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在一项针对健康受试者的随机交叉研究中,评估表皮生长因子受体酪氨酸激酶抑制剂厄洛替尼的绝对口服生物利用度和生物等效性。

Evaluation of the absolute oral bioavailability and bioequivalence of erlotinib, an inhibitor of the epidermal growth factor receptor tyrosine kinase, in a randomized, crossover study in healthy subjects.

作者信息

Frohna Paul, Lu Jianfeng, Eppler Steve, Hamilton Marta, Wolf Julie, Rakhit Ashok, Ling Jie, Kenkare-Mitra Saraswati R, Lum Bert L

机构信息

CV Therapeutics, Inc, Palo Alto, California, USA.

出版信息

J Clin Pharmacol. 2006 Mar;46(3):282-90. doi: 10.1177/0091270005284193.

DOI:10.1177/0091270005284193
PMID:16490804
Abstract

A randomized, open-label, 2-period crossover study was conducted to evaluate the bioequivalence of 6 tablets of erlotinib 25 mg and 1 tablet of erlotinib 150 mg (arm A, n = 42) and the oral bioavailability of the 150-mg tablet versus a 25-mg intravenous infusion (arm B, n = 20) in healthy subjects. The washout period was 2 weeks between treatments. Plasma concentrations of erlotinib and its active metabolite, OSI-420, were measured after each dose. The ratios of geometric means for AUC(0-infinity) and Cmax of erlotinib following 6 tablets of erlotinib 25 mg and 1 tablet of erlotinib 150 mg were (1 and 0.95) within the predefined bioequivalence range of 0.80 to 1.25. The mean absolute oral bioavailability, using compartmental analysis, was estimated as 59% (95% confidence interval, 55%-63%). Overall, 6 tablets of erlotinib 25 mg are bioequivalent to a single 150-mg tablet. Both intravenous and oral erlotinib were generally well tolerated with an estimated bioavailability of 59% following oral administration.

摘要

开展了一项随机、开放标签、两期交叉研究,以评估6片25毫克厄洛替尼与1片150毫克厄洛替尼(A组,n = 42)的生物等效性,以及在健康受试者中150毫克片剂相对于25毫克静脉输注(B组,n = 20)的口服生物利用度。治疗之间的洗脱期为2周。每次给药后测量厄洛替尼及其活性代谢物OSI-420的血浆浓度。6片25毫克厄洛替尼和1片150毫克厄洛替尼后厄洛替尼的AUC(0-无穷大)和Cmax的几何均值比在预先定义的0.80至1.25生物等效性范围内(分别为1和0.95)。使用房室分析估计的平均绝对口服生物利用度为59%(95%置信区间,55%-63%)。总体而言,6片25毫克厄洛替尼与1片150毫克片剂生物等效。静脉注射和口服厄洛替尼一般耐受性良好,口服给药后的估计生物利用度为59%。

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