有限采样法估算口服盐酸二甲双胍的药动学参数
Limited sampling strategy to estimate pharmacokinetic parameters of orally administered metformin hydrochloride
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摘要:
本研究以药动学参数为指标, 评价有限采样法估算二甲双胍药动学参数的可行性, 为二甲双胍的生物等效性评价及临床监测提供实验依据。以20名健康志愿者为研究对象, 口服盐酸二甲双胍1 000 mg后采集若干时间点血浆样品, 采用高效液相色谱法测定各采样时间点二甲双胍的血药浓度, 以LSS建立回归数学模型, 用Jacknife法验证回归模型的准确性。结果表明, 单个血药浓度-时间点预测药动学参数, 回归模型, 线性关系较差; 部分2点和3点预测药动学参数, 回归模型, 线性关系较好 (r2 > 0.9, P < 0.05), 其中以C2, C6预测AUC0−24 h和C1.5, C2预测Cmax的回归模型和线性关系最佳, 且准确性好。因此, 有限采样法估算口服盐酸二甲双胍制剂药动学参数是可行的。
Abstract:The present study was to estimate pharmacokinetic parameters of metformin hydrochloride in 20 Chinese healthy volunteers with a limited sampling strategy (LSS), which will provide scientific data for bioequivalence and clinical application. A single dose of metformin was administrated to 20 healthy volunteers. The concentration of metformin in whole blood was determined by validated high performance liquid chromatography (HPLC) method. Multi-linear regression analysis was performed to establish a model to estimate AUC0−24 h and Cmax of metformin by LSS method. The LSS models were validated by the Jackknife method. The result indicated: the linearity relationship between AUC0−24 h or Cmax and single concentration point was poor. Several models for metformin AUC0−24 h or Cmax estimation were better (r2 > 0.9, P < 0.05). Validation tests indicated that most informative sampling points (C2, C6 for AUC0−24 h, C1.5, C2 for Cmax) provided accurate estimations of these parameters. So, a multi-linear regression model for estimation pharmacokinetic parameters of metformin by using LSS method is feasible.
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