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格列齐特缓释片在中国健康受试者中的生物等效性研究

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目的 评价格列齐特缓释片中国健康受试者体内的生物等效性.方法 采用单中心、开放、随机、单剂量、两周期、两序列给药的试验方法设计.受试者在空腹或餐后状态下口服受试制剂/参比制剂30 mg,自身交叉给药,清洗期为10 d.用液相色谱-串联质谱(LC-MS/MS)法测定人血浆样品中格列齐特的血药浓度;用WinNonlin软件的非房室模型对格列齐特缓释片主要药代动力学参数Cmax、AUC0-t、AUC0-∞进行分析.结果 空腹组入组24例受试者,22例完成试验.空腹组中格列齐特缓释片受试制剂和参比制剂的主要药代动力学参数如下:Cmax分别为(862.48±294.48)和(902.96±259.09)ng·mL-1,AUC0-t分别为(2.60 × 104±8 930.46)和(2.50 × 104±7 573.42)h·ng·mL-1,AUC0-∞分别为(3.00 × 104±1.43 ×104)和(2.68 × 104±7 085.99)h·ng·mL-1.餐后组入组24例受试者,23例完成试验.餐后组中格列齐特缓释片受试制剂和参比制剂的主要药代动力学参数如下:Cmax分别为(1 531.74±273.49)和(1 510.87±241.08)ng·mL-1,AUC0-t 分别为(2.78 × 104±9 565.89)和(2.76 × 104±9 821.43)h·ng·mL-1,AUC0-∞分别为(3.02 × 104±1.24 × 104)和(3.0× 104±1.30 × 104)h·ng·mL-1.受试制剂与参比制剂格列齐特缓释片的Cmax、AUC0-t、AUC0-∞的几何均值比值的90%的置信区间均落在80%~125%.结论 格列齐特缓释片受试制剂和参比制剂具有生物等效性.
Bioequivalence study of gliclazide sustained-release tablets in Chinese healthy subjects
Objective To investigate the bioequivalence of gliclazide sustained-release tablets in Chinese healthy subjects.Methods The study was designed using a single-center,open,randomized,single-dose,two-cycle,two-sequence administration method;subjects were orally administered the test/reference preparation 30 mg on an fasting or fed conditions,with self-cross-dosing.The concentration of gliclazide in human plasma was determined by liquid chromatography tandem mass spectrometry(LC-MS/MS)method.The main pharmacokinetic parameters of gliclazide(Cmax,AUC0-t and AUC0-∞)were analyzed by non-atrioventricular model of WinNonlin.Result In the fasting study,24 subjects were recruited and 22 completed the study.The main pharmacokinetic parameters of gliclazide sustained-release tablets test preparation and reference preparation in the fasting group were as follows:Cmax were(862.48±294.48)and(902.96±259.09)ng·mL-1;AUC0-t were(2.60 × 104±8 930.46)and(2.50 ×104±7 573.42)h·ng-1·mL-1;AUC0-∞ were(3.00 × 104±1.43 × 104)and(2.68 × 104±7 085.99)h·ng·mL-1.In the fed study,twenty-four subjects were enrolled and 23 completed the study.The main pharmacokinetic parameters of gliclazide sustained-release tablets test preparation and reference preparation in fed group:Cmax were(1 531.74±273.49)and(1 510.87±241.08)ng·mL-1;AUC0-t were(2.78 ×104±9 565.89)and(2.76 ×104±9 821.43)h·ng·mL-1;AUC0-∞ were(3.02 ×104±1.24 ×104)and(3.02 × 104±1.30 × 104)h·ng·mL-1 h·ng·mL-1.The 90%confidence intervals of the geometric mean ratios of Cmax,AUC0-t,AUC0-∞ for the test preparation and reference preparation gliclazide sustained-release tablets were all between 80%and 125%.Conclusion The test and the reference preparation of gliclazide sustained-release tablets are bioequivalent in Chinese healthy subjects.

gliclazide sustained-release tablethealthy subjectbioequivalencepharmacokineticsliquid chromatography tandem mass spectrometry

段舟萍、赵小伟、温金华、黄世博、李蒲、曹端文

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南昌大学第一附属医院临床试验研究中心,江西 南昌 330006

浙江京新药业股份有限公司,浙江绍兴 312500

格列齐特缓释片 健康受试者 生物等效性 药代动力学 液相色谱-串联质谱法

江西省科学技术厅基金资助项目

20232BBH80007

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(15)
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