首页|利伐沙班片在中国健康受试者中的药动学及生物等效性评价

利伐沙班片在中国健康受试者中的药动学及生物等效性评价

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目的:评价利伐沙班片在人体中的生物等效性.方法:空腹和餐后组各入选28例健康受试者,试验采用四周期、完全重复交叉设计,各周期服药剂量为10 mg(受试制剂T或参比制剂R).采用HPLC-MS/MS测定血样中利伐沙班的浓度.采用Phoenix WinNonlin 7.0软件计算相关药代动力学(PK)参数,进而评价两制剂是否等效.结果:空腹组T和R两制剂的Cmax分别为(186.57±56.41)、(187.61±50.89)ng/mL;AUC0-t分别为(1 156.21±335.85)、(1 177.59±343.72)h·ng·mL-1;AUC0-∞分别为(1 235.77±384.03)、(1 223.53±392.10)h·ng·mL-1.两制剂的上述三个PK参数几何均值比(GMR)的90%置信区间(CI)分别为90.81%~105.67%,92.83%~103.85%,95.04%~107.13%;个体内变异比率90%CI上限值分别为1.56、1.41、1.73.餐后组T和R两制剂的Cmax分别为(207.81±45.26)、(211.04±36.62)ng/mL;AUC0-t 分别为(1 271.26±260.92)、(1 233.23±201.85)h·ng·mL-1;AUC0-∞分别为(1 290.76±264.90)、(1 251.68±203.73)ng·h·mL-1.两制剂的上述三个PK参数GMR 90%CI 分别为 92.82%~102.28%,97.68%~106.68%,97.71%~106.68%;个体内变异比率90%CI上限值分别为1.76、1.47、1.47.结论:两种利伐沙班片在人体内生物等效.
Pharmacokinetics and bioequivalence of rivaroxaban tablet in Chi-nese healthy subjects
AIM:To evaluate the bioequivalence of the two rivaroxaban tablets in Chinese healthy subjects.METHODS:Twenty-eight subjects under fasting status and twenty-eight subjects under fed status were enrolled in the study.This study was designed as a four period,fully repetitive,cross-over study.All subjects were administered test(T)and reference(R)rivaroxaban tablets(10 mg)un-der fasting and fed condition respectively.Liquid chromatography-tandem mass spectrometry was used to detect the concentrations of rivaroxaban in plasma.WinNonlin 7.0 was used to calculate the main pharmacokinetic parameters(PK)and to eval-uate the bioequivalence.RESULTS:In fasting group,the main pharmacokinetic parameters of T and R preparation were as follows:Cmax were(186.57±56.41)and(187.61±50.89)ng/mL;AUC0-t were(1 156.21±335.85)and(1 177.59±343.72)h·ng·mL-1;AUC0-∞ were(1 235.77±384.03)and(1223.53±392.10)ng·h·mL-1.The 90%confidential interval(CI)of the three main parameters were 90.81%-105.67%,92.83%-103.85%and 95.04%-107.13%.The upper limit of the 90%CI for the test-to-reference ratio of the within-subject of Cmax,AUC0-t and AUC0-∞ were 1.56,1.41 and 1.73.In fed group,the main pharmacokinetic parameters of T and R preparation were as follows:Cmax were(207.81±45.26)and(211.04±36.62)ng/mL;AUC0-t were(1 271.26±260.92)and(1 233.23±201.85)h·ng·mL-1;AUC0-∞ were(1 290.76±264.90)and(1251.68±203.73)ng·h·mL-1.The 90%CI of the three main parameters were 92.82%-102.28%,97.68%-106.68%and 97.71%-106.68%.The upper limit of the 90%CI for the test-to-reference ratio of the within-subject of Cmax,AUC0t and AUC0-∞were 1.76,1.47 and 1.47.CONCLUSION:The two preparations of rivaroxaban tablets were bioequiva-lent.

rivaroxabanbioequivalencenarrow-window drugs

解染、程璐、周双、张雪媛、王晓如、赵侠、何旭、赵楠、贾博、崔一民

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北京大学第一医院药学部

北京大学第一医院药物临床试验机构,北京 100034

上海海翊石医药科技有限公司,上海 201318

石药集团中奇制药技术(石家庄)有限公司,石家庄 050000,河北

北京大学第一医院临床药理研究所,北京 100034

北京大学药学院药事管理与临床药学系,北京 100191

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利伐沙班 生物等效性 窄治疗窗药物

2024

中国临床药理学与治疗学
中国药理学会

中国临床药理学与治疗学

CSTPCD北大核心
影响因子:0.97
ISSN:1009-2501
年,卷(期):2024.29(11)