PMID- 21679246 OWN - NLM STAT- MEDLINE DCOM- 20130625 LR - 20161125 IS - 1472-8206 (Electronic) IS - 0767-3981 (Linking) VI - 27 IP - 1 DP - 2013 Feb TI - Nonlinear pharmacokinetic properties of mildronate capsules: a randomized, open-label, single- and multiple-dose study in healthy volunteers. PG - 120-8 LID - 10.1111/j.1472-8206.2011.00962.x [doi] AB - Mildronate has been used as antianginal drug in parts of Europe for many years, but its pharmacokinetic (PK) properties in humans remain unclear. This study was designed to assess and compare the PK properties of mildronate capsules after single escalating oral dose and multiple doses in healthy Chinese volunteers. Volunteers were randomly assigned to receive a single dose of 250, 500, 1000, 1250 or 1500 mg of mildronate capsules. Those who received the 500-mg dose continued on the multiple-dose phase and received 500 mg three times a day for 13 days. Plasma drug concentrations were analysed by ultraperformance liquid chromatography coupled with tandem mass spectrometry (UPLC-MS/MS). Tolerability was assessed throughout the study. A total of 40 Chinese volunteers were enrolled in the study. No period or sequence effect was observed. Area under the concentration and C(max) were increased proportionally with the dose levels, whereas t(1/2) and V(d)/f were dependent on the dose. Nonlinear PK properties were found at doses of 250-1500 mg. There was an accumulation after multiple-dose administration. No serious adverse events (AEs) were reported in the PK study. The formulation was well tolerated. CI - (c) 2011 The Authors Fundamental and Clinical Pharmacology (c) 2011 Societe Francaise de Pharmacologie et de Therapeutique. FAU - Zhang, Jun AU - Zhang J AD - Clinical Pharmacy Research Institute, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Cai, Li-Jing AU - Cai LJ FAU - Yang, Jian AU - Yang J FAU - Zhang, Qi-Zhi AU - Zhang QZ FAU - Peng, Wen-Xing AU - Peng WX LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20110616 PL - England TA - Fundam Clin Pharmacol JT - Fundamental & clinical pharmacology JID - 8710411 RN - 0 (Capsules) RN - 0 (Cardiotonic Agents) RN - 0 (Enzyme Inhibitors) RN - 0 (Methylhydrazines) RN - 73H7UDN6EC (3-(2,2,2-trimethylhydrazine)propionate) RN - EC 1.14.11.1 (gamma-Butyrobetaine Dioxygenase) SB - IM MH - Adult MH - Calibration MH - Capsules MH - Cardiotonic Agents/administration & dosage/adverse effects/blood/*pharmacokinetics MH - China MH - Dose-Response Relationship, Drug MH - Enzyme Inhibitors/administration & dosage/adverse effects/blood/*pharmacokinetics MH - Female MH - Half-Life MH - Humans MH - Limit of Detection MH - Male MH - Metabolic Clearance Rate MH - Methylhydrazines/administration & dosage/adverse effects/blood/*pharmacokinetics MH - Reproducibility of Results MH - Young Adult MH - gamma-Butyrobetaine Dioxygenase/*antagonists & inhibitors EDAT- 2011/06/18 06:00 MHDA- 2013/06/26 06:00 CRDT- 2011/06/18 06:00 PHST- 2011/06/18 06:00 [entrez] PHST- 2011/06/18 06:00 [pubmed] PHST- 2013/06/26 06:00 [medline] AID - 10.1111/j.1472-8206.2011.00962.x [doi] PST - ppublish SO - Fundam Clin Pharmacol. 2013 Feb;27(1):120-8. doi: 10.1111/j.1472-8206.2011.00962.x. Epub 2011 Jun 16.