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西地那非两种片剂剂型的生物等效性研究。

Bioequivalence study of two tablet formulations of sildenafil.

作者信息

Spínola Ana Cristina Franco, Almeida Susana, Filipe Augusto, Tanguay Mario, Yritia Mercedes

机构信息

Medical Department, Grupo Tecnimede, Prior Velho, Portugal.

出版信息

Arzneimittelforschung. 2008;58(3):122-5.

Abstract

This study was conducted in order to assess the bioequivalence of two tablet formulations containing 100 mg sildenafil (1-[4-ethoxy-3-(6,7-dihydro-1-,ethyl-7-oxo-3-propyl-1H-pyrazolo[4,3-d]pyrimidin-5-yl)phenylsulphonyl] -4-methyl piperazine, CAS 139755-83-2). Twenty-eight healthy subjects were enrolled in a single-centre, randomised, single-dose, open-label, 2-way crossover study, with a minimum washout period of 7 days. Plasma samples were collected up to 18.0 h postdosing. Sildenafil levels were determined by reverse liquid chromatography coupled with tandem mass spectrometry detection (LC-MS/MS). Pharmacokinetic parameters used for bioequivalence assessment [area under the concentration-time curve from time zero to time of last non-zero concentration (AUC(last)) and maximum observed concentration (C(max)) were main evaluation criteria; however, the area under the concentration-time curve from time zero to infinity (AUC(inf)) was also analysed] were determined from the sildenafil concentration data using non-compartmental analysis. The 90% confidence intervals (obtained by analysis of variance, ANOVA) were 86.70-108.19 for C(max), 86.67-99.26 for AUC(last) and 87.19-99.82 for AUC(inf) within the predefined ranges. Bioequivalence between the two formulations was concluded both in terms of rate and extent of absorption.

摘要

本研究旨在评估两种含有100毫克西地那非(1-[4-乙氧基-3-(6,7-二氢-1-乙基-7-氧代-3-丙基-1H-吡唑并[4,3-d]嘧啶-5-基)苯基磺酰基]-4-甲基哌嗪,CAS 139755-83-2)的片剂制剂的生物等效性。28名健康受试者参与了一项单中心、随机、单剂量、开放标签的双向交叉研究,最短洗脱期为7天。给药后长达18.0小时采集血浆样本。西地那非水平通过反相液相色谱-串联质谱检测(LC-MS/MS)测定。用于生物等效性评估的药代动力学参数[从零时间到最后一个非零浓度时间的浓度-时间曲线下面积(AUC(last))和最大观察浓度(C(max))是主要评估标准;然而,也分析了从零时间到无穷大的浓度-时间曲线下面积(AUC(inf))]使用非房室分析从西地那非浓度数据中确定。在预定义范围内,C(max)的90%置信区间(通过方差分析,ANOVA获得)为86.70-108.19,AUC(last)为86.67-99.26,AUC(inf)为87.19-99.82。两种制剂在吸收速率和程度方面均具有生物等效性。

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