Neugebauer G, Betzien G, Hrstka V, Kaufmann B, von Möllendorff E, Abshagen U
Int J Clin Pharmacol Ther Toxicol. 1985 Sep;23(9):453-60.
The absolute bioavailability of HB 420 (a new pharmaceutical form of glibenclamide) was investigated in comparison with an i.v. infusion of glibenclamide and also in comparison with HB 419 (Semi-Euglucon) on a group of 10 healthy volunteers with the aid of a highly specific bioanalytical detection method. A comparison of the dose-corrected areas under the concentration-time curves yielded an absolute bioavailability of 102% for HB 420. The relative bioavailability of HB 419 to HB 420 was 73%. This resulted in a bioequivalent dosage relationship of 2.5 mg HB 419 to 1.75 mg HB 420. It could be experimentally confirmed on further 10 healthy volunteers that 1.75 mg HB 420 (identical with Semi-Euglucon N) and Semi-Euglucon (containing 2.5 mg HB 419) are bioequivalent with respect to the absorbed quantity of active agents. The differences in absorption rate between the new and the old form did not lead to relevant differences in the glucose profile and the release of insulin, so that the two forms can be regarded as being pharmacodynamically equivalent. The median for the terminal elimination half-life for glibenclamide was 1.38 hours (min. 0.65, max. 4.64 hours), the total clearance was 100 ml/min and the steady-state distribution volume was 7.3 l (0.1 l/kg). On the basis of half-life, it can be expected that the elimination of the unchanged substance will be virtually complete within 10-12 hours. During long-term therapy, however, it cannot be ruled out that in some diabetics cumulation could occur, the cause of which cannot be explained by the data presented.
在一组10名健康志愿者中,借助一种高度特异性的生物分析检测方法,对HB 420(格列本脲的一种新剂型)的绝对生物利用度进行了研究,并与静脉输注格列本脲进行比较,同时也与HB 419(半优降糖)进行了比较。浓度 - 时间曲线下剂量校正面积的比较得出,HB 420的绝对生物利用度为102%。HB 419相对于HB 420的相对生物利用度为73%。这导致了2.5 mg HB 419与1.75 mg HB 420的生物等效剂量关系。在另外10名健康志愿者身上通过实验证实,1.75 mg HB 420(等同于半优降糖N)和半优降糖(含2.5 mg HB 419)在活性成分吸收量方面是生物等效的。新剂型和旧剂型在吸收速率上的差异并未导致血糖曲线和胰岛素释放出现相关差异,因此这两种剂型在药效学上可被视为等效。格列本脲的终末消除半衰期中位数为1.38小时(最小值0.65小时,最大值4.64小时),总清除率为100 ml/分钟,稳态分布容积为7.3升(0.1升/千克)。基于半衰期,可以预计未变化物质在10 - 12小时内几乎会完全消除。然而,在长期治疗期间,不能排除在一些糖尿病患者中可能会发生蓄积,但其原因无法用所提供的数据来解释。