一个试点,剂量确定,药理动力学和药理动力学研究口服植物 Kratom 的管理
Chad J Reissig1, Ling Chen1, Srikanth C Nallani1
1United States Food and Drug Administration, Silver Spring, MD.
Journal of clinical psychopharmacology
|March 16, 2026
概括
这项研究发现,植物性克拉在3g以上的剂量下会引起类似阿片类药物的效应,例如瞳孔收缩. 较高剂量 (12g) 导致药物嗜好和其他主观影响的评分增加,睡眠和恶心是常见的副作用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 民族植物学 民族植物学
- 毒理学 毒理学 毒理学
背景情况:
- 克拉 (Mitragyna speciosa) 是一个具有精神活性特性的东南亚植物.
- 这项研究旨在评估卡拉及其类化合物的药理动力学 (PD) 作用,安全性和药理动力学 (PK).
研究的目的:
- 评估单一来源植物 kratom 对人类的安全性和影响.
- 为了研究 kratom 的剂量相关的药理动力学和药理动力学概况.
主要方法:
- 一个双盲的,在40名娱乐性多种药物使用者之间进行了实验.
- 参与者接受了安慰剂或克拉 (1g至12g) 的单剂量.
- 评估包括瞳孔测量,主观影响和安全监测 (不良事件,生命体征,心电图).
主要成果:
- 没有报告死亡或严重不良事件; 昏昏欲睡,吐和恶心是常见的.
- 克拉在剂量≥3g时产生了与剂量相关的瞳孔收缩.
- 12克的剂量增加了"喜欢药物"",良好的效果"和"高"的主观评分.
结论:
- 植物性kratom表现出类似阿片类药物的作用,包括瞳孔收缩.
- 较高的kratom剂量 (12g) 产生了与滥用药物相关的效应.
- 这些发现是针对使用的单一来源的kratom的,可能不适用于所有kratom产品.
相关概念视频
Bioavailability Study Design: Single Versus Multiple Dose Studies
316
Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
316
Bioavailability Study Design: Healthy Subjects Versus Patients
201
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
201
Measurement of Bioavailability: Pharmacodynamic Methods
939
Pharmacodynamic methods provide insights into a drug's effects on physiological processes over time and play a crucial role in understanding bioavailability and therapeutic efficacy. These methods can be broadly classified into acute pharmacological and therapeutic response approaches, each with distinct mechanisms and applications.The acute pharmacological response method directly correlates a drug's physiological effects, such as ECG or pupil diameter changes, to its time course in the body.
939
Pharmacokinetic–Pharmacodynamic Relationship: Duration of Dose-Effect Relationship
80
For drugs producing a quantal response, onset occurs when plasma concentration reaches a minimum effective level (Cmin). The drug's action duration depends on how long the plasma concentration remains above Cmin.Two primary factors influence this duration: dose size and the rate of drug removal from the action site. Both depend on the drug's redistribution to poorly perfused tissues and elimination processes. A larger dose promotes rapid onset and prolongs the effect's duration.Consider a...
80
Pharmacokinetic–Pharmacodynamic Relationship: Problems
66
The empirical approach to drug therapy optimization relies on correlating pharmacological response with administered dosage. Such an approach can be costly, time-consuming, and often yields poor correlation due to variables like formulation factors and drug elimination characteristics. A more precise approach correlates response with plasma drug concentration or the amount of drug in the body, rather than dosage. This is achieved through pharmacokinetic-pharmacodynamic (PK/PD) modeling, which...
66
Pharmacokinetic–Pharmacodynamic Relationship: Dose to Pharmacological Effect
83
A drug’s dosage and pharmacokinetic properties determine how quickly it acts, how intense its effects are, and how long it lasts. Higher doses increase drug concentration at receptor sites, producing a hyperbolic curve when pharmacologic response is plotted against drug dose. Converting this scale to a log-linear format results in a sigmoidal curve, better representing dose–response relationships.For drugs following a one-compartment model, the pharmacologic response is directly...
83


