Mingjie YU, Rongfeng XIANG, Lirong XIONG, et al. Pharmacokinetic study of ranolazine in Chinese healthy volunteers[J]. Journal of Third Military Medical University, 2019, 41(2): 177-182.
DOI:
Mingjie YU, Rongfeng XIANG, Lirong XIONG, et al. Pharmacokinetic study of ranolazine in Chinese healthy volunteers[J]. Journal of Third Military Medical University, 2019, 41(2): 177-182. DOI: 10.16016/j.1000-5404.201808200.
Pharmacokinetic study of ranolazine in Chinese healthy volunteers
To evaluate pharmacokinetics after administration of ranolazine sustained release tablets at a single and multiple dose to healthy Chinese volunteers.
Methods
2
A self-controlled trial design was used. In the single-time group
10 healthy volunteers
half male and half female
were included
and 500
1 000 and 1 500 mg ranolazine sustained-release tablets were taken sequentially in 3 cycles. For the multiple-dose group
10 individuals of both sexes were enrolled
and 500 and 1 000 mg ranolazine sustained-release tablets were sequentially administered in 2 cycles. The concentration of ranolazine in plasma samples was determined by LC-MS-MS
and the main pharmacokinetic parameters were calculated.
Results
2
The linear concentration of ranolazine in plasma ranged from 40 to 4 000 μg/L
and the LLOQ was 40 μg/L. The intra-assay and inter-assay precision were less than 15%. After single dose
the main parameters in doses 500
1 000
1 500 mg were C
max
: 774±157
1 818±554 and 2 762±1 099 μg/L
respectively;
t
max
: 4.9±1.8
4.9±2.6 and 4.9±1.5 h
respectively;
t
1/2z
: 8.2±6.8
10.3±8.7 and 9.7±12.0 h
respectively; AUC
0-t
: 8 470±2 765
20 936±6 957 and 32 554±17 780 μg·h/L
respectively. After multiple dose
the main parameters in doses 500
1 000 mg were C
maxss
: 1 826±904 and 3 635±620 μg/L; C
minss
: 1 022±3 and 2 282±163 μg/L; C
av
: 1 253±634 and 2 615±536 μg/L; AUC
0-t
: 22 452±12 359 and 53 232±15 909 μg·h/L; MRT
0-t
: 8.7±2.3 and 10.6±2.6; R
AUC
: 3.11±2.60 and 2.86±1.54.
Conclusion
2
In a single administration trial
C
max
and AUC are increased proportionally to the dose
and there is a good linear relationship between the three doses. Multiple dose tests have found that ranolazine has a certain accumulation in the body.
关键词
Keywords
references
CODOLOSA J N, ACHARJEE S, FIGUEREDO V M. Update on ranolazine in the management of angina[J]. Vasc Health Risk Manag, 2014, 10: 353-362. DOI: 10.2147/VHRM.S40477.
SIDDIQUI M A, KEAM S J. Ranolazine: a review of its use in chronic stable angina pectoris[J]. Drugs, 2006, 66(5): 693-710. DOI: 10.2165/00003495-200666050-00010.
ROSANO G M C, VITALE C, VOLTERRANI M.Pharmacological management of chronic stable angina focus on ranolazine[J]. Cardiovasc Drugs Ther, 2016, 30(4): 393-398.DOI: 10.1007/s10557-016-6674-1.
FUMAGALLI F, RUSSO I, STASZEWSKY L, et al . Ranolazine ameliorates postresuscitation electrical instability and myocardial dysfunction and improves survival with good neurologic recovery in a rat model of cardiac arrest[J ] . Heart Rhythm, 2014, 11(9): 1641-1647. DOI: 10.1016/j.hrthm.2014.05.023.
FRAGAKIS N, KOSKINAS K C, VASSILIKOS V. Ranolazine as a promising treatment option for atrial fibrillation electrophysiologic mechanisms experimental evidence, and clinical implications[J]. Pacing Clin Electrophysiol, 2014, 37(10): 1412-1420. DOI: 10.1111/pace.12486.
JERLING M. Clinical pharmacokinetics of ranolazine[J]. Clin Pharmacokinet, 2006, 45(5): 469-491. DOI: 10.2165/00003088-200645050-00003.
JIA J Y, LIU G Y, CHEN J, et al .Determination of ranolazine in Beagle dog plasma by HPLC-UV method[J ] . Chin J New Drugs Clin Rem, 2011, 30(7): 537-540.
TIAN L, JIANG J, HUANG Y, et al . Sensitive quantification of ranolazine in human plasma by liquid chromatography-tandem mass spectrometry with positive electrospray ionization[J ] . J Chromatogr B, 2007, 846(1): 346-350. DOI: 10.1016/j.jchromb.2006.08.010.
WANG Z H, LI Y, HOU W J, et al .Pharmacokinetic study of ranolazine in Chinese healthy volunteers[J ] . Chin Pharm J, 2014, 49(6): 496-500. DOI: 10.11669/cpj.2014.06.014.
TAN Q Y, ZHU R H, LI H D, et al . Development and validation of a sensitive U-HPLC-MS/MS method with electrospray ionization for quantitation of ranolazine in human plasma: application to a clinical pharmacokinetic study[J ] . J Chromatogr B Analyt Technol Biomed Life Sci, 2012, 901: 119-124. DOI: 10.1016/j.jchromb.2012.06.011.
MASTERS J C, SHAH M M, FEIST A A. Drug interaction between sirolimus and ranolazine in a kidney transplant patient[J]. Case Rep Transplant, 2014, 2014: 548243. DOI: 10.1155/2014/5482432.
TAN Q Y, ZHU R H, LI H D, et al . Quantification of Ranolazine in human plasma using HPLC-MS/MS for pharmacokinetic study of its sustained-release preparation[J ] . Chin J Clin Pharmacol Ther, 2012, 17(5): 549-553.