[Safety and Tolerance of Healthy People to Injection of Astragalosides-a New Drug for Coronary Heart Disease]

Sichuan Da Xue Xue Bao Yi Xue Ban. 2016 Sep;47(5):805-809.
[Article in Chinese]

Abstract

Objectives: To assess the safety and tolerance of healthy volunteers to as tragalosides injection (AGI), and to determine a safe dose range for phase II clinical trial.

Methods: A total of 62 healthy volunteers participated in this study, with 26 being given a single AGI of 100 mL, 200 mL, 300 mL, 400 mL, 500 mL, or 600 mL and 36 subjects being given 500 mL, 400 mL, 200 mL or 300 mL of AGI once a day for 7 d. Discomfortsymptoms, vital signs and safety problems were recorded 3 d and 7 d after the administration of AGI. The results were analyzed.

Results: Of the 62 participants, 40 adverse events (AEs) were reported by 31 participants, which included 23 mild adverse reactions (ADRs) and 4 moderate ADRs. Nine AEs were reported by 9 participants with single AGI, including 7 ADRs. Fourteen AEs were reported by 10 participants with 500 mL and 400 mL multiple AGI, including 12 ADRs occurred in 9 participants.Seventeen AEs were reported by 12 participants with 300 mL and 300 mL multiple AGI, including 3 mild ADRs. The main ADRs included abnormal liver function [slightly elevated glutamic pyruvic transaminase (ALT), glutamic oxaloacetic transaminase (AST),and serum total bilirubin (TBil)], low blood potassium, increased urine red blood cell count, rash, and phlebitis.

Conclusions: The maximum tolerance is 600 mL for single-dose treatment, and 400 mL for multiple-dose (7 d). The dose guidance given in this study should be examined its effects and safety in patients with coronary heart disease in phase II clinical trial.

Keywords: Coronary heart disease; Phase I clinical trial; Safety and tolerance study; Total astragalosides.

MeSH terms

  • Coronary Disease / drug therapy*
  • Drugs, Chinese Herbal / administration & dosage*
  • Drugs, Chinese Herbal / adverse effects
  • Healthy Volunteers
  • Humans
  • Liver / drug effects
  • Saponins / administration & dosage*
  • Saponins / adverse effects
  • Triterpenes / administration & dosage*
  • Triterpenes / adverse effects

Substances

  • Drugs, Chinese Herbal
  • Saponins
  • Triterpenes