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艾普拉唑和氯吡格雷在人体内的药代动力学相互作用

盛宇辰 周素凤 谢利军 周辰 王洪允 邵凤

江苏大学学报(医学版)2026,Vol.36Issue(4):347-351,5.
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江苏大学学报(医学版)2026,Vol.36Issue(4):347-351,5.DOI:10.13312/j.issn.1671-7783.y250184

艾普拉唑和氯吡格雷在人体内的药代动力学相互作用

Pharmacokinetic interaction between ilaprazole and clopidogrel in humans

盛宇辰 1周素凤 2谢利军 2周辰 2王洪允 3邵凤1

作者信息

  • 1. 南京医科大学药学院,江苏南京 211166||南京医科大学第一附属医院Ⅰ期临床试验中心,江苏南京 210029
  • 2. 南京医科大学第一附属医院Ⅰ期临床试验中心,江苏南京 210029
  • 3. 北京协和医院临床药理研究中心,北京 100730
  • 折叠

摘要

Abstract

Objective:To evaluate the effect of steady-state ilaprazole on the pharmacokinetics of clopidogrel in healthy subjects.Methods:A randomized,open-label,crossover,self-controlled trial was conducted.A total of 40 healthy subjects were randomly assigned to two groups(Group A and Group B,n=20 each).Group A received clopidogrel 75 mg once daily for 7 consecutive days;Group B received clopidogrel 75 mg plus ilaprazole 10 mg once daily for 7 days.After a 10-day washout period,the two groups crossed over to the alternative regimen.Plasma concentrations of clopidogrel,its active metabolite,and clopidogrel carboxylic acid were determined for pharmacokinetic analysis.Results:The 90%CI of the geometric mean ratios for systemic exposure of clopidogrel active metabolite in the all subjects and CYP2C19 extensive metabolizers were within the range of 0.80 to 1.25.Conclusion:No clinically significant pharmacokinetic interaction was observed between ilaprazole and clopidogrel in healthy subjects,nor was there obvious clinical relevance in CYP2C19 extensive metabolizers.

关键词

氯吡格雷/艾普拉唑/药物相互作用/药代动力学/质子泵抑制剂/CYP2C19/活性代谢物

Key words

clopidogrel/ilaprazole/drug-drug interaction/pharmacokinetics/proton pump inhibitor/CYP2C19/active metabolite

分类

医药卫生

引用本文复制引用

盛宇辰,周素凤,谢利军,周辰,王洪允,邵凤..艾普拉唑和氯吡格雷在人体内的药代动力学相互作用[J].江苏大学学报(医学版),2026,36(4):347-351,5.

基金项目

国家十三五重大新药创制专项(2018ZX09734-007) (2018ZX09734-007)

江苏大学学报(医学版)

1671-7783

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