Balogh Nemes K, Horváth V, Grézal G, Horvai G, Hrabéczy-Páll A, Kocsi E, Drabant S, Csörgö M, Renczes G, Klebovich I
Department of Pharmacokinetics, EGIS Pharmaceuticals Ltd., Budapest, Hungary.
Int J Clin Pharmacol Ther. 1998 May;36(5):263-9.
The aim of the present study was to investigate the effect of food consumption on the pharmacokinetics of Cordaflex 20 mg retard filmtablet in healthy volunteers through measuring nifedipine plasma levels by an HPLC-ED method both after fasting and food ingestion. The food interaction pharmacokinetic study of Cordaflex 20 mg retard filmtablet was carried out in 12 healthy male volunteers treated with a single dose of the preparation both after fasting and after food ingestion, in a crossover design allowing 1 week of wash-out period between the 2 treatments. Nifedipine concentration of plasma samples were determined by an isocratic HPLC-ED method [Horvai et al. 1994] with robotic sample processing [Horváth et al. 1995, 1996]. The pharmacokinetic parameters (AUC0-infinity, AUC0-t, Cmax, MRT) were analyzed by calculating 90% confidence interval for logarithmic transformed test/reference ratio values, and Schuirmann's statistical tests, the tmax and HVD values were analyzed by Wilcoxon's nonparametric statistical test. The above statistical tests of the present food interaction study indicated significant differences for each one of the respective pharmacokinetic parameter pairs calculated for treatments after fasting and after food ingestion. On the basis of the above findings and also by comparing the mean pharmacokinetic curves, it was evident, that, in agreement with the data of literature [Kleinbloesem et al. 1993, Schall et al. 1994], food ingestion increased the relative bioavailability and maximum plasma concentration (Cmax). Considering the average of the parameter values and also the respective statistical tests, it was also apparent that the time to maximum plasma concentration (tmax), the mean residence time (MRT), and the half-value duration (HVD) all decreased significantly upon the effect of food ingestion.
本研究的目的是通过采用高效液相色谱 - 电化学检测法(HPLC - ED)在空腹和进食后测量硝苯地平血浆水平,来研究食物摄入对健康志愿者体内20毫克缓释薄膜包衣片Cordaflex药代动力学的影响。对20毫克缓释薄膜包衣片Cordaflex进行食物相互作用药代动力学研究,该研究在12名健康男性志愿者中进行,他们在空腹和进食后均接受单剂量制剂治疗,采用交叉设计,两次治疗之间有1周的洗脱期。血浆样本中的硝苯地平浓度通过等度高效液相色谱 - 电化学检测法[Horvai等人,1994年]和自动进样处理[Horváth等人,1995年,1996年]进行测定。通过计算对数转换后的试验/对照比值的90%置信区间以及Schuirmann统计检验来分析药代动力学参数(AUC0 - 无穷大、AUC0 - t、Cmax、MRT),通过Wilcoxon非参数统计检验来分析达峰时间(tmax)和血药浓度达峰后下降一半所需的时间(HVD)值。本食物相互作用研究的上述统计检验表明,针对空腹和进食后治疗所计算的各药代动力学参数对中的每一对均存在显著差异。基于上述发现并通过比较平均药代动力学曲线可以明显看出,与文献数据[Kleinbloesem等人,1993年,Schall等人,1994年]一致,食物摄入增加了相对生物利用度和最大血浆浓度(Cmax)。考虑到参数值的平均值以及各自的统计检验,还可以明显看出,食物摄入后,血浆药物浓度达峰时间(tmax)、平均驻留时间(MRT)和血药浓度达峰后下降一半所需的时间(HVD)均显著缩短。