151. Therapeutic evaluation of sustained-releasing praziquantel (SRP) for clonorchiasis: Phase 1 and 2 clinical studies
- Author
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Sung-Tae Hong, Sang Goo Shin, Byung Chan Chang, Jin Ho Chun, Weon Gyu Kho, Min-Ho Choi, In-Jin Jang, and Seung Jin Lee
- Subjects
Adult ,Male ,Cure rate ,Cmax ,Phases of clinical research ,Pharmacology ,environment and public health ,Praziquantel ,Clinical study ,Pharmacokinetics ,parasitic diseases ,medicine ,Animals ,Humans ,Parasite Egg Count ,Anthelmintics ,Clonorchis sinensis ,business.industry ,Therapeutic evaluation ,medicine.disease ,Infectious Diseases ,Area Under Curve ,Delayed-Action Preparations ,Clonorchiasis ,Original Article ,Parasitology ,business ,medicine.drug - Abstract
Sustained-releasing praziquantel (SRP) tablet was designed for single dose treatment regimen of clonorchiasis. A previous pre-clinical study confirmed its sustained-releasing characteristics and a better cure rate than conventional praziquantel (PZQ). In this clinical study, the pharmacokinetics of this SRP tablet were investigated in human volunteers (phase 1; 12 volunteers), and its curative efficacy was examined in clonorchiasis patients (phase 2; 20 volunteers). In the phase 1 clinical study, blood concentrations of both tablets showed wide individual variation. The AUClast of SRP was 497.9 +/- 519.0 ng * hr/ml (mean +/- SD) and PZQ of 628.6 +/- 695.5 ng * hr/ml, and the AUCinf of SRP was 776.0 +/- 538.5 ng * hr/ml and of PZQ 658.6 +/- 709.9 ng * hr/ml. Cmax values of SRP and PZQ were 90.7 +/- 82.2 ng/ml and 214.9 +/- 251.9 ng/ml, and Tmax values were 3.42 +/- 1.43 hr and 1.96 +/- 1.23 hr, respectively. SRP tablets showed similar AUC values, but lower Cmax and longer Tmax values than PZQ. In the phase 2 study, SRP at 30 mg/kg (single dose) achieved a 60% cure rate and a 95.5% egg reduction rate. The cure rate of a single dose SRP was unsatisfactory compared with that of the conventional PZQ dose, but much better than that achieved by a single dose PZQ.
- Published
- 2006
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