건강자원자에서 LB80380 경구 투여 후 LB80380, LB80920, LB80331 의 약동학적 특성 및 안전성에 관한 연구

Pharmacokinetics and safety of LB80380, LB80920 and LB80331 after oral Administration of LB80380 in Healthy Male Volunteers

  • 김성은 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 신광희 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 김태은 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 이승환 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 김보형 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 김민정 ((주)LG생명과학 임상개발부) ;
  • 윤서현 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 조주연 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 신상구 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 장인진 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과) ;
  • 유경상 (서울대학교 의과대학 약리학교실 및 서울대학교병원 임상약리학과)
  • Kim, Sung-Eun (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Shin, Kwang-Hee (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Kim, Tae-Eun (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Lee, Seung-Hawn (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Kim, Bo-Hyung (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Kim, Min-Jeong (Department of Clinical Development, LG Life Sciences, Ltd) ;
  • Yoon, Seo-Hyun (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Cho, Joo-Youn (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Shin, Sang-Goo (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Jang, In-Jin (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital) ;
  • Yu, Kyung-Sang (Department of Pharmacology and Clinical Pharmacology, Seoul National University College of Medicine and Hospital)
  • 투고 : 2010.04.20
  • 심사 : 2010.06.21
  • 발행 : 2010.06.30

초록

Background: LB80380 is a prodrug of LB80317 developed for the treatment of wild type and lamivudine resistant hepatitis B. This study was conducted to evaluate the pharmacokinetics of LB80380 and that of LB80920 and LB80331 which are the metabolites of LB80380 in healthy volunteers. Methods: This was an open-label, 1-sequence, 2-treatment crossover study. LB80380 90 mg was administered in period 1 and LB80380 240 mg was given in period 2. Blood samples for pharmacokinetics were collected up to 24 hours after each dosing. LB80380, LB80920 and LB80331 were analyzed by liquid chromatography-tandem mass spectrometry. Safety was assessed by monitoring for adverse events (AEs), vital signs, ECGs, physical examination, and laboratory tests. Results: LB80380 was not detected during all sampling times in all subjects. LB80920 was detected up to 3 hours with a median peak time of 0.5 hr for 90 mg and 0.75 hr for 240 mg. LB80331 reached peak plasma concentration at 2.0 hr for both 90 mg and 240 mg. $C_{max}$ of LB80331 were $215.4{\pm}29.4\;{\mu}g/L$ (mean ${\pm}$ SD) and $421.4{\pm}140.1\;{\mu}g/L$; AUCinf was $1280.2{\pm}285.3\;{\mu}g{\ast}h/L$ for 90 mg and $2555.4{\pm}508.3{\mu}g{\ast}h/L$ for 240 mg. A total of 3 adverse events were reported and judged as mild intensity. Conclusion: Pharmacokinetic profiles after administration of LB80380 were in accordance with invitro data in which LB80380 was rapidly metabolized to LB80920 and then to LB80331. A single administration of LB80380 was generally safe and well tolerated.

키워드

과제정보

연구 과제 주관 기관 : 서울대학교병원

참고문헌

  1. World Health Organization. Hepatitis B. Available from: http://www.who.int/csr/disease/hepatitis/HepatitisB_whocdscsrlyo2002_2.pdf
  2. Jae Youn Cheong. Management of Chronic Hepatitis B in Treatment-Naive Patients. Kor J Gastroenterol, 2008;51:338-345.(Korean)
  3. Fung SK, Lok AS. Hepatitis B Virus Genotypes: Do They Play a Role in the Outcome of HBV Infection? Hepatology, 2004;40(4):790-792. https://doi.org/10.1002/hep.20455
  4. Liaw YF, Chu CM, Hepatitis B virus infection. Lancet, 2009;373:582-592. https://doi.org/10.1016/S0140-6736(09)60207-5
  5. Lok AS and McMahon BJ. The AASLD Practice Guidelines. Chronic Hepatitis B: Update 2009. Available from:http://www.aasld.org/practiceguidelines/Documents/Bookmarked%20Practice% 20 Guidelines/Chronic_Hep_B_Update_2009;208_24_2009.pdf
  6. Yuen MF, Kim J, Kim CR, Ngai V, Yuen JC, Min C, Kang HM, Shin BS, Yoo SD, Lai CL. A randomized placebo-controlled, dosefinding study of oral LB80380 in HBeAgpositive patients with chronic hepatitis B, Antivir Ther, 2006;11(8):977-983.
  7. Lai CL, Han KH, Yoon SK, Um SH, Yuen MF, Kim HS, Kim HR, Chung HC, Kim CR, Hysu P, Averett D, Worland S, Kim J. Phase II, multi-centre, dose-escalating study of LB80380(ANA380) in hepatitis B patients with lamivudine-resistant YMDD mutant HBV. J Hepatol, 2006;44(S2):S5.
  8. LB80380, Investigator's Brochure, LG life sciences, LTD.
  9. Yuen MF, Lee SH, Kang HM, Kim CR, Kim J, Ngai V, Lai CL. Pharmacokinetics of LB80331 and LB80317 following Oral Administration of LB80380, a New Antiviral Agent for Chronic Hepatitis B (CHB), in Healthy Adult Subjects, CHB Patients, and Mice. Antimicrob Agents Chemother, 2009;53(5): 1779-1785. https://doi.org/10.1128/AAC.01290-08
  10. Rowland M, Tozer TN. Clinical Pharmacokinetics: Concepts and Applications. 3rd ed, Lippincott Williams & Wilkins, Philadelphia, Pennsylvania, 1995;250-252.