Bramlage Peter, Goldis Adrian
Institute for Clinical Pharmacology, Medical Faculty Carl Gustav Carus, Technical University Dresden, Fiedlerstrasse 27, 01307 Dresden, Germany.
BMC Pharmacol. 2008 Oct 29;8:18. doi: 10.1186/1471-2210-8-18.
This phase I study was designed to determine the bioavailability and bioequivalence of 400 mg Eudorlin extra* (Ibuprofen) in comparison to two reference formulations (400 mg Nurofen forte and 400 mg Migränin after single dose administration under fasting conditions in healthy subjects. Therefore the design of a randomized, open label, multiple sequence cross-over study with a wash-out period of 7-10 days was used.
AUC(0-t)(last) and AUC(0-infinity) (90%CI) were within the 80 to 125% interval required for bioequivalence as stipulated in the current regulations of the EMEA. Cmax (90%CI) was within the EMEA acceptance range of 75 to 133%. Detailed analyses showed that Cmax of Eudorlin extra was higher than that of Nurofen forte (36.62 vs. 32.92 microg/ml; p = 0.0014) and that of Migränin (35.94 vs. 30.87 microg/ml; p < 0.0001). The time to maximum plasma concentration (tmax) was shorter with Eudorlin extra than with Nurofen forte (1.14 vs. 1.82 h; p < 0.0001) and Migränin (1.13 vs. 1.78 h; p = 0.0031). Only 1 patient experienced an adverse with possible relation to the study drug taking Migränin.
It is concluded that Eudorlin extra is bioequivalent to the two reference preparations Nurofen forte and Migränin for both, the extent and the rate of absorption, after single dose administration in healthy volunteers according to the guidance of the EMEA. Within this frame, peak plasma concentrations are however reached earlier and peaks are higher compared to the reference products. * Eudorlin extra may have different brand names in different countries.
本I期研究旨在确定400mg优多林extra*(布洛芬)与两种参比制剂(400mg诺洛芬强效片和400mg米格来宁)在健康受试者空腹条件下单次给药后的生物利用度和生物等效性。因此,采用了随机、开放标签、多序列交叉研究设计,洗脱期为7 - 10天。
AUC(0 - t)(末次)和AUC(0 - 无穷大)(90%CI)在欧洲药品管理局(EMEA)现行法规规定的生物等效性所需的80%至125%区间内。Cmax(90%CI)在EMEA的75%至133%接受范围内。详细分析表明,优多林extra的Cmax高于诺洛芬强效片(36.62对32.92μg/ml;p = 0.0014)和米格来宁(35.94对30.87μg/ml;p < 0.0001)。优多林extra达到最大血药浓度的时间(tmax)比诺洛芬强效片(1.14对1.82小时;p < 0.0001)和米格来宁(1.13对1.78小时;p = 0.0031)短。仅1例患者出现了可能与服用米格来宁的研究药物相关的不良反应。
根据EMEA的指导原则,得出结论:在健康志愿者单次给药后,优多林extra在吸收程度和吸收速率方面与两种参比制剂诺洛芬强效片和米格来宁生物等效。在此框架内,然而与参比产品相比,血浆峰值浓度达到更早且峰值更高。*优多林extra在不同国家可能有不同的商品名。