代谢
在大剂量使用dexfenfluramine的动物中,会导致血清素能标记物的减少,但迄今为止研究的所有物种都与人在动力学和代谢上没有足够的相似性,不能作为安全性研究的有效模型。因此,研究了dexfenfluramine及其活性代谢物dexnorfenfluramine在给予口服dexfenfluramine hydrochloride(2 mg/kg)的狒狒、恒河猴和食蟹猴中的血浆动力学,以探究这些灵长类动物中是否有人类生物分布的特别相似性。2. 该药物迅速N-去乙基化生成dexnorfenfluramine,在所有灵长类动物中达到相对较低的平均最大血浆浓度(Cmax)12-14 ng/ml,并且在此之后迅速消失,半衰期(t1/2)在狒狒和恒河猴中为2到3小时,在食蟹猴中为6小时。其正常代谢物达到更高的平均Cmax(52-97 ng/ml),半衰期更长,从恒河猴的大约11小时到食蟹猴的22小时不等。代谢物与母药的比例(14-37),以血浆曲线下面积(AUC)计算,远超过人类(< 1),高于迄今为止所有研究物种。3. 在猴子和人类中进行的比较重复剂量模拟表明,灵长类动物的剂量需要增加10倍才能达到可比的dexfenfluramine稳态血浆Cmax,产生的正常代谢物水平是人类的数倍,而为了达到可比的代谢物Cmax,母药的水平相应地会过低。4. 由于dexfenfluramine和dexnorfenfluramine在血清素能系统中的作用机制不同,因此这些灵长类动物都不是与人类相比接触活性物质的安全性评估的合适模型。
Large doses of dexfenfluramine in animals cause a decrease of serotoninergic markers but none of the species so far investigated shows sufficient kinetic and metabolic similarity with man to be a valid model for safety studies. The plasma kinetics of dexfenfluramine and its active metabolite dexnorfenfluramine were therefore studied in baboon, rhesus and cynomolgus monkeys given dexfenfluramine hydrochloride orally (2 mg/kg) in order to investigate whether any of these primates have a biodisposition particularly similar to man. 2. The drug was rapidly N-deethylated to dexnorfenfluramine achieving comparatively low mean maximum plasma levels (Cmax) of 12-14 ng/ml in all primates, and rapidly disappeared thereafter with half-lives (t1/2) ranging from 2 to 3 h in the baboon and rhesus monkey to 6 h in the cynomolgus monkey. Its normetabolite reached higher mean Cmax (52-97 ng/ml) and the t1/2's were longer, varying from about 11 h in the rhesus monkey to 22 h in the cynomolgus monkey. The metabolite-to-parent drug ratio (14-37), in terms of plasma area under curve (AUC), greatly exceeded that in man (< 1), being higher than in all species investigated so far. 3. Comparative repeat dose simulation in monkey and man indicated that the dosage in primates would need to be increased 10-fold to achieve comparable dexfenfluramine steady-state plasma Cmax, producing nor-metabolite levels several times those in man, whilst for comparable metabolite Cmax, those of the parent drug would be correspondingly too low. 4. In view of the different mechanism of action of dexfenfluramine and dexnorfenfluramine within the serotoninergic system none of these primates is therefore a suitable model for safety assessment in terms of exposure of the active moieties in comparison with man.
来源:Hazardous Substances Data Bank (HSDB)