TABLE 1

Parameters used for correlation of in vitro, preclinical, and clinical data


Parameter

Alfentanil

Fentanyl

Loperamide

Meperidine

Methadone

Morphine

Sufentanil
In vitro Ki (nM)a 19 1.6 0.50b 193 2.2 5.7 0.10
Mouse ED50 (mg/kg) 0.079 0.020 36 3.2 2.2 0.94 0.00041
Mouse fu,plasma 0.26 0.17c 0.029 0.36 0.15c 0.50c 0.054c
Mouse fu,brain 0.33 0.070c 0.0047 0.13 0.029c 0.41c 0.034c
Human plasma EC50 (nM)d 1337 24 N.A. 6034e 1151 195 1.8
Human equipotent i.v. dose (mg)f 0.75 0.10 N.A. 90 8.75 10 0.015
Human t1/2,Ke0 (min)d 1.0 5.8 N.A. 12 178 6.2
Human fu,plasma
0.079g
0.156g

0.35e
0.125h
0.75i
0.075g
  • N.A., not available.

  • a Leysen et al. (1983).

  • b Terenius (1975).

  • c Kalvass et al. (2007a).

  • d Average from EEG power spectrum analysis, analgesia (cancer pain), pain tolerance, and/or postoperative analgesia (Lotsch, 2005).

  • e Unbound potency of meperidine is 20 time less than alfentanil (Kurz et al., 1997).

  • f Wood and Alastair (1990).

  • g Meuldermans et al. (1982).

  • h Inturrisi et al. (1987).

  • i Glare and Walsh (1991).