Literature DB >> 17532692

Pharmacokinetics and Safety of ABT-578, a Sirolimus (Rapamycin) Analogue, after Single Intravenous Bolus Injection in Healthy Male Volunteers.

Rameshraja Palaparthy1, Rajendra Pradhan, Jenny Chan, Qiang Wang, Qin Ji, Ramanuj Achari, Titus Chira, Lewis B Schwartz, Robert O'dea.   

Abstract

OBJECTIVE: ABT-578, a tetrazole analogue of sirolimus (rapamycin), possesses anti-restenosis activity. The aim of this study was to assess the safety and pharmacokinetics of escalating single intravenous (IV) doses of ABT-578 in a phase 1, double-blind, randomised, placebo-controlled study.
METHODS: Sixty adult healthy males were divided into five IV-dose groups of 100, 300, 500, 700 and 900mug. Doses were administered as IV bolus over 3 minutes, with eight subjects and four subjects receiving ABT-578 and placebo, respectively, in each dose group. Higher doses were administered after evaluating safety from the preceding lower doses. Blood concentrations of ABT-578 were sampled for 168 hours and measured using LC-MS/MS with a limit of quantification of 0.20 ng/mL.
RESULTS: The pharmacokinetics of ABT-578 were essentially linear across the 100-900microg dose range as illustrated by the dose-proportional increases in concentration at 5 minutes (C(5)) after the end of infusion and area under the concentration-time curve (AUC). The mean half-life ranged between 26.0 and 40.2h over the studied doses and was not significantly different over the 300-900mug dose range. The mean clearance values ranged from 2.90 to 3.55 L/h. Single IV bolus doses up to 900mug of ABT-578 were well tolerated and no clinically significant changes in physical examination results, vital signs or laboratory test results were observed.
CONCLUSION: It can be concluded that the pharmacokinetics of IV ABT-578 are dose-proportional over the 100-900mug dose range. Single IV bolus doses up to 900mug were well tolerated in healthy male subjects.

Entities:  

Year:  2005        PMID: 17532692     DOI: 10.2165/00044011-200525080-00001

Source DB:  PubMed          Journal:  Clin Drug Investig        ISSN: 1173-2563            Impact factor:   2.859


  19 in total

1.  Clinical trials of vascular brachytherapy for in-stent restenosis: update.

Authors:  A E Ajani; H S Kim; R Waksman
Journal:  Cardiovasc Radiat Med       Date:  2001 Apr-Jun

Review 2.  Drug-eluting stents: a new treatment in the prevention of restenosis. Part II: Clinical studies.

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3.  Update on pharmacokinetic/pharmacodynamic studies with FTY720 and sirolimus.

Authors:  Barry D Kahan
Journal:  Ther Drug Monit       Date:  2002-02       Impact factor: 3.681

4.  Lack of neointimal proliferation after implantation of sirolimus-coated stents in human coronary arteries: a quantitative coronary angiography and three-dimensional intravascular ultrasound study.

Authors:  J E Sousa; M A Costa; A Abizaid; A S Abizaid; F Feres; I M Pinto; A C Seixas; R Staico; L A Mattos; A G Sousa; R Falotico; J Jaeger; J J Popma; P W Serruys
Journal:  Circulation       Date:  2001-01-16       Impact factor: 29.690

Review 5.  Pharmacokinetics of rapamycin.

Authors:  R W Yatscoff
Journal:  Transplant Proc       Date:  1996-04       Impact factor: 1.066

Review 6.  Prevention of coronary restenosis.

Authors:  P J Casterella; P S Teirstein
Journal:  Cardiol Rev       Date:  1999 Jul-Aug       Impact factor: 2.644

7.  Pharmacokinetics of sirolimus in stable renal transplant patients after multiple oral dose administration.

Authors:  J J Zimmerman; B D Kahan
Journal:  J Clin Pharmacol       Date:  1997-05       Impact factor: 3.126

8.  Sustained suppression of neointimal proliferation by sirolimus-eluting stents: one-year angiographic and intravascular ultrasound follow-up.

Authors:  J E Sousa; M A Costa; A C Abizaid; B J Rensing; A S Abizaid; L F Tanajura; K Kozuma; G Van Langenhove; A G Sousa; R Falotico; J Jaeger; J J Popma; P W Serruys
Journal:  Circulation       Date:  2001-10-23       Impact factor: 29.690

9.  Coronary-artery stenting compared with balloon angioplasty for restenosis after initial balloon angioplasty. Restenosis Stent Study Group.

Authors:  R Erbel; M Haude; H W Höpp; D Franzen; H J Rupprecht; B Heublein; K Fischer; P de Jaegere; P Serruys; W Rutsch; P Probst
Journal:  N Engl J Med       Date:  1998-12-03       Impact factor: 91.245

Review 10.  ABT-578-eluting stents. The promising successor of sirolimus- and paclitaxel-eluting stent concepts?

Authors:  Lutz Buellesfeld; Eberhard Grube
Journal:  Herz       Date:  2004-03       Impact factor: 1.443

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