Abhyankar Dhiraj, Shedage Ashish, Gole Milind, Raut Preeti
1 Cipla Ltd, R&D Centre, Mumbai, Maharashtra, India.
Am J Alzheimers Dis Other Demen. 2017 Sep;32(6):360-366. doi: 10.1177/1533317517712890. Epub 2017 Jul 3.
To assess the bioequivalence of generic formulation of rivastigmine (test) and Exelon (reference).
This randomized, open-label, 2-period, single-dose, 2-treatment, 2-sequence, crossover study was conducted in 40 healthy men under fed condition. Participants were randomized to receive a single dose of Exelon or rivastigmine capsule.
A total of 31 participants completed the study. Area under the concentration-time curve from time zero to time t (AUC) and area under the concentration-time curve from time zero to infinity (AUC) for Exelon (mean [standard deviation], h·ng/mL) were 126.40 (56.95) and 129.46 (59.94), respectively, while they were 122.73 (43.46) and 125.08 (45.39) for rivastigmine. Geometric mean ratios of rivastigmine/Exelon were 99.17% for AUC, 98.81% for AUC, and 105% for maximum observed plasma concentration ( C). The 90% confidence intervals (CIs) were 94.14% to 104.46%, 93.77% to 104.12%, and 93.08% to 118.44%, respectively. Both formulations were well tolerated.
The generic and reference formulations were bioequivalent, as the 90% CIs for C, AUC, and AUC were within the range of 80% to 125%.
评估卡巴拉汀仿制制剂(试验品)与艾斯能(参比制剂)的生物等效性。
本随机、开放标签、两周期、单剂量、双治疗、双序列交叉研究在40名处于进食状态的健康男性中进行。参与者被随机分配接受单剂量的艾斯能或卡巴拉汀胶囊。
共有31名参与者完成了研究。艾斯能从零时间到t时间的浓度-时间曲线下面积(AUC)以及从零时间到无穷大的浓度-时间曲线下面积(AUC)(均值[标准差],h·ng/mL)分别为126.40(56.95)和129.46(59.94),而卡巴拉汀的相应值为122.73(43.46)和125.08(45.39)。卡巴拉汀/艾斯能的几何平均比值对于AUC为99.17%,对于AUC为98.81%,对于最大观察血浆浓度(C)为105%。90%置信区间(CI)分别为94.14%至104.46%、93.77%至104.12%以及93.08%至118.44%。两种制剂耐受性均良好。
仿制制剂与参比制剂具有生物等效性,因为C、AUC和AUC的90%CI在80%至125%范围内。