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盐酸二甲双胍缓释片与速释片在健康中国志愿者中的相对生物利用度和生物等效性

Relative bioavailability and bioequivalence of metforphin hydrochloride extended-released and immediate-released tablets in healthy Chinese volunteers.

作者信息

Li Jun, Jin Yong, Wang Ting-Yu, Lü Xiong-Wen, Li Yuan-Hai

机构信息

School of Pharmacy, Anhui Medical University, Hefei, People's Republic of China.

出版信息

Eur J Drug Metab Pharmacokinet. 2007 Jan-Mar;32(1):21-8. doi: 10.1007/BF03190986.

Abstract

The aim of the present study was to investigate the relative bioavailability and bioequivalence of a new tablet formulation of metformin hydrochloride with reference to a standard product in healthy Chinese adult male volunteers. Two randomized, comparative, two-way crossover studies were therefore conducted. In study 1, which was a single-dose study, 20 subjects received 1000 mg metformin hydrochloride test product extended-release (MXR) tablets followed by the same amount of metformin hydrochloride reference product immediate-release (MIR) tablets with a 7-day washout period between the two doses. In study 2, which was a multiple-dose study, 22 subjects received MXR 1000 mg/d for 9 consecutive days followed by MIR 1000 mg/d with a 14-day washout period between the doses of the test and reference product. The serum metformin concentrations were monitored using a selective and sensitive high-performance liquid chromatography (HPLC) method with ultraviolet (UV) detection. The pharmacokinetic parameters were calculated using a 3P97 program. Analysis of variance (ANOVA) of the half-life of the absorption phase (t(1/2ka)), the half-life of the elimination phase (t(1/2ke)) and the mean retention time (MRT) and the Wilcoxon Signed Rank test of T(max) for the two preparations were significantly different. A significant difference was found in the ANOVA for C(max) in the single-dose study, while this was not the case in the multiple-dose study. Two one-sided t-tests showed that there were no significant differences in the area under the concentration-time curve (AUC) values between the two formulations. The present study indicates that the test preparation was bioequivalent to the reference preparation when both MXR and MIR were investigated in healthy Chinese adult male volunteers. And on the basis of the mean AUC(0-t), AUC(0-infinity) and AUC(ss), the relative bioavailability of the MXR was found to be 107.80%, 111.89% and 110.61% respectively compared with MIR.

摘要

本研究的目的是在健康中国成年男性志愿者中,考察盐酸二甲双胍新片剂制剂相对于标准产品的相对生物利用度和生物等效性。因此进行了两项随机、对照、双向交叉研究。在研究1(单剂量研究)中,20名受试者服用1000mg盐酸二甲双胍测试产品缓释(MXR)片,随后服用等量的盐酸二甲双胍参比产品速释(MIR)片,两剂之间有7天的洗脱期。在研究2(多剂量研究)中,22名受试者连续9天服用1000mg/d的MXR,随后服用1000mg/d的MIR,测试产品和参比产品的剂量之间有14天的洗脱期。使用具有紫外(UV)检测的选择性和灵敏的高效液相色谱(HPLC)方法监测血清二甲双胍浓度。使用3P97程序计算药代动力学参数。两种制剂吸收相半衰期(t(1/2ka))、消除相半衰期(t(1/2ke))和平均滞留时间(MRT)的方差分析(ANOVA)以及T(max)的Wilcoxon符号秩检验有显著差异。在单剂量研究中,C(max)的ANOVA有显著差异,而在多剂量研究中则不然。两个单侧t检验表明,两种制剂的浓度-时间曲线下面积(AUC)值无显著差异。本研究表明,在健康中国成年男性志愿者中考察MXR和MIR时,测试制剂与参比制剂生物等效。基于平均AUC(0-t)、AUC(0-无穷大)和AUC(稳态),发现MXR相对于MIR的相对生物利用度分别为107.80%、111.89%和110.61%。

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