首页|枸橼酸西地那非片在中国健康受试者体内的生物等效性研究

枸橼酸西地那非片在中国健康受试者体内的生物等效性研究

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目的 评估在空腹、餐后条件下健康受试者口服枸橼酸西地那非片(100 mg)受试制剂与参比制剂的生物等效性.方法 用单次给药、随机、开放、两周期、双交叉设计.空腹和餐后试验各入组36例健康受试者,每周期单次口服枸橼酸西地那非片受试制剂和参比制剂100 mg.用液相色谱-串联质谱法(LC-MS/MS)检测人血浆中西地那非及N-去甲基西地那非的浓度,用Analyst 1.6.3(AB Sciex)以非房室模型计算药代动力学参数,评价2种制剂的生物等效性,并对试验期间受试者进行相关的安全性评价.结果 空腹试验西地那非受试制剂和参比制剂的主要药代动力学参数:Cmax分别为(494.69±230.94)和(558.78±289.83)ng·mL-1,AUC0-t 分别为(1 336.21±509.78)和(1 410.82±625.99)h·ng·mL-1,AUC0-∞ 分别为(1 366.49±512.16)和(1 441.84±628.04)h·ng·mL-1.餐后试验西地那非受试制剂和参比制剂的主要药代动力学参数:Cmax分别为(381.89±126.53)和(432.47±175.91)ng·mL-1,AUC0_t分别为(1 366.34±366.99)和(1 412.76±420.37)h·ng·mL-1,AUC0-∞ 分别 为(1 403.28±375.32)和(1 454.13±429.87)h·ng·mL-1.空腹和餐后试验受试制剂和参比制剂的Cmax、AUC0-t和AUC0-∞ 的几何均值比的90%置信区间均在80%~125%内,判断2种制剂具有生物等效性.空腹和餐后试验的不良事件发生率分别为33.33%和25.00%,未发生严重不良事件.结论 枸橼酸西地那非片受试制剂和参比制剂具有生物等效性,安全性良好.
Bioequivalence study of sidenafil citrate tablets in Chinese healthy subjects
Objective To evaluate the bioequivalence of oral sidenafil citrate tablets manufactured(100 mg)test preparations and reference preparations in healthy subjects under fasting and fed conditions.Methods Using a single-dose,randomized,open-lable,two-period,two-way crossover design,36 healthy subjects respectively for fasting and fed study were enrolled,and randomized into two groups to receive a single dose of test 100 mg with 7-day washout period.Plasma concentration of sidenafil and N-demethylsildenafil was determined by liquid chromatography-tandem mass spectrometry(LC-MS/MS)method.The pharmacokinetic parameters were calculated by Analyst 1.6.3(AB Scie)using non-compartmental model,and bioequivalence evaluation was performed for the two preparations.Relevant safety evaluations were performed during the trial.Results The main pharmacokinetic parameters of sidenafil after a single oral dose of sidenafil citrate tablets under fasting condition for test and reference were as follows:Cmax were(494.69±230.94)and(558.78±289.83)ng·mL-1,AUC0-t were(1 336.21±509.78)and(1 410.82±625.99)h·ng·mL-1,AUC0-were(1 366.49±512.16)and(1 441.84±628.04)h·ng·mL-1,respectively.The main pharmacokinetic parameters of sidenafil under fed condition for T and R were as follows:Cmax were(381.89±126.53)and(432.47±175.91)ng·mL-1,AUC0-t were(1 366.34±366.99)and(1 412.76±420.37)h·ng·mL-1,AUC0-were(1 403.28±375.32)and(1 454.13±429.87)h·ng·mL-1,respectively.The results demonstrated the bioequivalence of sidenafil citrate tablets between T and R.The incidence of adverse events in fasting and fed tests were 33.33%and 25.00%,respectively.No serious adverse event was reported.Conclusion The test and reference formulation of sidenafil citrate tablets were equivalent and was safe.

sidenafil citrate tabletN-desmethyl sildenafilbioequivalencesafety

李晓斌、陈璐、吴秀君、葛宇鑫、陆文超、肖婷、谢荷、王华伟、王文萍

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辽宁中医药大学附属医院GCP中心Ⅰ期临床病房,辽宁沈阳 110032

华润双鹤药业股份有限公司,北京 101100

安徽万邦医药科技股份有限公司,安徽合肥 230088

枸橼酸西地那非片 N-去甲基西地那非 生物等效性 安全性

辽宁省中药临床药物代谢动力学重点实验室基金辽宁省教育厅课题资助项目

辽教办[2023]274号

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(3)
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