Summary
The pharmacokinetics and absolute bioavailability of nocloprost, a synthetic PGE2-analogue with cytoprotective properties, was investigated in human volunteers as a function of the dose. Ten young male volunteers received nocloprost 5 μg i. v. and 100, 200 and 400 μg p.o. in random order at weekly intervals. Serum nocloprost levels were monitored for up to 12 h after each dose, using a specific, validated assay.
After nocloprost 5 μg i. v. the highest serum level of 373 pg·ml−1 was found in the first sample 5 min after injection, and the subsequent decline showed one or two phases, with half-lives of 4 and 49 min. The AUC was 89 pg·h·ml−1, the total plasma clearance was 13.2 ml·min−1·kg−1, and the volume of distribution at steady state was 0.16 l·kg−1.
After oral administration the maximum serum level and AUC increased in proportion to the dose. tmax showed a wide scatter, with an average value of about 30 min independent of the dose. Although not detectable in every subject, post maximum serum levels declined biphasically, with half-lives of ca 10 and 35–40 min.
The absolute bioavailability after oral administration averaged about 2% and was independent of the dose.
References
Lauritsen K, Laurits S, Laursen S, Rask-Madsen J (1990) Clinical pharmacokinetics of drugs used in the treatment of gastrointestinal disease, Part I. Clin Pharmacokinet 19: 11–31
Fenn GC, Robinson GC (1991) Misoprostol. A logical therapeutic approach to gastroduodenal mucosal injury induced by non-steroidal anti-inflammatory drugs? J Clin Pharm Ther 16: 385–409
Konturek SJ, Brzozowski T, Drozdowicz D, Krzyzek E, Garlicki J, Majka J, Amon I (1991) Nocloprost, a unique PGE2 analog, with local gastroprotective and ulcer healing activity. In: Samuelsson B, Ramwell PW, Paoletti R, Folco G, Granstrom E (eds). Prostaglandins and Related Compounds, Vols A and B. Advances in Prostaglandin, Thromboxane, and Leukotriene Research, Vols. 21A and 21B. 7th Int Conf Prostagland Relat Compound (May 28–June 1 1990, Florence). Raven Press, New York, pp. 793
Konturek SJ, Brzozowski T, Drozdowicz D, Krzyzek E, Garlicki J, Majka J, Dembinski A, Stauchura J, Amon I (1991) Nocloprost, a unique prostaglandin E2 analog with local gastroprotective and ulcer-healing activity. Eur J Pharmacol 195: 347–357
Schering AG, data on file
Krause W, Jakobs U, Buckenauer R, Biere H (1990) Synthesis of a deuterated analogue and development of antibody/GC/MS for the determination of nocloprost in plasma. Prostaglandins 40: 283–296
Monk JP, Clissold SP (1987) Misoprostol. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in the treatment of peptic ulcer disease. Drugs 33: 1–30
Dimov V, Green K (1990) Metabolism of prostaglandin F2α in sheep. Drug Metabol Disposit 18: 107–114
Kaykaty M, Weiss G, Barbalas M, Duke P (1987) Metabolism of the synthetic prostaglandin alfaprostol in cows, pigs, and rats. Drug Metabol Rev 18: 303–329
Krause W, Hümpel M, Hoyer GA (1984) Biotransformation of the stable prostacyclin analogue, iloprost, in the rat. Drug Metabol Disposit 15: 645–651
Ahr HJ, Karl W, Scherling D, Wünsche C (1989) Metabolic fate of rioprostil in the rat — in vivo and in liver perfusion. Scand J Gastroenterol 164 [Suppl]: 52–57
Leithauser MT, Roerig DL, Winquist SM, Gee A, Okita RT, Masters BSS (1988) Omegahydroxylation of prostaglandin E1 in the isolated perfused lungs of pregnant rabbits. Prostaglandins 36: 819–833
Garris RE, Kirkwood CF (1989) Misoprostol: A prostaglandin E1 analogue. Clinic Pharm 8: 627–644
Fischer S, Schweer H, Kraft H, Weber P (1989) Pharmacokinetics of rioprostil in human plasma as assayed by combined capillary gas chromatography — negative ion chemical ionization mass spectrometry. Scand J Gastroenterol 164 [Suppl]: 59–62
Petersen von Gehr JKH, Siefert HM, Steinke W (1989) Pharmacokinetics of rioprostil in rats. Scand J Gastroenterol 164 [Suppl] 46–51
Goa KL, Monk JP (1987) Enprostil. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in the treatment of peptic ulcer disease. Drugs 34: 539–559
Cox JW, Bothwell WM, Pullen RH, Wynalda MA, Fitzpatrick FA, Vanderlugt JT (1986) Plasma levels of the prodrug, arbaprostil, [(15R)-15-methylprostaglandin E2], and its active, antiulcer (15S) epimer in humans after single dose oral administration. J Pharm Sci 75: 1107–1112
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Täuber, U., Brudny-Klöppel, M., Jakobs, U. et al. Pharmacokinetics of nocloprost in human volunteers and its relation to dose. Eur J Clin Pharmacol 44, 497–500 (1993). https://doi.org/10.1007/BF00315552
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DOI: https://doi.org/10.1007/BF00315552