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盐酸米那普仑在中国健康人体中的群体药代动力学研究

阮灿军 赵立波 果伟 李文标 董芳 翟屹民 王传跃

中国临床药理学杂志2017,Vol.33Issue(4):323-326,4.
中国临床药理学杂志2017,Vol.33Issue(4):323-326,4.DOI:10.13699/j.cnki.1001-6821.2017.04.010

盐酸米那普仑在中国健康人体中的群体药代动力学研究

Population pharmacokinetics of milnacipran in Chinese healthy volunteers

阮灿军 1赵立波 2果伟 1李文标 1董芳 1翟屹民 1王传跃3

作者信息

  • 1. 首都医科大学附属北京安定医院临床精神药理实验室及北京市精神疾病诊断与治疗重点实验室,北京100088
  • 2. 首都医科大学附属北京儿童医院药学部,北京100045
  • 3. 首都医科大学附属北京安定医院精神病学系,精神疾病诊断与治疗北京市重点实验室,北京脑重大疾病研究精神分裂症研究所,北京100088
  • 折叠

摘要

Abstract

Objective To investigate the population pharmacokinetic characteristics of milnacipran in Chinese healthy volunteers and factors co-variables that might impact its clearance.Methods The clinical data and blood samples were collected from a pharmacokinetics (PK) study (n =24) which was designed as a randomized,three-way cross-over,single dose (25,50 or 100 mg) and in multiple doses for 8 d (up to 100 mg · d-1 administered as 50 mg twice daily) in Chinese healthy volunteers.Both the single and multiple-dose studies included 12 volunteers (six males and six females).The concentration of milnacipran in plasma was analyzed by HPLC-MS/MS.Non-linear mixed-effects model (NONMEM) was used to assess the influence of demographic characte-ristics on PK characters of milnacipran.The final model was diagnosed by goodness-of-fit plots and evaluated by bootstrap methods.Results A one-compartment model was developed to capture the milnacipran pharmacokinetics.Typical value of clearance (CL),the volume of distribution (V),and maximum absorption rate (Ka) were 37.53-44.16 (40.84 ± 1.69) L h-1,382.89-433.37 (408.13 ± 12.86) L and 0.81-1.31 (1.06 ± 0.13) /h,respectively,and age or sex had no influence on CL of milnacipran.No obvious bias was found by bootstrap method.Conclusions The developed model can capture milnacipran pharmacokinetics well in healthy volunteers.Age and genderhad no influenceon minacipran PK profiles in healthy subjects.

关键词

盐酸米那普仑/群体药代动力学模型/液质联用法

Key words

milnacipran/population pharmacokinetics/high performance liquid chromatography-mass spectrum/mass spectrum

分类

医药卫生

引用本文复制引用

阮灿军,赵立波,果伟,李文标,董芳,翟屹民,王传跃..盐酸米那普仑在中国健康人体中的群体药代动力学研究[J].中国临床药理学杂志,2017,33(4):323-326,4.

基金项目

首都卫生发展专项基金资助项目(2014-2-2122) (2014-2-2122)

首都临床特色应用研究与成果推广项基金资助项目(z15110000401580) (z15110000401580)

北京市医院管理局临床医学发展专项基金资助项目(ZYLX201403) (ZYLX201403)

中国临床药理学杂志

OA北大核心CSCDCSTPCD

1001-6821

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