PHARMACOKINETICS OF THE INDIVIDUAL ENANTIOMERS OF VIGABATRIN (GAMMA-VINYL GABA) IN EPILEPTIC CHILDREN

被引:69
作者
REY, E
PONS, G
RICHARD, MO
VAUZELLE, F
DATHIS, P
CHIRON, C
DULAC, O
BEAUMONT, D
OLIVE, G
机构
[1] HOP BOCAGE,DEPT INFORMAT MED,F-21034 DIJON,FRANCE
[2] HOP ST VINCENT DE PAUL,SERV NEUROPEDIAT,F-75674 PARIS 14,FRANCE
[3] LAB MERRELL DOW,PARIS,FRANCE
关键词
D O I
10.1111/j.1365-2125.1990.tb03772.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
1. The pharmacokinetics of the enantiomers of vigabatrin were investigated after oral administration of a single 50 mg kg‐1 dose of the racemate to two groups of six epileptic children (I: 5 months‐2 years, II: 4‐14 years). 2. The mean (+/− s.d.) values of maximum plasma concentration and area under the plasma concentration‐time curve of the R(‐) enantiomer were significantly higher than those of S(+) vigabatrin in both groups: R(‐) Cmax: 21 +/− 6.6 (I)‐41.3 +/− 13.9 (II) vs S(+) Cmax: 13.9 +/− 4.5 (I)‐23.8 +/− 12.2 (II) mg l‐1; R(‐) AUC: 106 +/− 28.5 (I)‐147 +/− 34 (II) vs S(+) AUC: 90.9 +/− 27.9 (I)‐117 +/− 26 (II) mg l‐1 h. In group I, the half‐life of the R(‐) isomer was significantly shorter than that of the S(+) isomer; in group II, the half‐lives were comparable. 3. For the R(‐) enantiomer the area under the curve, and the elimination half‐life increased linearly with age. 4. During chronic administration (50 mg kg‐1 vigabatrin racemate twice a day for 4 days), the morning trough plasma drug concentrations did not increase. 1990 The British Pharmacological Society
引用
收藏
页码:253 / 257
页数:5
相关论文
共 11 条
[1]   VIGABATRIN FOR REFRACTORY COMPLEX PARTIAL SEIZURES - MULTICENTER SINGLE-BLIND STUDY WITH LONG-TERM FOLLOW-UP [J].
BROWNE, TR ;
MATTSON, RH ;
PENRY, JK ;
SMITH, DB ;
TREIMAN, DM ;
WILDER, BJ ;
BENMENACHEM, E ;
NAPOLIELLO, MJ ;
SHERRY, KM ;
SZABO, GK .
NEUROLOGY, 1987, 37 (02) :184-189
[2]  
GIBALDI M, 1977, BIOPHARMACEUTICS CLI
[3]  
GROVE J, 1980, LANCET, V2, P647
[4]   INCREASED GAMMA-AMINOBUTYRIC ACID (GABA), HOMOCARNOSINE AND BETA-ALANINE IN CEREBROSPINAL-FLUID OF PATIENTS TREATED WITH GAMMA-VINYL GABA (4-AMINO-HEX-5-ENOIC ACID) [J].
GROVE, J ;
SCHECHTER, PJ ;
TELL, G ;
KOCHWESER, J ;
SJOERDSMA, A ;
WARTER, JM ;
MARESCAUX, C ;
RUMBACH, L .
LIFE SCIENCES, 1981, 28 (21) :2431-2439
[5]   KINETICS OF THE ENANTIOMERS OF VIGABATRIN AFTER AN ORAL DOSE OF THE RACEMATE OR THE ACTIVE S-ENANTIOMER [J].
HAEGELE, KD ;
SCHECHTER, PJ .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1986, 40 (05) :581-586
[6]   DETERMINATION OF THE R(-)-ENANTIOMERS AND S(+)-ENANTIOMERS OF GAMMA-VINYL-GAMMA-AMINOBUTYRIC ACID IN HUMAN-BODY FLUIDS BY GAS-CHROMATOGRAPHY MASS-SPECTROMETRY [J].
HAEGELE, KD ;
SCHOUN, J ;
ALKEN, RG ;
HUEBERT, ND .
JOURNAL OF CHROMATOGRAPHY, 1983, 274 (MAY) :103-110
[7]   DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY OF VIGABATRIN (GAMMA-VINYL GABA) IN DRUG-RESISTANT EPILEPSY [J].
LOISEAU, P ;
HARDENBERG, JP ;
PESTRE, M ;
GUYOT, M ;
SCHECHTER, PJ ;
TELL, GP .
EPILEPSIA, 1986, 27 (02) :115-120
[8]   ANTI-CONVULSANT ACTION IN MICE WITH SOUND-INDUCED SEIZURES OF THE OPTICAL ISOMERS OF GAMMA-VINYL GABA [J].
MELDRUM, BS ;
MURUGAIAH, K .
EUROPEAN JOURNAL OF PHARMACOLOGY, 1983, 89 (1-2) :149-152
[9]   INHIBITORS OF GABA-METABOLISM [J].
METCALF, BW .
BIOCHEMICAL PHARMACOLOGY, 1979, 28 (11) :1705-1712
[10]  
RIMMER EM, 1984, LANCET, V1, P189