Schrader E, Schwankl W, Sieder C, Christoffel V
Praxis Klinische Arzneimittelforschung, Neumarkt.
Pharmazie. 1995 Sep;50(9):623-7.
The relative oral bioavailability of beta-escine (CAS 11072-93-8) from a sugar-coated tablet formulation was compared to a reference preparation available in capsule form in 18 healthy, male volunteers over a 48 h period. The study design was randomized, single-blind and cross-over. Both the test and the reference preparation contained 50 mg standardized horse chestnut seed extract; beta-escine was taken as the reference substance. By means of a newly developed, validated radioimmunosorbent assay (RIA), beta-escine in plasma was determined (blind samples) after oral intake of a single dose of each drug formulation. The confidence limits calculated for the AUC, Cmax and Tmax of the test preparation exceed the upper limit of the specified equivalence range of 80%--125%, but do never fall below the lower limit. Therefore, bioin-equivalence cannot be rejected statistically. All the bioavailability data for the test preparation--measured with the newly developed RIA--exceed the corresponding values for the reference preparation. As the rate of absorption of aesculetinic triterpene glycosides is low, the higher bioavailability of the test preparation is desirable from a therapeutical point of view. Since the reference preparation is classified as being clinically effective, the test preparation must also be estimated as being clinically effective. Adverse drug effects were not observed with either the test preparation or the reference preparation.
在18名健康男性志愿者中,对糖衣片剂型的β-七叶皂苷(CAS 11072-93-8)与胶囊剂型的参比制剂进行了48小时的相对口服生物利用度比较。研究设计为随机、单盲和交叉试验。试验制剂和参比制剂均含有50毫克标准化七叶树籽提取物;以β-七叶皂苷作为参比物质。通过一种新开发并经验证的放射免疫吸附测定法(RIA),在口服单剂量每种药物制剂后测定血浆中的β-七叶皂苷(盲样)。试验制剂的AUC、Cmax和Tmax计算得到的置信区间超出了规定等效范围80% - 125%的上限,但从未低于下限。因此,生物不等效在统计学上不能被拒绝。用新开发的RIA测定的试验制剂的所有生物利用度数据均超过参比制剂的相应值。由于秦皮素三萜糖苷的吸收速率较低,从治疗角度来看,试验制剂较高的生物利用度是可取的。鉴于参比制剂被归类为临床有效,试验制剂也必须被评估为临床有效。试验制剂和参比制剂均未观察到药物不良反应。