Yuen K H, Wong J W, Yap S P, Billa N
School of Pharmaceutical Sciences, University of Science Malaysia, Penang, Malaysia.
Int J Clin Pharmacol Ther. 2001 Jan;39(1):37-40. doi: 10.5414/cpp39037.
The aim of the present communication is to provide information regarding the intrasubject coefficent of variation obtained from 30 bioequivalence studies covering 16 drugs which can be used for estimation of sample size. Additionally, an attempt was also made to estimate the test power of each of the studies conducted.
The intrasubject coefficient of variation was estimated from the residual mean square error obtained from analysis of variance of the parameters AUC0-infinity, Cmax and Cmax/AUC0-infinity after logarithmic transformation. The test power in the analyses of the above parameters was subsequently estimated using nomograms provided by Diletti et al. [1991].
Thirty products covering 16 drugs were studied in which 22 were immediate-release (including one dispersible tablet) and 8 were sustained-release formulations. The intrasubject coefficient of variation for the parameter AUC0-infinity was smaller than Cmax, and hence considerably more studies were able to attain a power of greater than 80% using 12 volunteers for the AUC0-infinity, compared to the Cmax. However, the variability in the Cmax could be reduced by using the parameter Cmax/ AUC0-infinity, and thus, provide a more realistic estimation of sample size, since the latter reflects only the rate of absorption and not both the rate and extent as in the case of Cmax [Endrenyi et al. 1991].
本交流的目的是提供关于从涵盖16种药物的30项生物等效性研究中获得的个体内变异系数的信息,这些信息可用于估计样本量。此外,还尝试估计了所进行的每项研究的检验效能。
个体内变异系数是根据对数转换后参数AUC0-无穷大、Cmax和Cmax/AUC0-无穷大的方差分析所得的残差均方误差来估计的。随后使用Diletti等人[1991年]提供的列线图估计上述参数分析中的检验效能。
对涵盖16种药物的30种产品进行了研究,其中22种为速释制剂(包括1种分散片),8种为缓释制剂。参数AUC0-无穷大的个体内变异系数小于Cmax,因此,与Cmax相比,使用12名志愿者进行AUC0-无穷大研究时,有更多研究能够达到大于80%的效能。然而,通过使用参数Cmax/AUC0-无穷大可以降低Cmax的变异性,从而提供更实际的样本量估计,因为后者仅反映吸收速率,而不像Cmax那样反映速率和程度两者[Endrenyi等人,1991年]。