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血管紧张素拮抗剂厄贝沙坦在健康志愿者中的口服生物利用度及处置特征。

Oral bioavailability and disposition characteristics of irbesartan, an angiotensin antagonist, in healthy volunteers.

作者信息

Vachharajani N N, Shyu W C, Chando T J, Everett D W, Greene D S, Barbhaiya R H

机构信息

Department of Metabolism and Pharmacokinetics, Bristol-Myers Squibb Pharmaceutical Research Institute, Princeton, New Jersey 08540, USA.

出版信息

J Clin Pharmacol. 1998 Aug;38(8):702-7. doi: 10.1002/j.1552-4604.1998.tb04809.x.

DOI:10.1002/j.1552-4604.1998.tb04809.x
PMID:9725545
Abstract

Absolute oral bioavailability and disposition characteristics of irbesartan, an angiotensin II receptor antagonist, were investigated in 18 healthy young male volunteers. Subjects received [14C] irbesartan as a 30-minute intravenous infusion (50 mg), [14C] irbesartan orally as a solution (50 mg or 150 mg), or irbesartan capsule (50 mg). Irbesartan was rapidly and almost completely absorbed after oral administration, and exhibited a mean absolute oral bioavailability of 60% to 80%. Mean total body clearance was approximately 157 mL/min, and renal clearance was 3.0 mL/min. Volume of distribution at steady state was 53 L to 93 L, and terminal elimination half-life was approximately 13 to 16 hours. Hepatic extraction ratio was low (0.2). There were no major circulating metabolites, and approximately 80% of total plasma radioactivity was attributable to unchanged irbesartan. Regardless of route of administration, approximately 20% of dose was recovered in urine and the remainder in feces.

摘要

在18名健康年轻男性志愿者中研究了血管紧张素II受体拮抗剂厄贝沙坦的绝对口服生物利用度和处置特征。受试者接受[14C]厄贝沙坦静脉输注30分钟(50毫克)、[14C]厄贝沙坦口服溶液(50毫克或150毫克)或厄贝沙坦胶囊(50毫克)。口服给药后,厄贝沙坦迅速且几乎完全吸收,平均绝对口服生物利用度为60%至80%。平均全身清除率约为157毫升/分钟,肾清除率为3.0毫升/分钟。稳态分布容积为53升至93升,终末消除半衰期约为13至16小时。肝提取率较低(0.2)。没有主要的循环代谢物,约80%的血浆总放射性归因于未变化的厄贝沙坦。无论给药途径如何,约20%的剂量在尿液中回收,其余在粪便中回收。

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