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兰索拉唑口服胶囊与口腔崩解片在健康受试者中的比较药代动力学及安全性

Comparative pharmacokinetics and safety of lansoprazole oral capsules and orally disintegrating tablets in healthy subjects.

作者信息

Freston J W, Chiu Y-L, Mulford D J, Ballard E D

机构信息

University of Connecticut Health Center, Farmington 06030-1111, USA.

出版信息

Aliment Pharmacol Ther. 2003 Feb;17(3):361-7. doi: 10.1046/j.1365-2036.2003.01455.x.

Abstract

BACKGROUND

Many individuals with acid-related gastrointestinal disorders have difficulty in swallowing oral agents.

AIM

To compare the bio-availability of a single dose of lansoprazole orally disintegrating tablet with that of an intact capsule.

METHODS

One hundred and twenty healthy subjects participated in two prospective, Phase I, open-label, two-period cross-over studies to receive lansoprazole, 15 mg or 30 mg. Within each study, subjects were randomized into two parallel cohorts consisting of 30 subjects per regimen, dispensed in opposing sequence over two periods separated by a 7-day washout period. Blood samples were collected on day 1 of both periods to determine the pharmacokinetic parameters.

RESULTS

Tmax occurred at 1.8 and 2.0 h with the 15-mg and 30-mg tablets, respectively. Dose proportional increases in Cmax, AUCt and AUC infinity were observed in the 15-mg and 30-mg groups. The terminal elimination half-lives (t1/2) were identical in both dose groups (1.18 h). Lansoprazole administered as the orally disintegrating tablet was bio-equivalent to the intact capsule formulation with respect to Cmax, AUCt and AUC infinity.

CONCLUSIONS

Lansoprazole orally disintegrating tablets, 15 mg and 30 mg, are bio-equivalent to the respective dose administered as the intact capsule. This novel dosage formulation represents an option for patients who have difficulty in swallowing oral agents.

摘要

背景

许多患有酸相关性胃肠疾病的个体在吞咽口服制剂时存在困难。

目的

比较单剂量兰索拉唑口腔崩解片与完整胶囊的生物利用度。

方法

120名健康受试者参与了两项前瞻性I期开放标签两周期交叉研究,接受15毫克或30毫克的兰索拉唑。在每项研究中,受试者被随机分为两个平行队列,每个方案30名受试者,在两个周期内以相反顺序给药,中间间隔7天的洗脱期。在两个周期的第1天采集血样以确定药代动力学参数。

结果

15毫克和30毫克片剂的达峰时间分别为1.8小时和2.0小时。在15毫克和30毫克组中观察到峰浓度、药时曲线下面积和药时曲线下面积至无穷大随剂量成比例增加。两个剂量组的末端消除半衰期(t1/2)相同(1.18小时)。就峰浓度、药时曲线下面积和药时曲线下面积至无穷大而言,以口腔崩解片形式给药的兰索拉唑与完整胶囊制剂生物等效。

结论

15毫克和30毫克的兰索拉唑口腔崩解片与以完整胶囊形式给药的相应剂量生物等效。这种新型剂型为吞咽口服制剂有困难的患者提供了一种选择。

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