Yuen K H, Peh K K, Chan K L, Toh W T
School of Pharmaceutical Sciences, University of Science Malaysia, Penang, Malaysia.
Drug Dev Ind Pharm. 1998 Oct;24(10):955-9. doi: 10.3109/03639049809097275.
A study was conducted to compare the in vivo bioavailability of a generic metoprolol tablet preparation (Metoprolol) with that of the innovator product, Betaloc. Both preparations have a labeled dose of 100 mg metoprolol tartrate. Twelve healthy adult male volunteers participated in the study, which was conducted according to a standard two-way crossover design with a washout period of 1 week. The bioavailability was compared using the total area under the plasma level versus time curve (AUC0-infinity), peak plasma concentration (Cmax), and time to reach peak plasma concentration (Tmax). No statistically significant difference was observed between the logarithmically transformed AUC0-infinity values or the logarithmically transformed Cmax values of the two preparations. However, a statistically significant difference was observed between the Tmax values, but may not be therapeutically significant or important. Moreover, the 90% confidence interval (CI) for the ratio of the logarithmically transformed AUC0-infinity values of Metoprolol over those of Betaloc was calculated to be between 0.94 and 1.02, while that of Cmax was between 0.98 and 1.01, both of which are within the acceptable limit of 0.80-1.25. From the data obtained, it was also observed that a high proportion of our volunteers of Asian origin appeared to be poor metabolizers of metoprolol, which was consistent with what had been observed in our previous study of another preparation of metoprolol.
开展了一项研究,以比较普通型美托洛尔片剂制剂(美托洛尔)与创新产品倍他乐克在体内的生物利用度。两种制剂的美托洛尔酒石酸盐标记剂量均为100mg。12名健康成年男性志愿者参与了该研究,研究按照标准的双向交叉设计进行,洗脱期为1周。使用血浆浓度-时间曲线下的总面积(AUC0-无穷大)、血浆峰浓度(Cmax)和达到血浆峰浓度的时间(Tmax)来比较生物利用度。两种制剂经对数转换后的AUC0-无穷大值或经对数转换后的Cmax值之间未观察到统计学上的显著差异。然而,Tmax值之间观察到统计学上的显著差异,但可能在治疗上无显著意义或重要性。此外,计算得出美托洛尔经对数转换后的AUC0-无穷大值与倍他乐克经对数转换后的AUC0-无穷大值之比的90%置信区间(CI)在0.94至1.02之间,Cmax的90%CI在0.98至1.01之间,两者均在可接受限度0.80-1.25之内。从获得的数据还观察到,我们的亚洲裔志愿者中有很大比例似乎是美托洛尔的代谢不良者,这与我们之前对另一种美托洛尔制剂的研究中所观察到的情况一致。