PMID- 24802657 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20211021 IS - 1179-1918 (Electronic) IS - 1173-2563 (Linking) VI - 34 IP - 7 DP - 2014 Jul TI - Tolerability and pharmacokinetics of lobeglitazone, a novel peroxisome proliferator-activated receptor-gamma agonist, after a single oral administration in healthy female subjects. PG - 467-74 LID - 10.1007/s40261-014-0197-y [doi] AB - BACKGROUND AND OBJECTIVES: Lobeglitazone is a recently approved peroxisome proliferator-activated receptor-gamma agonist for the treatment of type 2 diabetes mellitus in Korea. The purpose of this study was to investigate the pharmaco kinetic properties of lobeglitazone in healthy females and to compare these with historical data in healthy males. METHODS: This study was designed as a block-randomized, double-blind, placebo-controlled, parallel-group study. A single 2 or 4 mg oral dose of lobeglitazone or a placebo was randomly administered to 22 female subjects, and pharmacokinetic blood samples were obtained after dosing. Pharmacokinetic parameters were calculated by a non-compartmental method, and the results were compared with those previously obtained from male subjects. Tolerability was assessed by clinical and laboratory parameters. RESULTS: During the study, a total of 28 adverse events (AEs) were observed in the lobeglitazone group (n = 16) and nine AEs in the placebo group (n = 6). Serious AEs or significant clinical changes were not observed. After oral administration, lobeglitazone was rapidly absorbed with the time to maximum plasma concentration (t(max)) ranging from 0.5 to 4.0 h. The mean (standard deviation) maximum plasma concentration (C(max)) and area under the plasma concentration-time curve from time zero to infinity (AUC(infinity)) for the 2 mg dose were 214.8 (56.4) microg/L and 2,251.3 (721.2) microg.h/L, respectively, and the corresponding values for the 4 mg dose were 310.0 (47.8) microg/L and 6,942.6 (1,778.9) microg.h/L, respectively. The ratios (95 % CIs) for the geometric means (female/male) of the C(max) and AUCinfinity were 1.23 (0.89-1.69) and 1.11 (0.73-1.68), respectively (2 mg), and 1.28 (1.01-1.63) and 2.36 (1.60-3.47), respectively (4 mg). CONCLUSION: Lobeglitazone was well-tolerated in healthy females. There was no sex difference for systemic lobeglitazone exposure at a 2 mg dose; however, female subjects showed greater systemic exposure than males after the administration of 4 mg of lobeglitazone. In spite of the pharmacokinetic difference, dose adjustment based on sex alone is not needed in clinical use because therapy should be individualized for each patient to achieve glycemic control. FAU - Park, Min Kyu AU - Park MK AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Korea. FAU - Kim, Tae-Eun AU - Kim TE FAU - Kim, JaeWoo AU - Kim J FAU - Kim, Chin AU - Kim C FAU - Yoon, Seo Hyun AU - Yoon SH FAU - Cho, Joo-Youn AU - Cho JY FAU - Jang, In-Jin AU - Jang IJ FAU - Yu, Kyung-Sang AU - Yu KS FAU - Lim, Kyoung Soo AU - Lim KS LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - New Zealand TA - Clin Drug Investig JT - Clinical drug investigation JID - 9504817 RN - 0 (PPAR gamma) RN - 0 (Pyrimidines) RN - 0 (Thiazolidinediones) RN - MY89F08K5D (lobeglitazone) SB - IM MH - Administration, Oral MH - Adult MH - Double-Blind Method MH - Drug Tolerance MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - PPAR gamma/*agonists MH - Pyrimidines/*administration & dosage/*pharmacokinetics MH - Thiazolidinediones/*administration & dosage/*pharmacokinetics MH - Young Adult EDAT- 2014/05/08 06:00 MHDA- 2015/03/31 06:00 CRDT- 2014/05/08 06:00 PHST- 2014/05/08 06:00 [entrez] PHST- 2014/05/08 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - 10.1007/s40261-014-0197-y [doi] PST - ppublish SO - Clin Drug Investig. 2014 Jul;34(7):467-74. doi: 10.1007/s40261-014-0197-y.