Br J Clin Pharmacol:异基因造血干细胞移植受者:卡泊芬净是否影响异他克莫司的药动学

2017-06-05 贾朝娟 环球医学

2017年4月,发表在《Br J Clin Pharmacol》的一项研究显示,在异基因造血干细胞移植患者中,CPFG不会影响他克莫司的药物代谢动力学。

有研究显示,卡泊芬净(CPFG)和钙调神经磷酸酶抑制剂间存在着药物相互作用。但2017年4月,发表在《Br J Clin Pharmacol》的一项研究显示,在异基因造血干细胞移植患者中,CPFG不会影响他克莫司的药物代谢动力学。

目的:小型临床研究曾报道,在健康受试者中卡泊芬净(CPFG)和钙调神经磷酸酶抑制剂间存在药物相互作用;但是,在异基因造血干细胞移植(allo-HCT)患者中对这些相互作用的了解甚少。

方法:研究者回顾性地评估了异基因造血干细胞移植受者同时使用CPFG和钙调神经磷酸酶抑制剂治疗的药物相互作用和安全性。

结果:91例连续的病例被评估。在同时使用CPFG前后,34名患者的他克莫司(TAC)的血浆浓度/剂量(C/D)比例的差异没有统计学意义(中位数:575.6~672.4,P=0.200)。相比较,16名患者联合使用CPFG后,环孢菌素A(CsA)的中位C/D比明显升高(中位数:62.8~74.9,P=0.016)。治疗对肝或肾功能没有严重的不良反应。

结论:该研究数据表明,在异基因造血干细胞移植患者中,CPFG不会影响他克莫司的药物动力学,但可能轻微增加CsA血液浓度。

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createdName=yb6560, createdTime=Wed Jul 12 04:12:00 CST 2017, time=2017-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1788220, encodeId=c6fc1e8822065, content=<a href='/topic/show?id=38e014162e2' target=_blank style='color:#2F92EE;'>#Pharmacol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14162, encryptionId=38e014162e2, topicName=Pharmacol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=930e243, createdName=dingxiaobo, createdTime=Wed Apr 25 04:12:00 CST 2018, time=2018-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1658809, encodeId=f011165880940, content=<a href='/topic/show?id=c40ce798412' target=_blank style='color:#2F92EE;'>#细胞移植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77984, 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channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87331, encryptionId=65718e331ad, topicName=药动学)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/F82CC4A89F97BD21D3DDB7AD5F2AD09D/100, createdBy=52952500022, createdName=ms6829001416292975, createdTime=Sat Mar 10 12:12:00 CST 2018, time=2018-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1271404, encodeId=ea3012e14048f, content=<a href='/topic/show?id=a0ff950018f' target=_blank style='color:#2F92EE;'>#造血干细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95001, encryptionId=a0ff950018f, topicName=造血干细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e729101, createdName=huanbaofeng, createdTime=Wed Jun 07 11:12:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), 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  5. [GetPortalCommentsPageByObjectIdResponse(id=1908269, encodeId=89ef1908269a7, content=<a href='/topic/show?id=a8d0141605e' target=_blank style='color:#2F92EE;'>#pharma#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14160, encryptionId=a8d0141605e, topicName=pharma)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Fri May 18 16:12:00 CST 2018, time=2018-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1995998, encodeId=d9ac1995998f1, content=<a href='/topic/show?id=ed881120ec8' target=_blank style='color:#2F92EE;'>#MAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11207, encryptionId=ed881120ec8, topicName=MAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b65161, createdName=yb6560, createdTime=Wed Jul 12 04:12:00 CST 2017, time=2017-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1788220, encodeId=c6fc1e8822065, content=<a href='/topic/show?id=38e014162e2' target=_blank style='color:#2F92EE;'>#Pharmacol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14162, encryptionId=38e014162e2, topicName=Pharmacol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=930e243, createdName=dingxiaobo, createdTime=Wed Apr 25 04:12:00 CST 2018, time=2018-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1658809, encodeId=f011165880940, content=<a href='/topic/show?id=c40ce798412' target=_blank style='color:#2F92EE;'>#细胞移植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77984, 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channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87331, encryptionId=65718e331ad, topicName=药动学)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/F82CC4A89F97BD21D3DDB7AD5F2AD09D/100, createdBy=52952500022, createdName=ms6829001416292975, createdTime=Sat Mar 10 12:12:00 CST 2018, time=2018-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1271404, encodeId=ea3012e14048f, content=<a href='/topic/show?id=a0ff950018f' target=_blank style='color:#2F92EE;'>#造血干细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95001, encryptionId=a0ff950018f, topicName=造血干细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e729101, createdName=huanbaofeng, createdTime=Wed Jun 07 11:12:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), 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createdBy=9d0b2500136, createdName=12498b08m90暂无昵称, createdTime=Wed Jun 07 11:12:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1494546, encodeId=a9af149454622, content=<a href='/topic/show?id=084d9499599' target=_blank style='color:#2F92EE;'>#造血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94995, encryptionId=084d9499599, topicName=造血)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=caed9138962, createdName=俅侠, createdTime=Wed Jun 07 11:12:00 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2018-03-14 jj000001
  6. [GetPortalCommentsPageByObjectIdResponse(id=1908269, encodeId=89ef1908269a7, content=<a href='/topic/show?id=a8d0141605e' target=_blank style='color:#2F92EE;'>#pharma#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14160, encryptionId=a8d0141605e, topicName=pharma)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Fri May 18 16:12:00 CST 2018, time=2018-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1995998, encodeId=d9ac1995998f1, content=<a href='/topic/show?id=ed881120ec8' target=_blank style='color:#2F92EE;'>#MAC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11207, encryptionId=ed881120ec8, topicName=MAC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b65161, 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  7. 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  8. 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  9. 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    2017-06-07 俅侠