纳布啡注射液在健康受试者中的药代动力学研究

蔡立婧 张俊 彭文兴 朱荣华 王秀梅 阳剑 张啟智

中国药学杂志 ›› 2011, Vol. 46 ›› Issue (20) : 1597-1600.

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中国药学杂志 ›› 2011, Vol. 46 ›› Issue (20) : 1597-1600.
论著

纳布啡注射液在健康受试者中的药代动力学研究

  • 蔡立婧1,2,张俊1,彭文兴1,朱荣华1*,王秀梅1,阳剑1,张啟智1
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Pharmacokinetics of Intravenous Nalbuphine in Healthy Volunteers

  • CAI Li-jing1,2,ZHANG Jun1,2,PENG Wen-xing1, ZHU Rong-hua1*,WANG Xiu-mei1,YANG Jian1,ZHANG Qi-zhi1
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摘要

目的 研究单次注射盐酸纳布啡后的药代动力学,为该药临床研究及合理用药提供依据。方法 16名健康受试者,男女各半,分为两组,采用随机、开放试验设计,试验分别单剂量注射10、20 mg的盐酸纳布啡注射液。分别于给药前及给药后0、5、10、15、30、45 min、1、1.5、2、4、6、8、12 h分别采集静脉血4 mL。采用LC-MS/MS法测定血浆样品中纳布啡的血药浓度,并计算主要的药动学参数。结果 单剂量注射10、20 mg的盐酸纳布啡注射液后AUC0-12分别为(213.4±195.7)和(325.7±26.8) ng·h·mL-1,AUC0-∞分别为(218.1±200.7)和(332.0±25.8) ng·h·mL-1;t1/2分别为(2.2±0.4)和(2.2±0.2) h;V分别为(202.9±114.2)和(194.1±24.3) L;CL分别为(63.7±25.4)和(60.6±4.5) L·h-1;MRT0~12分别为(3.4±0.6)和(3.1±0.6)h。结论 两种剂量的清除率、体内滞留时间和药物消除半衰期相近;与给药剂量无关,结果符合线性药动学特征。经体重与剂量校正后各剂量组受试者的药动学参数AUC0-12和AUC0-∞在性别之间无统计学差异。

Abstract

OBJECTIVE To assess the pharmacokinetic properties of nalbuphine after single intravenous administration in healthy Chinese volunteers.METHODS Sixteen healthy volunteers (8 males and 8 females) were enroued in this study. The 16 healthy volunteers were divided into two groups (each group consisted of 4 males and 4 females) and received intravenous administration of nalbuphine at doses of 10, 20 mg, respectively. Blood samples (4 mL) were immediately collected into heparinized tubes before injection and at 0, 5, 10, 15, 30, 45 min, 1, 1.5, 2, 4, 6, 8, 12 h after injection. The pharmacokinetic parameters including ρmaxtl/2, AUC0-t, AUC0-∞CL, V and MRT0-t were calculated. Tolerability was assessed throughout the study.RESULTS The main pharmacokinetic parameters for nalbuphine after intravenous administration at doses of 10 and 20 mg were as follows:AUC0-12(213.4±195.7) ng·h·mL-1, (325.7±26.8) ng·h·mL-1, AUC0-∞(218.1±200.7) ng·h·mL-1, (332.0±25.8) ng·h·mL-1, t1/2(2.2±0.4) h, (2.2±0.2) h, V (202.9±114.2) L, (194.1±24.3) L; CL(63.7±25.4) L·h-1 and (60.6±4.5) L·h-1,MRT0~12(3.4±0.6) h and (3.1±0.6) h. AUC0-12 and AUC0-∞ increased proportionally with the dose levels.CONCLUSION The t1/2, MRT, V and CL were very similar between 10 and 20 mg. No significant differences were observed in t1/2 values between different doses. No significant differences were found in AUC and ρmax men women after dose and body weightnormaliz.

关键词

纳布啡 / 药代动力学 / 液相色谱-串联质谱法

Key words

nalbuphine / pharmacokinetics / LC-MS/MS

引用本文

导出引用
蔡立婧 张俊 彭文兴 朱荣华 王秀梅 阳剑 张啟智. 纳布啡注射液在健康受试者中的药代动力学研究[J]. 中国药学杂志, 2011, 46(20): 1597-1600
CI Li-jing;ZHNG Jun;PENG Wen-xing;ZHU Rong-hu;WNG Xiu-mei;YNG Jin;ZHNG Qi-zhi. Pharmacokinetics of Intravenous Nalbuphine in Healthy Volunteers[J]. Chinese Pharmaceutical Journal, 2011, 46(20): 1597-1600

参考文献


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