在男性中,复合性和尿路人类胆管性淋巴腺素的单剂量和多剂量药理学
David J Handelsman1,2, Amanda Idan2, Reena Desai1
1ANZAC Research Institute, University of Sydney, Sydney, New South Wales, Australia.
Clinical endocrinology
|March 6, 2024
概括
尿液和复合人类胆固醇激素 (hCG) 在不孕男性中显示出可比的反应. 重组hCG推的起始剂量为62.5μg.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 药理学 药理学是指药理学的学科.
- 不孕症治疗 不孕症治疗
背景情况:
- 人类胆激素 (hCG) 用于治疗淋巴激素缺乏的不育男性.
- 治疗方法使用尿 (uhCG) 或复合 (rhCG) hCG.
- 缺乏对男性的rhCG进行直接比较和确定的剂量.
研究的目的:
- 为了比较尿液和复合hCG在不育男性中的疗效和药理动力学.
- 为了在这个患者群体中制定适合rhCG的剂量指南.
主要方法:
- 随机交叉研究使用单个标准和高剂量的uhCG和rhCG.
- 一个多剂量的人口药理学研究在雄激素缺乏的男性.
- 血清激素水平 (,DHT,雌激素,hCG,LH,FSH,SHBG) 通过LCMS和免疫测试进行测量.
主要成果:
- 在uhCG和rhCG之间,血清丸激素反应的时间和峰值相似,uhCG的早期略有下降.
- 在多剂量研究中,两个hCG产品之间的可比药理动力学和稳定的血清丸激素度.
- 实验室测试在20%的个人中发现了使用笔笔的潜在问题.
结论:
- 尽管两种hCG制剂在形式上不具有生物等价性,但在测试剂量下,它们对血清丸激素具有相似的临床作用.
- 在治疗雄激素缺乏的男性中,推的RhCG起始剂量为62.5μg (6次点击).
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