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Article Abstract

Ethnopharmacological Relevance: Ajuga decumbens Thunb is a medicinal plant native to China popularly used to treat chronic pelvic inflammation and hysteromyoma. Its main bioactive components are iridoid glycosides, such as 8-O-acetylharpagide and harpagide that had presented antibacterial, anti-inflammatory, and antiviral activities.

Aim Of The Study: To establish a sensitive LC-MS/MS method and compare the pharmacokinetics of 8-O-acetylharpagide and harpagide in rats after oral administration of their pure forms and from compounds obtained from Ajuga decumbens extract.

Materials And Methods: Rats received orally 15 mg/kg (equivalent of 6 mg/kg 8-O-acetylharpagide and 1.5mg/kg harpagide), 30 mg/kg and 60 mg/kg of Ajuga decumbens Thunb extract and were compared to animals that received 12 mg/kg of 8-O-acetylharpagide or 3mg/kg of harpagide p.o. Concentrations of 8-O-acetylharpagide and harpagide in plasma were determined by LC-MS/MS method at different time points and all pharmacokinetic parameters were estimated by non-compartmental analysis.

Results: Results showed that the iridoid glycosides were quickly absorbed by oral route and showed a dose-dependence profile. Pharmacokinetic parameters of both glycosides were essentially the same except Tmax when dosed as the extract or pure forms.

Conclusion: 8-O-acetylharpagide was metabolized to harpagide, which affected the pharmacokinetic profiles of harpagide when dosed as the extract. This pharmacokinetic study seems to be useful for a further clinical study of Ajuga decumbens Thunb extract.

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http://dx.doi.org/10.1016/j.jep.2013.03.048DOI Listing

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Article Synopsis
  • Chronic pelvic pain (CPP) is a common complication of pelvic inflammatory disease (PID), and ZY5301 tablets, derived from Ajuga decumbens, are being tested as a potential treatment.
  • A randomized, double-blind clinical trial with 180 women assessed the effectiveness and safety of ZY5301 at two different doses compared to a placebo over 12 weeks.
  • Results showed that patients taking ZY5301 experienced greater reductions in pain scores than those receiving the placebo, suggesting it could be a viable option for CPP treatment related to PID.
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