Absorption and disposition of levocetirizine, the eutomer of cetirizine, administered alone or as cetirizine to healthy volunteers

被引:65
作者
Baltes, E
Coupez, R
Giezek, H
Voss, G
Meyerhoff, C
Benedetti, MS
机构
[1] UCB Pharma, F-92003 Nanterre, France
[2] UCB Pharma, B-1420 Braine Lalleud, Belgium
[3] UCB GMBH, D-50170 Kerpen Sindorf, Germany
[4] AAI Deutschland GMBH & Co KG, D-89231 Neu Ulm, Germany
关键词
absorption; cetirizine; configurational stability; disposition; distomer; enantiomers; eutomer; levocetirizine;
D O I
10.1046/j.1472-8206.2001.00035.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The primary objective of the present study was to compare the absorption and disposition of levocetirizine, the eutomer of cetirizine. when administered alone (10 mg) or in presence of the distomer. An additional objective was also to investigate the configurational stability of levocetirizine in vivo in humans. The study was performed in a randomized, two-way cross-over, single-dose design with a wash-out phase of 7 days between the two periods. A total of 12 healthy male and 12 healthy female volunteers were included in the study. Bioequivalence can be concluded from the analysis of the pharmacokinetic parameters of levocetirizine when administered alone or as the racemate cetirizine. No chiral inversion occurs in humans when levocetirizine is administered, i.e. there is no formation of the distomer. When comparing the pharmacokinetic characteristics of levocetirizine and the distomer, the apparent volume of distribution of the eutomer is significantly smaller than that of the distomer (0.41 and 0.60 L/kg, respectively). For an H-1-antagonist a small distribution volume can be considered as a positive aspect, both in terms of efficacy and safety. Moreover the non-renal clearance of levocetirizine is also significantly lower than that of the distomer (9.70 and 28.70 mL/min, respectively), which constitutes an additional positive aspect particularly as far as metabolism-based drug interactions are concerned. The information collected in the present study on the pharmacokinetics of levocetirizine and the distomer provide additional reasons for eliminating the distomer and developing levocetirizine as an improvement on cetirizine.
引用
收藏
页码:269 / 277
页数:9
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