Nabumetone and 6-MNA Pharmacokinetics, Assessment of Intrasubject Variability and Gender Effect

Am J Ther. 2016 Nov/Dec;23(6):e1498-e1503. doi: 10.1097/MJT.0000000000000158.

Abstract

In this open-label, laboratory-blinded, 2-way single dose study in 24 volunteers of both sexes we found that (1) nabumetone reaches mean Cmax ± SD of 0.56 ± 0.20 mg·L at mean tmax of 8.63 ± 7.05 hours, and mean area under the curve (AUC)last of 18.07 ± 7.19 h·mg·L; (2) there are no statistically significant differences between both sexes in pharmacokinetics of nabumetone; (3) 6-methoxy-2-naphthylacetic acid (6-MNA) reaches higher AUClast in men compared with women (mean ± SD, 721.23 ± 185.53 h·mg·L and 545.27 ± 97.69 h·mg·L, respectively; P = 0.013); (4) there is lower 6-MNA clearance in men (0.65 ± 0.22 L·h) in comparison with women (0.88 ± 0.18 L·h, P = 0.019), (5) intersubject variability of nabumetone and 6-MNA is between 35%-45% and 10%-30% for all assessed pharmacokinetics parameters (AUClast, Cmax, partial AUC values); (6) intrasubject variability (ISCV) for AUClast is low, 15.59% and 6.40% for nabumetone and 6-MNA, respectively, (7) ISCV for Cmax is 13.66% and 5.42% for nabumetone and 6-MNA, respectively. Nabumetone thus belongs to compounds with low to moderate ISCV and therefore this product is expected to produce consistent effects in clinical practice.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Area Under Curve
  • Butanones / administration & dosage
  • Butanones / pharmacokinetics*
  • Cyclooxygenase 2 Inhibitors / administration & dosage
  • Cyclooxygenase 2 Inhibitors / pharmacokinetics*
  • Female
  • Humans
  • Male
  • Nabumetone
  • Naphthaleneacetic Acids / pharmacokinetics*
  • Sex Factors
  • Young Adult

Substances

  • Butanones
  • Cyclooxygenase 2 Inhibitors
  • Naphthaleneacetic Acids
  • 6-methoxy-2-naphthylacetic acid
  • Nabumetone