Table 2

Administration studies of GCs reviewed to establish the compound-specific reporting levels and washout periods

Ref.GlucocorticoidAdministration protocolMFResults in urine samples
ReferenceGCRouteDose, administrationVolunteersMarkerCmean±sd (ng/ml)Cmax (ng/ml)Detection time
Budesonide (BUD)
2Matabosch et al 2 BUDInhaled400 ug × 3 days8 MF+G6β-OHBUD3.0±2.110.6none
3Coll et al 3 BUDInhaled800 ug × 3 days4 M + 4 FF+G6β-OHBUD5.8±6.535.4none
3Coll et al 3 BUDInhaled1600 ug × 3 days4 MF+G6β-OHBUD9.0±8.731.0none
3Coll et al 3 BUDIntranasal256 ug × 3 days4 M + 4 FF+G6β-OHBUD1.3±1.97.1none
2.3Matabosch et al; Coll et al 2 3 BUDOral3 mg10 M + 8 FF+G6β-OHBUD24 hours
4Athanasiadou et al 4 BUDOral9 mg (different hydration protocols)7 M × 3F+G6β-OHBUD48 hours
Triamcinolone acetonide (TA) and hexacetonide (THA)
5.6Matabosch et al; Coll et al 5 6 TAIntranasal220 ug × 3 days8 M + 6 FF+GTA0.8±0.93.6none
11Avois et al TAIntranasal220 ug5F+GTAna*7.0none
11Avois et al TAIntranasal220 ug × 5 days6F+GTAna7.0none
5Matabosch et al 5 TADermatological10 mg × 5 days8 MF+GTA0.4±0.41.8none
12Wicka et al 12 TADermatological4.4 mg once a day × 3 days + 4.4 mg twice a day × 3 days4 MF+GTAna0.8none
5Matabosch et al 5 TAIntramuscular20 mg10 MF+GTA8 days
6Coll et al 6 TAIntramuscular40 mg4 M + 4 FF+GTA11 days
6Coll et al 6 TAIntramuscular80 mg4 MF+GTA23 days **
11Avois et al TAIntramuscular80 mg6F+GTA28 days ***
7Coll et al 6 THAIntra-articular40 mg4 M + 4 FF+GTA8 days
13Ventura et al13 TAIntra-articular40–80 mg1 M + 3 FF+GTA3 days
1.11Avois and Saugy; Avois et al TAIntra-articular40 mg6F+GTA4 days
13Ventura et al 13 TAPeriarticular40–80 mg4 FF+GTA8 days
Triamcinolone (T)
18Chen et al 18 TOral4 mg4 M+8 FF+GT>24 hours
1Avois and SaugyTOral16 mg6F+GT48 hours
1Avois and SaugyTOral16+16, 16+8, 16+0, 8+0, 8+0 (mg)6F+GT48 hours ****
Betamethasone (BET)
14Bakkene et al 14 BETDermatological3 mg8FBETna1.3none
15Coll et al 15 BETDermatological10 mg once a day × 5 days6 MF+GBET1.0±1.46.6none
15Coll et al 15 BETIntranasal320 ug × 3 days4 M+4 FF+GBET11.6±6.732.0none
15Coll et al 15 BETOral0.5 mg8 MF+GBET36 hours
1Avois and SaugyBETOral2 mg6F+GBET40 hours
1Avois and SaugyBETOral2+2+2, 2+2+1, 2+2+0, 2+0+0, 1+0+0 (mg)5F+GBET48 hours ****
14Bakkene et al 14 BETIntramuscular5.7 mg8FBET48 hours
15Coll et al 15 BETIntramuscular6 mg6 MF+GBET72 hours
1Avois and SaugyBETIntramuscular7 mg6F+GBET50 hours
15Coll et al 15 BETIntramuscular12 mg4 M+4FF+GBET96 hours
13Ventura et al 13 BETIntra-articular3–12 mg10 FF+GBET48 hours
1Avois and SaugyBETIntra-articular7 mg3F+GBET45 hours
13Ventura et al 13 BETPeriarticular6–12 mg3 M+11 FF+GBET72 hours
Dexamethasone (DEX)
1Avois and SaugyDEXIntramuscular7 mg6F+GDEX57 hours
Prednisolone (PRED) and prednisone (PSONE)
8Mazzarino et al 8 PREDIntranasal2 mg (two sprays three times a day)1 M+1 FF+GPRED, PSONEna40, 120none, none
14Bakkene et al 14 PREDIntraocular0.9 mg8FPRED *****na19, nanone, na
8Mazzarino et al 8 PREDIntraocular1 mg (four drops twice per day)1 M+1 FF+GPRED, PSONEna50, 45none, none
17Coll et al 17 PREDDermatological5 mg × 5 days6 MF+GPRED, PSONE3.5±3.5; 3.7±3.912,1; 18, 0none, none
8Mazzarino et al 8 PSONEOral1 mg2 FF+GPRED, PSONE12 hours, 12 hours
8Mazzarino et al 8 PREDOral5 mg2 MF+GPRED, PSONE24 hours, 12 hours
17Coll et al 17 PREDOral5 mg6 MF+GPRED, PSONE8 hours, 8 hours
8Mazzarino et al 8 PSONEOral5 mg2 MF+GPRED, PSONE24 hours, 12 hours
17Coll et al 17 PSONEOral5 mg2 MF+GPRED, PSONE8 hours, 8 hours
14Bakkene et al 14 PREDOral10 mg8FPRED *****24 hours, na
17Coll et al 17 PREDOral10 mg2 MF+GPRED, PSONE24 hours, 24 hours
9Ahí et al 9 PREDOral20 mg1 MF+GPRED, PSONE9 hours, none
17Coll et al 17 PSONEOral30 mg2 MF+GPRED, PSONE8 hours, 24 hours
9Ahí et al 9 PREDOral40 mg1 MF+GPRED, PSONE14 hours, 20 hours
1Avois and Saugy1 PREDIntramuscular25 mg6F+GPRED, PSONE10 days, 7 days
Methylprednisolone (MP)
10Matabosch et al 10 MPDermatological10 mg × 5 days2 MF+GMP0.5±0.32.0none
10Matabosch et al 10 MPOral4 mg2 MF+GMP12 hours
16Simoes et al MPOral4 mg1 MF+GMP10 hours
10Matabosch et al 10 MPOral40 mg2 MF+GMP24 hours
1Avois and SaugyMPIntra-articular80 mg4F+GMP48 hours
  • *, data not available.

  • **, last sample collected at 23 days.

  • ***, concentrations between 10 and 15 ng/ml up to 56 days.

  • ****, after the last dose.

  • *****, only concentrations of PRED reported.

  • F, female; F, free fraction; G, glucurono conjugated fraction; GC, glucocorticoid; M, male; MF, metabolic fraction; 6β-OHBUD, 6β-hydroxy-budesonide.