TABLE 3.
Parameter | DLM fat interventions | IV d6-α-T | Compared with 0% fat,2P value | Oral d3-α-T | Compared with 0% fat,3P value | Oral d3- compared with IV d6-α-T,4P value | Interaction,5P value |
---|---|---|---|---|---|---|---|
Elimination rate, Ke | 40% fat | 0.023 ± 0.002 | 0.3062 | 0.020 ± 0.002 | 0.7828 | 0.0601 | 0.5609 |
0% fat | 0.021 ± 0.002 | 0.020 ± 0.002 | 0.4862 | ||||
0% fat-fast | 0.026 ± 0.002 | 0.0551 | 0.021 ± 0.002 | 0.7353 | 0.0336* | ||
Half-life, h | 40% fat | 30.9 ± 2.2 | 0.2264 | 34.2 ± 2.7 | 0.6058 | 0.1564 | 0.2066 |
0% fat | 34.5 ± 2.2 | 36.2 ± 2.7 | 0.4862 | ||||
0% fat-fast | 29.0 ± 2.6 | 0.0982 | 40.4 ± 3.3 | 0.3273 | 0.0336 | ||
%Max (enrichment) | 40% fat | 23.5% ± 1.1% | 0.1816 | 14.7% ± 0.9% | 0.0008* | <0.0001* | 0.0166* |
0% fat | 24.9% ± 1.1% | 18.1% ± 0.9% | <0.0001* | ||||
0% fat-fast | 25.4% ± 1.3% | 0.6238 | 15.5% ± 1.0% | 0.0082* | 0.0004* | ||
Tmax,6 h | 40% fat | 7.8 ± 0.6 | 0.1057 | 12.9 ± 1.3 | 0.9809 | 0.0306* | 0.0003* |
0% fat | 6.5 ± 0.7 | 12.9 ± 1.3 | 0.0005* | ||||
0% fat-fast | 9.0 ± 0.8 | 0.0055* | 20.0 ± 1.4 | <0.0001* | <0.0001* | ||
AUC0–72 h,7 % · h | 40% fat | 1101 ± 46 | 0.9274 | 657 ± 39 | 0.0037* | <0.0001* | 0.1032 |
0% fat | 1105 ± 47 | 781 ± 39 | 0.0001* | ||||
0% fat-fast | 1121 ± 50 | 0.6622 | 693 ± 43 | 0.0323* | <0.0001* | ||
Fractional absorption (0–72 h)8 | 40% fat | 61% ± 3% | 0.0120* | ||||
0% fat | 70% ± 3% | ||||||
0% fat-fast | 62% ± 4% | 0.0370* |
Pharmacokinetic (PK) parameters (mean ± SEM) were calculated as described in Methods from data shown in Figure 4A, C from women in the following interventions: 40% fat, n = 10; 0% fat, n = 10; and 0% fat, fasting 12 h, n = 7. Statistical analyses of the PK parameters derived from either d6-α-T or d3-α-T enrichment percentages were performed as described for Table 2. *Statistically significant values. Cmax, maximum concentration; DLM, defined liquid meal; Ke, post-Cmax elimination rate; IV, intravenous; Tmax, time of Cmax. The statistical analysis was carried out to answer the questions in the footnotes shown below.
What is the effect of the intervention on the IV d6-α-T dose PK parameter?
What is the effect of the intervention on the oral d3-α-T dose PK parameter?
Are there differences in the IV compared with oral α-T responses for each PK parameter?
Did the response differ between the intervention and the route (IV d6-α-T and oral d3-α-T) for the PK parameter?
Tmax is postnadir for the IV dose.
AUC0–72 is calculated from the plasma d6-α-T and d3-α-T enrichments from 0 to 72 h.
From the dual-isotope method (% absorption = oral AUC0–72/IV AUC0–72 × 100).