Niopas I, Daftsios A C, Xanthakis I, Nikolaidis N
Department of Pharmacy, School of Health Sciences, Aristotle University of Thessaloniki, Greece.
Int J Clin Pharmacol Ther. 2000 Jun;38(6):309-14. doi: 10.5414/cpp38309.
To assess the bioequivalence of two oral formulations containing 10 mg of nifedipine. The test preparation were Macorel tablets, the reference preparation were Adalat tablets.
SUBJECTS, MATERIAL AND METHODS: The study was designed as a single-dose, three-period crossover randomized design to 18 non-smoker, healthy male volunteers under fasting conditions. Seventeen volunteers completed the study. Plasma samples were analyzed for nifedipine by HPLC after solid-phase extraction. The pharmacokinetic parameters used to assess the bioequivalence of the two formulations were AUC(0-infinite) and AUC(0-t) for the extent of absorption and Cmax and Tmax for the rate of absorption. Statistical comparisons of AUC(0-infinite) AUC(0-t), and Cmax data were evaluated after logarithmic transformation by two-way analysis of variance (ANOVA), and differences of Tmax were tested non-parametricaly.
Point estimates (90% confidence intervals) of the test/reference ratios were 97.4% (87.6%-108.3%) for AUC(0-infinite) 97.0% (85.6%-110.1%) for AUC0-t, and 107.7% (89.1%-130.7%) for Cmax. No statistically significant difference was found for Tmax and elimination half-life values.
Therefore, in accordance with the European Union bioequivalence requirements, the test and reference nifedipine preparations are bioequivalent for both the extent and the rate of absorption.
评估两种含10毫克硝苯地平口服制剂的生物等效性。受试制剂为马卡雷尔片,参比制剂为拜心同片。
受试者、材料与方法:本研究设计为单剂量、三期交叉随机设计,纳入18名非吸烟健康男性志愿者,处于空腹状态。17名志愿者完成了研究。固相萃取后,采用高效液相色谱法分析血浆样本中的硝苯地平。用于评估两种制剂生物等效性的药代动力学参数,吸收程度方面为AUC(0-∞)和AUC(0-t),吸收速率方面为Cmax和Tmax。对AUC(0-∞)、AUC(0-t)和Cmax数据进行对数转换后,采用双向方差分析(ANOVA)进行统计学比较,Tmax差异采用非参数检验。
受试/参比制剂比值的点估计值(90%置信区间),AUC(0-∞)为97.4%(87.6%-108.3%),AUC(0-t)为97.0%(85.6%-110.1%),Cmax为107.7%(89.1%-130.7%)。Tmax和消除半衰期值未发现统计学显著差异。
因此,根据欧盟生物等效性要求,受试和参比硝苯地平制剂在吸收程度和吸收速率方面均具有生物等效性。