DOI QR코드

DOI QR Code

Influence of Oxygen to Population Pharmacokinetics/Pharmacodynamics of Alcohol in Healthy Volunteers

건강한 성인에서의 알코올의 집단 약물동태/약물동력에 미치는 산소의 영향 연구

  • 송병정 (JW중외제약 신약연구센터) ;
  • 백현문 (충남대학교 약학대학 임상약학연구실) ;
  • 황시영 (충남대학교 약학대학 임상약학연구실) ;
  • 채정우 (충남대학교 약학대학 임상약학연구실) ;
  • 윤휘열 (충남대학교 약학대학 임상약학연구실) ;
  • 권광일 (충남대학교 약학대학 임상약학연구실)
  • Received : 2017.09.15
  • Accepted : 2017.10.12
  • Published : 2017.12.29

Abstract

Objective: To develop a population pharmacokinetics (PK)/pharmacodynamics (PD) model for alcohol in healthy volunteers and to elucidate individual characteristics to affects alcohol's PK or PD including dissolved oxygen. Methods: Following multiple intakes of total 540 mL alcohol (19.42 v/v%) to healthy volunteer, blood alcohol concentration was measured using a Breathe alcohol analyser (Lion SD-400 $Alcolmeter^{(R)}$). A sequential population PK/PD modeling was performed using NONMEM (ver 7.3). Results: Eighteen healthy volunteer were included in the study. PK model of alcohol was well explained by one-compartment model with first-order absorption and Michaelis-Menten elimination kinetics. $K_a$, V/F, $V_{max}$, $K_m$ is $8.1hr^{-1}$, 73.7 L, 9.65 g/hr, 0.041 g/L, respectively. Covariate analysis revealed that gender significantly influenced $V_{max}$ (Male vs Female, 9.65 g/hr vs 7.38 g/hr). PD model of temporary systolic blood pressure decreasing effect of alcohol was explained by biophase model with inhibitory $E_{max}$ model. $K_{e0}$, $I_{max}$, $E_0$, $IC_{50}$ were $0.23hr^{-1}$, 44.9 mmHg, 138 mmHg, 0.693 g/L, respectively. Conclusion: Model evaluation results suggested that this PK/PD model was robust and has good precision.

Keywords

References

  1. Abe H, Kawano Y, Kojima S, et al. Biphasic effects of repeated alcohol intake on 24-hour blood pressure in hypertensive patients. Circulation 1994;89(6):2626-33. https://doi.org/10.1161/01.CIR.89.6.2626
  2. Kojima S, Kawano Y, Abe, H, et al. Acute effects of alcohol ingestion on blood pressure and erythrocyte sodium concentration. J Hypertens 1993;11(2):185-90. https://doi.org/10.1097/00004872-199302000-00011
  3. Marchi KC, Muniz JJ, Tirapelli CR. Hypertension and chronic ethanol consumption: What do we know after a century of study? World J Cardiol 2014;6(5):283-94. https://doi.org/10.4330/wjc.v6.i5.283
  4. Peters TJ, Preedy VR. Metabolic consequences of alcohol ingestion. Novartis Found Symp 1998;216:19-24.
  5. Arthur IC. Alcohol metabolism. Clin Liver Dis 2012; 16(4):667-85. https://doi.org/10.1016/j.cld.2012.08.002
  6. Zakhari S. Overview: how is alcohol metabolized by the body? Alcohol Res Health 2006;29(4):245-54.
  7. Baek IH, Lee BY, Kwon KI. Influence of dissolved oxygen concentration on the pharmacokinetics of alcohol. Alcoholism Clin Exp Res 2010;34(5):834-9. https://doi.org/10.1111/j.1530-0277.2010.01155.x
  8. Lee BY, Yoon HK, Baek IH, et al. Population pharmacokinetics of multiple alcohol intake in humans. Alcohol 2013;47(2):159-65. https://doi.org/10.1016/j.alcohol.2012.12.012
  9. Baraona E, Abittan CS, Dohmen K, et al. Gender differences in pharmacokinetics of alcohol. Alcohol Clin Exp Res 2001;25(4):502-7. https://doi.org/10.1111/j.1530-0277.2001.tb02242.x
  10. Seng KY, Limenta LM, Heng D, et al. Popoulation pharmacokinetics and pharmacogenetics of alcohol in Chinese and Indians in Singapore. J Clin Pharm Ther 2013;38(2):141-9. https://doi.org/10.1111/jcpt.12003
  11. Yang CT, Fung WK, Tam TW. Population pharmacoknetic of alcohol on Chinse subjects using breath measures. J Clin Pharm Ther. 2011;36(6):716-24. https://doi.org/10.1111/j.1365-2710.2010.01226.x
  12. Lindbom L, Pihlgren P, Jonsson EN. PsN-Tollkit-a collection of computer internsive statistical methods for non-linear mixed effect modeling using NONMEM. Comput Methods Programs Biomed 2005;79(3):241-57. https://doi.org/10.1016/j.cmpb.2005.04.005
  13. Zhang L, Beal SL, Sheiner LB. Simultaneous vs sequential analysis for population PK/PD data I: best-case performance. J Pharmacokinet Pharmacodyn. 2003;30:405-16. https://doi.org/10.1023/B:JOPA.0000012999.36063.4e
  14. Yun HW, Baek IH, Seo JW, et al. The role of PK/PD modeling and simulation in model-based new drug development. Kor J Clin Pharm 2008;18(2):84-96.
  15. Jonsson EN, Karlsson MO. Automated covariate model building within NONMEM. Pharm Res 1998;15(9):1463-8. https://doi.org/10.1023/A:1011970125687
  16. Parke J, Holford NH, Charles BG. A procedure for generating bootstrap samples for the validation of nonlinear mixed-effects population models. Computer Methods and programs in biomedicine 1999;59(1):19-29. https://doi.org/10.1016/S0169-2607(98)00098-4
  17. Post TM, Freijer JI, Ploeger BA, et al. Extensions to the visual predictive check to facilitate model performance evaluation. J Pharmacokinet Pharmacodyn 2008;35(2):185-202. https://doi.org/10.1007/s10928-007-9081-1
  18. Song B, Lee BY, Chae JW, et al. Aspect of blood pressure after oral administration of alcohol: Effect of dissolved oxygen on blood pressure. Kor J Clin Pharm 2012;22(3):228-33.
  19. Mumenthaler MS, Taylor JL, Yesavage JA. Ethanol pharmacokinetics in white women: nonlinear model fitting versus zero-order elimination analyses. Alcohol Clin Exp Res 2000; 24(9):1353-62. https://doi.org/10.1111/j.1530-0277.2000.tb02103.x
  20. Susan ES. Pharmacokinetics of intravenous alcohol: two compartment, dual Michaelis-Menten elimination. Alcohol Clin Exp Res 2000;24(4):424-5 https://doi.org/10.1111/j.1530-0277.2000.tb02007.x
  21. Norberg A, Gabrielsson J, Jones AW, et al. Within- and between-subject variation in pharmacokinetic parameters of ethanol by analysis of breath, venous blood and urine. Br J Clin Pharmacol 2000;49(5):399-408. https://doi.org/10.1046/j.1365-2125.2000.00194.x
  22. Mumenthaler MS, Taylor JL, O'Hara R, et al. Gender differences in moderate drinking effects. Alcohol Res Health 1999;23(1):55-64.
  23. Kwo PY, Ramchandani VA, O'Connor S, et al. Gender differences in alcohol metabolism: relationship to liver volume and effect of adjusting for body mass. Gastroenterology 1998;1155(6):1552-57.
  24. Marshall AW, Kingstone D, Boss M, et al. Ethanol elimination in males and females: relationship to menstrual cycle and body composition. Hepatology 1983;3(5):701-6. https://doi.org/10.1002/hep.1840030513
  25. Norberg A, Jones AW, Hahn RG, et al. Role of variability in explaining ethanol pharmacokinetics:research and forensic applications. Clin Pharmacokinet 2003;42(1):1-31. https://doi.org/10.2165/00003088-200342010-00001
  26. Kawano Y, Abe H, Kojima S, et al. Acute depressor effect of alcohol in patients with essential hypertension. Hypertension 1992;20(2):219-26. https://doi.org/10.1161/01.HYP.20.2.219