Title Pharmacokinetics and tolerability of paliperidone palmitate injection in Chinese subjects
Authors Si, Tianmei
Su, Yun'ai
Liu, Yi
Zhang, Hongyan
Li, Huafang
Rui, Qing
Shu, Liang
Affiliation Peking Univ, Inst Mental Hlth, Dept Clin Psychopharmacol, Beijing 100191, Peoples R China.
Peking Univ, Minist Hlth, Key Lab Mental Hlth, Beijing 100191, Peoples R China.
Shanghai Mental Hlth Ctr, Shanghai, Peoples R China.
Xian Janssen Pharmaceut Ltd, China R&D & Sci Affairs, Beijing, Peoples R China.
Peking Univ, Inst Mental Hlth, Huayuanbeilu 51, Beijing 100191, Peoples R China.
Keywords pharmacokinetics
paliperidone palmitate
Chinese
EXTENDED-RELEASE TABLETS
SWITCHING STABLE PATIENTS
ORAL ANTIPSYCHOTICS
DOUBLE-BLIND
SCHIZOPHRENIA
SAFETY
EFFICACY
RISPERIDONE
SCALE
6-WEEK
Issue Date 2014
Publisher human psychopharmacology clinical and experimental
Citation HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL.2014,29,(2),203-210.
Abstract ObjectiveThe objective of this study was to characterize the pharmacokinetics of 25, 100, and 150mg equivalents (eq.) of paliperidone long-acting injection in Chinese subjects with schizophrenia. MethodsThis was an open-label, randomized, parallel group, multicenter study. A total of 48 patients were randomized in a 1:1:1 ratio to one of three groups. Sequential blood samples were collected immediately before injection on day1 and up to 210days after the first injection. The plasma paliperidone concentrations were determined by a validated high-performance liquid chromatography/tandem mass spectrometry method. ResultsA total of 47 patients received at least one injection of the study medication, and 43 completed the study. The pharmacokinetic (PK) parameters, such as time to maximum concentration, t1/2, and CL/F, were comparable across the three treatment groups (p=0.935, 0.349, and 0.794, respectively). The differences in maximum plasma concentration, AUC (035days), AUC (0-210days), and AUC (0-) were significant (p<0.001) and dose proportional. The inter-individual variation of PK parameters was large. The most frequent treatment-emergent adverse events were prolactin level increasing, injection site pain, tremor, dry mouth, and constipation. ConclusionsThe pharmacokinetics of paliperidone palmitate are linear with respect to time in Chinese subjects with schizophrenia at injections from 25 to 150mg eq. Copyright (c) 2014 John Wiley & Sons, Ltd.
URI http://hdl.handle.net/20.500.11897/189408
ISSN 0885-6222
DOI 10.1002/hup.2388
Indexed SCI(E)
PubMed
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