在患有类风湿性疾病的患者中,长期使用氧化治疗的群体药理动力学
Chunlan Yang1, Yiyun Deng2, Hui Liu3
1Department of Pharmacy, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, Anhui, China.
British journal of clinical pharmacology
|September 24, 2024
概括
在类风湿性疾病患者中,随着治疗持续时间的延长,氧化 (HCQ) 清除率会增加. 一个人口药理动力学模型有助于确定氧化 (HCQ) 治疗的最佳剂量.
科学领域:
- 药理动力学 药理动力学
- 风湿性疾病 风湿性疾病
- 药物新陈代谢 药物新陈代谢
背景情况:
- 氧化 (HCQ) 是对类风湿性关节炎和全身性红斑狼等类风湿性疾病的长期治疗的基石.
- 在HCQ代谢的个体变异性需要了解其长期的药理动力学特征.
研究的目的:
- 在风湿性疾病患者中建立长期HCQ治疗的种群药理学模型.
- 确定影响HCQ代谢的因素,并优化剂量策略.
主要方法:
- 从203名超过6个月HCQ治疗的患者中利用了274个全血最低度.
- 开发了一个非线性混合效应模型来描述HCQ的药理动力学.
- 研究的共变量和模拟的最佳剂量方案.
主要成果:
- 一个具有第一阶吸收的隔间模型描述了HCQ度-时间概况.
- 表面清除量为16.4L/h,分布量为1220L.
- 随着更高的剂量方案和体重增加,HCQ清除增加;初始剂量为5mg/kg被认为是适当的.
结论:
- 成功开发了一种长期HCQ治疗风湿性疾病的种群药理动力学模型.
- 全血HCQ清除量表现出随着药物服用时间的延长而逐渐增加.
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