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건강한 한국인 자원자에서 Desloratadine 단회투여에 의한 약동학적 특성 연구
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  • 건강한 한국인 자원자에서 Desloratadine 단회투여에 의한 약동학적 특성 연구
저자명
이소정,임경수,김보형,김재우,김정렬,정재용,조주연,유경상,장인진,신상구,Yi. So-Jeong,Lim. Kyoung-Soo,Kim. Bo-Hyung,Kim. Jae-Woo,Kim. Jung-Ryul,Chung. Jae-Yong,C
간행물명
臨床藥理學會誌= The journal of Korean Society for Clinical Pharmacology and Therapeutics
권/호정보
2007년|15권 1호|pp.46-56 (11 pages)
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대한임상약리학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Background: Desloratadine, a nonsedating histamine $H_1$ receptor antagonist, is an orally active major metabolite of loratadine. We investigated the pharmacokinetic (PK) characteristics of a single oral dose of desloratadine in healthy Korean male volunteers. Methods: A parallel group, rising single dose (5, 10 and 20 mg), block (dose) randomized, double-blind, placebo-controlled study was conducted in 36 healthy male volunteers. Subjects were randomized into each dose group (placebo: active drug= 2: 10 subjects). Plasma concentrations of deslorataine and its major metabolite, 3-OH desloratadine were measured till 168 hours after drug administration. The results were compared to Caucasian data from a previous study. Results: The mean $AUC_{inf}$ were 37.9, 81.8, 172.2 ${mu}g*h/L$ and $C_{max}$ were 2.4, 5.0, 9.9 ${mu}g/L$ in 5, 10 and 20 mg dose groups, respectively. The range of mean metabolic ratio by dose groups was $0.67{sim}0.75$. $C_{max}$ and $AUC_{inf}$ of desloratadine and 3-OH desloratadine exhibited linear properties over a dose range of 5 to 20 mg. Mean terminal elimination half-life ($t_{1/2}$) was 25 hours for desloratadine, and 38 hours for 3-OH desloratadine. The geometric mean ratios(90% confidence interval) for Koreans to Caucasians were 1.3 (1.06-1.60) for dose-normalized $AUC_{inf}$ and 1.3 (1.11-1.51) for dose-normalized $C_{max}$; PK parameters of desloratadine in Koreans showed statistically significant differences with the PK parameters in Caucasians. However, desloratadine has a wide safety margin and flat dose-response relationship, so approximately 1.3 times higher exposure is not thought to be clinically significant. Conclusions: The PK parameters of desloratadine in Koreans were linear according to dose increments. Comparison of the $AUC_{inf}$ and $C_{max}$ values between Koreans and Caucasians indicates no clinically relevant difference that requires dosage adjustment for desloratadine in Koreans.