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通用型恩格列净片与品牌产品的药代动力学及生物等效性以及在中国健康受试者中的食物影响

Pharmacokinetics and bioequivalence of a generic empagliflozin tablet versus a brand-named product and the food effects in healthy Chinese subjects.

作者信息

Li Xin, Liu Lihua, Deng Yang, Li Yuan, Zhang Ping, Wang Yangyang, Xu Bing

机构信息

Department of Pharmacy, The Third Hospital of Changsha, Changsha, People's Republic of China.

出版信息

Drug Dev Ind Pharm. 2020 Sep;46(9):1487-1494. doi: 10.1080/03639045.2020.1810263. Epub 2020 Aug 26.

Abstract

OBJECTIVE

The aim of the present study was to assess the bioequivalence of a generic empagliflozin tablet versus a brand-named empagliflozin tablet (Jardiance) and evaluate the food effects on the pharmacokinetics (PK) of empagliflozin in healthy Chinese subjects.

METHODS

Forty-eight healthy volunteers were included in this randomized, open-label, crossover, two-period study (fasting:  = 24, fed:  = 24). A single dose of 25-mg generic (or test) or brand-named (or reference) empagliflozin was administered to each subject in a randomized sequence. Blood samples were collected at the baseline and during the 72 h post-dose, and plasma empagliflozin concentrations were determined by high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). Pharmacokinetic parameters were analyzed with non-compartmental methods. Safety was monitored.

RESULTS

The major PK parameters including , AUC , and AUC were similar between the generic and brand-named tablets under fasting and fed conditions (all  > .05). The 90% confidence intervals of the test/reference ratios of log-transformed , AUC , and AUC were 94.90-106.70%, 100.62-106.99%, and 100.64-106.85%, respectively, under fasting condition, and 94.21-104.91%, 97.31-101.79%, and 97.32-101.83%, respectively, under fed condition. High-fat food did not affect , AUC , AUC, or of empagliflozin (all  > .05). There was no serious adverse event during the study period.

CONCLUSION

The generic formulation of empagliflozin tablet is bioequivalent to the brand-named product in healthy Chinese volunteers, and well tolerated. High-fat food had no effects on the PK of empagliflozin in healthy Chinese volunteers.

摘要

目的

本研究旨在评估通用型恩格列净片与品牌名恩格列净片(欧唐静)的生物等效性,并评估食物对健康中国受试者恩格列净药代动力学(PK)的影响。

方法

48名健康志愿者纳入了这项随机、开放标签、交叉、两阶段研究(空腹组:n = 24,进食组:n = 24)。以随机顺序给每位受试者单次服用25 mg通用型(或受试)或品牌名(或参比)恩格列净。在基线期和给药后72小时内采集血样,采用高效液相色谱-串联质谱法(HPLC-MS/MS)测定血浆恩格列净浓度。采用非房室方法分析药代动力学参数。监测安全性。

结果

在空腹和进食条件下,通用型和品牌名片剂之间的主要PK参数包括Cmax、AUC0-t和AUC0-∞均相似(均P > 0.05)。在空腹条件下,log转换后的Cmax、AUC0-t和AUC0-∞的试验/参比比值的90%置信区间分别为94.90 - 106.70%、100.62 - 106.99%和100.64 - 106.85%,在进食条件下分别为94.21 - 104.91%、97.31 - 101.79%和97.32 - 101.83%。高脂食物不影响恩格列净的Cmax、AUC0-t、AUC0-∞或tmax(均P > 0.05)。研究期间无严重不良事件发生。

结论

在健康中国志愿者中,恩格列净片的通用型制剂与品牌名产品生物等效,且耐受性良好。高脂食物对健康中国志愿者恩格列净的PK无影响。

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