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. 2020 Aug 27;60(1):121–131. doi: 10.1007/s40262-020-00918-7
Pharmacokinetic analysis of plasma ampreloxetine exposure indicated that the terminal half-life was 30–40 h, reached steady state after 6 days, and accumulated three- to four-fold with once-daily dosing.
Population pharmacokinetic modeling identified sex and smoking status as statistically significant covariates indicating that cytochrome P450 1A2-based metabolism is the key mechanism for ampreloxetine elimination.
Based on the pharmacokinetic/pharmacodynamic relationship, a once-daily ampreloxetine dose of 10 mg is predicted to achieve sustained norepinephrine transporter engagement during the entire dosing interval.