Table 2.
Pharmacokinetic (PK) parameters (mean±s.d.) of (−)-cisapride and (+)-cisapride after a single oral dose of 10 mg rac-cisapride (CIS) in water (W) (control) and 200 ml double-strength grapefruit juice (GFJ) treated healthy volunteers (n = 10).
| PK parameters | W phase | GFJ phase | Ratio GFJ/W phase | Mean differences (95% CI) | P values |
|---|---|---|---|---|---|
| (–)-Cisapride | |||||
| tmax (h) | 1.35 ± 0.4 | 2.8 ± 1 | 2.33 ± 1.19 | −1.45 (−2.33, −0.57) | 0.0048 |
| Cmax (ng ml−1) | 30 ± 13.6 | 55.5 ± 18.2 | 1.96 ± 0.52 | −25 (−33, −17) | < 0.0001 |
| AUC(0, ∞) (ng ml−1 h) | 201.2 ± 161 | 522 ± 303 | 2.79 ± 0.54 | −320 (−439, −202) | 0.0002 |
| t1/2 (h) | 4.7 ± 2.7 | 6.3 ± 2.4 | 1.48 ± 0.42 | −1.5 (−2.8, −0.23) | 0.026 |
| (+/–)-Cisapride | |||||
| tmax (h) | 1.75 ± 0.5 | 2.9 ± 1.6 | 1.71 ± 0.86 | −1.15 (−2.12, −0.18) | 0.025 |
| Cmax (ng ml−1) | 10.5 ± 3.4 | 18.4 ± 6.2 | 1.89 ± 0.75 | −7.9 (−11.8, −3.9) | 0.0015 |
| AUC(0, ∞) (ng ml−1 h) | 70 ± 51.5 | 170 ± 91 | 2.75 ± 1.04 | −100 (−143, −53) | 0.0005 |
| t1/2 (h) | 4.8 ± 3.1 | 6.5 ± 2.8 | 1.8 ± 1.21 | −1.75 (−4.6, −1.14) | 0.205 |
Peak plasma concentration (Cmax), time to Cmax (tmax), area under the plasma concentration-time curve (AUC(0, ∞)) and elimination half-life (t½).