二十碳五烯酸乙酯在中国健康受试者中单次、多次给药的药代动力学及安全性研究OA
Pharmacokinetics and safety study of single and multiple doses of icosapent ethyl in healthy Chinese subjects
目的:评价单次和多次口服二十碳五烯酸乙酯软胶囊(商品名:EPADEL S®)在中国健康成年男性受试者中的药代动力学及安全性.方法:本研究采取单中心、开放设计.单次给药设 3个剂量组(900、1800、2700 mg),受试者均于早餐后立即口服试验药物.多次给药设 2个剂量组(1800、3600 mg),受试者分别于早餐后和晚餐后口服试验药物,每日给药 2次,连续给药至第8天早餐后.各剂量组均纳入 12例受试者.结果:单次给药 900、1800、2700 mg后:Cmax分别为(11.79±3.27)、(14.76±4.73)、(15.51±7.84)µg/mL;AUC0-t分别为(670.60±170.67)、(792.44±203.95)、(783.05±310.79)h·µg·mL-1;AUC0-∞分别为(1 792.93±927.10)、(2 259.89±1 362.41)、(2 053.15±750.52)h·µg·mL-1.多次给药 1 800、3600 mg后:Cmax,ss分别为(54.78±15.00)、(83.35±22.11)µg/mL;AUCss分别为(570.50±162.14)、(848.85±192.14)h·µg·mL-1.未发生严重不良事件和导致退出的不良事件,所有受试者耐受性良好.结论:二十碳五烯酸乙酯在健康受试者单次和多次口服试验药物后安全性良好.比例化剂量暴露关系非线性,随着给药剂量的增加,血浆中二十碳五烯酸的暴露量增加.
AIM:To evaluate the pharmacokinet-ics and safety of single and multiple doses of icos-apent ethyl soft capsules(trade name:EPADEL S ®)in healthy adult male Chinese subjects.METHODS:This study was a single-center,open-label trial.In the single-dose phase,subjects were assigned to one of three dose groups(900,1 800 or 2 700 mg),with a single oral dose administered immediately after breakfast.In the multiple-dose phase,sub-jects received either 1 800 mg or 3 600 mg orally twice daily—immediately after breakfast and din-ner—for a total of 8 days,ending with the morning dose on Day 8.Each dose group consisted of 12 subjects.RESULTS:Following single oral doses of 900,1 800,and 2 700 mg,the corresponding Cmax were(11.79±3.27)(14.76±4.73)(15.51±7.84)µg/mL;the AUC0-t were(670.60±170.67)(792.44±203.95)h·µg·mL-1 and(783.05±310.79)h·µg·mL-1;and the AUC0-∞ were(1 792.93±927.10)(2 259.89±1 362.41)h·µg·mL-1,and(2 053.15±750.52)h·µg·mL-1,respectively.Following multiple oral dos-es of 1 800 mg and 3 600 mg,the Cmax,ss were(54.78±15.00)(83.35±22.11)µg/mL,and the AUCss were(570.50±162.14)and(848.85±192.14)h·µg·mL-1,respectively.No serious adverse events or adverse events leading to withdrawal occurred,and all subjects had good tolerability.CONCLUSION:Icosapent ethyl exhibited a favorable safety profile in healthy subjects following both single and multi-ple doses.The dose-exposure relationship was non-linear,with plasma exposure to eicosapentaenoic acid increasing as the dose increased.
吴瑛;许志玮;李华芳;沈一峰;黄志伟;李妍
上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000上海交通大学医学院附属精神卫生中心临床研究中心,上海 200000
医药卫生
二十碳五烯酸乙酯中国健康受试者药代动力学
icosapent ethylhealthy Chinese sub-jectspharmacokinetics
《中国临床药理学与治疗学》 2026 (8)
1070-1075,6
上海市生物医药临床研究与转化协同创新中心(CCTS-202409PT)上海市精神心理疾病临床医学研究中心(19MC1911100)
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