Source:http://linkedlifedata.com/resource/pubmed/id/20027108
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-1-22
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pubmed:abstractText |
Rolofylline is a potent, selective adenosine A1 receptor antagonist that was under development for the treatment of patients with acute decompensated heart failure and renal function impairment. This was a phase I, randomized, open-label, 2-period, fixed-sequence study in 19 healthy adult volunteers to examine the effect of multiple intravenous rolofylline doses on the single-dose pharmacokinetics of midazolam, a sensitive CYP3A4 substrate. In period 1, subjects received a single oral dose of midazolam 7.5 mg on day 1. In period 2, subjects received 30 mg, 4-hour infusions of rolofylline (intended clinical dose and duration) once daily for 4 consecutive days; midazolam 7.5 mg was coadministered on day 4. The geometric mean ratios and 90% confidence intervals for AUC0-infinity and Cmax of midazolam in the presence/absence of rolofylline were 1.20 (1.12-1.29) and 1.17 (1.03-1.32), respectively. The apparent terminal half-life (t1/2) for midazolam was similar in the presence/absence of rolofylline (4.31 and 4.27 hours, respectively). The geometric mean ratios (90% confidence intervals) for AUC0-infinity and Cmax of 1'-hydroxymidazolam in the presence/absence of rolofylline were 1.04 (0.96-1.13) and 0.98 (0.84-1.14), respectively. The t1/2 for 1'-hydroxymidazolam was slightly higher in the presence relative to absence of rolofylline (4.24 and 3.17 hours, respectively). Multiple doses of intravenous rolofylline 30 mg for 4 days were generally well tolerated and did not result in clinically important inhibition of CYP3A4 as indicated by little or no change in the pharmacokinetics of midazolam.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/1,3-dipropyl-8-(3-noradamantyl)xanth...,
http://linkedlifedata.com/resource/pubmed/chemical/1-hydroxymethylmidazolam,
http://linkedlifedata.com/resource/pubmed/chemical/Adenosine A1 Receptor Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/CYP3A4 protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Cytochrome P-450 CYP3A,
http://linkedlifedata.com/resource/pubmed/chemical/Diuretics,
http://linkedlifedata.com/resource/pubmed/chemical/Midazolam,
http://linkedlifedata.com/resource/pubmed/chemical/Xanthines
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pubmed:status |
MEDLINE
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pubmed:issn |
1536-3686
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pubmed:author |
pubmed-author:DishyVictorV,
pubmed-author:DittrichHowardH,
pubmed-author:HwangEunheeE,
pubmed-author:Johnson-LevonasAmy OAO,
pubmed-author:LaiEsengE,
pubmed-author:Lazarus-ShipitofskyNicoleN,
pubmed-author:LutzRyanR,
pubmed-author:RadziszewskiWaldemarW,
pubmed-author:StrohMarkM,
pubmed-author:WagnerJohn AJA
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pubmed:issnType |
Electronic
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
53-60
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:20027108-Adenosine A1 Receptor Antagonists,
pubmed-meshheading:20027108-Adolescent,
pubmed-meshheading:20027108-Adult,
pubmed-meshheading:20027108-Area Under Curve,
pubmed-meshheading:20027108-Cytochrome P-450 CYP3A,
pubmed-meshheading:20027108-Diuretics,
pubmed-meshheading:20027108-Drug Administration Schedule,
pubmed-meshheading:20027108-Drug Interactions,
pubmed-meshheading:20027108-Female,
pubmed-meshheading:20027108-Half-Life,
pubmed-meshheading:20027108-Humans,
pubmed-meshheading:20027108-Infusions, Intravenous,
pubmed-meshheading:20027108-Male,
pubmed-meshheading:20027108-Midazolam,
pubmed-meshheading:20027108-Middle Aged,
pubmed-meshheading:20027108-Xanthines,
pubmed-meshheading:20027108-Young Adult
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pubmed:articleTitle |
The effects of multiple doses of rolofylline on the single-dose pharmacokinetics of midazolam in healthy subjects.
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pubmed:affiliation |
Merck Research Laboratories, West Point, PA, USA. mark_stroh@merck.com
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase I
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