Pharmaceutics and Food Technology, Complutense University Madrid, Madrid, Spain.
Clinical Pharmacology Service, Pharmacology, Hospital Clínico San Carlos, Complutense University of Madrid/IdISSC, Madrid, Spain.
Chirality. 2020 Feb;32(2):185-190. doi: 10.1002/chir.23148. Epub 2019 Nov 22.
The bioequivalence of a new ibuprofen 600-mg film-coated tablet obtained by roller compaction was studied in a crossover study with 22 healthy volunteers. Bioequivalence was analyzed based on (a) the S-enantiomer, (b) the R-enantiomer, and (c) the sum of both enantiomers (representing the results of an achiral assay). The bioequivalence conclusion for ibuprofen products should be based not only on AUC and Cmax but also on tmax since tmax is related to the onset of action. However, it is not possible to ensure if bioequivalence has been demonstrated for tmax as regulators have not defined the acceptance range for the difference between medians of tmax in those cases, where tmax is clinically relevant. In this study, it was possible to conclude bioequivalence for tmax based on S-ibuprofen, though this conclusion might be questioned if the decision is based on R-ibuprofen or the achiral method.
一项采用交叉设计的研究评估了由辊压法制备的新型布洛芬 600mg 薄膜包衣片的生物等效性,共有 22 名健康志愿者参与了该研究。(a)S-对映异构体、(b)R-对映异构体和(c)两种对映异构体的总和(代表无手性测定的结果)这三个方面分析了生物等效性。布洛芬产品的生物等效性结论不仅应基于 AUC 和 Cmax,还应基于 tmax,因为 tmax 与作用开始时间有关。然而,由于监管机构尚未为 tmax 中位数之间差异的可接受范围定义标准,因此无法确保 tmax 方面已证明具有生物等效性,而在 tmax 具有临床相关性的情况下,这一点很重要。在这项研究中,虽然基于 S-布洛芬可以得出生物等效性的结论,但如果基于 R-布洛芬或无手性方法做出此决定,则可能会对此结论提出质疑。