CN101077350A - 治疗性腺机能减退的药物组合物和方法 - Google Patents
治疗性腺机能减退的药物组合物和方法 Download PDFInfo
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- CN101077350A CN101077350A CNA2007101092744A CN200710109274A CN101077350A CN 101077350 A CN101077350 A CN 101077350A CN A2007101092744 A CNA2007101092744 A CN A2007101092744A CN 200710109274 A CN200710109274 A CN 200710109274A CN 101077350 A CN101077350 A CN 101077350A
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Abstract
Description
激素 | 正常范围 |
睾酮游离睾酮DHTDHT/T比率DHT+TSHBGFSHLHE2 | 298-1043ng/dL3.5-17.9ng/dL31-193ng/dL0.052-0.33372-1349ng/dL10.8-46.6nmol/L1.0-6.9mIU/mL1.0-8.1mIU/mL17.1-46.1pg/mL |
制剂 | 给药途径 | 完全替代的剂量 |
用于临床的睾酮庚酸酯睾酮环戊丙酸酯睾酮十一烷酸酯透皮睾酮贴透皮睾酮贴剂睾酮植入剂 | 肌肉内注射肌肉内注射口服阴囊皮肤非阴囊皮肤植入腹部皮肤下 | 每2-3周200-25.0g每2周200mg每天2-4粒40mg的胶囊每天1片每天1或2次每6个月植入3-6个200mg的植入剂 |
正在开发的睾酮环糊精睾酮十一烷酸酯testosterone buciclate睾酮微球制剂 | 舌下肌肉内注射肌肉内注射肌肉内注射 | 每天两次,2.5-5.0mg每8-10周1000mg每12-16周1000mg每11周315mg |
过时的17α-甲基睾酮氟甲睾酮 | 口服舌下口服 | 每天25-5.0g每天10-25mg每天10-20mg |
参数 | 第1天 | 第5天 |
Cmax(ng/dL) | 482±149 | 473±148 |
Tmax(h) | 3.9 | 3.0 |
Cmin(ng/dL) | 164±104 | 189±86 |
Tmin(h) | 0 | 0 |
激素 | 安慰剂 | TESTODERM | TESTODERMTTS |
DHT(ng/dL) | 11 | 134 | 38 |
E2(pg/ml) | 3.8 | 10 | 21.4 |
物质 | 量(w/w),每100g凝胶 |
睾酮 | 1.0g |
聚羧乙烯(carbopol)980 | 0.90g |
肉豆蔻酸异丙酯 | 0.50g |
0.1N NaOH | 4.72g |
乙醇(95%w/w) | 72.5g* |
纯水(qsf) | 100g |
治疗组 | T透皮贴剂 | AndroGel(5.0g/天) | AndroGel(10.0g/天) |
组内受试者人数 | 76 | 73 | 78 |
年龄(岁) | 51.1 | 51.3 | 51.0 |
范围(岁) | 28-67 | 23-67 | 19-68 |
身高(cm) | 179.3±0.9 | 175.8±0.8 | 178.6±0.8 |
体重(kg) | 92.7±1.6 | 90.5±1.8 | 91.6±1.5 |
血清睾酮(nmol/L) | 6.40±0.41 | 6.44±0.39 | 6.49±0.37 |
造成性腺机能减退的原因 | |||
原发性性腺机能减退克兰费尔特综合征睾丸切除术/无睾畸形原发性睾丸障碍 | 349223 | 265120 | 348323 |
继发性性腺机能减退卡尔曼综合征下丘脑垂体病症垂体肿瘤 | 15267 | 17269 | 12039 |
年老 | 6 | 13 | 6 |
未分类 | 21 | 17 | 26 |
诊断年限 | 5.8±1.1 | 4.4±0.9 | 5.7±1.24 |
已用过睾酮治疗的人数 | 50(65.8%) | 38(52.1%) | 46(59.0%) |
以前的激素治疗的类型肌肉内注射透皮贴剂所有其它的类型 | 261212 | 20711 | 28810 |
治疗时间(年) | 5.8±1.0 | 5.4±0.8 | 4.6±0.7 |
AUC0-24 | 0-24小时的曲线下面积,用线性梯形法则确定 |
Cbase或C0 | 基线浓度 |
Cavg | 24小时给药间隔的时间平均浓度,由AUC0-24/24得到 |
Cmax | 24小时给药间隔内的最大浓度 |
Cmin | 24小时给药间隔内的最小浓度 |
Tmax | 出现Cmax的时间 |
Tmin | 出现Cmin的时间 |
波动指数 | 一天内发生的血清浓度的变异幅度,以(Cmax-Cmin)/Cavg计算 |
蓄积率 | 采用连续给药时每日药物暴露的增加,以稳态时特定日AUC与第1天AUC的比值计算(例如,AUC第30天/AUC第1天 |
净AUC0-24 | 第30、90、180天的AUC0-24-第0天的AUC0-24 |
5.0g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
N | 73 | 78 | 76 |
Cavg(ng/dL) | 237±130 | 248±140 | 237±139 |
Cmax(ng/dL) | 328±178 | 333±194 | 314±179 |
Tmax *(小时) | 4.0(0.0-24.5) | 7.9(0.0-24.7) | 4.0(0.0-24.3) |
Cmin(ng/dL) | 175±104 | 188±112 | 181±112 |
Tmin *(小时) | 8.01(0.0-24.1) | 8.0(0.0-24.0) | 8.0(0.0-23.9) |
波动指数(比例) | 0.627±0.479 | 0.556±0.384 | 0.576±0.341 |
从初期-后期治疗阶段接受的剂量 | |||||
5.0g/天T-凝胶 | 5.0-7.5g/天T-凝胶 | 10.0-7.5g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
N | 53 | 20 | 20 | 58 | 76 |
Cavg(ng/dL) | 247±137 | 212±109 | 282±157 | 236±133 | 237±140 |
Cmax(ng/dL) | 333±180 | 313±174 | 408±241 | 307±170 | 314±179 |
Tmax *(小时) | 4.0(0.0-24.5) | 4.0(0.0-24.0) | 19.7(0.0-24.3) | 4.0(0.0-24.7) | 4.0(0.0-24.3) |
Cmin(ng/dL) | 185±111 | 150±80 | 206±130 | 182±106 | 181±112 |
Tmin *(小时) | 8.0(0.0-24.1) | 11.9(0.0-24.0) | 8.0(0.0-23.3) | 8.0(0.0-24.0) | 8.0(0.0-23.9) |
波动指数(比例) | 0.600±0.471 | 0.699±0.503 | 0.678±0.580 | 0.514±0.284 | 0.576±0.341 |
5.0g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 |
N | 73 | 76 | 74 |
Cavg(ng/dL) | 392±156 | 514±227 | 482±204 |
Cmax(ng/dL) | 560±269 | 748±349 | 645±280 |
Tmax *(小时) | 22.1(0.0-25.3) | 16.0(0.0-24.3) | 11.8(1.8-24.0) |
Cmin(ng/dL) | 228±122 | 250±143 | 232±132 |
Tmin *(小时) | 19(0.0-24.0) | 0.0(0.0-24.2) | 1.5(0.0-24.0) |
从初期-后期治疗阶段接受的剂量 | |||||
5.0g/天T-凝胶 | 5.0-7.5g/天T-凝胶 | 10.0-7.5g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
N | 53 | 20 | 19 | 57 | 74 |
Cavg(ng/dL) | 411±160 | 363±143 | 554±243 | 500±223 | 482±204 |
Cmax(ng/dL) | 573±285 | 525±223 | 819±359 | 724±346 | 645±280 |
Tmax *(小时) | 22.1(0.0-25.3) | 19.5(1.8-24.3) | 15.7(3.9-24.0) | 23.0(0.0-24.3) | 11.8(1.8-24.0) |
Cmin(ng/dL) | 237±125 | 204±112 | 265±154 | 245±140 | 232±132 |
Tmin *(小时) | 1.8(0.0-24.0) | 3.5(0.0-24.0) | 1.9(0.0-24.2) | 0.0(0.0-23.8) | 1.5(0.0-24.0) |
波动指数(比例) | 0.600±0.471 | 0.699±0.503 | 0.678±0.580 | 0.514±0.284 | 0.576±0.341 |
5.0g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
第30天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=66566±262876±4667.9(0.0-24.0)361±1498.0(0.0-24.1)0.857±0.3311.529±0.726 | N=74792±2941200±4827.8(0.0-24.3)505±2338.0(0.0-25.8)0.895±0.4341.911±1.588 | N=70419±163576±22311.3(0.0-24.0)235±1222.0(0.0-24.2)0.823±0.2890.937±0.354 |
第90天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=65553±247846±4444.0(0.0-24.1)354±1474.0(0.0-25.3)0.851±0.4021.615±0.859 | N=73792±2761204±5707.9(0.0-25.2)501±1938.0(0.0-24.8)0.859±0.3991.927±1.310 | N=64417±157597±2428.1(0.0-25.0)213±1052.0(0.0-24.0)0.937±0.4420.971±0.453 |
第180天Cavg(ng/dL) | N=63520±227 | N=68722±242 | N=45403±163 |
Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | 779±3594.0(0.0-24.0)348±16411.9(0.0-24.0)0.845±0.3791.523±1.024 | 1091±4377.9(0.0-24.0)485±18411.8(0.0-27.4)0.829±0.3921.897±2.123 | 580±24010.0(0.0-24.0)223±1142.0(0.0-25.7)0.891±0.3190.954±0.4105 |
期初-后期治疗阶段接受的剂量 | |||||
5.0g/天T-凝胶 | 5.0-7.5g/天T-凝胶 | 10.0-7.5g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
第30天Cavg(ng/dL)Cmax(ng/dL)Tmax(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=47604±288941±5097.9(0.0-24.0)387±1598.1(0.0-24.1)0.861±0.3411.543±0.747 | N=19472±148716±2948.0(0.0-24.0)296±971.7(0.0-24.1)0.846±0.3151.494±0.691 | N=19946±3991409±5568.0(0.0-24.3)600±33911.4(0.0-24.1)0.927±0.4092.053±1.393 | N=55739±2301128±4367.8(0.0-24.3)471±1758.0(0.0-25.8)0.884±0.4451.864±1.657 | N=70419±163576±22311.3(0.0-24.0)235±1222.0(0.0-24.2)0.823±0.2890.937±0.354 |
第90天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=45596±266931±4553.8(0.0-24.1)384±1477.9(0.0-25.3)0.886±0.3911.593±0.813 | N=20455±164654±3597.7(0.0-24.0)286±1250.0(0.0-24.0)0.771±0.4251.737±1.145 | N=18859±2981398±7337.9(0.0-24.0)532±18112.0(0.0-24.1)0.959±0.4901.752±0.700 | N=55771±2681141±4987.9(0.0-25.2)492±1974.0(0.0-24.8)0.826±0.3631.952±1.380 | N=64417±157597±2428.1(0.0-25.0)213±1052.0(0.0-24.0)0.937±0.4420.971±0.453 |
第180天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=44555±225803±3475.8(0.0-24.0)371±16511.9(0.0-24.0)0.853±0.4021.541±0.917 | N=18450±219680±3692.0(0.0-24.0)302±1509.9(0.0-24.0)0.833±0.335NA | N=19744±3201110±4687.8(0.0-24.0)505±23312.0(0.0-24.0)0.824±0.298NA | N=48713±2091083±4347.7(0.0-24.0)485±1568.0(0.0-7.4)0.818±0.4212.061±2.445 | N=41408±165578±24510.6(0.0-24.0)222±1162.0(0.0-5.7)0.866±0.3110.969±0.415 |
T-透皮贴剂 | T凝胶5.0g/天 | T-凝胶10.0g/天 | |
第30天 | 154±18 | 268±28 | 446±30 |
第90天 | 157±20 | 263±29 | 461±28 |
第180天 | 161±25 | 250±32 | 401±27 |
初期-后期治疗阶段接受的剂量 | |||||
5.0g/天T-凝胶 | 5.0-7.5g/天T-凝胶 | 10.0-7.5g/天T-凝胶 | 10.0g/天T-凝胶 | T-透皮贴剂 | |
第0天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Tmin(ng/dL)Tmin *(小时)波动指数(比例) | N=534.52±3.355.98±4.254.0(0.0-24.5)3.23±2.748.0(0.0-24.2)0.604±0.342 | N=204.27±3.456.06±5.052.0(0.0-24.0)3.10±2.629.9(0.0-16.0)0.674±0.512 | N=204.64±3.106.91±4.6613.5(0.0-24.2)3.14±2.144.0(0.0-23.3)0.756±0.597 | N=584.20±3.335.84±4.362.1(0.0-24.1)3.12±2.688.0(0.0-24.0)0.634±0.420 | N=764.82±3.646.57±4.903.8(0.0-24.0)3.56±2.887.9(0.0-24.0)0.614±0.362 |
第1天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时) | N=537.50±4.8310.86±7.4516.0(0.0-25.3)4.30±3.330.0(0.0-24.1) | N=206.80±4.8210.10±7.7913.9(0.0-24.3)3.69±3.241.8(0.0-24.0) | N=199.94±5.0415.36±7.3115.7(2.0-24.0)3.88±2.730.0(0.0-24.2) | N=578.93±6.0913.20±8.6123.5(1.8-24.3)4.40±3.940.0(0.0-23.9) | N=749.04±4.8112.02±6.1412.0(1.8-24.0)4.67±3.520.0(0.0-24.0) |
第30天Cavg(ng/dL) | N=4711.12±6.22 | N=197.81±3.94 | N=1916.18±8.18 | N=5513.37±7.13 | N=708.12±4.15 |
Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | 16.93±10.478.0(0.0-27.8)6.99±3.824.0(0.0-24.1)0.853±0.3311.635±0.820 | 11.62±6.348.0(0.0-26.3)4.78±3.103.5(0.0-24.1)0.872±0.5101.479±0.925 | 25.14±10.808.0(0.0-24.3)9.99±7.1911.4(0.0-24.1)1.051±0.4492.065±1.523 | 19.36±9.758.0(0.0-24.3)8.25±5.227.8(0.0-25.8)0.861±0.4121.953±1.626 | 11.48±5.788.0(0.0-24.0)4.31±3.202.0(0.0-24.8)0.929±0.3110.980±0.387 |
第90天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=4512.12±7.7818.75±12.904.0(0.0-24.0)7.65±4.748.0(0.0-24.0)0.913±0.4921.755±0.983 | N=208.06±3.7810.76±4.489.7(0.0-24.0)4.75±2.861.9(0.0-24.0)0.815±0.2921.916±1.816 | N=1817.65±8.6225.29±12.428.0(0.0-24.0)10.56±6.075.9(0.0-24.1)0.870±0.4011.843±0.742 | N=5513.11±5.9718.61±8.208.0(0.0-25.2)8.40±4.574.0(0.0-24.8)0.812±0.3352.075±1.866 | N=648.50±5.0412.04±6.8111.6(0.0-25.0)4.38±3.702.0(0.0-24.1)0.968±0.4021.054±0.498 |
第180天Cavg(ng/dL)Cmax(ng/dL)Tmax *(小时)Cmin(ng/dL)Tmin *(小时)波动指数(比例)蓄积率(比例) | N=4411.01±5.2416.21±7.327.9(0.0-24.0)7.18±3.969.9(0.0-24.2)0.897±0.5021.712±1.071 | N=187.80±4.6311.36±6.362.0(0.0-23.9)5.32±4.067.9(0.0-24.0)0.838±0.378NA | N=1914.14±7.7322.56±12.627.8(0.0-24.0)9.54±6.458.0(0.0-23.2)0.950±0.501NA | N=4812.77±5.7018.58±9.318.0(0.0-24.0)8.23±4.0111.8(0.0-27.4)0.815±0.3972.134±1.989 | N=417.25±4.9010.17±5.9011.1(0.0-24.0)3.9±4.202.5(0.0-25.7)0.967±0.3701.001±0.580 |
第0天 | 第30天 | 第60天 | 第90天 | 第120天 | 第150天 | 第180天 | |
5.0g/天T-凝胶 | N=7336.0±19.9 | N=69117.6±74.9 | N=70122.4±99.4 | N=67130.1±99.2 | N=65121.8±89.2 | N=63144.7±110.5 | N=65143.7±105.9 |
10.0g/天T-凝胶 | N=7842.0±29.4 | N=78200.4±127.8 | N=74222.0±126.6 | N=75207.7±111.0 | N=68187.3±97.3 | N=67189.1±102.4 | N=71206.1±105.9 |
T-透皮贴剂 | N=7637.4±21.4 | N=7350.8±34.6 | N=6849.3±27.2 | N=6643.6±26.9 | N=4953.0±52.8 | N=4654.0±42.5 | N=4952.1±34.3 |
组间p值 | 0.6041 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 |
第0天 | 第30天 | 第60天 | 第90天 | 第120天 | 第150天 | 第180天 | |
5.0g/天T-凝胶 | N=730.198±0.137 | N=680.230±0.104 | N=700.256±0.132 | N=670.248±0.121 | N=650.266±0.119 | N=620.290±0.145 | N=640.273±0.160 |
10.0g/天T-凝胶 | N=780.206±0.163 | N=770.266±0.124 | N=740.313±0.160 | N=740.300±0.131 | N=680.308±0.145 | N=670.325±0.142 | N=710.291±0.124 |
T-透皮贴剂 | N=760.204±0.135 | N=730.192±0.182 | N=680.175±0.102 | N=650.175±0.092 | N=490.186±0.134 | N=460.223±0.147 | N=460.212±0.160 |
组间p值 | 0.7922 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0002 |
第0天 | 第30天 | 第60天 | 第90天 | 第120天 | 第150天 | 第180天 | |
5.0g/天T-凝胶 | N=73281±150 | N=68659±398 | N=70617±429 | N=67690±431 | N=65574±331 | N=62631±384 | N=64694±412 |
10.0g/天T-凝胶 | N=78307±180 | N=77974±532 | N=741052±806 | N=74921±420 | N=67827±361 | N=67805±383 | N=71944±432 |
T-透皮贴剂 | N=76282±159 | N=73369±206 | N=68392±229 | N=65330±173 | N=49378±250 | N=46364±220 | N=46355±202 |
组间p值 | 0.7395 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 |
第0天 | 第30天 | 第60天 | 第90天 | 第120天 | 第150天 | 第180天 | |
5.0g/天T-凝胶 | N=7323.0±9.2 | N=6929.2±11.0 | N=6828.1±10.0 | N=6731.4±11.9 | N=6428.8±9.9 | N=6530.8±12.5 | N=6532.3±13.8 |
10.0g/天T-凝胶 | N=7824.5±9.5 | N=7833.7±11.5 | N=7436.5±13.5 | N=7537.8±13.3 | N=7134.6±10.4 | N=6635.0±11.1 | N=7136.3±13.9 |
T-透皮贴剂 | N=7623.8±8.2 | N=7225.8±9.8 | N=6824.8±8.0 | N=6625.7±9.8 | N=5025.7±9.4 | N=4927.0±9.2 | N=4926.9±9.5 |
组间p值 | 0.6259 | 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0009 | 0.0006 |
第0天 | 第30天 | 第60天 | 第90天 | 第120天 | 第150天 | 第180天 | |
5.0g/天T-凝胶 | N=7326.2±14.9 | N=6924.9±14.0 | N=6925.9±14.4 | N=6725.5±14.7 | N=6625.2±14.1 | N=6524.9±12.9 | N=6524.2±13.6 |
10.0g/天T-凝胶 | N=7826.6±17.8 | N=7824.8±14.5 | N=7525.2±15.5 | N=7523.6±14.7 | N=7225.5±16.5 | N=6823.8±12.5 | N=7124.0±14.5 |
T-透皮贴剂 | N=7630.2±22.6 | N=7228.4±21.3 | N=6828.2±23.8 | N=6628.0±23.6 | N=5026.7±16.0 | N=4926.7±16.4 | N=4925.8±15.1 |
组间p值 | 0.3565 | 0.3434 | 0.5933 | 0.3459 | 0.8578 | 0.5280 | 0.7668 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 26 | 21.6±21.0 | 33 | 20.9±15.9 | 34 | 25.5±25.5 |
第30天 | 23 | 10.6±15.0 | 34 | 10.6±14.1 | 31 | 21.4±24.6 |
第60天 | 24 | 10.8±16.9 | 32 | 7.2±12.6 | 31 | 21.7±23.4 |
第90天 | 24 | 10.4±19.7 | 31 | 5.7±10.1 | 30 | 19.5±20.0 |
第120天 | 24 | 8.1±15.2 | 28 | 4.6±10.2 | 21 | 25.3±28.4 |
第150天 | 22 | 6.7±15.0 | 29 | 5.3±11.0 | 21 | 18.6±24.0 |
第180天 | 24 | 6.2±11.3 | 28 | 5.3±11.2 | 22 | 24.5±27.4 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 17 | 4.2±6.6 | 12 | 2.1±1.9 | 15 | 5.1±9.0 |
第30天 | 16 | 2.8±5.9 | 12 | 0.2±0.1 | 14 | 4.2±8.0 |
第60天 | 17 | 2.8±6.1 | 12 | 0.2±0.1 | 13 | 4.2±7.4 |
第90天 | 15 | 2.9±5.6 | 12 | 0.2±0.1 | 14 | 4.9±9.0 |
第120天 | 14 | 3.0±6.1 | 12 | 0.1±0.1 | 12 | 6.1±10.7 |
第150天 | 14 | 3.5±7.5 | 12 | 0.2±0.2 | 11 | 4.6±6.5 |
第180天 | 14 | 3.7±8.6 | 12 | 0.1±0.1 | 12 | 4.9±7.4 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 13 | 8.0±9.1 | 6 | 5.2±1.9 | 6 | 4.7±1.7 |
第30天 | 12 | 4.6±7.4 | 6 | 0.4±0.3 | 6 | 3.7±2.0 |
第60天 | 12 | 3.9±6.6 | 6 | 0.3±0.3 | 4 | 4.3±3.3 |
第90天 | 11 | 3.8±7.0 | 6 | 0.4±0.7 | 4 | 3.5±1.9 |
第120天 | 11 | 4.2±8.3 | 6 | 0.4±0.7 | 4 | 4.2±3.3 |
第150天 | 11 | 4.3±8.1 | 5 | 0.2±0.2 | 4 | 3.4±2.7 |
第180天 | 11 | 4.0±7.2 | 6 | 0.2±0.2 | 4 | 2.7±2.1 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 17 | 4.0±1.8 | 26 | 4.1±1.6 | 21 | 3.7±1.4 |
第30天 | 17 | 1.1±1.0 | 26 | 0.5±0.5 | 21 | 1.8±0.8 |
第60天 | 16 | 1.1±1.1 | 26 | 0.3±0.3 | 18 | 1.6±1.0 |
第90天 | 17 | 1.1±1.1 | 25 | 0.4±0.7 | 18 | 1.2±0.9 |
第120天 | 16 | 1.2±1.4 | 26 | 0.4±0.6 | 12 | 1.4±1.0 |
第150天 | 17 | 1.4±1.4 | 23 | 0.3±0.5 | 13 | 1.4±1.2 |
第180天 | 16 | 1.0±0.9 | 24 | 0.4±0.4 | 11 | 1.3±0.9 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 26 | 12.2±12.1 | 33 | 13.9±14.9 | 33 | 13.3±14.3 |
第30天 | 23 | 5.6±7.6 | 34 | 5.9±8.1 | 31 | 10.9±12.9 |
第60天 | 24 | 6.8±9.0 | 32 | 4.8±10.0 | 31 | 10.8±11.8 |
第90天 | 24 | 5.9±9.5 | 31 | 4.2±11.0 | 30 | 10.0±11.7 |
第120天 | 24 | 6.4±11.9 | 28 | 3.8±10.4 | 21 | 11.5±11.5 |
第150天 | 22 | 4.4±8.5 | 29 | 4.0±11.3 | 21 | 7.4±6.0 |
第180天 | 24 | 4.8±6.8 | 28 | 4.0±11.9 | 22 | 11.2±10.5 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 17 | 1.8±2.6 | 12 | 1.4±1.8 | 15 | 1.6±3.1 |
第30天 | 16 | 1.1±2.2 | 12 | 0.2±0.2 | 14 | 0.4±0.4 |
第60天 | 17 | 1.4±3.8 | 12 | 0.2±0.2 | 13 | 0.6±0.5 |
第90天 | 15 | 1.2±2.4 | 12 | 0.2±0.2 | 14 | 0.7±1.0 |
第120天 | 14 | 1.6±4.0 | 12 | 0.2±0.2 | 12 | 0.8±0.8 |
第150天 | 14 | 1.6±3.5 | 12 | 0.2±0.2 | 11 | 1.2±2.0 |
第180天 | 14 | 1.5±3.7 | 12 | 0.2±0.2 | 12 | 1.4±2.1 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 13 | 3.2±1.1 | 6 | 2.4±1.8 | 6 | 2.9±0.6 |
第30天 | 12 | 1.1±1.0 | 6 | 0.1±0.0 | 6 | 1.8±1.1 |
第60天 | 12 | 0.8±0.7 | 6 | 0.2±0.3 | 5 | 3.4±2.8 |
第90天 | 11 | 0.9±1.2 | 6 | 0.1±0.0 | 4 | 2.3±1.4 |
第120天 | 11 | 1.0±1.4 | 6 | 0.1±0.0 | 4 | 2.2±1.4 |
第150天 | 11 | 1.3±1.5 | 5 | 0.1±0.0 | 4 | 1.9±1.2 |
第180天 | 11 | 1.8±2.1 | 6 | 0.1±0.0 | 4 | 1.4±1.0 |
N | 5g/天 | N | 10g/天 | N | T-透皮贴剂 | |
第0天 | 17 | 1.8±1.2 | 26 | 2.5±1.5 | 21 | 2.5±1.5 |
第30天 | 17 | 0.3±0.3 | 26 | 0.3±0.3 | 21 | 1.3±1.3 |
第60天 | 17 | 0.4±0.5 | 26 | 0.3±0.3 | 18 | 1.2±1.4 |
第90天 | 17 | 0.5±0.5 | 26 | 0.3±0.4 | 18 | 1.0±1.4 |
第120天 | 17 | 0.4±0.4 | 26 | 0.4±0.5 | 12 | 1.2±1.1 |
第150天 | 17 | 0.8±1.1 | 23 | 0.3±0.4 | 13 | 1.1±1.1 |
第180天 | 15 | 0.3±0.4 | 25 | 0.4±0.4 | 11 | 1.5±1.3 |
后期治疗组 | N | 第0天 | N | 第180天 | N | 第0天-第180天的变化百分比 |
髋部5.0g/天T-凝胶5.0-7.5g/天T-凝胶10.0-7.5g/天T-凝胶10.0g/天T-凝胶T-透皮贴剂 | 5016205367 | 1.026±0.1451.007±0.2331.002±0.1350.991±0.1150.982±0.166 | 4115194437 | 1.022±0.1451.011±0.2261.026±0.1310.995±0.1300.992±0.149 | 4115194437 | 0.7±2.11.0±4.91.3±2.41.1±1.90.2±2.9 |
脊柱5.0g/天T-凝胶5.0-7.5g/天T-凝胶10.0-7.5g/天T-凝胶10.0g/天T-凝胶T-透皮贴剂 | 5016195367 | 1.066±0.2031.060±0.2291.049±0.1751.037±0.1261.058±0.199 | 4115194436 | 1.072±0.2121.077±0.2171.067±0.1751.044±0.1241.064±0.205 | 4115184436 | 1.0±2.90.4±5.51.4±3.22.2±3.10.2±3.4 |
注意:第0天和第180天是算术平均值,而变化百分比为几何平均值 |
N | 5g/天T-凝胶 | N | 5-7.5g/天T-凝胶 | N | 10-7.5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | |
第0天 | 53 | 16.31±8.81 | 20 | 17.70±9.66 | 20 | 18.02±8.18 | 58 | 14.99±6.11 | 75 | 15.60±6.57 |
第30天 | 49 | 17.91±10.36 | 20 | 18.33±8.02 | 20 | 17.45±5.67 | 58 | 18.04±8.95 | 72 | 18.33±10.92 |
第90天 | 47 | 21.32±11.47 | 20 | 21.25±10.96 | 19 | 17.10±6.04 | 54 | 20.01±9.77 | 66 | 21.45±13.71 |
第120天 | 46 | 21.19±11.42 | 19 | 21.42±13.20 | 20 | 19.62±9.96 | 50 | 22.93±12.57 | 46 | 21.07±11.44 |
第180天 | 46 | 22.85±12.89 | 19 | 21.34±11.08 | 19 | 21.02±10.66 | 51 | 25.57±15.59 | 46 | 25.45±16.54 |
N | 5g/天T-凝胶 | N | 5-7.5g/天T-凝胶 | N | 10-7.5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | |
第0天 | 53 | 9.96±5.61 | 20 | 12.36±4.62 | 20 | 10.48±3.68 | 58 | 9.80±3.57 | 76 | 10.44±3.77 |
第30天 | 49 | 10.20±6.77 | 20 | 11.38±4.09 | 20 | 11.83±4.32 | 58 | 9.93±3.88 | 71 | 10.86±3.75 |
第90天 | 47 | 11.64±7.98 | 20 | 11.97±5.03 | 20 | 10.97±3.18 | 55 | 9.56±3.12 | 65 | 11.99±9.36 |
第120天 | 46 | 11.71±7.85 | 19 | 12.12±5.25 | 20 | 11.61±2.58 | 48 | 9.63±3.58 | 45 | 11.63±4.72 |
第180天 | 45 | 11.12±7.58 | 19 | 11.67±5.35 | 19 | 11.22±3.44 | 51 | 9.19±2.42 | 46 | 11.47±3.77 |
N | 5g/天T-凝胶 | N | 5-7.5g/天T-凝胶 | N | 10-7.5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | |
第0天 | 53 | 4.62±1.55 | 20 | 5.01±2.03 | 20 | 4.30±1.28 | 58 | 4.58±1.92 | 76 | 4.53±1.54 |
第30天 | 49 | 4.63±1.65 | 20 | 5.35±2.06 | 20 | 4.48±1.72 | 58 | 4.91±2.08 | 72 | 5.17±1.61 |
第90天 | 47 | 4.91±2.15 | 20 | 5.29±1.87 | 19 | 4.76±1.50 | 55 | 4.83±2.13 | 66 | 5.18±1.53 |
第120天 | 46 | 4.95±1.97 | 18 | 4.97±1.60 | 20 | 4.71±1.39 | 49 | 4.61±2.01 | 47 | 4.98±1.87 |
第180 | 45 | 4.79±1.82 | 19 | 4.89±1.54 | 19 | 4.47±1.49 | 51 | 3.76±1.60 | 46 | 5.15±2.18 |
N | 5g/天T-凝胶 | N | 5-7.5g/天T-凝胶 | N | 10-7.5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | |
第0天 | 53 | 115.94±43.68 | 20 | 109.27±32.70 | 20 | 120.93±28.16 | 58 | 125.33±57.57 | 76 | 122.08±51.74 |
第30天 | 49 | 141.09±64.02 | 20 | 141.41±77.35 | 20 | 147.25±49.85 | 58 | 149.37±60.61 | 71 | 139.26±59.12 |
第90天 | 47 | 137.68±68.51 | 20 | 129.02±60.20 | 29 | 144.60±58.20 | 55 | 135.59±51.54 | 66 | 130.87±49.91 |
第120天 | 46 | 140.07±81.48 | 19 | 133.61±54.09 | 20 | 139.00±64.96 | 50 | 128.48±45.56 | 46 | 130.39±42.22 |
第180天 | 45 | 119.78±49.02 | 19 | 108.78±35.29 | 19 | 123.51±39.30 | 51 | 108.52±38.98 | 45 | 120.74±56.10 |
初期治疗组 | N | 5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | 组间p值 |
第0天 | 71 | 90.3±170.3 | 75 | 98.0±128.2 | 75 | 78.5±82.5 | 0.6986 |
第30天 | 65 | 74.6±79.3 | 73 | 58.4±66.4 | 66 | 91.6±183.6 | 0.3273 |
第90天 | 62 | 70.4±92.6 | 73 | 55.2±49.1 | 63 | 75.0±113.6 | 0.5348 |
第120天 | 35 | 78.8±88.2 | 36 | 46.6±36.4 | 21 | 71.2±108.8 | 0.2866 |
第180天 | 64 | 68.2±81.1 | 70 | 46.9±43.1 | 49 | 49.4±40.8 | 0.2285 |
初期治疗组 | N | 5g/天T-凝胶 | N | 10g/天T-凝胶 | N | T-透皮贴剂 | 组间p值 |
第0天 | 71 | 0.150±0.113 | 75 | 0.174±0.222 | 75 | 0.158±0.137 | 0.6925 |
第30天 | 65 | 0.153±0.182 | 73 | 0.128±0.104 | 66 | 0.152±0.098 | 0.3384 |
第90天 | 63 | 0.136±0.122 | 73 | 0.113±0.075 | 63 | 0.146±0.099 | 0.2531 |
第120天 | 36 | 0.108±0.073 | 36 | 0.117±0.090 | 21 | 0.220±0.194 | 0.0518 |
第180天 | 64 | 0.114±0.088 | 70 | 0.144±0.113 | 47 | 0.173±0.108 | 0.0398 |
初期治疗组 | N | 第0天 | N | 第180天 | N | 第0-180天的变化 | 组内p值 |
5.0g/天T-凝胶 | 69 | 2.1±1.6 | 63 | 3.5±1.6 | 60 | 1.4±1.9 | 0.0001 |
10.0g天T-凝胶 | 77 | 2.0±1.4 | 68 | 3.6±1.6 | 67 | 1.5±1.9 | 0.0001 |
T-透皮贴剂 | 72 | 2.0±1.6 | 47 | 3.1±1.9 | 45 | 1.6±2.1 | 0.0001 |
组间p值 | 0.8955 | 0.2247 | 0.8579 |
初期治疗组 | N | 第0天 | N | 第180天 | N | 第0-180天的变化 | 组内p值 |
5.0g/天T-凝胶 | 60 | 1.5±1.9 | 51 | 1.9±1.9 | 44 | 0.8±1.4 | 0.0051 |
10.0g天T-凝胶 | 63 | 1.2±1.4 | 53 | 2.2±1.9 | 48 | 1.1±1.6 | 0.0001 |
T-透皮贴剂 | 66 | 1.4±1.8 | 44 | 2.2±2.3 | 40 | 1.0±1.9 | 0.0026 |
组间p值 | 0.6506 | 0.7461 | 0.6126 |
初期治疗组 | N | 第0天 | N | 第180天 | N | 第0-180天的变化 | 组内p值 |
5.0g/天T-凝胶 | 64 | 2.1±2.1 | 55 | 2.6±2.2 | 48 | 0.4±2.2 | 0.0148 |
10.0g天T-凝胶 | 66 | 1.8±1.7 | 58 | 3.0±2.2 | 52 | 1.0±2.3 | 0.0053 |
T-透皮贴剂 | 61 | 1.5±1.7 | 40 | 2.2±2.4 | 35 | 0.7±2.3 | 0.1170 |
组间p值 | 0.2914 | 0.1738 | 0.3911 |
初期治疗组 | N | 第0天 | N | 第180天 | N | 第0-180天的变化 | 组内p值 |
5.0g/天T-凝胶 | 55 | 2.5±2.1 | 57 | 4.3±1.8 | 44 | 1.9±2.0 | 0.0001 |
10.0g天T-凝胶 | 64 | 2.9±1.9 | 58 | 4.5±1.7 | 53 | 1.5±2.0 | 0.0001 |
T-透皮贴剂 | 45 | 3.4±2.1 | 34 | 4.5±2.0 | 20 | 1.3±2.1 | 0.0524 |
组间p值 | 0.1117 | 0.7093 | 0.5090 |
初期治疗组 | N | 第0天 | N | 第180天 | N | 第0-180天的变化 | 组内p值 |
5.0g/天T-凝胶 | 53 | 53.1±24.1 | 57 | 67.4±22.5 | 43 | 18.7±22.1 | 0.0001 |
10.0g天T-凝胶 | 62 | 59.6±22.1 | 59 | 72.0±20.2 | 52 | 10.4±23.4 | 0.0001 |
T-透皮贴剂 | 47 | 56.5±24.7 | 33 | 66.7±26.7 | 19 | 12.7±20.3 | 0.0064 |
组间p值 | 0.3360 | 0.4360 | 0.1947 |
后期治疗组 | 研究天数 | 坐式压腿 | 手臂/胸(台上按压) | ||
N | 平均值±标准偏差(lbs.) | N | 平均值±标准偏差(lbs.) | ||
5.0g/天T-凝胶 | 090□0-90180□0-180 | 3730303131 | 356.8±170.0396.4±194.325.8±49.2393.4±196.619.9±62.4 | 3731313131 | 100.5±37.4101.2±30.74.0±10.099.7±31.41.3±13.0 |
7.5g/天T-凝胶(原为5.0g/天) | 090□0-90180□0-180 | 1615151414 | 302.8±206.5299.8±193.917.0±88.4300.6±203.0-0.1±110.2 | 1615151414 | 102.8±48.9109.5±47.65.0±21.3108.5±49.35.6±30.4 |
7.5g/天T-凝胶(原为10.0g/天) | 090□0-90180□0-180 | 1414141212 | 363.4±173.8401.6±176.638.2±42.9409.9±180.233.9±67.3 | 1414141414 | 123.3±54.7134.6±57.511.3±10.5132.3±61.59.0±18.7 |
10.0g/天T-凝胶 | 090□0-90180□0-180 | 4543433636 | 345.9±186.9373.5±194.827.6±45.1364.4±189.132.2±72.3 | 4341413434 | 114.7±55.1119.8±54.24.6±12.8112.0±45.51.9±14.8 |
T-透皮贴剂 | 090□0-90180□0-180 | 5546463636 | 310.4±169.7344.9±183.925.4±37.0324.8±199.015.2±54.7 | 5446463535 | 99.2±43.1106.2±44.03.2±12.0104.8±44.82.3±15.7 |
后期治疗组 | 第0-90天的平均变化 | ||||
N | TFT(g) | TLN(g) | TBM(g) | PFT | |
5.0g/天T-凝胶 | 43 | -782±2105 | 1218±2114 | 447±1971 | -1.0±2.2 |
7.5g/天T-凝胶(原为5.0g/天) | 12 | -1342±3212 | 1562±3321 | 241±3545 | -1.0±3.1 |
7.5g/天T-凝胶(原为10.0g/天) | 16 | -1183±1323 | 3359±2425 | 2176±2213 | -2.0±1.5 |
10.0g/天T-凝胶 | 45 | -999±1849 | 2517±2042 | 1519±2320 | -1.7±1.8 |
T-透皮贴剂 | 52 | 11±1769 | 1205±1913 | 1222±2290 | -0.4±1.6 |
后期治疗组 | 第0-180天的平均变化 | ||||
N | TFT(g) | TLN(g) | TBM(g) | PFT | |
5.0g/天T-凝胶 | 38 | -972±3191 | 1670±2469 | 725±2357 | -1.3±3.1 |
7.5g/天T-凝胶(原为5.0g/天) | 13 | -1467±3851 | 2761±3513 | 1303±3202 | -1.5±3.9 |
7.5g/天T-凝胶(原为10.0g/天) | 16 | -1333±1954 | 3503±1726 | 2167±1997 | -2.2±1.7 |
10.0g/天T-凝胶 | 42 | -2293±2509 | 3048±2284 | 771±3141 | -2.9±2.1 |
T-透皮贴剂 | 34 | 293±2695 | 997±2224 | 1294±2764 | -0.3±2.2 |
5.0g/天T-凝胶N=53 | 10.0g/天T-凝胶N=57 | T-透皮贴剂N=73 | |
总计 | 16(30.2%) | 18(31.6%) | 50(68.5%) |
敷用部位的反应 | 3(5.7%) | 3(5.3%) | 48(65.8%) |
痤疮 | 1(1.9%) | 7(12.3%) | 3(4.1%) |
皮疹 | 4(7.5%) | 4(7.0%) | 2(2.7%) |
皮肤病症 | 2(3.8%) | 1(1.8%) | 1(1.4%) |
皮肤干燥 | 2(3.8%) | 0(0.0%) | 1(1.4%) |
出汗 | 0(0.0%) | 2(3.5%) | 0(0.0%) |
未能评价的反应 | 2(3.6%) | 1(1.7%) | 0(0.0%) |
囊肿 | 0(0.0%) | 0(0.0%) | 2(2.7%) |
Claims (22)
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CN2006100066288A Expired - Lifetime CN101081203B (zh) | 2000-08-30 | 2001-08-29 | 水醇凝胶的制药用途 |
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PL (1) | PL205875B1 (zh) |
PT (1) | PT1313482E (zh) |
SI (1) | SI1313482T1 (zh) |
UA (1) | UA76958C2 (zh) |
WO (1) | WO2002017926A1 (zh) |
ZA (3) | ZA200301705B (zh) |
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