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磷酸奥司他韦混悬液在健康志愿者中与达菲具有生物等效性:一项随机、开放标签的临床研究。

Oseltamivir phosphate for suspension is bioequivalent to TAMIFLU in healthy volunteers: a randomized, open-label clinical study.

机构信息

National Institute of Clinical Drug Trials, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.

School of Pharmacy, Bengbu Medical College, Bengbu, Anhui, China.

出版信息

BMC Pharmacol Toxicol. 2023 Feb 21;24(1):10. doi: 10.1186/s40360-023-00646-1.

Abstract

PURPOSE

The study was aimed at evaluating the bioequivalence and safety of oseltamivir phosphate for suspension, provided by Shenzhen Beimei Pharmaceutical Co. Ltd. and manufactured by Hetero Labs Limited, and the reference product TAMIFLU® in healthy Chinese subjects.

METHODS

A single-dose, randomized, two-phase, self-crossed model was adopted. Among 80 healthy subjects, 40 subjects in the fasting group and 40 subjects in the fed group. Subjects in the fasting group were randomized into two sequences according to the proportion of 1:1, each given 75 mg/12.5 mL of Oseltamivir Phosphate for Suspension or TAMIFLU®, and cross-administered after 7 days. Postprandial group is the same as fasting group.

RESULTS

The T of TAMIFLU® and Oseltamivir Phosphate for Suspension in the fasting group were 1.50 h and 1.25 h, which in the fed group were both 1.25 h. Geometrically adjusted mean ratios of the PK parameters of Oseltamivir Phosphate for Suspension along with TAMIFLU® under fasting and postprandial conditions were in the range of 80.00-125.00% at the 90% confidence interval (CI). The 90% CI of C, AUC, AUC for fasting group and postprandial group were (92.39,106.50), (94.26,100.67), (94.32,100.89) and (93.61,105.83),(95.64,100.19),(96.06,102.66). Among the subjects on medication, a total of 18 subjects reported 27 adverse events, all of which were treatment-emergent adverse events (TEAEs), six of these TEAEs were rated as grade 2 in severity and the rest were as grade 1. The number of TEAEs in the test product and the reference product were 14,13 respectively.

CONCLUSION

Two Oseltamivir phosphate for suspensions are safe and bioequivalent.

摘要

目的

本研究旨在评估深圳贝美药业有限公司生产的、由 Hetero Labs Limited 制造的磷酸奥司他韦混悬液与参比制剂 TAMIFLU®在健康中国受试者中的生物等效性和安全性。

方法

采用单次、随机、两周期、自身交叉设计。80 名健康受试者中,空腹组和进食组各 40 名。空腹组受试者按 1:1 比例随机分为 2 个序列,每个受试者分别给予 75mg/12.5mL 的磷酸奥司他韦混悬液或 TAMIFLU®,间隔 7 天后交叉给药。餐后组与空腹组相同。

结果

空腹组 TAMIFLU®和磷酸奥司他韦混悬液的 T 分别为 1.50 小时和 1.25 小时,进食组均为 1.25 小时。空腹和进食条件下磷酸奥司他韦混悬液与 TAMIFLU®的 PK 参数的几何平均比值在 90%置信区间(CI)内均在 80.00%-125.00%范围内。空腹组和进食组 C、AUC 和 AUC 的 90%CI 分别为(92.39,106.50)、(94.26,100.67)、(94.32,100.89)和(93.61,105.83)、(95.64,100.19)、(96.06,102.66)。在用药受试者中,共有 18 名受试者报告了 27 起不良事件,均为治疗后出现的不良事件(TEAEs),其中 6 起 TEAEs 严重程度为 2 级,其余为 1 级。试验药物和参比药物的 TEAEs 数量分别为 14 例和 13 例。

结论

两种磷酸奥司他韦混悬液均安全且生物等效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/9945373/072810e97798/40360_2023_646_Fig1_HTML.jpg

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