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中国临床药理学与治疗学 ›› 2020, Vol. 25 ›› Issue (12): 1381-1387.doi: 10.12092/j.issn.1009-2501.2020.12.010

• 定量药理学 • 上一篇    下一篇

药代动力学非房室模型AUC计算方法比较

陈潮1,郑青山2,李禄金2,李雪1,许羚2   

  1. 1上海中医药大学附属龙华医院国家药物临床试验机构办公室,上海200032;2上海中医药大学,上海 201203

  • 收稿日期:2020-08-04 修回日期:2020-10-25 出版日期:2020-12-26 发布日期:2021-01-04
  • 通讯作者: 许羚,女,博士研究生,助理研究员,研究方向:临床药理、定量药理。 Tel: 021-51322556 E-mail: xuling_abc@126.com
  • 作者简介:陈潮,女,硕士研究生,药师,研究方向:临床药理学。 Tel: 021-64385700-9707 E-mail: cclinglingmiao@163.com
  • 基金资助:
    十三五“重大新药创制”科技重大专项(2017ZX09304001);国家自然科学基金青年基金项目(81803825)

Comparison of the calculation approaches of AUC in non-compartment model pharmacokinetics

CHEN Chao 1, ZHENG Qingshan 2, LI Lujin 2, LI Xue 1, XU Ling   

  1. 1 National Drug Clinical Trial Institution of Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China; 2 Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
  • Received:2020-08-04 Revised:2020-10-25 Online:2020-12-26 Published:2021-01-04

摘要: 目的:基于真值及模拟数据,评价不同非房室模型AUC计算方法的准确度和精密度,为AUC算法优选提供依据。方法:使用3种方法计算G药等效试验中0~t曲线下面积(AUC0-t):(1)线性梯形法(Linear法);(2)线性对数梯形法(Linear/Log法):血药浓度最大值(Cmax)之前数据用线性梯形法则计算,Cmax之后用对数梯形法则计算;(3)上升段线性下降段对数法(Linear Up/Log Down法):药-时曲线上升段用线性梯形法则计算,下降段用对数梯形法则计算。并对对数转化后的AUC0-t进行等效性分析,等效标准为80.0%-125.0%。通过模拟数据,比较三种方法差异。结果:24位受试者服用两种制剂的G药后,使用不同AUC0-t计算方法结果不同,等效性分析结论也不全相同,其中使用Linear法和Linear Up/Log Down法得到等效结论,Linear/Log法为不等效。三种方法计算小样本模拟数据,所得AUC0-t差异较大,计算大样本数据,差异较小。结论:Linear/log法在实际工作中应用较少,口服给药及多峰曲线使用Linear Up/Log Down法更合理,小样本量试验或预实验中Linear计算简单,结果稳定。此外应根据分析计划中已制定的AUC计算方法进行计算和生物等效性分析。

关键词: 药-时曲线下面积(AUC), 生物等效性, 药代动力学

Abstract: AIM: To study the ways of calculating area under the plasma concentration-time curve (AUC) in non-compartment model pharmacokinetics by comparing the accuracy & precision of every method.  METHODS: Three methods were used to calculate the area under 0-T curve (AUC0-t) in G drug equivalence test. (1) Linear method (2) Linear/Log method: Data before the maximum blood concentration (Cmax) was calculated by the linear trapezoid rule, and those after Cmax by logarithmic trapezoid rule (3) Linear Up/Log Down: The ascending part of the curve was calculated by the linear trapezoid rule, and the descending part by logarithmic trapezoid. Equivalence criterion of AUC0-t after logarithmic transformation is 80.0%-125.0%, and differences between three methods were compared on simulated data. RESULTS: Both the AUC0-t and equivalence analysis results show difference between three methods, in these 24 subjects took G drug of two preparations. Furthermore, Linear and Linear Up/Log Down method have the equivalent conclusion, while not the Linear/Log method. AUC0-t showed great difference in small sample of simulation data, contrast to slight difference in the large sample data case. CONCLUSION: Linear Up/Log Down method is more appropriate for oral administration and multi-peak curves,and Linear calculation is more effective to get stable results in small sample size test or pre-test,while Linear/log method is not so often used. In addition, bioequivalence research should be included in AUC calculation in the analysis plan.

Key words: area under the plasma concentration-time curve (AUC), bioequivalence, pharmacokinetics

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