PMID- 28941196 OWN - NLM STAT- MEDLINE DCOM- 20190613 LR - 20221207 IS - 2160-7648 (Electronic) IS - 2160-763X (Print) IS - 2160-763X (Linking) VI - 7 IP - 3 DP - 2018 Mar TI - Pharmacokinetics, Safety, and Tolerability of Vortioxetine Following Single- and Multiple-Dose Administration in Healthy Japanese Adults. PG - 319-331 LID - 10.1002/cpdd.381 [doi] AB - Three phase 1 randomized single-center studies assessed the pharmacokinetics, safety, and tolerability of vortioxetine after single- and multiple-dose administration in healthy Japanese adults. Study 1 assessed the pharmacokinetics of vortioxetine after administration of single rising doses to men and multiple doses to men and women; study 2 evaluated vortioxetine pharmacokinetics in elderly adults; and study 3 assessed food effects on vortioxetine pharmacokinetics in healthy men. The primary end points included pharmacokinetic parameters of vortioxetine and incidence of adverse events (AEs). Across all studies, 130 participants were randomized and 128 participants completed the studies. Vortioxetine was absorbed and eliminated from plasma slowly, and exposure to vortioxetine increased in an almost dose-proportional manner. No clinically significant differences in the pharmacokinetics of vortioxetine or its metabolites were observed between the sexes in young and elderly adults. Study 3 demonstrated that vortioxetine and its metabolites had similar pharmacokinetics when administered in the fasted and fed states. Importantly, vortioxetine was safe and tolerated, with incidence of AEs comparable to that of placebo. No deaths or serious AEs leading to trial discontinuation were observed. Overall, vortioxetine pharmacokinetics, safety, and tolerability in Japanese adults were comparable to reports in non-Japanese populations. CI - (c) 2017 The Authors. Clinical Pharmacology in Drug Development Published by Wiley Periodicals, Inc. on behalf of The American College of Clinical Pharmacology. FAU - Matsuno, Kumi AU - Matsuno K AD - Takeda Pharmaceutical Company Limited. FAU - Nakamura, Koki AU - Nakamura K AD - Takeda Pharmaceutical Company Limited. FAU - Aritomi, Yutaka AU - Aritomi Y AD - Takeda Pharmaceutical Company Limited. FAU - Nishimura, Akira AU - Nishimura A AD - Takeda Pharmaceutical Company Limited. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20170921 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 0 (Antidepressive Agents) RN - 3O2K1S3WQV (Vortioxetine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/*administration & dosage/*pharmacokinetics MH - *Asian People/genetics MH - Cross-Over Studies MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Food-Drug Interactions/physiology MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Vortioxetine/*administration & dosage/*pharmacokinetics MH - Young Adult PMC - PMC5900865 OTO - NOTNLM OT - 5-HT OT - antidepressant OT - major depressive disorder OT - multimodal treatment OT - vortioxetine EDAT- 2017/09/25 06:00 MHDA- 2019/06/14 06:00 PMCR- 2018/04/16 CRDT- 2017/09/24 06:00 PHST- 2017/02/02 00:00 [received] PHST- 2017/06/28 00:00 [accepted] PHST- 2017/09/25 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2017/09/24 06:00 [entrez] PHST- 2018/04/16 00:00 [pmc-release] AID - CPDD381 [pii] AID - 10.1002/cpdd.381 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2018 Mar;7(3):319-331. doi: 10.1002/cpdd.381. Epub 2017 Sep 21.