首页|高脂高热量饮食对中国健康受试者口服甲硝唑片药代动力学的影响

高脂高热量饮食对中国健康受试者口服甲硝唑片药代动力学的影响

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目的 评价在空腹和高脂高热量饮食情况下甲硝唑片在中国健康受试者中的药代动力学特征.方法 本方案按单中心、随机、开放、单剂量的试验设计.空腹和高脂高热量饮食条件下共入组47例中国健康受试者,单次口服甲硝唑片200 mg,给药前后按规定时间点采集静脉血样.用高效液相色谱串联质谱法测定血浆中甲硝唑的浓度并计算药代动力学参数.结果 甲硝唑片空腹和高脂高热量饮食后的主要药代动力学参数如下:Cmax分别为(4 799.13±1 195.32)和(4 044.17±773.98)ng·mL-1,tmax分别为 1.00 和 2.25 h,t1/2 分别为(9.11±1.73)和(9.37±1.79)h,AUC0-t分别为(5.59±1.19)× 104 和(5.51±1.18)× 104 ng·mL-1·h,AUC0-∞分别为(5.79±1.33)× 104 和(5.74±1.32)x104ng.mL-1·h;高脂饮食后服药较空腹条件下服药,tmax延迟1.25 h(P<0.01),Cmax、AUC0-t、AUC0-.虽有不同程度的较少或降低,但影响较小(均P>0.05).结论 高脂餐饮食对甲硝唑的药代动力学参数影响较小,虽然不会显著改变药物的吸收程度,但是会使达峰时间明显延迟.
Effect of high fat diet intake on pharmacokinetics of metronidazole tablets in healthy Chinese volunteers
Objective To evaluate the effects of high-fat diet on the pharmacokinetics of metronidazole in Chinese healthy adult subjects.Methods This program is designed according to a single-center,randomized,open,single-dose trial.Forty-seven healthy subjects were assigned to receive single dose of metronidazole tablets 200 mg in either fasting and high-fat diet state,and blood samples were taken at different time points,respectively.The concentrations of metronidazole in plasma were determined by high performance liquid chromatography-mass spectromentry.Results The main pharmacokinetic parameters of metronidazole in fasting state and high-fat diet state were as follows:Cmax were(4 799.13±1 195.32)and(4 044.17±773.98)ng·mL-1;tmax were 1.00 and 2.25 h;t1/2 were(9.11±1.73)and(9.37±1.79)h;AUC0_t were(5.59±1.19)x 104 and(5.51±1.18)x 104 ng·mL-1·h;AUC0_∞ were(5.79±1.33)x 104 and(5.74±1.32)× 104 ng·mL-1·h.Compared to the fasting state,the tmaxof the drug taken after a high fat diet was delayed by 1.25 h(P<0.01),Cmax,AUC0_t,AUC0-∞ were less or decreased in different degrees,but the effects were small(all P>0.05).Conclusion High-fat diet has little effects on the pharmacokinetic parameters of metronidazole,which does not significantly change the degree of drug absorption,but can significantly delay the time to peak.

metronidazolehigh-fat dietpharmacokineticsfood effect

赵娜、郭彩会、刘亚丽、宋浩静、史犇、胡义亭、贾彩云、董占军

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河北省人民医院Ⅰ期临床研究室,河北石家庄 050051

石家庄四药有限公司,河北石家庄 050051

苏州国辰生物科技股份有限公司,江苏苏州 215104

甲硝唑片 高脂饮食 药代动力学 食物效应

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(1)
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