Cheung W K, Kianifard F, Wong A, Mathieu J, Cook T, John V, Redalieu E, Chan K
Bioanalytics and Pharmacokinetics, Ciba Pharmaceuticals Division, Summit, New Jersey 10502, USA.
Pharm Res. 1995 Dec;12(12):1878-82. doi: 10.1023/a:1016275402723.
The purpose of this study was to use a replicate designed trial to assess the overall, intra- and inter-subject variabilities in pharmacokinetic parameters of CGP 33101 after oral administration of tablets relative to that of powder suspended in water, and to determine the relative proportion of the intra-subject variance to the overall variability.
Sixteen healthy subjects were randomly assigned to four groups to receive tablets and suspension twice in four different treatment sequences. The plasma concentration-time profile of CGP 33101 was characterized in terms of Cmax, Tmax, and AUC. Bioavailability of tablets relative to suspension and intra- and inter-subject variability were assessed by statistical analysis.
The overall variabilities in absorption kinetics of CGP 33101 in healthy subjects were small with CV's of the population mean values for AUC and Cmax less than 26% for both tablets and suspension. Contribution of intra-subject variability to the overall variability was also small (approximately 20%). Both the overall and intra-subject variabilities of AUC and Cmax after suspension were larger than after the tablets. However, the differences in variability between tablets and suspension were not statistically significant (p > 0.05). The tablet formulation was bioequivalent to suspension in terms of rate and extent of absorption based on 90% conventional confidence intervals (for AUC and Cmax) and Wilcoxon rank-sum test (for Tmax).
本研究旨在采用重复设计试验,评估口服片剂后CGP 33101的药代动力学参数相对于其混悬于水中的粉末制剂的总体、个体内及个体间变异性,并确定个体内变异在总体变异中所占的相对比例。
16名健康受试者被随机分为四组,按四种不同的治疗顺序接受片剂和混悬剂给药各两次。通过Cmax、Tmax和AUC来表征CGP 33101的血浆浓度-时间曲线。通过统计分析评估片剂相对于混悬剂的生物利用度以及个体内和个体间变异性。
健康受试者中CGP 33101吸收动力学的总体变异性较小,片剂和混悬剂的AUC和Cmax人群平均值的变异系数均小于26%。个体内变异对总体变异的贡献也较小(约20%)。混悬剂给药后AUC和Cmax的总体及个体内变异性均大于片剂给药后。然而,片剂和混悬剂之间变异性的差异无统计学意义(p>0.05)。基于90%的传统置信区间(针对AUC和Cmax)以及Wilcoxon秩和检验(针对Tmax),片剂制剂在吸收速率和程度方面与混悬剂生物等效。