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两种口服环丙沙星片剂制剂的生物等效性

Bioequivalence of two oral ciprofloxacin tablets formulations.

作者信息

Cuadrado A, Gascón A R, Solinís M A, Ramírez E, Hernández R M, Knie U, Pedraz J L

机构信息

Clinical Trial Unit of the Txagorritxu Hospital, Vitoria, Spain.

出版信息

Int J Clin Pharmacol Ther. 2004 Jun;42(6):336-41. doi: 10.5414/cpp42336.

Abstract

The relative bioavailability of a new 750 mg tablet formulation of ciprofloxacin (test formulation supplied by Dr. August Wolff GmbH and Co., Germany) was compared with that of Ciprobay tablets 750 mg (reference formulation from Bayer Vital GmbH and Co., Germany). Twenty-four healthy volunteers (12 male and 12 female) were included in this single-dose, 2-sequence, crossover randomized study. Blood samples were obtained prior to dosing and at 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18, 24 and 30 hours after drug administration. Plasma concentrations of ciprofloxacin were determined by HPLC. No differences were found when the in vitro dissolution profiles of both formulations were compared. The pharmacokinetic parameters AUC(0-t), AUC(0-infinity), Cmax and Cmax/AUC(0-infinity) were tested for bioequivalence after log-transformation of data, and ratios of tmax were evaluated nonparametrically. The parametric analysis revealed the following mean values for the test/reference ratios (90% standard confidence intervals in parenthesis (ln-transformed data): 1.01 (0.95-1.07) for AUC(0-t), 0.99 (0.93-1.05) for AUC(0-infinity), 1.05 (0.97-1.14) for Cmax and 1.06 (0.97-1.15) for Cmax/AUC(0-infinity). The nonparametric confidence interval for tmax was 0.77-1.15. All parameters showed bioequivalence between both formulations as their confidence intervals were within the bioequivalence acceptable range of 0.80-1.25 limits; the 90% confidence interval for tmax slightly exceeded limits of bioequivalence. We conclude that both formulations show bioequivalence for both the rate and the extent of absorption.

摘要

将环丙沙星新的750毫克片剂剂型(由德国奥古斯特·沃尔夫有限公司提供的试验制剂)的相对生物利用度与拜有利公司生产的750毫克拜复乐片剂(参比制剂)的相对生物利用度进行了比较。24名健康志愿者(12名男性和12名女性)纳入了这项单剂量、双序列、交叉随机研究。在给药前以及给药后0.5、0.75、1、1.5、2、3、4、6、8、10、12、18、24和30小时采集血样。采用高效液相色谱法测定环丙沙星的血浆浓度。比较两种制剂的体外溶出曲线时未发现差异。对数据进行对数转换后,测试药代动力学参数AUC(0-t)、AUC(0-∞)、Cmax和Cmax/AUC(0-∞)的生物等效性,并对tmax比值进行非参数评估。参数分析得出试验/参比比值的以下平均值(括号内为90%标准置信区间(对数转换后的数据)):AUC(0-t)为1.01(0.95-1.07),AUC(0-∞)为0.99(0.93-1.05),Cmax为1.05(0.97-1.14),Cmax/AUC(0-∞)为1.06(0.97-1.15)。tmax的非参数置信区间为0.77-1.15。所有参数均显示两种制剂具有生物等效性,因为它们的置信区间在生物等效性可接受范围0.80-1.25限度内;tmax的90%置信区间略超出生物等效性限度。我们得出结论,两种制剂在吸收速率和吸收程度方面均显示生物等效性。

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