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泮托拉唑钠肠溶片在健康受试者中的药代动力学、生物等效性和安全性研究。

Pharmacokinetics, Bioequivalence, and Safety Studies of Pantoprazole Sodium Enteric-Coated Tablets in Healthy Subjects.

机构信息

Ningbo Hospital of Traditional Chinese Medicine, Zhejiang, China.

Office of Drug Clinical Trial Institution, Xianning Central Hospital, Hubei, China.

出版信息

Clin Pharmacol Drug Dev. 2021 May;10(5):502-509. doi: 10.1002/cpdd.888. Epub 2020 Oct 31.

Abstract

This study aimed to evaluate the bioequivalence of 2 pantoprazole sodium enteric-coated tablet formulations, a generic formulation and a branded formulation, and to investigate their pharmacokinetic and safety profiles. The study was designed as a single-center, randomized, open-label, single-dose, dual-period, and 2-sequence crossover trial, and was divided into fasting and postprandial human bioequivalence trials. In the first trial, 36 subjects were fasted overnight before they were given generic or branded tablets (during 2 separate administration periods). Separately, 42 subjects were provided a high-fat meal 1 hour before the drugs were administered. Blood specimens of each subject were obtained up to 24 hours after drug administration. No significant differences were observed between the pharmacokinetic profiles of the generic and branded pantoprazole sodium enteric-coated tablets. Bioequivalence was evaluated using 90% confidence intervals for the ratio of test/reference log area under the concentration-time curve over 24 hours, log area under the concentration-time curve to infinity (AUC ), and log peak concentration (C ). The 90% confidence intervals of the least squares geometric mean ratio of C , area under the concentration-time curve from time zero to the last measurable concentration (AUC ), and AUC of 36 subjects in the fasting trial and of 40 of 41 subjects in the postprandial trial (C [41], AUC [41], and AUC [40]) were in accordance with the bioequivalence criteria. No severe adverse effects were detected. The generic and branded pantoprazole sodium enteric-coated tablets were considered bioequivalent with similar safety profiles.

摘要

本研究旨在评估两种泮托拉唑钠肠溶片制剂(仿制药和品牌药)的生物等效性,并考察其药代动力学和安全性特征。该研究采用单中心、随机、开放标签、单剂量、双周期和 2 序列交叉试验设计,分为空腹和餐后人体生物等效性试验。在第 1 个试验中,36 例受试者隔夜禁食后分别给予仿制药或品牌药(在 2 个不同给药期)。另外,42 例受试者在给药前 1 小时给予高脂肪餐。每个受试者的血样在给药后 24 小时内采集。未观察到仿制药和品牌药泮托拉唑钠肠溶片的药代动力学特征有显著差异。采用 90%置信区间(C 、AUC 和 AUC 的受试/参比值)评价生物等效性。空腹试验中 36 例受试者和餐后试验中 41 例受试者中的 40 例(C [41]、AUC [41]和 AUC [40])的最小二乘几何均数比值的 90%置信区间符合生物等效性标准。未检测到严重不良反应。仿制药和品牌药泮托拉唑钠肠溶片具有相似的安全性特征,被认为生物等效。

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