Population Pharmacokinetics of Vamorolone (VBP15) in Healthy Men and Boys With Duchenne Muscular Dystrophy.

作者: Panteleimon D. Mavroudis , John van den Anker , Laurie S. Conklin , Jesse M. Damsker , Eric P. Hoffman

DOI: 10.1002/JCPH.1388

关键词:

摘要: Duchenne muscular dystrophy (DMD) is an inherited neuromuscular disorder occurring in boys and caused by mutations the dystrophin gene. Vamorolone a first-generation delta-9,11 compound that has favorable efficacy side effect profiles relative to classical glucocorticoids. The pharmacokinetics (PK) of oral vamorolone were assessed parallel-group studies healthy men (phase 1, n = 86) with DMD 2a, 48) during 14 days once-daily dosing range doses. exhibited moderate variability PK, maximum plasma concentration usually at 2-4 hours half-life approximately 2 for all doses examined. Population PK modeling data together indicated can be well described 1-compartment model zero-order absorption. Both showed dose-linearity parameters examined, no accumulation drug daily dosing. Ingestion food resulted markedly enhanced absorption drug, as tested men. There similar apparent clearance averaging 2.0 L/h/kg 1.7 boys. Overall, well-behaved linear DMD, parameters, disposition those

参考文章(44)
Helmut Möllmann, Günther Hochhaus, Shashank Rohatagi, Jürgen Barth, Hartmut Derendorf, Pharmacokinetic/pharmacodynamic evaluation of deflazacort in comparison to methylprednisolone and prednisolone. Pharmaceutical Research. ,vol. 12, pp. 1096- 1100 ,(1995) , 10.1023/A:1016287104656
C Rodolico, M Aguennouz, M Sframeli, S Messina, S Romeo, G L Vita, G Vita, Activation of NF-kappaB pathway in Duchenne muscular dystrophy: relation to age. Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology / edited by the Gaetano Conte Academy for the study of striated muscle diseases. ,vol. 30, pp. 16- 23 ,(2011)
Sherry Dadgar, Zuyi Wang, Helen Johnston, Akanchha Kesari, Kanneboyina Nagaraju, Yi-Wen Chen, D. Ashley Hill, Terence A. Partridge, Mamta Giri, Robert J. Freishtat, Javad Nazarian, Jianhua Xuan, Yue Wang, Eric P. Hoffman, Asynchronous remodeling is a driver of failed regeneration in Duchenne muscular dystrophy Journal of Cell Biology. ,vol. 207, pp. 139- 158 ,(2014) , 10.1083/JCB.201402079
Y. -W. Chen, K. Nagaraju, M. Bakay, O. McIntyre, R. Rawat, R. Shi, E. P. Hoffman, Early onset of inflammation and later involvement of TGFβ in Duchenne muscular dystrophy Neurology. ,vol. 65, pp. 826- 834 ,(2005) , 10.1212/01.WNL.0000173836.09176.C4
Constantine Tsigos, George P Chrousos, Hypothalamic-pituitary-adrenal axis, neuroendocrine factors and stress. Journal of Psychosomatic Research. ,vol. 53, pp. 865- 871 ,(2002) , 10.1016/S0022-3999(02)00429-4
RJ Keizer, MO Karlsson, A Hooker, Modeling and Simulation Workbench for NONMEM: Tutorial on Pirana, PsN, and Xpose CPT: Pharmacometrics & Systems Pharmacology. ,vol. 2, pp. 1- 9 ,(2013) , 10.1038/PSP.2013.24
Varun Garg, William J. Jusko, Bioavailability and reversible metabolism of prednisone and prednisolone in man Biopharmaceutics & Drug Disposition. ,vol. 15, pp. 163- 172 ,(1994) , 10.1002/BDD.2510150208
R. C. Griggs, R. T. Moxley, J. R. Mendell, G. M. Fenichel, M. H. Brooke, A. Pestronk, J. P. Miller, V. A. Cwik, S. Pandya, J. Robison, W. King, L. Signore, J. Schierbecker, J. Florence, N. Matheson-Burden, B. Wilson, Duchenne dystrophy: Randomized, controlled trial of prednisone (18 months) and azathioprine (12 months) Neurology. ,vol. 43, pp. 520- 527 ,(1993) , 10.1212/WNL.43.3_PART_1.520
Robert C Griggs, Richard T Moxley, Jerry R Mendell, Gerald M Fenichel, Michael H Brooke, Alan Pestronk, J Philip Miller, Prednisone in Duchenne Dystrophy: A Randomized, Controlled Trial Defining the Time Course and Dose Response JAMA Neurology. ,vol. 48, pp. 383- 388 ,(1991) , 10.1001/ARCHNEUR.1991.00530160047012
Erica K.M. Reeves, Eric P. Hoffman, Kanneboyina Nagaraju, Jesse M. Damsker, John M. McCall, VBP15: preclinical characterization of a novel anti-inflammatory delta 9,11 steroid. Bioorganic & Medicinal Chemistry. ,vol. 21, pp. 2241- 2249 ,(2013) , 10.1016/J.BMC.2013.02.009