Yoo Hyounggyoon, Cho Sang Min, Choi Youn Woong, Lee Hye Jung, Kwon Ji-Hye, Kim Soo-Whan, Kim Jae Woo, Lee SeungHwan, Hong Jang-Hee
Seoul National University College of Medicine and Hospital, Seoul 03080, Republic of Korea.
Korea United Pharm. INC., Seoul 06116, Republic of Korea.
Transl Clin Pharmacol. 2017 Sep;25(3):153-156. doi: 10.12793/tcp.2017.25.3.153. Epub 2017 Sep 15.
UI14SDF100CW is a chewable tablet of sildenafil citrate, which was developed to improve compliance through convenience of administration. The purpose of this study was to compare the pharmacokinetic (PK) properties of sildenafil citrate chewable tablets (UI14SDF100CW) and conventional sildenafil citrate film-coated tablets (Viagra®, Pfizer). A randomized, open-label, single dose, two-treatment, two-period, two-way crossover study was conducted in 60 healthy male volunteers. In each period, the subjects received a single oral dose of UI14SDF100CW or Viagra® (both tablets contain 140.45 mg of sildenafil citrate, which is equivalent to 100 mg of sildenafil). Serial blood samples were collected up to 24 h post-dose for PK analysis. The plasma concentration of sildenafil was determined using a validated HPLC-MS/MS assay. PK parameters of sildenafil were calculated using non-compartmental methods. The plasma concentration-time profiles of sildenafil in both formulations were similar. For UI14SDF100CW, the C and AUC of sildenafil were 1068.69 ± 458.25 (mean ± standard deviation) mg/L and 3580.59 ± 1680.29 h·mg/L, and the corresponding values for Viagra® were 1146.84 ± 501.70 mg/L and 3406.35 ± 1452.31 h·/L, respectively. The geometric mean ratios (90% confidence intervals) of UI14SDF100CW to Viagra® for C and AUClast were 0.933 (0.853-1.021) and 1.034 (0.969-1.108), respectively, which met the bioequivalence criteria of Korean regulatory agency. In conclusion, UI14SDF100CW and Viagra® showed similar PK properties. Therefore, UI14SDF100CW can be an alternative to sildenafil for the treatment of erectile dysfunction, providing better compliance.
UI14SDF100CW是一种枸橼酸西地那非咀嚼片,其研发目的是通过给药便利性来提高顺应性。本研究的目的是比较枸橼酸西地那非咀嚼片(UI14SDF100CW)和传统的枸橼酸西地那非薄膜包衣片(万艾可®,辉瑞公司)的药代动力学(PK)特性。在60名健康男性志愿者中进行了一项随机、开放标签、单剂量、双治疗、双周期、双向交叉研究。在每个周期中,受试者口服单剂量的UI14SDF100CW或万艾可®(两种片剂均含有140.45mg枸橼酸西地那非,相当于100mg西地那非)。给药后长达24小时采集系列血样用于PK分析。使用经过验证的HPLC-MS/MS测定法测定西地那非的血浆浓度。使用非房室方法计算西地那非的PK参数。两种制剂中西地那非的血浆浓度-时间曲线相似。对于UI14SDF100CW,西地那非的Cmax和AUC分别为1068.69±458.25(平均值±标准差)mg/L和3580.59±1680.29 h·mg/L,万艾可®的相应值分别为1146.84±501.70 mg/L和3406.35±1452.31 h·mg/L。UI14SDF100CW与万艾可®的Cmax和AUC最后一个值的几何平均比值(90%置信区间)分别为0.933(0.853-1.021)和1.034(0.969-1.108),符合韩国监管机构的生物等效性标准。总之,UI14SDF100CW和万艾可®表现出相似的PK特性。因此,UI14SDF100CW可作为西地那非治疗勃起功能障碍的替代品,具有更好的顺应性。