首页|雾化吸入布地奈德混悬液在中国健康成年试验参与者的生物等效性研究

雾化吸入布地奈德混悬液在中国健康成年试验参与者的生物等效性研究

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目的:评价空腹状态下单剂量雾化吸入布地奈德混悬液受试制剂和参比制剂在中国健康成年试验参与者中的生物等效性和安全性。方法:采用单中心、随机、开放、四周期、两序列、完全重复交叉设计,40例试验参与者被随机分为TRTR序列组和RTRT序列组,每周期单次空腹经口雾化吸入受试制剂或参比制剂2mL∶0。5mg,用经方法学验证的液相色谱串联质谱分析方法测定血浆中布地奈德的浓度,Phoenix WinNonlin(8。3。1)软件非房室模型分析方法对血浆中布地奈德的药代动力学(PK)参数进行分析,评价两种制剂的生物等效性;记录给药后至随访结束的所有不良事件。结果:试验参与者空腹吸入受试制剂和参比制剂后,血浆中布地奈德的主要PK参数如下:Cmax分别为(1210±693)和(1020±494)pg·mL-1;AUC0~t分别为(1660±546)和(1530± 477)h·pg·mL-1;AUC0~∞分别为(1710±554)和(1580±486)h·pg·mL-1;tmax分别为0。08(0。08,0。75)和0。08(0。08,0。50)h;t1/2分别为(3。57±1。26)和(3。31±0。98)h。受试制剂和参比制剂 Cmax、AUC0~t和AUCo~∞的几何均值比值的90%置信区间分别为104。75%~121。07%、104。93%~111。38%和104。89%~111。22%(均在80。00%~125。00%范围内),不良事件发生率为5。0%。结论:在空腹条件下,雾化吸入布地奈德混悬剂受试制剂和参比制剂具有生物等效性,安全性良好。
Bioequivalence Study of Budesonide Nebuliser Suspension for Inhalation in Healthy Adult Chinese Trial Participant
Objective:To evaluate the bioequivalence and safety of single-dose budesonide nebuliser suspension between test and reference formulations in healthy adult Chinese trial participants in fasting state.Methods:A single-center,randomized,open-label,four-cycle,two-sequence,and completely repeat-ed crossover design was used.In this study,40 trial participants were randomly assigned into TRTR and RTRT groups.In each period,2 mL∶0.5 mg of the test or reference formulation was nebulized and inhaled orally in fasting state.The concentrations of budesonide in plasma were determined by a validated HPLC-MS/MS method,a noncompartment model of Phoenix WinNonlin(8.3.1)software was used to analyze the pharmacokinetic(PK)parameters of budesonide in plasma and evaluate the bioequivalence of the two formu-lations.All adverse events from administration to the end of follow-up were recorded.Results:The main pharmacokinetic parameters of budesonide in plasma after trial participants inhaled the test and reference formulations in fasting state were respectively as follows:Cmax,(1210±693)and(1020±494)pg·mL-1;AUC0-t,(1660±546)and(1530±477)h·pg·mL-1;AUC0-∞,(1710±554)and(1580±486)h·pg·mL-1;tmax,0.08(0.08,0.75)and 0.08(0.08,0.50)h;t1/2,(3.57±1.26)and(3.31±0.98)h.The 90%confidence intervals for the geometric mean ratios of Cmax,AUC0-t and AUC0-∞ of the test formulation to the reference formulation were 104.75%-121.07%,104.93%-111.38%,and 104.89%-111.22%,respectively,all within the range of 80.00%-125.00%.The incidence of adverse events was 5.0%.Conclusion:In fasting state,the test and reference formulations of budesonide nebuliser suspension have bioequivalence and good safety.

BudesonideSuspensionBioequivalenceSafetyChinese healthy trial participant

程凤、吴莎、张福成、肖大伟

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南京高新医院Ⅰ期临床试验部,南京 211899

正大天晴药业集团股份有限公司 临床运营部,南京 211100

布地奈德 混悬剂 生物等效性 安全性 中国健康试验参与者

2024

药学与临床研究
江苏省药学会

药学与临床研究

CSTPCD
影响因子:0.95
ISSN:1673-7806
年,卷(期):2024.32(2)
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