PMID- 18971181 OWN - NLM STAT- MEDLINE DCOM- 20091005 LR - 20131121 IS - 1673-4254 (Print) IS - 1673-4254 (Linking) VI - 28 IP - 10 DP - 2008 Oct TI - [Pharmacokinetics of nalmefene after a single or multiple intravenous doses in Chinese healthy volunteers]. PG - 1816-9 AB - OBJECTIVE: To investigate the pharmacokinetics of nalmefene after intravenous administration at a single or multiple doses in Chinese healthy volunteers. METHODS: This open, randomized clinical trial involved 12 healthy volunteers, who received a single-dose (2 mg) nalmefene injection. Before and at different time points after the injection, blood sample were obtained from the subjects. After the single intravenous dose trial, 8 healthy volunteers received intravenous nalmefene at 2 mg once daily for 6 consecutive days, and the plasma drug concentrations were determined on the morning of days 4, 5 and 6 using liquid chromatography/tandem mass spectrometry and the pharmacokinetic parameters were calculated using PKS program. RESULTS: The main pharmacokinetic parameters of nalmefene (Cmax, Tmax, T1/2, AUC0-48, and AUC0-infinity) after the single intravenous dose were 7.34-/+1.56 microg/L, 0.08 h, 12.01-/+2.20 h, 30.29-/+9.84 microg.L(-1).h, and 32.23-/+9.94 microg.L(-1).h, respectively; the parameters after multiple doses were 8.04-/+1.09 microg/L, 0.08 h, 12.43-/+1.44 h, 33.64-/+9.15 microg.L(-1).h and 35.98-/+9.23 microg.L(-1).h, respectively. The steady-state pharmacokinetic parameters including the degree of fluctuation (DF), AUCss and Cav were 4.69-/+1.29, 19.64-/+6.20 microg.L(-1).h and 1.64-/+0.52 microg/L, respectively. CONCLUSION: Nalmefene showed similar pharmacokinetics in Chinese healthy volunteers with those in the foreign testees, and can be safely administered in healthy volunteers without producing unmanageable pain. FAU - Liao, Ri-fang AU - Liao RF AD - Department of Clinical Pharmacy, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China. liaorf@mail.sysu.edu.cn FAU - Zeng, Zhuan-ping AU - Zeng ZP FAU - Wen, Yu-guan AU - Wen YG LA - chi PT - Clinical Trial, Phase I PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - China TA - Nan Fang Yi Ke Da Xue Xue Bao JT - Nan fang yi ke da xue xue bao = Journal of Southern Medical University JID - 101266132 RN - 0 (Narcotic Antagonists) RN - 5S6W795CQM (Naltrexone) RN - TOV02TDP9I (nalmefene) SB - IM MH - Adult MH - China MH - Female MH - Humans MH - Injections, Intravenous MH - Male MH - Naltrexone/administration & dosage/*analogs & derivatives/pharmacokinetics MH - Narcotic Antagonists/administration & dosage/*pharmacokinetics EDAT- 2008/10/31 09:00 MHDA- 2009/10/06 06:00 CRDT- 2008/10/31 09:00 PHST- 2008/10/31 09:00 [pubmed] PHST- 2009/10/06 06:00 [medline] PHST- 2008/10/31 09:00 [entrez] PST - ppublish SO - Nan Fang Yi Ke Da Xue Xue Bao. 2008 Oct;28(10):1816-9.