Siegmund W, Hoffmann C, Zschiesche M, Steinijans V W, Sauter R, Krüger W D, Diedrich F
Department of Pharmacology, Ernst Moritz Arndt University, Medical Faculty, Germany.
Int J Clin Pharmacol Ther. 1998 Mar;36(3):133-8.
Extent and rate of absorption of acetylsalicylic acid (ASA) from rapidly dispersing (Acesal Extra) and plain tablets (Acesal) relative to reference 1 (plain tablets, Aspirin) and from microcapsuled tablets (Micristin) relative to comparable listed tablets (reference 2, Colfarit) were assessed in 2 single-dose (0.5 g ASA), open, randomized, crossover studies with intervals of 14 days between 2 periods. Both studies were performed in 24 male and female healthy volunteers each (age 18-32 years, body weight 48-90 kg, body height 161-190 cm). ASA and its metabolite salicylic acid (SA) were measured with an HPLC method validated for ASA between 0.2 and 20 microg/ml and for SA between 0.4 and 40 microg/ml. The test tablets were considered bioequivalent with reference in extent of absorption if the 90% confidence limits of the AUC0 to infinity ratio were within the range of 0.80-1.25, and in rate of absorption if the confidence limits of the Cmax/AUC0 to infinity ratios were within 0.70-1.43.
Geometric means and 90% confidence limits for the test/reference ratios of the comparisons Acesal vs reference 1, Acesal Extra vs reference 1 and Micristin vs reference 2 were 1.05 (0.97-1.13), 1.13 (1.05-1.22), 1.02 (0.92-1.14) for ASA AUC0 to infinity and 1.02 (0.96-1.07), 1.05 (0.99-1.11), 0.98 (0.91-1.04) for SA AUC0 to infinity, respectively. The results for Cmax/AUC of ASA were 1.16 (1.00-1.34), 1.72 (1.49-1.99), 0.83 (0.73-0.94) and of SA 1.02 (0.98-1.07), 1.07 (1.02-1.12), 0.93 (0.88-0.97).
Acesal and Micristin were bioequivalent with the respective references in both extent and rate of absorption. Acesal Extra and reference 1 were bioequivalent with regard to extent only. Acesal Extra was absorbed faster.
在两项单剂量(0.5克阿司匹林)、开放、随机、交叉研究中,评估了速溶片(Acesal Extra)和普通片(Acesal)中乙酰水杨酸(ASA)相对于参比制剂1(普通片,阿司匹林)的吸收程度和速率,以及微囊片(Micristin)相对于可比上市片(参比制剂2,Colfarit)的吸收程度和速率,两个周期之间间隔14天。两项研究均在24名健康男性和女性志愿者中进行(年龄18 - 32岁,体重48 - 90千克,身高161 - 190厘米)。采用高效液相色谱法测定ASA及其代谢产物水杨酸(SA),该方法对ASA的验证范围为0.2至20微克/毫升,对SA的验证范围为0.4至40微克/毫升。如果AUC0至无穷大比值的90%置信区间在0.80 - 1.25范围内,则认为受试片在吸收程度上与参比制剂生物等效;如果Cmax/AUC0至无穷大比值的置信区间在0.70 - 1.43范围内,则认为在吸收速率上生物等效。
Acesal与参比制剂1、Acesal Extra与参比制剂1以及Micristin与参比制剂2比较的受试/参比制剂比值的几何均值和90%置信区间,对于ASA的AUC0至无穷大分别为1.05(0.97 - 1.13)、1.13(1.05 - 1.22)、1.02(0.92 - 1.14),对于SA的AUC0至无穷大分别为1.02(0.96 - 1.07)、1.05(0.99 - 1.11)、0.98(0.91 - 1.04)。ASA的Cmax/AUC结果分别为1.16(1.00 - 1.34)、1.72(1.49 - 1.99)、0.83(0.73 - 0.94),SA的Cmax/AUC结果分别为1.02(0.98 - 1.07)、1.07(1.02 - 1.12)、0.93(0.88 - 0.97)。
Acesal和Micristin在吸收程度和速率上与各自的参比制剂生物等效。Acesal Extra仅在吸收程度上与参比制剂1生物等效。Acesal Extra吸收更快。