Int J Clin Pharmacol Ther. 2022 May;60(5):232-241. doi: 10.5414/CP203961.
To assess the bioequivalence of two sodium valproate formulations in healthy subjects of both sexes.
The study was conducted using an open, randomized, two-period crossover design with a 2-week washout interval. Plasma samples were obtained over a 96-hour period. Plasma concentrations of valproate were analyzed by liquid chromatography coupled to tandem mass spectrometry (LC/MS) with negative ion electrospray ionization. From the sodium valproate plasma concentration vs. time curves, the following pharmacokinetic parameters were obtained C, AUC, t, Ke, and T.
The geometric mean with corresponding 90% confidence interval for test/reference percent ratios were 104.43% (90% CI 100.42 - 108.61%) for C, 98.11% (90% CI = 94.66 - 101.70%) for AUC, and 96.71% (90% CI = 92.97 - 100.60%) for AUC.
Since the 90% CI for C and AUC ratios were all inside the 80 - 125% interval proposed by the US Food and Drug Administration Agency (FDA), it was concluded that the new sodium valproate formulation (epilenil 500-mg coated tablet) without food elaborated by Biolab Sanus Farmaceutica Ltda is bioequivalent to depakene formulation for both the rate and the extent of absorption.
评估两种丙戊酸钠制剂在健康男女受试者中的生物等效性。
本研究采用开放、随机、两周期交叉设计,洗脱期为 2 周。在 96 小时内采集血浆样本。采用液相色谱-串联质谱(LC/MS)联用负离子电喷雾电离法分析丙戊酸钠的血浆浓度。从丙戊酸钠的血浆浓度-时间曲线中,获得以下药代动力学参数:C、AUC、t、Ke 和 T。
试验/参比值的几何均数及其相应的 90%置信区间分别为 C 为 104.43%(90%CI 100.42-108.61%),AUC 为 98.11%(90%CI = 94.66-101.70%),AUC 为 96.71%(90%CI = 92.97-100.60%)。
由于 C 和 AUC 比值的 90%CI 均在 FDA 提出的 80%-125%范围内,因此可以得出结论,新的丙戊酸钠制剂(Biolab Sanus Farmaceutica Ltda 公司生产的无食物添加的 epilenil 500-mg 包衣片)在吸收速度和程度方面与 depakene 制剂生物等效。