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健康中国志愿者塞来昔布胶囊的生物等效性。

Bioequivalence of Celecoxib Capsules in Chinese Healthy Volunteers.

机构信息

Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming, China.

出版信息

Clin Pharmacol Drug Dev. 2023 Nov;12(11):1069-1075. doi: 10.1002/cpdd.1270. Epub 2023 May 29.

Abstract

Celecoxib is a sulfanilamide nonsteroidal anti-inflammatory drug that can selectively inhibit cyclooxygenase-2 to inhibit prostaglandin production, achieving anti-inflammatory and analgesic effects. This study investigated the pharmacokinetics, safety, and bioequivalence of a single oral dose of celecoxib capsule (the test or reference preparation) in healthy volunteers under fasting and fed conditions. A single-center, randomized, open, single-dose, double-cycle crossover self-control design was conducted: 40 healthy volunteers were enrolled in the fasting and fed groups, respectively. A completely randomized method was used, with one group taking the test celecoxib preparation (T) and the other taking the reference celecoxib preparation (R). During the administration period, the safety of the drug was evaluated simultaneously, and venous blood was collected at the corresponding time points. The concentration of celecoxib in plasma was measured by liquid chromatography-tandem mass spectrometry. The main pharmacokinetic parameters were logarithmically converted and analyzed for variance. The 90% confidence interval for the bioavailability of the T compared to the R was calculated using maximum drug plasma concentration, area under the plasma concentration-time curve from time zero to the last quantifiable concentration point, and area under the plasma concentration-time curve from time zero to infinity for a single oral dose in volunteers, and the data obtained were all between 80% and 125%, indicating that the T and R have bioequivalence and good safety during fasting and fed administration.

摘要

塞来昔布是一种磺胺类非甾体抗炎药,能选择性地抑制环氧化酶-2,从而抑制前列腺素的生成,达到抗炎、镇痛的效果。本研究旨在考察健康志愿者空腹和进食状态下单次口服塞来昔布胶囊(受试制剂或参比制剂)的药代动力学、安全性和生物等效性。采用单中心、随机、开放、单剂量、双周期交叉自身对照设计:40 名健康志愿者分别纳入空腹组和进食组。采用完全随机分组方法,一组受试者服用受试制剂(T),另一组服用参比制剂(R)。给药期间同时进行药物安全性评价,并于相应时间点采集静脉血。采用液相色谱-串联质谱法测定血浆中塞来昔布的浓度。对主要药代动力学参数进行对数转换后,采用方差分析进行统计分析。以志愿者单次口服给药后,T 相对于 R 的最大血药浓度、从 0 时到最后一个可定量浓度点的血药浓度-时间曲线下面积、从 0 时到无穷时的血药浓度-时间曲线下面积为指标,计算 T 的生物利用度的 90%置信区间均在 80%~125%之间,提示 T 和 R 空腹和进食状态下具有生物等效性,且安全性良好。

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