在施用psilocybin后,psilocin的临床药理动力学:系统性审查和后期分析分析
Marije E Otto1,2, Katelijne V van der Heijden3,4, Jan W Schoones5
1Centre for Human Drug Research (CHDR), Leiden, The Netherlands. motto@chdr.nl.
Clinical pharmacokinetics
|January 15, 2025
概括
本综述综合了从临床研究中得出的西洛辛的药理动力学. 西的活性代谢物psilocin表现出一致的药理学参数,有助于西治疗的发展.
科学领域:
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
- 药物新陈代谢 药物新陈代谢
背景情况:
- 西正在接受治疗精神疾病的调查.
- 西洛辛是西洛辛的主要精神活性代谢物.
- 了解 псилоцин的药理动力学对于基于 псилоцибин的治疗方法至关重要.
研究的目的:
- 系统地审查和整合所有已公布的psilocin的药理动力学数据.
- 为了比较各种psilocybin临床研究中的药理动力学参数.
- 为了提供关于西洛的吸收,分布,新陈代谢和分泌 (ADME) 概况的全面概述.
主要方法:
- 对 psilocybin 管理后报告人类药理动力学数据的研究进行系统性文献综述.
- 包括19个出版物,涵盖12个独特的临床数据集.
- 提取和比较原始的药理动力学数据,如果有.
主要成果:
- 在口服后,psilocybin迅速转化为psilocin,作为一种前药物.
- 西洛辛显示出快速和广泛的处置,终端半衰期为1.23-4.72小时,分布体积大 (505-1267升).
- 主要新陈代谢涉及转化为4-基-3-酸;不变的银素在尿液中的分泌量是最小的 (1.5-3.4%).
结论:
- 西洛的药理动力学参数在所有研究中都是一致的.
- 这种药理动力学数据综合支持正在进行的西洛治疗的临床开发.
- 进一步的研究可能会完善对西洛辛生物利用率和影响因素的理解.
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