Mazur D, Schug B S, Evers G, Larsimont V, Fieger-Büschges H, Gimbel W, Keilbach-Bermann A, Blume H H
Zentrallaboratorium Deutscher Apotheker eV, Eschborn, Germany.
Int J Clin Pharmacol Ther. 1999 Aug;37(8):386-92.
The study was conducted to investigate the pharmacokinetics and relative bioavailability of clindamycin after administration of two oral clindamycin HCl formulations. A new tablet preparation containing 600 mg clindamycin (Clinda-saar 600, test) was compared to a marketed capsule containing 300 mg clindamycin (Sobelin 300, reference). Both preparations revealed comparable in vitro dissolution profiles with high batch conformity and homogeneity. Twenty healthy male volunteers received single doses of 600 mg clindamycin (test: 1 tablet, reference: 2 capsules) in an open, randomized, two-period crossover design. Blood samples were drawn up to 14 h p.a. and clindamycin plasma concentrations were measured using a sensitive and specific HPLC-UV method. Pharmacokinetic characteristics were similar for both preparations, arithmetic mean values (standard deviation) were computed as: AUC(0-infinity) 12.2 (4.2) and 13.1 (4.6) microg x h/ml, Cmax 3.1 (0.8) and 3.4 (0.8) microg/ml, t(max) 0.83 (0.24) and 0.85 (0.34) h, t(1/2) 2.3 (0.4) and 2.3 (0.6) h for test and reference, respectively. Mean relative bioavailability (point estimate) was 93% for AUC and 91% for Cmax. 90% confidence intervals for AUC and Cmax were within the predefined bioequivalence acceptance limits. Bioequivalence of test and reference preparations could be demonstrated. Single doses of 600 mg clindamycin orally were well tolerated without relevant differences between both preparations.
本研究旨在调查两种口服盐酸克林霉素制剂给药后克林霉素的药代动力学及相对生物利用度。将一种含600mg克林霉素的新片剂制剂(Clinda-saar 600,试验制剂)与一种市售的含300mg克林霉素的胶囊剂(Sobelin 300,参比制剂)进行比较。两种制剂均显示出体外溶出曲线具有可比性,批次一致性和均一性良好。20名健康男性志愿者采用开放、随机、两周期交叉设计,单次服用600mg克林霉素(试验制剂:1片,参比制剂:2粒胶囊)。在给药后14小时内采集血样,采用灵敏且特异的高效液相色谱-紫外检测法测定克林霉素血浆浓度。两种制剂的药代动力学特征相似,计算得到的算术平均值(标准差)如下:试验制剂和参比制剂的AUC(0-无穷大)分别为12.2(4.2)和13.1(4.6)μg·h/ml,Cmax分别为3.1(0.8)和3.4(0.8)μg/ml,t(max)分别为0.83(0.24)和0.85(0.34)小时,t(1/2)分别为2.3(0.4)和2.3(0.6)小时。AUC的平均相对生物利用度(点估计值)为93%,Cmax为91%。AUC和Cmax的90%置信区间在预先定义的生物等效性接受限度内。可证明试验制剂和参比制剂具有生物等效性。口服单次剂量600mg克林霉素耐受性良好,两种制剂之间无显著差异。