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10.1111/cts.13052

http://scihub22266oqcxt.onion/10.1111/cts.13052
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suck abstract from ncbi


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pmid33982445      Clin+Transl+Sci 2021 ; 14 (5): 1967-1976
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  • A phase I study of high dose camostat mesylate in healthy adults provides a rationale to repurpose the TMPRSS2 inhibitor for the treatment of COVID-19 #MMPMID33982445
  • Kitagawa J; Arai H; Iida H; Mukai J; Furukawa K; Ohtsu S; Nakade S; Hikima T; Haranaka M; Uemura N
  • Clin Transl Sci 2021[Sep]; 14 (5): 1967-1976 PMID33982445show ga
  • Camostat mesylate, an oral serine protease inhibitor, is used to treat chronic pancreatitis and reflux esophagitis. Recently, camostat mesylate and its active metabolite 4-(4-guanidinobenzoyloxy)phenylacetic acid (GBPA) were reported to inhibit the infection of cells by severe acute respiratory syndrome coronavirus 2 by inhibiting type II transmembrane serine protease. We conducted a phase I study to investigate high-dose camostat mesylate as a treatment for coronavirus disease 2019. Camostat mesylate was orally administered to healthy adults at 600 mg 4 times daily under either of the following conditions: fasted state, after a meal, 30 min before a meal, or 1 h before a meal, and the pharmacokinetics and safety profiles were evaluated. In addition, the time of plasma GBPA concentration exceeding the effective concentration was estimated as the time above half-maximal effective concentration (EC(50) ) by using pharmacokinetic/pharmacodynamic modeling and simulation. Camostat mesylate was safe and tolerated at all dosages. Compared with the fasted state, the exposure of GBPA after a meal and 30 min before a meal was significantly lower; however, no significant difference was observed at 1 h before a meal. The time above EC(50) was 11.5 h when camostat mesylate 600 mg was administered 4 times daily in the fasted state or 1 h before a meal. Based on the results of this phase I study, we are currently conducting a phase III study.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Drug Repositioning[MESH]
  • |Administration, Oral[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Computer Simulation[MESH]
  • |Dose-Response Relationship, Drug[MESH]
  • |Drug Administration Schedule[MESH]
  • |Esters/administration & dosage/*adverse effects/pharmacokinetics[MESH]
  • |Food-Drug Interactions[MESH]
  • |Guanidines/administration & dosage/*adverse effects/pharmacokinetics[MESH]
  • |Healthy Volunteers[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Models, Biological[MESH]
  • |Serine Endopeptidases/metabolism[MESH]
  • |Serine Proteinase Inhibitors/*administration & dosage/adverse effects[MESH]


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