Clinical Pharmacology Centre for Drug Experimentation, Pisa University Hospital, Pisa, Italy ; Department of Clinical and Experimental Medicine, Pisa, Italy.
Ther Clin Risk Manag. 2013;9:303-11. doi: 10.2147/TCRM.S39024. Epub 2013 Jul 24.
The primary aim of the present study was to assess the pharmacokinetic bioequivalence between a generic formulation of meloxicam 15 mg tablets (Meloxicam Hexal) and its respective brand product (Mobic), in order to verify whether the generic product conforms to the regulatory standards of bioequivalence in the postmarketing setting. As a secondary exploratory aim, the pharmacodynamic effects of the two formulations were also evaluated by means of rating scales following hyperalgesia induced by cutaneous freeze injury.
A single 15 mg dose of generic or branded meloxicam tablets was administered to 24 healthy male volunteers in a crossover fashion. Plasma samples, collected for 24 hours after dosing, were assayed for meloxicam concentration by a validated highperformance liquid chromatography method.
THE ANALYSIS OF PHARMACOKINETIC PARAMETERS DID NOT SHOW ANY SIGNIFICANT DIFFERENCE BETWEEN THE TWO MELOXICAM FORMULATIONS: the 90% confidence intervals fell within the acceptance range of 80%-125% (0.84-1.16 for area under the curve [0-24], and 0.89-1.23 for peak concentration). No difference in the pharmacodynamic end point was observed between the two groups.
The pharmacokinetic profiles of the two meloxicam formulations confirm the regulatory criteria for bioequivalence; pharmacodynamic data indicate a similar antihyperalgesic effect. The two formulations can be used interchangeably in the clinical setting.
本研究的主要目的是评估美洛昔康 15 毫克片剂(美洛昔康 Hexal)的仿制药与相应品牌产品(Mobic)之间的药代动力学生物等效性,以验证仿制药是否符合上市后生物等效性的监管标准。作为次要探索性目的,还通过皮肤冷冻损伤诱导的痛觉过敏后评分量表评估了两种制剂的药效学效应。
24 名健康男性志愿者采用交叉设计方式单次给予 15 毫克剂量的仿制药或品牌美洛昔康片剂。给药后 24 小时采集血浆样本,采用经验证的高效液相色谱法测定美洛昔康浓度。
药代动力学参数分析显示两种美洛昔康制剂之间无显著差异:90%置信区间在 80%-125%的接受范围内(0-24 小时曲线下面积为 0.84-1.16,峰浓度为 0.89-1.23)。两组之间在药效终点没有差异。
两种美洛昔康制剂的药代动力学特征证实了生物等效性的监管标准;药效学数据表明具有相似的抗痛觉过敏作用。两种制剂在临床环境中可以互换使用。