Duloxetine ((S)-Duloxetine; LY248686)

别名: LY248686; LY-227942; LY-248686; LY 227942; (S)-Duloxetine; (S)-Duloxetine; Yentreve; Cymbalta; (S)-N-Methyl-3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propan-1-amine; LY 248686; HSDB 7368; Duloxetine 度洛西汀;(S)-(+)-N-甲基-3-(1-萘氧基)-3-(2-噻吩)-丙胺; (R)-(-)-N-甲基-3-(1-萘氧基)-3-(2-噻吩)-丙胺;R-(-)-度洛西汀;右旋度洛西汀盐酸盐;度洛西丁;度洛西汀-D3盐酸;度洛西汀杂质; 盐酸度洛西汀;(S)-N-甲基-Γ-(1-萘氧基)-2-噻吩丙胺;多罗西汀;度洛西汀(多罗西汀)
目录号: V18170 纯度: ≥98%
度洛西汀 ((S)-Duloxetine; LY248686; LY-248686) 是一种 5-羟色胺-去甲肾上腺素再摄取抑制剂 (SNRI, Ki = 4.6 nM),用于治疗重度抑郁症和广泛性焦虑症 (GAD)、纤维肌痛和神经性疼痛。
Duloxetine ((S)-Duloxetine; LY248686) CAS号: 116539-59-4
产品类别: 5-HT Receptor
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
25mg
50mg
100mg
250mg
Other Sizes

Other Forms of Duloxetine ((S)-Duloxetine; LY248686):

  • (±)-Duloxetine hydrochloride ((Rac)-Duloxetine hydrochloride)
  • (R)-Duloxetine hydrochloride
  • 盐酸度洛西汀
  • Duloxetine-d7 (Duloxetine-d7)
  • 度洛西汀杂质C
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InvivoChem产品被CNS等顶刊论文引用
产品描述
度洛西汀((S)-度洛西汀;LY248686;LY-248686)是一种血清素-去甲肾上腺素再摄取抑制剂(SNRI,Ki = 4.6 nM),用于治疗重度抑郁症和广泛性焦虑症(GAD)、纤维肌痛和神经性疼痛。
生物活性&实验参考方法
靶点
serotonin reuptake; norepinephrine reuptake
体外研究 (In Vitro)
度洛西汀((S)-度洛西汀)抑制中枢神经系统中血清素和去甲肾上腺素的再摄取。度洛西汀也被认为是一种效力较弱的多巴胺再摄取抑制剂。然而,度洛西汀对多巴胺能、肾上腺素能、胆碱能、组胺能、阿片类、谷氨酸和 GABA 受体没有显着的亲和力,因此可以被认为是 5-HT 和 NA 转运蛋白的选择性再摄取抑制剂。度洛西汀经历广泛的代谢,但主要的循环代谢物对药理活性没有显着贡献。据信,重度抑郁症部分是由于中枢神经系统内促炎细胞因子的增加所致。抗抑郁药,包括与度洛西汀作用机制相似的抗抑郁药,即抑制血清素代谢,会导致促炎细胞因子活性降低和抗炎细胞因子增加;这种机制可能适用于度洛西汀对抑郁症的作用,但缺乏对度洛西汀治疗特异性细胞因子的研究[1]。度洛西汀在治疗糖尿病神经病变和纤维肌痛等中枢性疼痛综合征中的镇痛特性被认为是由于钠离子通道阻断所致[2]。
体内研究 (In Vivo)
给药后约6小时,度洛西汀的最大血浆浓度(Cmax)范围为约47ng/mL(40mg每日两次剂量)至110ng/mL(80mg每日两次剂量)。度洛西汀的消除半衰期约为 10-12 小时,分布体积约为 1640 L。在一项研究中,单剂量 60 mg 后,绝对口服生物利用度平均为 30% 至 80%,平均为 19% 至 19%。另一项平均为 71%。度洛西汀的吸收受食物和一天中时间的影响;食物和睡前给药会导致 4 小时 tmax 延迟[1]。
细胞实验
细胞活力测定[2] 细胞以每孔2×105个细胞的密度接种在96孔板中,生长24小时,然后根据时间依赖性或剂量依赖性方案用药物处理。每种治疗均进行三次。药物处理后,根据制造商的说明,使用细胞计数试剂盒-8(CCK-8)测定细胞存活率。CCK-8使用灵敏的比色WST-8测定法来确定活细胞的数量。WST-8是一种高度水溶性的四唑盐,化学名称为2-(2-甲氧基-4-硝基苯基)-3-(4-硝基苯基)-5-(2,4-二磺苯基)-2H-四唑单钠盐。
动物实验
度洛西汀和α-肾上腺素能受体拮抗剂的给药[3] 将度洛西汀溶于蒸馏水(DW)中。腹腔注射不同剂量的度洛西汀(10、30和60 mg/kg)。为了检测度洛西汀在奥沙利铂给药小鼠中发挥抗痛觉过敏作用的肾上腺素能受体亚型,在度洛西汀给药前20分钟鞘内注射拮抗剂。非选择性α-肾上腺素能受体拮抗剂(酚妥拉明,20 μg)、α1-肾上腺素能受体拮抗剂(哌唑嗪,10 μg)和α2-肾上腺素能受体拮抗剂(伊达唑啉,10 μg)的注射体积均为5 μL。根据先前进行的研究确定每种拮抗剂的剂量,这些研究表明其对肾上腺素能受体介导的反应具有选择性和有效的拮抗作用。[3]
药代性质 (ADME/PK)
吸收、分布和排泄
度洛西汀吸收不完全,平均生物利用度为50%,但个体差异较大,范围在30%至80%之间。群体吸收常数(ka)为0.168 h-1。该分子在酸性环境下易水解,因此需要使用肠溶包衣来保护其在通过胃部时免受破坏。这导致从给药到开始吸收需要2小时的延迟时间。达峰时间(Tmax)为6小时,包括延迟时间。与食物同服度洛西汀会导致Tmax延迟3小时,同时AUC降低10%。同样,睡前服用会导致Tmax延迟4小时,AUC降低18%,Cmax降低29%。这两种情况均归因于胃排空延迟,但预计不会对临床治疗产生显著影响。
约70%的度洛西汀主要以结合代谢物的形式经尿液排出。另有20%以原药、4-羟基代谢物和一种未鉴定的代谢物的形式存在于粪便中。由于粪便排泄时间超过正常胃肠道转运时间,胆汁分泌被认为在其中发挥作用。
表观分布容积为1620-1800升。度洛西汀可穿过血脑屏障,并在大脑皮层中积聚,其浓度高于血浆浓度。
据报道,度洛西汀的清除率存在很大的个体差异,数值范围为57-114升/小时。稳态血药浓度仍与剂量成正比,剂量从 30 mg 增加到 60 mg 以及从 60 mg 增加到 120 mg,分别使稳态血药浓度 (Css) 增加 2.3 倍和 2.6 倍。
尿液中已鉴定出多种代谢物,其中一些仅代表次要的消除途径。尿液中仅存在痕量(<1% 剂量)的未代谢度洛西汀。大部分(约 70%)度洛西汀剂量以代谢物的形式出现在尿液中;约 20% 经粪便排出。度洛西汀代谢广泛,但主要循环代谢物尚未被证实对度洛西汀的药理活性有显著贡献。
度洛西汀的消除半衰期约为 12 小时(范围 8 至 17 小时),其药代动力学在治疗范围内与剂量成正比。通常给药3天后即可达到稳态血浆浓度。度洛西汀主要通过肝脏代谢消除,涉及两种P450同工酶CYP1A2和CYP2D6。口服盐酸度洛西汀吸收良好。吸收开始时间(Tlag)中位数为2小时,度洛西汀的血浆峰浓度(Cmax)在给药后6小时达到。食物不影响度洛西汀的Cmax,但会将达峰时间从6小时延迟至10小时,并使吸收程度(AUC)略微降低约10%。与早晨给药相比,晚上给药后度洛西汀的吸收延迟3小时,表观清除率增加三分之一。表观分布容积平均约为 1640 L。度洛西汀与人血浆蛋白的结合率很高(>90%),主要与白蛋白和α1-酸性糖蛋白结合。度洛西汀与其他高蛋白结合药物之间的相互作用尚未完全评估。肾功能或肝功能损害不影响度洛西汀的血浆蛋白结合率。
代谢/代谢物
度洛西汀主要通过 CYP1A2 和 CYP2D6 广泛代谢,其中 CYP1A2 的贡献更大。它在萘环的 4、5 或 6 位发生羟基化,4-羟基代谢物直接转化为葡萄糖醛酸苷结合物,而 5-和 6-羟基代谢物则先经过儿茶酚和 5-羟基、6-甲氧基中间体,然后再转化为葡萄糖醛酸苷或硫酸盐结合物。已知CYP2C9是5-羟基代谢物的次要贡献者。另一种未表征的代谢物已知会经粪便排泄,但其占总排泄药物的比例不足5%。还有许多其他代谢物存在,但由于它们对度洛西汀总体代谢谱的贡献率低且缺乏临床意义,因此尚未被鉴定。
口服14C标记的度洛西汀后,已测定了度洛西汀在人体内的生物转化和分布。度洛西汀约占血浆中放射性标记物质总量的3%,表明其会经历广泛的代谢,生成多种代谢物。度洛西汀的主要生物转化途径包括萘环的氧化,随后发生结合反应和进一步氧化。体外实验表明,CYP1A2和CYP2D6均可催化萘环的氧化。血浆中发现的代谢物包括4-羟基度洛西汀葡糖苷酸和5-羟基,6-甲氧基度洛西汀硫酸盐。
度洛西汀已知的人体代谢物包括5-((S)-3-甲基氨基-1-噻吩-2-基-丙氧基)-萘-2-醇、5-羟基度洛西汀和4-羟基度洛西汀。
度洛西汀的主要生物转化途径涉及萘环的氧化,随后进行结合反应和进一步氧化。CYP2D6和CYP1A2均可在体外催化萘环的氧化。血浆中发现的代谢物包括4-羟基度洛西汀葡糖苷酸和5-羟基,6-甲氧基度洛西汀硫酸盐。主要循环代谢物尚未被证实对度洛西汀的药理活性有显著贡献。
消除途径:尿液中已鉴定出多种其他代谢物,其中一些仅代表次要的消除途径。大部分(约70%)度洛西汀剂量以代谢物的形式出现在尿液中;约20%经粪便排出。
半衰期:12小时(范围8-17小时)
生物半衰期
平均12小时,范围8-17小时。
度洛西汀的消除半衰期约为12小时(范围8至17小时),其药代动力学在治疗范围内与剂量成正比。
毒性/毒理 (Toxicokinetics/TK)
毒性概述
识别和用途:盐酸度洛西汀用于成人广泛性焦虑症的急性治疗、成人糖尿病周围神经病变相关神经性疼痛的治疗、成人纤维肌痛的治疗、女性中重度压力性尿失禁(SUI)的治疗以及成人重度抑郁症的急性治疗和维持治疗。人体暴露和毒性:可能存在严重肝毒性风险;曾有报道出现血清转氨酶浓度升高,有时需要停用度洛西汀。上市后经验表明,曾有急性过量服用致死病例报告,主要为混合过量服用,但也包括仅服用度洛西汀(剂量低至1000毫克)的情况。过量服用度洛西汀(单独服用或与其他药物合用)的体征和症状包括嗜睡、昏迷、5-羟色胺综合征、癫痫发作、晕厥、心动过速、低血压、高血压和呕吐。与较低剂量相比,每日服用120毫克度洛西汀的患者中,报告停药后出现不良事件的比例更高。每日服用40至120毫克度洛西汀的患者中,报告至少发生一次停药后出现不良事件的比例与安慰剂组存在显著差异。度洛西汀治疗超过8-9周似乎并未增加停药后出现不良事件的发生率或严重程度。突然停用度洛西汀会导致一系列停药后出现的不良事件,这些不良事件与其他选择性5-羟色胺再摄取抑制剂(SSRI)和选择性5-羟色胺和去甲肾上腺素再摄取抑制剂(SNRI)类抗抑郁药类似。动物研究:将度洛西汀添加到小鼠饲料中,持续2年。在雌性小鼠中,每日摄入140 mg/kg度洛西汀(按mg/m²计算,相当于最大推荐人剂量(MRHD)120 mg/天的6倍)后,肝细胞腺瘤和癌的发生率增加。无效应剂量为50 mg/kg/天(相当于MRHD的2倍)。在雄性小鼠中,每日摄入高达100 mg/kg度洛西汀(相当于MRHD的4倍)后,肿瘤发生率未增加。在交配前及交配期间,以高达 45 mg/kg/天的剂量(相当于最大推荐人用量 MRHD 的 4 倍)对雄性或雌性大鼠进行口服度洛西汀治疗,并未改变其交配行为或生育能力。当在妊娠和哺乳期对妊娠大鼠进行口服度洛西汀治疗时,以 30 mg/kg/天的剂量(相当于最大推荐人用量 MRHD 的 5 倍,按 mg/m² 计算,相当于人类剂量 120 mg/天的 2 倍)会降低幼鼠出生后 1 天的存活率以及幼鼠出生时和哺乳期的体重;无效应剂量为 10 mg/kg/天。此外,在母鼠暴露于 30 mg/kg/天剂量后,幼鼠表现出与反应性增强相一致的行为,例如对噪音的惊吓反应增强和运动习惯化能力下降。母鼠接受度洛西汀治疗并未对幼鼠断奶后的生长和繁殖性能产生不利影响。度洛西汀在细菌回复突变试验(Ames试验)中未显示致突变性,在小鼠骨髓细胞体内染色体畸变试验中也未显示致断裂性。此外,在小鼠淋巴瘤细胞体外哺乳动物正向基因突变试验或大鼠肝细胞体外非计划DNA突变试验中,度洛西汀均未显示遗传毒性,且在仓鼠骨髓细胞体内姐妹染色单体交换试验中也未显示致突变性。
度洛西汀是神经元5-羟色胺和去甲肾上腺素再摄取的强效抑制剂,也是多巴胺再摄取的弱效抑制剂。度洛西汀对多巴胺能受体、肾上腺素能受体、胆碱能受体、组胺能受体、阿片受体、谷氨酸受体和GABA受体均无显著亲和力。度洛西汀的抗抑郁和镇痛作用被认为与其增强中枢神经系统中的血清素能和去甲肾上腺素能活性有关。度洛西汀治疗压力性尿失禁 (SUI) 的作用机制尚未明确,但据认为与脊髓中血清素和去甲肾上腺素活性的增强有关,从而增加尿道闭合力,减少尿液不自主流出。
毒性数据
大鼠口服 LD50:雄性 491 mg/kg,雌性 279 mg/kg (A308)。
药物相互作用
体外研究表明,度洛西汀是 CYP1A2 同工酶的抑制剂。两项临床研究显示,当与度洛西汀(60 mg,每日两次)联合用药时,茶碱 AUC 的平均增加值(90% 置信区间)分别为 7% (1%-15%) 和 20% (13%-27%)。
血小板释放的血清素在止血过程中发挥着重要作用。流行病学研究采用病例对照和队列研究设计,证实了干扰血清素再摄取的精神药物的使用与上消化道出血的发生存在关联,并表明同时使用非甾体抗炎药(NSAID)或阿司匹林可能会增强这种出血风险。当选择性血清素再摄取抑制剂(SSRI)或血清素-去甲肾上腺素再摄取抑制剂(SNRI)与华法林合用时,已有报道称抗凝作用发生改变,包括出血风险增加。在健康受试者(n=15)中,在稳态条件下同时服用华法林(2-9 mg,每日一次)和度洛西汀(60或120 mg,每日一次),持续长达14天,结果显示国际标准化比值(INR)较基线无显著变化(平均INR变化范围为0.05至+0.07)。度洛西汀对R-华法林和S-华法林的总药代动力学参数(蛋白结合药物加游离药物)均无影响(AUCt,ss、Cmax,ss或tmax,ss)。由于度洛西汀可能对血小板产生影响,因此在开始或停止使用度洛西汀时,应密切监测接受华法林治疗的患者。
对CYP2D6代谢能力较弱的受试者(n=14)同时服用度洛西汀40 mg(每日两次)和强效CYP1A2抑制剂氟伏沙明100 mg,导致度洛西汀的AUC和Cmax增加6倍。
同时服用度洛西汀(40 mg,每日一次)和帕罗西汀(20 mg,每日一次)可使度洛西汀的AUC浓度增加约60%,预计帕罗西汀剂量越高,抑制作用越强。其他强效CYP2D6抑制剂(例如氟西汀、奎尼丁)预计也会产生类似效果。
当男性受试者(n=14)同时服用度洛西汀60 mg和强效CYP1A2抑制剂氟伏沙明100 mg时,度洛西汀的AUC增加约6倍,Cmax增加约2.5倍,半衰期(t1/2)增加约3倍。其他抑制CYP1A2代谢的药物包括西咪替丁和喹诺酮类抗菌药物,例如环丙沙星和依诺沙星。
参考文献

[1]. Clin Pharmacokinet . 2011 May;50(5):281-94.

[2]. Duloxetine-Induced Neural Cell Death and Promoted Neurite Outgrowth in N2a Cells. Neurotox Res. 2020 Dec;38(4):859-870.
[3]. Duloxetine Protects against Oxaliplatin-Induced Neuropathic Pain and Spinal Neuron Hyperexcitability in Rodents. Int J Mol Sci . 2017 Dec 5;18(12):2626.
其他信息
治疗用途
肾上腺素能再摄取抑制剂;镇痛药;抗抑郁药;多巴胺再摄取抑制剂;血清素再摄取抑制剂
盐酸度洛西汀用于成人重度抑郁症的急性期和维持治疗。
度洛西汀曾用于治疗女性中度至重度压力性尿失禁 (SUI)。
盐酸度洛西汀用于治疗成人纤维肌痛。
有关度洛西汀(共 6 种)的更多治疗用途(完整)数据,请访问 HSDB 记录页面。
药物警告
/黑框警告/ 警告:自杀意念和行为:短期研究表明,抗抑郁药会增加儿童、青少年和年轻成人的自杀意念和行为风险。这些研究未显示 24 岁以上患者使用抗抑郁药会增加自杀意念和行为的风险; 65岁及以上患者使用抗抑郁药可降低风险。所有年龄段开始接受抗抑郁治疗的患者,均应密切监测病情是否恶化,以及是否出现自杀念头和行为。应告知家属和照护者密切观察并与处方医生保持沟通的必要性。
妊娠分级C。部分新生儿在妊娠晚期(第三孕期)接触选择性5-羟色胺和去甲肾上腺素再摄取抑制剂(SNRIs)或选择性5-羟色胺再摄取抑制剂后,出现并发症,有时病情严重,需要长期住院、呼吸支持、肠内营养以及在特殊护理病房接受其他形式的支持性治疗。此类并发症可能在分娩后立即出现,通常持续数天或长达2-4周。迄今为止,新生儿的临床表现包括呼吸窘迫、紫绀、呼吸暂停、癫痫发作、体温不稳定或发热、喂养困难、脱水、体重过度下降、呕吐、低血糖、肌张力低下、反射亢进、震颤、烦躁不安、易怒、嗜睡、对疼痛刺激反应减弱或无反应以及持续哭闹。这些临床特征似乎与选择性5-羟色胺再摄取抑制剂(SNRI)的直接毒性作用,或可能是药物戒断综合征相符。值得注意的是,在某些病例中,临床表现符合5-羟色胺综合征(参见《盐酸氟西汀》28:16.04.20中的“药物相互作用:与5-羟色胺综合征相关的药物”)。在妊娠晚期使用度洛西汀治疗孕妇时,临床医生应仔细权衡此类治疗的潜在风险和获益。如果在妊娠期间服用度洛西汀,可考虑在分娩前三个月谨慎地逐渐减少度洛西汀的用量。
选择性血清素和去甲肾上腺素再摄取抑制剂(SNRIs)(包括度洛西汀)或选择性血清素再摄取抑制剂(SSRIs)有报道称可能危及生命的血清素综合征,尤其是在同时服用其他血清素能药物(例如,血清素[5-羟色胺;5-HT] 1型受体激动剂[“曲坦类药物”])或损害血清素代谢的药物(例如,单胺氧化酶[MAO]抑制剂)时。血清素综合征的症状可能包括精神状态改变(例如,躁动、幻觉、昏迷)、自主神经功能紊乱(例如,心动过速、血压波动、体温过高)、神经肌肉异常(例如,反射亢进、运动不协调)和/或胃肠道症状(例如,恶心、呕吐、腹泻)。禁止与用于治疗抑郁症的单胺氧化酶抑制剂同时使用。(参见“药物相互作用:单胺氧化酶抑制剂”。)如果临床上确有必要同时使用度洛西汀和5-HT1受体激动剂,则应密切观察患者,尤其是在治疗初期、剂量增加时或开始使用其他血清素能药物时。不建议同时使用度洛西汀和5-羟色胺前体(例如色氨酸)。
曾有报道度洛西汀治疗的患者出现肝功能衰竭,有时甚至危及生命。这些病例表现为肝炎,伴有腹痛、肝肿大和血清转氨酶浓度显著升高(超过正常上限的20倍),可伴有或不伴有黄疸,反映出混合型或肝细胞型肝损伤。任何出现黄疸或其他具有临床意义的肝功能障碍的患者均应停用度洛西汀;除非能确定肝功能障碍的其他原因,否则不应恢复治疗。
有关度洛西汀(共 18 条)的更多药物警告(完整)数据,请访问 HSDB 记录页面。
药效学
度洛西汀通过增加奥努夫核中血清素和去甲肾上腺素的浓度,增强支配尿道外括约肌的阴部运动神经的谷氨酸能激活。这种增强的信号传导可使括约肌收缩更强。括约肌收缩增强会增加压力性尿失禁发作所需的压力。研究表明,度洛西汀可改善患者总体改善印象评分和尿失禁生活质量评分。此外,研究表明,40 毫克和 80 毫克剂量可降低尿失禁发作频率的中位数。度洛西汀作用于脊髓背角,可增强参与下行性疼痛抑制的血清素能和肾上腺素能通路。这导致传递疼痛刺激至大脑所需的激活阈值升高,从而有效缓解疼痛,尤其对神经性疼痛有效。在多种疼痛评估方法中,度洛西汀均能缓解包括糖尿病周围神经病变、纤维肌痛和骨关节炎在内的多种疼痛疾病。虽然度洛西汀在情绪障碍动物模型和人类临床试验中均显示出疗效,但其对大脑情绪调节的广泛药效学作用机制仍有待阐明。由于去甲肾上腺素信号传导增强导致血管收缩,血压升高是度洛西汀常见的副作用。
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C18H19NOS
分子量
297.416
精确质量
297.12
CAS号
116539-59-4
相关CAS号
Duloxetine hydrochloride; 136434-34-9; Duloxetine-d7; 919514-01-5; (±)-Duloxetine hydrochloride; 947316-47-4; Duloxetine metabolite Para-Naphthol Duloxetine; 949095-98-1
PubChem CID
60835
外观&性状
Typically exists as solid at room temperature
密度
1.2±0.1 g/cm3
沸点
466.2±40.0 °C at 760 mmHg
闪点
235.7±27.3 °C
蒸汽压
0.0±1.2 mmHg at 25°C
折射率
1.628
LogP
3.73
tPSA
49.5
氢键供体(HBD)数目
1
氢键受体(HBA)数目
3
可旋转键数目(RBC)
6
重原子数目
21
分子复杂度/Complexity
312
定义原子立体中心数目
1
SMILES
CNCC[C@H](OC1=CC=CC2=C1C=CC=C2)C3=CC=CS3
InChi Key
ZEUITGRIYCTCEM-KRWDZBQOSA-N
InChi Code
InChI=1S/C18H19NOS/c1-19-12-11-17(18-10-5-13-21-18)20-16-9-4-7-14-6-2-3-8-15(14)16/h2-10,13,17,19H,11-12H2,1H3/t17-/m0/s1
化学名
(3S)-N-methyl-3-naphthalen-1-yloxy-3-thiophen-2-ylpropan-1-amine
别名
LY248686; LY-227942; LY-248686; LY 227942; (S)-Duloxetine; (S)-Duloxetine; Yentreve; Cymbalta; (S)-N-Methyl-3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propan-1-amine; LY 248686; HSDB 7368; Duloxetine
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
溶解度 (体内实验)
注意: 如下所列的是一些常用的体内动物实验溶解配方,主要用于溶解难溶或不溶于水的产品(水溶度<1 mg/mL)。 建议您先取少量样品进行尝试,如该配方可行,再根据实验需求增加样品量。

注射用配方
(IP/IV/IM/SC等)
注射用配方1: DMSO : Tween 80: Saline = 10 : 5 : 85 (如: 100 μL DMSO 50 μL Tween 80 850 μL Saline)
*生理盐水/Saline的制备:将0.9g氯化钠/NaCl溶解在100 mL ddH ₂ O中,得到澄清溶液。
注射用配方 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (如: 100 μL DMSO 400 μL PEG300 50 μL Tween 80 450 μL Saline)
注射用配方 3: DMSO : Corn oil = 10 : 90 (如: 100 μL DMSO 900 μL Corn oil)
示例: 注射用配方 3 (DMSO : Corn oil = 10 : 90) 为例说明, 如果要配制 1 mL 2.5 mg/mL的工作液, 您可以取 100 μL 25 mg/mL 澄清的 DMSO 储备液,加到 900 μL Corn oil/玉米油中, 混合均匀。
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注射用配方 4: DMSO : 20% SBE-β-CD in Saline = 10 : 90 [如:100 μL DMSO 900 μL (20% SBE-β-CD in Saline)]
*20% SBE-β-CD in Saline的制备(4°C,储存1周):将2g SBE-β-CD (磺丁基-β-环糊精) 溶解于10mL生理盐水中,得到澄清溶液。
注射用配方 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (如: 500 μL 2-Hydroxypropyl-β-cyclodextrin (羟丙基环胡精) 500 μL Saline)
注射用配方 6: DMSO : PEG300 : Castor oil : Saline = 5 : 10 : 20 : 65 (如: 50 μL DMSO 100 μL PEG300 200 μL Castor oil 650 μL Saline)
注射用配方 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (如: 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
注射用配方 8: 溶解于Cremophor/Ethanol (50 : 50), 然后用生理盐水稀释。
注射用配方 9: EtOH : Corn oil = 10 : 90 (如: 100 μL EtOH 900 μL Corn oil)
注射用配方 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (如: 100 μL EtOH 400 μL PEG300 50 μL Tween 80 450 μL Saline)


口服配方
口服配方 1: 悬浮于0.5% CMC Na (羧甲基纤维素钠)
口服配方 2: 悬浮于0.5% Carboxymethyl cellulose (羧甲基纤维素)
示例: 口服配方 1 (悬浮于 0.5% CMC Na)为例说明, 如果要配制 100 mL 2.5 mg/mL 的工作液, 您可以先取0.5g CMC Na并将其溶解于100mL ddH2O中,得到0.5%CMC-Na澄清溶液;然后将250 mg待测化合物加到100 mL前述 0.5%CMC Na溶液中,得到悬浮液。
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口服配方 3: 溶解于 PEG400 (聚乙二醇400)
口服配方 4: 悬浮于0.2% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 5: 溶解于0.25% Tween 80 and 0.5% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 6: 做成粉末与食物混合


注意: 以上为较为常见方法,仅供参考, InvivoChem并未独立验证这些配方的准确性。具体溶剂的选择首先应参照文献已报道溶解方法、配方或剂型,对于某些尚未有文献报道溶解方法的化合物,需通过前期实验来确定(建议先取少量样品进行尝试),包括产品的溶解情况、梯度设置、动物的耐受性等。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 3.3622 mL 16.8112 mL 33.6225 mL
5 mM 0.6724 mL 3.3622 mL 6.7245 mL
10 mM 0.3362 mL 1.6811 mL 3.3622 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Comparison of the Efficacy and Safety of Mirogabalin and Duloxetine in Chemotherapy-induced Peripheral Neuropathy in a Randomized Controlled Trial: a Quality of Life Study in Cancer Survivors
CTID: NCT06711978
Phase: N/A    Status: Not yet recruiting
Date: 2024-12-02
The Back Pain Consortium Research Program Study
CTID: NCT04870957
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-11-29
Identifying and Treating Depression in the Orthopaedic Trauma Population
CTID: NCT05976347
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-11-27
Exercise Plus Duloxetine for Knee Osteoarthritis
CTID: NCT04111627
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26
Duloxetine for LBP
CTID: NCT05851976
Phase: Phase 4    Status: Recruiting
Date: 2024-11-22
View More

Comparing Effectiveness of Duloxetine and Desipramine in Patients With Chronic Pain: A Pragmatic Trial Using Point of Care Randomization
CTID: NCT03548454
Phase: Phase 4    Status: Recruiting
Date: 2024-11-22


A Sequenced Strategy for Improving Outcomes in People With Knee Osteoarthritis Pain
CTID: NCT04504812
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-18
Effect of Combined Morphine and Duloxetine on Chronic Pain
CTID: NCT03249558
Phase: Phase 4    Status: Completed
Date: 2024-11-14
Microbiome Derived Metabolism and Pharmacokinetics
CTID: NCT05065671
Phase: Phase 1    Status: Recruiting
Date: 2024-11-14
Improvement of Quality of Life Through Supportive Treatments for Hormone Therapy - Related Symptoms in Patients With Early Breast Cancer
CTID: NCT06407401
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-11-05
Efficacy of Duloxetine in Conjunction With Tramadol for Chronic Cancer Pain
CTID: NCT05311774
Phase: N/A    Status: Recruiting
Date: 2024-10-16
The BEST Trial: Biomarkers for Evaluating Spine Treatments
CTID: NCT05396014
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-10-15
SPENDD: Quantitative Sensory Testing and Analgesic Response for Painful Peripheral Neuropathy.
CTID: NCT06614322
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-26
Efficacy and Safety of Duloxetine in Chinese Solid Tumor Patients with Taxanes-induced Painful Peripheral Neuropathy
CTID: NCT04970121
Phase: Phase 2    Status: Recruiting
Date: 2024-09-25
Duloxetine to Prevent Chronic Postsurgical Pain After Inguinal Hernia Repair in Patients at High Risk
CTID: NCT06606067
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-20
Effect of Duloxetine on Opioid Use After Total Knee Arthroplasty
CTID: NCT03271151
Phase: Phase 4    Status: Completed
Date: 2024-09-19
ADC-induced Neurotoxicity Treated With Duloxetine
CTID: NCT06551051
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Determining Optimal Treatment Sequences in Anxious Depression (DOTS-AD)
CTID: NCT04245748
Phase: Phase 4    Status: Recruiting
Date: 2024-08-29
Acute and Long-Term Antidepressant Treatment Success in Adolescents With Anxiety (AtLAS-A)
CTID: NCT04245436
Phase: Phase 4    Status: Recruiting
Date: 2024-08-29
Pain Response Evaluation of a Combined Intervention to Cope Effectively
CTID: NCT04395001
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-08-13
Capsaicin 179 mg Patch Versus Oral Duloxetine in Patients With Chemotherapy-induced Peripheral Neuropathy
CTID: NCT05840562
Phase: Phase 3    Status: Recruiting
Date: 2024-08-02
Duloxetine to Prevent Oxaliplatin-Induced Peripheral Neuropathy in Patients With Stage II-III Colorectal Cancer
CTID: NCT04137107
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-07-31
Evaluating the Efficacy and Safety of Preoperative Administration of Duloxetine for Pain Management in Women Undergoing Hysterectomy Via Vaginal Route
CTID: NCT06429605
Phase: N/A    Status: Recruiting
Date: 2024-07-26
Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants
CTID: NCT03511118
Phase:    Status: Recruiting
Date: 2024-07-24
Brain-Based and Clinical Phenotyping of Pain Pharmacotherapy in Knee Osteoarthritis
CTID: NCT06245109
Phase: Phase 4    Status: Recruiting
Date: 2024-07-24
Duloxetine and Neurofeedback Training for the Treatment of Chemotherapy Induced Peripheral Neuropathy
CTID: NCT04560673
Phase: Phase 2    Status: Recruiting
Date: 2024-07-19
Duloxetine RCT on Postop TKA Outcomes
CTID: NCT05086393
Phase: Phase 4    Status: Recruiting
Date: 2024-06-13
Serotonin-norepinephrine Reuptake Inhibitor in Prophylaxis of Depression Following Fragility Fractures
CTID: NCT05851898
Phase: Phase 4    Status: Recruiting
Date: 2024-06-03
Effect of peRiopErative duLoxetIne Administration on Opioid Consumption Following Total kneE Arthroplasty (RELIFE)
CTID: NCT06423716
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-05-21
A Study to Evaluate the Efficacy, Pharmacokinetics, Safety and Tolerability of Flexible Doses of Intranasal Esketamine Plus an Oral Antidepressant in Adult Participants With Treatment-resistant Depression
CTID: NCT03434041
Phase: Phase 3    Status: Completed
Date: 2024-04-26
Biomarkers for Prediction of Analgesic Efficacy in Knee OA.
CTID: NCT05256342
Phase: N/A    Status: Completed
Date: 2024-04-12
Efficacy of Two Doses of Duloxetine & Amitriptyline in Interstitial Lung Disease-related Cough
CTID: NCT05120934
Phase: Phase 2    Status: Recruiting
Date: 2024-04-01
Efficacy of Two Doses of Duloxetine and Amitriptyline in Subjects With Refractory Chronic Cough
CTID: NCT05110144
Phase: Phase 2    Status: Recruiting
Date: 2024-04-01
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies
CTID: NCT02893371
Phase:    Status: Terminated
Date: 2024-03-12
Methadone to Treat Painful Chemotherapy Induced Peripheral Neuropathy
CTID: NCT05786599
Phase: Phase 2/Phase 3    Status: Not yet recruiting
Date: 2024-02-14
Study of Analgesic Action of Pregabalin, Duloxetine and Tramadol in Patients With Different Neuropathic Pain Phenotypes
CTID: NCT06252116
Phase:    Status: Recruiting
Date: 2024-02-09
Patient Education and Duloxetine, Alone and in Combination, for Patients With Multisystem Functional Somatic Disorder
CTID: NCT06232473
Phase: Phase 4    Status: Recruiting
Date: 2024-01-30
Duloxetine for PHN
CTID: NCT04313335
Phase: N/A    Status: Completed
Date: 2024-01-09
A Comparative Study of Sage-217 Plus an Antidepressant (ADT) Versus Placebo Plus an ADT in Adults With Major Depressive Disorder
CTID: NCT04476030
Phase: Phase 3    Status: Completed
Date: 2023-12-22
Qutenza Versus Duloxetine in Chemotherapy-induced Peripheral Neuropathy (CIPN)
CTID: NCT05560516
Phase: N/A    Status: Recruiting
Date: 2023-12-15
Study to Assess Clinical Response of Duloxetine in Patients Hospitalized for Severe Depression
CTID: NCT02229825
Phase: Phase 4    Status: Completed
Date: 2023-10-23
Pain Relieving Potentials of Combination of Oral Duloxetine and Intravenous Magnesium Sulphate in Post Mastectomy Pain
CTID: NCT06087211
Phase: Phase 4    Status: Recruiting
Date: 2023-10-17
Comparison of Vortioxetine Versus Other Antidepressants With Pregabalin Augmentation in Burning Mouth Syndrome
CTID: NCT06025474
Phase: Phase 3    Status: Recruiting
Date: 2023-09-06
The Effect of Central Sensitization on Treatment Response in Patients With Fibromyalgia
CTID: NCT05020600
Phase:    Status: Unknown status
Date: 2023-08-15
Sequenced Treatment Alternatives to Relieve Adolescent Depression (STAR-AD)
CTID: NCT05814640
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2023-08-14
The Effect of Preoperative Duloxetine on the Occurance of Postoperative Delirium in Patients Undergoing Cancer Surgery.
CTID: NCT05949229
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2023-07-17
Behavioral Effects of Drugs: Inpatient (36) (Alcohol, Duloxetine, and Methylphenidate)
CTID: NCT03575403
Phase: Phase 1    Status: Completed
Date: 2023-07-12
Duloxetine Combined With Intra-articular Injection of Corticosteroid and Hyaluronic Acid Reduces Pain in the Treatment of Knee Osteoarthritis Patients
CTID: NCT04117893
Phase: Phase 4    Status: Completed
Date: 2023-07-11
The Effect of Transcutaneous Posterior Tibial Nerve Stimulation in Patients With Fibromyalgia
CTID: NCT05937711
Phase: N/A    Status: Completed
Date: 2023-07-10
Psychiatric Orders in Psychoanalytic Treatment of ASD
CTID: NCT05930912
Phase:    Status: Active, not recruiting
Date: 2023-07-05
Therapeutic Efficacy in Women With Stress Urinary Incontinence
CTID: NCT05677295
Phase: Phase 3    Status: Recruiting
Date: 2023-05-19
Neurobiology of Treatment Responses in MDD
CTID: NCT03068247
Phase: Phase 3    Status: Withdrawn
Date: 2023-04-24
Efficacy of Duloxetine Compared to NSIADs in Osteoarthritis of Knee
CTID: NCT05486026
Phase: Phase 2    Status: Completed
Date: 2023-03-14
Behavioral Effects of Drugs (Inpatient): 40 [Methamphetamine, Methylphenidate, Duloxetine]
CTID: NCT04178993
Phase: Phase 1    Status: Completed
Date: 2023-01-09
Duloxetine Tibial Plateau
CTID: NCT04639011
Phase: Phase 4    Status: Withdrawn
Date: 2022-11-21
Non-interventional, Retrospective Cohort Study to Explore Antidepressant Treatment in Korea
CTID: NCT04446039
Phase:    Status: Completed
Date: 2022-11-16
Duloxetine Impact on Postoperative Pain Control and Outcomes
CTID: NCT05611749
Phase: Phase 2    Status: Unknown status
Date: 2022-11-10
Duloxetine on Bone Metabolism
CTID: NCT05550506
Phase:    Status: Unknown status
Date: 2022-09-22
Comparisons of the Impact of Duloxetine Versus Imipramine on Therapeutic Efficacy, Psychological Distress, Sexual Function, Urethral and Bladder Wall Structure and Blood Flow in Women With Stress Urinary Incontinence: a Randomized Controlled Study
CTID: NCT04412876
Phase: Phase 3    Status: Withdrawn
Date: 2022-08-17
Open Label Study of Duloxetine for the Treatment of Phantom Limb Pain
CTID: NCT00425230
Phase: N/A    Status: Terminated
Date: 2022-08-12
Efficacy of Pregabalin Vs Duloxetine in Diabetic Peripheral Neuropathic Pain at Variable Dose
CTID: NCT05292066
PhaseEarly Phase 1    Status: Unknown status
Date: 2022-08-04
The Cymbalta Pregnancy Registry
CTID: NCT01074151
Phase:    Status: Completed
Date: 2022-07-18
Lidocaine Versus Duloxetine for the Prevention of Taxane-Induced Peripheral Neuropathy In Breast Cancer Patients
CTID: NCT04732455
Phase: N/A    Status: Completed
Date: 2022-07-11
Duloxetine for Postoperative Pain of Laparoscopic Cholecystectomy
CTID: NCT05115123
Phase: Phase 2    Status: Completed
Date: 2022-05-16
Antidepressant Response in Older Adults With Comorbid PTSD and MDD
CTID: NCT04697693
Phase: Phase 4    Status: Terminated
Date: 2022-05-11
The Clinical Effect of Pregabalin on Neuropathic Pain in Central Sensitized Patients After Total Knee Arthroplasty
CTID: NCT05254652
Phase: N/A    Status: Unknown status
Date: 2022-04-12
Efficacy of Pregabalin and Duloxetine in Patients With PDPN: the Effect of Pain on Cognitive Function, Sleep and Quality of Life
CTID: NCT04246619
Phase: Phase 4    Status: Terminated
Date: 2022-04-07
Botulinum Toxin Type A in Diabetic Peripheral Neuropathy
CTID: NCT05296759
Phase: Phase 4    Status: Completed
Date: 2022-04-06
A Phase 1, Drug Interaction Study Between AVP-786 and Paroxetine and Between AVP-786 and Duloxetine in Healthy Subjects
CTID: NCT02174822
Phase: Phase 1    Status: Completed
Date: 2022-02-18
A Mechanism Based Proof of Concept Study of the Effects of Duloxetine in the Treatment of Patients With Osteoarthritic Knee Pain
CTID: NCT04224584
Phase: Phase 2    Status: Completed
Date: 2022-02-16
Study of Ammoxetine Hydrochloride Enteric-coated Tablets in Subjects With Depression
CTID: NCT05018013
Phase: Phase 2    Status: Unknown status
Date: 2021-11-12
Combination Pain Therapy in HIV Neuropathy
CTID: NCT00863057
Phase: Phase 2    Status: Terminated
Date: 2021-11-04
Duloxetine Role in Reducing Opioid Consumption After Thoracotomy
CTID: NCT03618225
Phase: Phase 4    Status: Completed
Date: 2021-10-14
Levomilnacipran in Healthy Males
CTID: NCT03249311
Phase: Phase 4    Status: Unknown status
Date: 2021-10-06
A Study to Evaluate the Efficacy, Safety, and Tolerability of Intranasal Esketamine Plus an Oral Antidepressant in Elderly Participants With Treatment-resistant Depression
CTID: NCT02422186
Phase: Phase 3 St
Antidepressant treatments during pregnancy and lactation: prediction of drug exposure through breastfeeding and evaluation of drug effect on
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-11-03
Shifting pain modulation towards anti-nociceptivity: Mechanism-specific pharmacological prevention of post sternotomy pain: the MASTER study
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2015-05-20
Patient stratification and treatment response prediction in neuropharmacotherapy using PET/MR –
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-06-17
Effect of pre-operative pain treatment by means of duloxetine on postoperative outcome after total hip or knee arthroplasty
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2014-05-19
The effect of various medications on emotioal processing, attention, experiences and sensory information processing
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2013-02-15
Pain management in osteoarthritis using the centrally acting analgesics duloxetine and pregabalin
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-08-08
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Flexible Dose Study on the Efficacy of Lu AA21004 on Cognitive Dysfunction in Adult Subjects with Major Depressive Disorder (MDD)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-08-08
A Multicenter, Randomized, Double-Blind, Active Controlled, Comparative, Fixed-Dose, Dose Response Study of the Efficacy and Safety of BMS-820836 in Patients with Treatment Resistant Major Depression (TRD).
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-11-15
Multimodal Assessment of Neurobiological Markers for Psychiatric Disorders
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-10-27
Effect of duloxetine and venlafaxine on the pharmacokinetics and pharmacodynamics of oral tramadol: A three-phase randomized balanced cross-over study in healthy volunteers
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-09-08
A Multicenter, Randomized, Double-blind, Active-Controlled Study of the Efficacy and Safety of Flexibly-Dosed BMS-820836 in Patients with Treatment Resistant Major Depression
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-07-08
A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Active
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-04-06
Duloxetine versus Placebo in the Treatment of Elderly Patients with Generalized Anxiety Disorder
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-08-03
Evaluation du système noradrénergique dans l’altération de la perception douloureuse chez le patient Parkinsonien
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-07-13
Effectiveness of Transmural Collaborative care and Duloxetine for major depressive disorder and (sub)chronic pain: a randomized placebo-controlled Multi-Centre trial.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2010-07-01
A randomised, double-blind, parallel-group, placebo-controlled, duloxetine-referenced, fixed-dose study evaluating the efficacy and safety of Lu AA21004 (15 and 20 mg/day) in the acute treatment of adult patients with Major Depressive Disorder.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-05-11
Randomized Double-blind Study Comparing the Efficacy of Duloxetine with Placebo in Patients with Chronic Low Back Pain
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-05-06
Adherence of antidepressants during pregnancy
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2010-04-29
Use of Duloxetine or Pregabalin in Monotherapy versus Combination Therapy of Both Drugs in Patients with Painful Diabetic Neuropathy “The COMBO - DN (COmbination vs Monotherapy of pregaBalin and dulOxetine in Diabetic Neuropathy) Study”
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-03-10

CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2010-01-21
A Phase 4, 8-Week, Double-Blind, Randomized, Placebo-Controlled Study Evaluating the Efficacy of Duloxetine 60 mg Once Daily in Outpatients with Major Depressive Disorder and Associated Painful Physical Symptoms
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-01-08
Skeletal muscle-derived cell implantation in female patients with stress urinary incontinence: a multicenter, randomized, parallel-group, placebo-controlled clinical study
CTID: null
Phase: Phase 2    Status: Ongoing, Completed
Date: 2009-12-18
Neurobiological Correlates of Antidepressant Response After Duloxetine Hydrochloride Treatment in Subjects with Major Depressive Disorder
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-11-09
Efficacy, safety, tolerability and pharmacokinetics of concomitant administration of tramadol with duloxetine or pregabalin: a randomized controlled flexible-dose study in patients with neuropathic pain
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-07-14
“A Phase 4, 8-week, double-blind, randomized study comparing switching to duloxetine or escitalopram in patients with major depressive disorder and residual apathy in the absence of depressed mood.”
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-06-30
A double-blind, efficacy and safety study of duloxetine versus placebo in the treatment of children and adolescents with major depressive disorder
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-06-29
Duloxetine 60 mg once daily versus Placebo in the Treatment of Patients with Osteoarthritis Knee Pain
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-06-17
Evaluation of efficacy and clinical benefit of agomelatine (25 to 50 mg/day) over a 6-month treatment period in patients with Major Depressive Disorder.A randomised, double-blind, international multicentre study with parallel groups versus duloxetine (60 mg/day).Twenty-four weeks of treatment.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-04-01
“TERAPIA ELECTROCONVULSIVA DE CONSOLIDACIÓN ASOCIADA A PSICOFÁRMACOS VERSUS FARMACOTERAPIA EN LA PREVENCIÓN DE RECIDIVAS EN EL TRASTORNO DEPRESIVO MAYOR. UN ENSAYO CLÍNICO, PRAGMÁTICO, PROSPECTIVO ALEATORIZADO”.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-02-04
Comparing Problem Solving Treatment combined with duloxetine with Problem Solving Treatment alone for patients with major depressive disorder in primary care
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-12-02
Comparison of Two Different Treatment Strategies in Patients with Major Depressive Disorder Not Exhibiting Improvement on Escitalopram Treatment: Early vs. Delayed Intervention Strategy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-11-19
EFFICACY OF DULOXETINE IN THE TREATMENT OF URINARY INCONTINENCEAFTER PROSTATECTOMIE DUE TO CANCER
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2008-11-18
A 12 weeks open label two parallel groups study to assess the efficacy of orally administered duloxetine 60 mg and 120 mg per day on treatment outcomes in patients with diabetic peripheral neuropatic pain with and without co-morbid major depressive disorder
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-10-20
Duloxetine Versus Placebo in the Long-Term Treatment of Patients with Late-Life Major Depression
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-09-15
A Randomized, Double-Blind, Placebo-Controlled Trial of the Efficacy and Safety of Duloxetine HCl in Patients with Central Neuropathic Pain Due to Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-09-02
Effect of Duloxetine 60 mg Once Daily versus Placebo in Patients with Chronic Low Back Pain
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-08-04
A Global, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Comparing the Safety and Efficacy of ABT-894, Duloxetine and Placebo in Subjects with Diabetic Neuropathic Pain
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-11-09
Influence of Duloxetin on C-fiber function and perception of deep somatic pain in major depression
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-08-02
Duloxetine 60 to 120 mg versus Placebo in the Treatment of Patients with Osteoarthritis Knee Pain
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-03-21
Pain, anxiety and depression in neuropathic and non-neuropathic pain: Effect of monoamine modulation.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2007-03-05
An open label pilot study on the tolerability of duloxetine in the treatment of depressed patients with Parkinson s disease
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-02-21
Effect of Duloxetine 60 mg to 120 mg Once Daily in Patients with Chronic Low Back Pain
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-12-13
An eight-week, randomized, double-blind, two parallel groups, study to assess clinical response of Duloxetine 60 mg and 120 mg per day in patients hospitalized for severe depression
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-12-11
A Double-blind, Randomised, Parallel Groups Investigation into the Effects of Pregabalin, Duloxetine and Amitriptyline on Aspects of Pain, Sleep, and Next Day Performance in Patients Suffering from Diabetic Peripheral Neuropathy
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2006-11-08
Interozeptive Aufmerksamkeit, Hitze-Schwelle und körperliche Symptome bei Patienten mit einer depressiven Episode, vor und nach Behandlung mit Duloxetin.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2006-07-27
Efecto de la duloxetina en la respuesta nociceptiva cerebral en el trastorno depresivo mayor. Estudio mediante resonancia magnética funcional (RMf)
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2006-03-06
Maintenance of Effect of Duloxetine 60 mg Once Daily in Patients with Diabetic Peripheral Neuropathic Pain
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-02-10
Chronos: Can the antidepressive response induced by sleep deprivation (wake-therapy) be sustained through continuous stabilisation of the diurnal rhythm and long term light treatment in patients with major depression treated with duloxetine?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-09-05
.A double-blind, stratified, randomised, parallel, placebo-controlled, multi-centre study to assess the efficacy and safety of duloxetine (20 mg bid for 2 weeks escalating to 40 mg bid) for up to 12 weeks, compared to placebo, in community-dwelling elderly women ≥ 65 years of age with symptoms of stress urinary incontinence or stress–predominant mixed urinary incontinence.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-09-05
A double-blind, randomised, multicenter, comparative
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-06-30
Duloxetine 60/120 mg Versus Placebo in the Treatment of Fibromyalgia Syndrome
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-06-29
A Comparison of Duloxetine Hydrochloride, Venlafaxine Extended Release, and Placebo in the Treatment of Generalized Anxiety Disorder
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-05-13
A ten-week, randomized, double-blind study evaluating the efficacy of Duloxetine 60 mg once daily versus placebo in outpatients with major depressive disorder and pain (EU-Pain enriched study)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-05-10
Duloxetine Versus Placebo in the Prevention of Recurrence of Major Depressive Disorder
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-03-03
Effect of Duloxetine on Valsalva Leak Point Pressure
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-02-24
A double-blind, stratified, randomised, parallel, placebo-controlled, multi-centre study to compare the efficacy and safety of duloxetine hydrochloride (40mg twice a day) and tolterodine tartrate (XL) (4mg once daily) with placebo in patients with symptoms of Urge Urinary Incontinence
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2005-02-15
Open-Label Duloxetine Extension phase in Patients Who Have Completed the F1J-MC-HMDG Clinical Trial
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-01-27
Duloxetine 60 to 120 mg Once Daily Compared with
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-01-24
Randomised, double-blind, parallel-group, placebo-controlled, duloxetine-referenced, dose-finding study of Lu AA24530 in Major Depressive Disorder
CTID: null
Phase: Phase 2    Status: Completed
Date:
A phase 3 clinical trial of duloxetine in children and adolescents with depressive disorder
CTID: jRCT2080223678
Phase:    Status: completed
Date: 2017-10-13
The efficacy of duloxetine for neuropathic pain a comparison of pregabalin
CTID: UMIN000028475
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2017-08-01
Comparative test on the occurrence rate of side effects accompanying duloxetine oral dosing timing
CTID: UMIN000026441
Phase:    Status: Complete: follow-up complete
Date: 2017-04-15
SuPerIoR antIdepressanT Effect of Duloxetine in Japanese patients with post-stroke depression
CTID: UMIN000024197
Phase:    Status: Pending
Date: 2016-09-27
Effect of serotonin-norepinephrine reuptake inhibitor on functional gastrointestinal disorder and evaluation of the brain function.
CTID: UMIN000023995
Phase:    Status: Complete: follow-up complete
Date: 2016-09-09
Effect of perioperative administration of a duloxetine on development of persistent postsurgical pain
CTID: UMIN000022327
Phase:    Status: Recruiting
Date: 2016-05-16
Efficacy of duloxetine for cancer patients with neuropathic pain: Doubleblind, Randomized, Placebo controlled, exploratory trial
CTID: UMIN000017647
Phase:    Status: Complete: follow-up complete
Date: 2015-05-21
The effect of duloxetine in depression of menopose women
CTID: UMIN000017278
Phase:    Status: Complete: follow-up complete
Date: 2015-04-25
None
CTID: jRCT1080222824
Phase:    Status:
Date: 2015-04-20
Effectiveness of duloxetine for chemotherapy-induced peripheral neuropathy : a prospective study.
CTID: UMIN000017096
Phase:    Status: Recruiting
Date: 2015-04-10
Efficacy of Duloxetine for VIPN (Vincristine-Induced Peripheral Neuropathy) Treatment
CTID: UMIN000016661
Phase: Phase III    Status: Complete: follow-up complete
Date: 2015-04-01
The evaluation of duloxetine effect f e.querySelector("font strong").innerText = 'View More' } else if(up_display === 'none' || up_display ===

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