Population Pharmacokinetic Analysis of Anastrozole in Healthy Korean male Volunteers

건강한 성인 남성에서 아나스트로졸의 집단약동학 분석

  • Noh, Yook-Hwan (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ko, Young-Ju (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Jin-Ah (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Un-Jib (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jin, Seok-Jun (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hwang, Ae-Kyung (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Hyun-Jung (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Bae, Kyun-Seop (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lim, Hyeong-Seok (Department of Clinical Pharmacology, Asan Medical Center, University of Ulsan College of Medicine)
  • 노육환 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 고영주 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 정진아 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 김운집 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 진석준 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 황애경 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 박현정 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 배균섭 (울산대학교 의과대학, 서울아산병원 임상약리학과) ;
  • 임형석 (울산대학교 의과대학, 서울아산병원 임상약리학과)
  • Received : 2010.03.22
  • Accepted : 2010.05.03
  • Published : 2010.06.30

Abstract

Aims: This study was aimed to characterize the population pharmacokinetics of $Arimidex^{(R)}$ (anastrozole) which has been administered to healthy Korean male volunteers. Methods: We have committed population pharmacokinetic analysis using $NONMEM^{(R)}$ VII with 408 plasma concentration data obtained from subjects who were administered with reference drug $Arimidex^{(R)}$ in a randomized, double-blind, two-way crossover bioequivalence trial conducted in Asan Medical Center. We estimated the parameters by first-order conditional estimation (FOCE) method, and then, observed the change of objective function values which had been calculated by using different compartment models, and explored the significant covariates. To evaluate the suitability and stability of final population model, we performed bootstrapping and visual/numerical predictive checks using Wings for NONMEM and Perl-speaks-NONMEM software. We simulated the plasma concentration corresponding to daily doses of anastrozole 1 mg through 10 days. Results: The plasma concentration data of $Arimidex^{(R)}$ is best fitted by first-order two-compartment linear model. The estimated absorption rate constant value is $0.23\;h^{-1}$, and the final estimates for the volume of distribution of central and peripheral compartment is calculated as 5.12 L and 319 L, respectively. Conclusions: We successfully constructed the final population pharmacokinetic model of $Arimidex^{(R)}$ in this study, which could be useful for various purposes such as Monte-Carlo simulation for the plasma concentration-time profiles of $Arimidex^{(R)}$.

Keywords

References

  1. Duan G, Liang J, and Zuo M, Rapid determination of anastrozole in plasma by gas chromatography with electron capture detection and its application to an oral pharmacokinetic study in healthy volunteers. Biomed Chromatogr, 2002;16(6):400-403. https://doi.org/10.1002/bmc.172
  2. Buzdar AU, Robertson JF, Eiermann W, and Nabholtz JM, An overview of the pharmacology and pharmacokinetics of the newer generation aromatase inhibitors anastrozole, letrozole, and exemestane. Cancer, 2002;95 (9):2006-2016. https://doi.org/10.1002/cncr.10908
  3. Wilkinson K, Anastrozole (Arimidex). Clin J Oncol Nurs, 2004;8(1):87-88. https://doi.org/10.1188/04.CJON.87-88
  4. Lonning PE, Geisler J, and Dowsett M, Pharmacological and clinical profile of anastrozole. Breast Cancer Res Treat, 1998;49 Suppl 1: S53-57; discussion S73-57. https://doi.org/10.1023/A:1006000806630
  5. Plourde PV, Dyroff M, and Dukes M, Arimidex: a potent and selective fourthgeneration aromatase inhibitor. Breast Cancer Res Treat, 1994; 30(1):103-111. https://doi.org/10.1007/BF00682745
  6. Mauras N, Bishop K, Merinbaum D, Emeribe U, Agbo F, and Lowe E, Pharmacokinetics and pharmacodynamics of anastrozole in pubertal boys with recent-onset gynecomastia. J Clin Endocrinol Metab, 2009;94(8):2975-2978. https://doi.org/10.1210/jc.2008-2527
  7. Mendes GD, Hamamoto D, Ilha J, Pereira Ados S, and De Nucci G, Anastrozole quantification in human plasma by highperformance liquid chromatography coupled to photospray tandem mass spectrometry applied to pharmacokinetic studies. J Chromatogr B Analyt Technol Biomed Life Sci, 2007;850(1-2):553-559. https://doi.org/10.1016/j.jchromb.2006.11.044
  8. Mosteller RD, Simplified calculation of bodysurface area. N Engl J Med, 1987;317(17):1098.