与同时给予相应的单一实体相比,固定剂量组合制剂贝沙芦醇和胆钙化醇的生物等效性。
Bioequivalence for a Fixed-Dose Combination Formulation of Bazedoxifene and Cholecalciferol Compared With the Corresponding Single Entities Given Together.
机构信息
Department of New Drug Development, Chungnam National University, Daejeon, Republic of Korea.
Center for Infectious Diseases Control, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.
出版信息
Clin Pharmacol Drug Dev. 2021 Aug;10(8):850-858. doi: 10.1002/cpdd.958. Epub 2021 Jun 30.
A fixed-dose combination (FDC) formulation of bazedoxifene 20 mg and cholecalciferol 8 mg was developed to increase medication compliance and convenience for osteoporosis patients. This study was conducted to demonstrate bioequivalence by comparing the pharmacokinetic (PK) profiles and tolerability of an FDC tablet and the individual component tablets. A randomized, open-label, single-dosing, 2-treatment, 2-period, 2-sequence crossover study was conducted in 52 healthy subjects. All subjects were randomly assigned to 2 sequences, and they received FDC tablets of bazedoxifene and cholecalciferol and individual component tablets. Serial blood samples for PK evaluation were collected up to 24 hours predose and 120 hours postdose, and the PK parameters were estimated by noncompartmental methods. Throughout the study, tolerability was assessed based on adverse events, vital signs, and clinical laboratory tests. Of the enrolled 52 subjects, 47 subjects completed the study. The results, the geometric mean ratios (GMRs) and 90% confidence intervals (90%CIs), of bazedoxifene C and AUC for FDC to single entities given together were 0.98 (0.91-1.05) and 1.02 (0.97-1.07), respectively. The GMRs (90%CIs) of cholecalciferol C and AUC for FDC to single entities given together were 0.96 (0.91-1.00) and 0.94 (0.90-0.99), respectively. Overall, the GMRs (90%CIs) of the PK parameter of bazedoxifene and cholecalciferol fell within the conventional bioequivalence range of 0.8-1.25. There were no clinically significant differences in the safety profile between the 2 treatments. In conclusion, this study confirmed the development of a new FDC drug by demonstrating that the FDC formulation of bazedoxifene and cholecalciferol is biologically equivalent to the coadministered individual formulations.
一种固定剂量组合(FDC)制剂,包含 20 毫克巴多昔芬和 8 毫克胆钙化醇,旨在提高骨质疏松症患者的用药依从性和便利性。本研究旨在通过比较 FDC 片剂和各成分片剂的药代动力学(PK)特征和耐受性来证明生物等效性。一项随机、开放标签、单次、2 种治疗、2 个周期、2 个序列交叉研究在 52 名健康受试者中进行。所有受试者均随机分配到 2 个序列,并接受 FDC 片剂的巴多昔芬和胆钙化醇以及各成分片剂。进行了 PK 评估的连续血样采集,在给药前 24 小时和 120 小时进行,并通过非房室方法估算 PK 参数。在整个研究过程中,根据不良事件、生命体征和临床实验室检查来评估耐受性。在入组的 52 名受试者中,有 47 名完成了研究。结果显示,FDC 与单一制剂联合使用时,巴多昔芬 C 和 AUC 的几何均数比值(GMR)和 90%置信区间(90%CI)分别为 0.98(0.91-1.05)和 1.02(0.97-1.07)。FDC 与单一制剂联合使用时,胆钙化醇 C 和 AUC 的 GMR(90%CI)分别为 0.96(0.91-1.00)和 0.94(0.90-0.99)。总体而言,巴多昔芬和胆钙化醇 PK 参数的 GMR(90%CI)在 0.8-1.25 的常规生物等效范围内。两种治疗方法在安全性特征方面无显著差异。总之,该研究通过证明巴多昔芬和胆钙化醇的 FDC 制剂具有生物等效性,证实了新的 FDC 药物的开发。