Evidence mapPaperPMID 30729119Full record

ArticleBioMed research international2019

Effect of Cilostazol on the Pharmacokinetics of Simvastatin in Healthy Subjects.

Jung-Ryul Kim, Jin Ah Jung, Seokuee Kim, Wooseong Huh, Jong-Lyul Ghim, Jae-Gook Shin, Jae-Wook Ko

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jung-Ryul KimDepartment of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0002-1638-3574
Jin Ah JungDepartment of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0003-2439-377X
Seokuee KimDepartment of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0002-5963-4302
Wooseong HuhDepartment of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0001-8174-5028
Jong-Lyul GhimDepartment of Clinical Pharmacology, Inje University Busan Paik Hospital, Busan, Republic of Korea.ORCID 0000-0002-6137-786X
Jae-Gook ShinDepartment of Clinical Pharmacology, Inje University Busan Paik Hospital, Busan, Republic of Korea.
Jae-Wook KoDepartment of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Republic of Korea.ORCID 0000-0003-0962-2554
Samsung Medical Center · KRInje University Busan Paik Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe evaluated potential drug-drug interactions between cilostazol and simvastatin, both CYP3A substrates, in healthy subjects.

methodsAn open-label, two-period, fixed-sequence clinical study was conducted. Seventeen subjects were given a single oral dose of simvastatin 40 mg on day 1 and multiple oral doses of cilostazol 100 mg twice daily on days 2 to 5 followed by a single dose of cilostazol and simvastatin on day 6. Plasma concentrations of simvastatin and its active metabolite, simvastatin acid, were measured using liquid chromatography-tandem mass spectrometry for pharmacokinetic assessment. Moreover, serum lipid profiles under fasting conditions were determined.

resultsThe geometric mean ratios of the area under the plasma concentration-time curve from time zero to time infinity of simvastatin combined with cilostazol to that of simvastatin alone were 1.64 (90% CI, 1.38-1.95) for simvastatin and 1.31 (1.04-1.66) for simvastatin acid. In addition, coadministration with cilostazol significantly increased the maximum concentration of simvastatin and simvastatin acid, up to 1.8-fold and 1.6-fold, respectively. However, the effects of a single dose of simvastatin on serum lipid profiles were not affected notably when simvastatin was coadministered with cilostazol.

conclusionsMultiple doses of cilostazol increased the systemic exposure of simvastatin and simvastatin acid following a single dose of simvastatin.

Indexed as

Drug InteractionsAdultChromatography, LiquidCilostazolCytochrome P-450 CYP3AFemaleHealthy VolunteersHumansMaleSimvastatinCilostazolCYP3A protein, humanCytochrome P-450 CYP3ASimvastatinsimvastatin acid

Identifiers

PMID30729119
PMCPMC6343132
OpenAlexW2909527190

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.