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EFFECT OF TROGLITAZONE ON CYP 3A4 & ON DEXAMETHASONE SUPPRESSION TEST

EFFECT OF TROGLITAZONE ON CYP 3A4 & ON DEXAMETHASONE SUPPRESSION TEST
曲格列酮对 CYP 3A4 的影响
批准号:
6263711
负责人:
CRAIG A JAFFE
金额:
$0.02万
依托单位国家:
美国
项目类别:
财政年份:
1998
资助国家:
美国
项目状态:
已结题
起止时间:
1998-12-01 至 1999-11-30

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中文摘要
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英文摘要
We have recently identified a patient who had a false positive low dose dexamethasone suppression test (DST) that likely resulted from treatment with a new insulin sensitizing agent, troglitazone (Rezulin). Data from clinical studies suggest that troglitazone induces hepatic CYP3A4, the most prevalent drug metabolizing enzyme in the liver and the enzyme that is also responsible for the metabolism of dexamethasone (1, 2, 3,). We suggest that as troglitazone becomes more frequently used and as its indications for use broaden, false positive DST in patients treated with troglitazone will become common. The proposed investigations will establish whether troglitazone does alter DST via an increase in CYP3A4 activity.
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