Gerloff J, Mignot A, Barth H, Heintze K
Department of Clinical Pharmacology, Gruenenthal GmbH, Aachen, Germany.
Eur J Clin Pharmacol. 1996;50(4):293-7. doi: 10.1007/s002280050111.
In a crossover study 12 healthy volunteers received lansoprazole 15 mg or 30 mg orally, or 15 mg intravenously in randomized order as a single dose. Blood samples were taken and plasma levels of lansoprazole were determined using an HPLC method. The volunteers were phenotyped for the debrisoquine/sparteine and mephenytoin polymorphisms.
The total clearance was 517 ml.min-1, and the absolute bioavailability was 91% for the 30-mg and 81% for the 15-mg enteric-coated formulation. The elimination half-life was about 1 h. No correlation of the plasma levels to the sparteine metabolic ratio was found, and no correlation to the mephenytoin type could be established, since all volunteers of the mephenytoin type were extensive metabolizers. Although considerable variation, inter- and intraindividually, was observed, the increase in Cmax and AUC did not deviate from dose proportionality. The present galenic formulation ensures a high bioavailability after a single dose.
在一项交叉研究中,12名健康志愿者按随机顺序单次口服15毫克或30毫克兰索拉唑,或静脉注射15毫克兰索拉唑。采集血样,采用高效液相色谱法测定血浆中兰索拉唑的水平。对志愿者进行异喹胍/司巴丁和美芬妥英多态性的表型分析。
30毫克肠溶制剂的总清除率为517毫升·分钟⁻¹,绝对生物利用度为91%;15毫克肠溶制剂的绝对生物利用度为81%。消除半衰期约为1小时。未发现血浆水平与司巴丁代谢率之间存在相关性,且由于所有美芬妥英型志愿者均为广泛代谢者,因此无法建立与美芬妥英类型的相关性。尽管个体间和个体内观察到相当大的差异,但Cmax和AUC的增加与剂量成正比关系无偏差。目前的药剂配方可确保单次给药后具有较高的生物利用度。