fesoterodine的药动学特征。

文章的细节

引用

Malhotra B,关Z,木头N, Gandelman K

fesoterodine的药动学特征。

Int中国新药杂志。2008年11月,46 (11):556 - 63。

PubMed ID
19000553 (在PubMed
]
文摘

目的:Fesoterodine是一个新的antimuscarinic代理治疗膀胱过动症。口服后,fesoterodine迅速和广泛被非特异性酯酶水解其活跃的一部分:5-hydroxymethyl tolterodine (5-HMT)。细胞色素P450 (CYP)酶是没有参与5-HMT的形成;然而,CYP2D6和CYP3A4提供2 5-HMT的替代途径进一步代谢和失活。材料:单一口服剂量的4毫克,8毫克或12毫克的fesoterodine缓释片剂在禁食状态和8毫克美联储状态。方法:单中心,非盲、随机、交叉研究调查的影响fesoterodine CYP2D6在健康的志愿者组成的广泛的代谢(EMs);CYP2D6 n = 16)和贫穷的代谢(经前综合症;n = 8)在一夜之间迅速或高脂肪和高热量的早餐。不良事件、生命体征、心电图记录和实验室测试监控安全评估。结果:主要活动的一部分,5-HMT,最大血浆浓度(Cmax)曲线下的面积从0到时间的尿液中可测量的浓度(AUC0-t)和数量(Ae)按比例增加剂量EM和下午科目。 The mean Cmax and AUC0-t in PMs were approximately twice those observed in EMs. CYP2D6 status had no effect on time to reach Cmax (5 h), renal clearance (approximately 250 ml/min), or half-life (approximately 8 h). Fesoterodine was well tolerated at all doses. While the incidence of dry mouth increased from 8 - 12 mg, all occurrences were mild-to-moderate. CONCLUSIONS: Fesoterodine demonstrated a pharmacokinetic (PK) profile that was favorable for once-daily dosing. The systemic exposure to 5-HMT increased proportionally with dose and was about 2-fold higher in PMs compared with EMs. There was no clinically relevant effect of food on the PK of fesoterodine. Fesoterodine was well tolerated at all dose levels studied.

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药物酶
药物 生物 药理作用 行动
Fesoterodine 细胞色素P450 2 d6 蛋白质 人类
未知的
底物
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Fesoterodine 细胞色素P450 3 a4 蛋白质 人类
未知的
底物
细节