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使用两片艾格列汀/二甲双胍缓释片2.5/500毫克固定剂量组合与各一片艾格列汀5毫克和二甲双胍缓释片1000毫克进行药代动力学比较。

Pharmacokinetic comparison using two tablets of an evogliptin/metformin XR 2.5/500 mg fixed dose combination vs. 1 tablet each of evogliptin 5 mg and metformin XR 1,000 mg
.

作者信息

Yoon Sumin, Rhee Su-Jin, Park Sang-In, Yoon Seo Hyun, Cho Joo-Youn, Jang In-Jin, Lee SeungHwan, Yu Kyung-Sang

出版信息

Int J Clin Pharmacol Ther. 2017 Jun;55(6):533-539. doi: 10.5414/CP202930.

DOI:10.5414/CP202930
PMID:28406090
Abstract

OBJECTIVES

The aim of this study was to compare the pharmacokinetic (PK) characteristics of evogliptin and metformin following the administration of 2 evogliptin/metformin extended-release (XR) 2.5/500 mg FDC tablets with the coadministration of separate evogliptin 5-mg and metformin XR 1,000-mg tablets (separate formulations).

METHODS

A randomized, two-period, two-sequence crossover study was conducted. Subjects were randomly assigned to receive 2 FDC tablets or the individual tablets, followed by a 14-day washout period and the administration of the alternate treatment. Blood samples were collected predose and up to 72 hours postdose for each period. PK parameters including C and AUC were calculated. The geometric mean ratios (GMRs) and the 90% confidence intervals (CIs) between FDC and the separate formulations were calculated for the C and AUC of evogliptin and metformin.

RESULTS

33 subjects completed the study. The GMR (90% CI) values of C and AUC for evogliptin were 1.011 (0.959 - 1.066) and 1.010 (0.977 - 1.043), respectively. The GMR (90% CI) values of C and AUC for metformin were 0.892 (0.827 - 0.963) and 0.893 (0.841 - 0.947), respectively. There was no significant difference between the FDC and separate formulations regarding the occurrence of adverse events. All drug-related adverse events were considered to be mild and resolved without any treatment.

CONCLUSIONS: Two FDC tablets of evogliptin/metformin XR 2.5/500 mg showed a similar PK profile to the separate formulations of evogliptin 5 mg and metformin XR 1,000 mg. All of the 90% CIs of GMR satisfied the regulatory bioequivalence criteria of 0.800 - 1.250.
.

摘要

目的

本研究旨在比较服用2片依格列净/二甲双胍缓释(XR)2.5/500毫克固定剂量复方片剂与同时服用单独的5毫克依格列净片和1000毫克二甲双胍缓释片(单独剂型)后依格列净和二甲双胍的药代动力学(PK)特征。

方法

进行了一项随机、两周期、两序列交叉研究。受试者被随机分配接受2片固定剂量复方片剂或单独片剂,随后经过14天的洗脱期并给予交替治疗。在每个周期的给药前和给药后长达72小时采集血样。计算包括Cmax和AUC在内的PK参数。计算依格列净和二甲双胍的Cmax和AUC在固定剂量复方制剂与单独剂型之间的几何平均比值(GMR)和90%置信区间(CI)。

结果

33名受试者完成了研究。依格列净的Cmax和AUC的GMR(90%CI)值分别为1.011(0.959 - 1.066)和1.010(0.977 - 1.043)。二甲双胍的Cmax和AUC的GMR(90%CI)值分别为0.892(0.827 - 0.963)和0.893(0.841 - 0.947)。在不良事件的发生方面,固定剂量复方制剂与单独剂型之间无显著差异。所有与药物相关的不良事件均被认为是轻度的,无需任何治疗即可缓解。

结论

2片依格列净/二甲双胍缓释XR 2.5/500毫克固定剂量复方片剂显示出与5毫克依格列净和1000毫克二甲双胍缓释单独剂型相似的PK特征。GMR的所有90%CI均符合0.800 - 1.250的监管生物等效性标准。

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