Rojanasthien N, Manorot M, Kumsorn B
Department of Pharmacology, Faculty of Medicine, Chiang Mai University, Thailand.
Int J Clin Pharmacol Ther. 1999 Nov;37(11):548-54.
SUBJECTS, MATERIAL AND METHODS: Pharmacokinetics and bioequivalence of oral preparations of generic ondansetron were investigated in healthy Thai males. The test preparations were Vomitron 8 and Vomitron 4, the reference was Zofran. The three products were administered as an 8 mg single oral dose, in a three-period four-sequence cross-over design with one-week washout period. An intravenous 8 mg Zofran was administered on the forth visit. Plasma ondansetron concentrations were determined by HPLC and the pharmacokinetic parameters were analyzed by non-compartmental analysis.
Following i.v. ondansetron, the mean values of its elimination half-life, its plasma clearance, and its volume of distribution were 4.5 hours, 398 ml/min, and 130 liters, respectively. Its oral bioavailability averaged 67%, and the elimination half-life after oral administration was 5.6 hours. The time to reach the maximal concentration (Tmax, hour) of Zofran (1.21 +/- 0.26) was statistically faster than that of Vomitron 8 (1.33 +/- 0.54) and Vomitron 4 (1.46 +/- 0.50). The 90% confidence intervals of the AUC0-infinity and Cmax ratios muT/muR for (Vomitron 8/Zofran) were 0.88 - 1.12 and 0. 85 - 1.08, respectively. Similarly the 90% CI of the-AUC0-infinity and Cmax ratios for (Vomitron 4/Zofran) were 0.96 - 1.17 and 1.01 - 1.19, respectively.
These values were within the acceptable range of 0.80 - 1.25, thus our study demonstrated the bioequivalence of Vomitron and Zofran with respect to the rate (Cmax) and extent of absorption (AUC0-infinity).
受试者、材料与方法:在健康泰国男性中研究了通用型昂丹司琼口服制剂的药代动力学和生物等效性。受试制剂为Vomitron 8和Vomitron 4,参比制剂为Zofran。三种产品均以8mg单次口服剂量给药,采用三周期四序列交叉设计,洗脱期为一周。在第四次访视时静脉注射8mg Zofran。通过高效液相色谱法测定血浆昂丹司琼浓度,并采用非房室分析法分析药代动力学参数。
静脉注射昂丹司琼后,其消除半衰期、血浆清除率和分布容积的平均值分别为4.5小时、398ml/分钟和130升。其口服生物利用度平均为67%,口服给药后的消除半衰期为5.6小时。Zofran达到最大浓度的时间(Tmax,小时)(1.21±0.26)在统计学上快于Vomitron 8(1.33±0.54)和Vomitron 4(1.46±0.50)。(Vomitron 8/Zofran)的AUC0-无穷大与Cmax比值的90%置信区间分别为0.88 - 1.12和0.85 - 1.08。同样,(Vomitron 4/Zofran)的AUC0-无穷大与Cmax比值的90%置信区间分别为0.96 - 1.17和1.01 - 1.19。
这些值在0.80 - 1.25的可接受范围内,因此我们的研究证明了Vomitron和Zofran在吸收速率(Cmax)和吸收程度(AUC0-无穷大)方面具有生物等效性。