Lee Hae Won, Kang Woo Youl, Gwon Mi-Ri, Choi Eun Jung, Kim Eun Hee, Cho Kyunghee, Lee Bakhwan, Seong Sook Jin, Yoon Young-Ran
Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu 41944, Korea.
Department of Molecular Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Korea.
Transl Clin Pharmacol. 2022 Sep;30(3):136-144. doi: 10.12793/tcp.2022.30.e13. Epub 2022 Sep 15.
UNLABELLED: A new fixed-dose combination (FDC) formulation of raloxifene 60 mg and cholecalciferol 800 IU was developed to improve the medication compliance and overall efficacy of raloxifene treatment in postmenopausal osteoporosis patients. The aim of this study was to compare the pharmacokinetics between two tablets of FDC formulation of raloxifene/cholecalciferol and the two products administered concomitantly at respective doses. This randomized, open-label, single-dose, two-treatment, two-way crossover study included 46 volunteers. During each treatment period, subjects received the test formulation (FDC formulation containing raloxifene and cholecalciferol) or the reference formulation (co-administration of raloxifene and cholecalciferol), with a 14-d washout period. Serial blood samples were collected periodically over 96 hours after drug intake. In total, 46 subjects completed the study. The geometric mean ratios and its 90% confidence intervals of the FDC to the single agents for the area under the concentration-time curve from zero to the last quantifiable time point and the maximum plasma concentration met the regulatory criteria for bioequivalence: 1.1364 (1.0584-1.2201) and 1.1010 (0.9945-1.2188) for raloxifene and 1.0266 (0.9591-1.0989) and 1.0354 (0.9816-1.0921) for baseline-corrected cholecalciferol, respectively. Both formulations were well tolerated. No significant differences was observed in the incidence of adverse events between the two treatments. It was concluded that two tablets of the newly developed FDC formulation of raloxifene and cholecalciferol and the corresponding two agents administered concomitantly at respective doses were bioequivalent. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03010267.
未标注:开发了一种雷洛昔芬60毫克和胆钙化醇800国际单位的新型固定剂量复方制剂(FDC),以提高绝经后骨质疏松症患者雷洛昔芬治疗的用药依从性和总体疗效。本研究的目的是比较雷洛昔芬/胆钙化醇FDC制剂的两片剂与以各自剂量同时给药的两种产品之间的药代动力学。这项随机、开放标签、单剂量、双治疗、双向交叉研究纳入了46名志愿者。在每个治疗期,受试者接受试验制剂(含雷洛昔芬和胆钙化醇的FDC制剂)或参比制剂(雷洛昔芬和胆钙化醇联合给药),洗脱期为14天。在服药后96小时内定期采集系列血样。共有46名受试者完成了研究。从零到最后一个可定量时间点的浓度-时间曲线下面积以及最大血浆浓度的FDC与单一制剂的几何平均比值及其90%置信区间符合生物等效性的监管标准:雷洛昔芬分别为1.1364(1.0584 - 1.2201)和1.1010(0.9945 - 1.2188),基线校正后的胆钙化醇分别为1.0266(0.9591 - 1.0989)和1.0354(0.9816 - 1.0921)。两种制剂耐受性均良好。两种治疗之间不良事件的发生率未观察到显著差异。得出的结论是,新开发的雷洛昔芬和胆钙化醇FDC制剂两片剂与以各自剂量同时给药的相应两种制剂具有生物等效性。 试验注册:ClinicalTrials.gov标识符:NCT03010267。
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