Pena María Ángeles, Sanz Emilio, Francisco Silvia, Alonso Ainhara, Abajo Zurine, Felipe Izaskun, Pascual Jaume, Tost Digna, Bailac Sandra
Clinical Trials Unit-LEIA Foundation, T.D.C. (nowadays, Tecnalia Research & Innovation)-Hospital Txagorritxu, José Atxotegui s/n, 01009, Vitoria, Spain.
Sci Pharm. 2012 Apr-Jun;80(2):419-31. doi: 10.3797/scipharm.1111-18. Epub 2012 Mar 1.
Despite the increase in the substitution of branded medicinal product with generic drugs, this is a controversial issue for some pharmacological groups (such as contraceptives).The aim of the present clinical trial was to assess the bioequivalence and tolerability of two oral formulations of desogestrel.Thirty-three healthy female volunteers participated in this randomized and two-way crossover study. During two separate experimental periods, with at least four weeks of washout period, women received a single oral dose of 75 μg of desogestrel from each of the formulations (test formulation and reference formulation). Desogestrel bioavailability was determined by the measurement of 3-ketodesogestrel plasma concentration.Pharmacokinetic parameters were comparable and the 90% CI for the ratio of C(max) (96.14-114.53%) and AUC(0-t) (105.73-123.83%) values for the test and reference formulations fell within the established regulatory interval (80-125%). Both formulations were also comparable in terms of tolerability.From the results of this study it can be concluded that test formulation (desogestrel 75 μg, Cyndea PHARMA S.L.) is bioequivalent to the reference formulation (Cerazet® 75 μg, Organon Española S.A.).
尽管品牌药品被仿制药替代的情况有所增加,但对于某些药物类别(如避孕药)而言,这仍是一个存在争议的问题。本临床试验的目的是评估两种去氧孕烯口服制剂的生物等效性和耐受性。33名健康女性志愿者参与了这项随机、双向交叉研究。在两个独立的实验阶段,中间至少有四周的洗脱期,女性分别从每种制剂(试验制剂和参比制剂)中单次口服75μg去氧孕烯。通过测量3 - 酮去氧孕烯血浆浓度来确定去氧孕烯的生物利用度。药代动力学参数具有可比性,试验制剂与参比制剂的C(max)比值(96.14 - 114.53%)和AUC(0 - t)比值(105.73 - 123.83%)的90%置信区间落在既定的监管区间(80 - 125%)内。两种制剂在耐受性方面也具有可比性。从本研究结果可以得出结论,试验制剂(75μg去氧孕烯,Cyndea PHARMA S.L.)与参比制剂(75μg Cerazet®,Organon Española S.A.)生物等效。