且药理作用持续时间更长,直肠为奥扎格雷提供了一种实用的给药途径。采用Emax模型拟合药理学数据,血栓素合成酶抑制的IC50和Emax估计分别为56.0 ng/ml和94%。这些药效学参数被纳入一个综合数学模型,以模拟奥扎格雷在低剂量(50 mg)和高剂量(200 mg)静脉注射、口服和直肠给药后的PK/PD曲线,实验值和计算值之间取得了良好的一致性。目前的PK/PD模型可能有助于优化奥扎格雷的治疗方案。