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甲磺酸雷沙吉兰片在中国健康受试者中的生物等效性研究

Bioequivalence study of rasagiline mesylate tablets in Chinese healthy subjects

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目的 研究中国健康受试者在空腹和餐后状态下服用甲磺酸雷沙吉兰片的药代动力学,并评价2种制剂的生物等效性.方法 空腹试验按两周期、两序列交叉设计,入组36例受试者,于2个周期分别服用受试制剂和参比制剂1 mg,采集血浆样本后用液相色谱-串联质谱法检测血浆中雷沙吉兰的浓度,用平均生物等效性(ABE)方法进行等效性评价.餐后试验按四周期、两序列完全重复的交叉设计,入组48例受试者,受试者服用受试制剂和参比制剂各2次(给药剂量均为1 mg),根据Cmax、AUC0-t、AUC0-∞的个体内变异程度,分别用参比制剂标度的平均生物等效性和ABE的方法评价等效性.结果 在空腹试验中,受试者口服甲磺酸雷沙吉兰片受试制剂与参比制剂后,雷沙吉兰的主要药代动力学参数:Cmax分别为(9.70±3.14)和(9.62±3.85)ng·mL-1,AUC0-t分别为(6.03±1.47)和(6.02±1.95)ng·h·mL-1,AUC0-∞ 分别为(6.13±1.51)和(6.12±1.97)ng·h·mL-1.Cmax、AUC0-t、AUC0-∞ 几何均值比(GMR)的90%置信区间分别为 94.11%~118.06%、99.22%~107.74%、99.16%~107.44%,均在80.00%~125.00%.在餐后试验中,受试者口服甲磺酸雷沙吉兰片受试制剂与参比制剂后,雷沙吉兰的主要药代动力学参数:Cmax分别为(3.00±1.92)和(3.52±1.77)ng·mL-1,AUC0-t分别为(5.02±1.20)和(5.06±1.20)ng·h·mL-1,AUC0-∞ 分别为(5.11±1.23)和(5.14±1.22)ng·h·mL-1.AUC0-t、AUC0-∞ GMR的90%置信区间分别为 96.99%~101.19%和 97.17%~101.41%,均在 80.00%~125.00%;Cmax的单侧 95%置信区间上限小于零,GMR的点估计值是82.01%,在80.00%~125.00%.空腹及餐后试验的不良事件发生率分别为22.86%和22.92%,所有不良事件均为中、轻度.结论 2种甲磺酸雷沙吉兰片在空腹和餐后2种状态下均具有生物等效性,且安全性良好.
Objective To study the pharmacokinetics and bioequivalence of two formulations of rasagiline mesylate tablets in healthy subjects under fasting and fed conditions.Methods The two-period,two-sequence,crossover study design was adopted in the fasting study.Thirty-six subjects were enrolled and given either test preparation or reference preparation 1 mg respectively in two periods.After collecting plasma samples,the plasma concentration of rasagiline was determined by liquid chromatography-tandem mass spectrometry(LC-MS/MS)and the bioequivalence was evaluated using the average bioequivalence(ABE)method.The four-period,two-sequence,fully replicate crossover study design was adopted in the fed study.Forty-eight subjects were enrolled and given the test preparation or the reference preparation at a dose of 1 mg twice respectively in four periods.According to the degree of intra-individual variation of Cmax,AUC0-t and AUC0-∞,the equivalence was evaluated using the reference-scaled average bioequivalence and ABE method,respectively.Results In the fasting study,the pharmacokinetic parameters of rasagiline of the test and reference preparation were as follow:Cmax were(9.70±3.14)and(9.62±3.85)ng·mL-1,AUC0-t were(6.03±1.47)and(6.02±1.95)ng·h·mL-1,AUC0-∞ were(6.13±1.51)and(6.12±1.97)ng·h·mL-1.The 90%confidence interval(CI)of the geometric mean ratio(GMR)were 94.11%-118.06%,99.22%-107.74%and 99.16%-107.44%for Cmax,AUC0-t and AUC0-∞,respectively,which were within the acceptance criteria of 80.00%-125.00%.In the fed study,the pharmacokinetic parameters of rasagiline of the test and reference preparation were as follow:Cmax were(3.00±1.92)and(3.52±1.77)ng·mL-1,AUC0_t were(5.02±1.20)and(5.06±1.20)ng·h·mL-1,AUC0-∞ were(5.11±1.23)and(5.14±1.22)ng·h·mL-1.The 90%CI of GMR were 96.99%-101.19%and 97.17%-101.41%for AUC0-t and AUC0-∞,which were within the acceptance criteria of 80.00%-125.00%.The 95%upper confidence bound of Cmax for were less than"0",and the point estimate of GMR were within the acceptance criteria of 80.00%-125.00%.The incidence of adverse events in fasting and fed studies was 22.86%and 22.92%,respectively,and all adverse events were moderate to mild.Conclusion The two rasagiline mesylate tablets were bioequivalent,and both the formulations were well tolerated.

rasagiline mesylate tablethighly variable drugpharmacokineticsbioequivalence

陈刚、王晓琳、臧思琦、王泽娟、刘晓娜、杜爱华、李敏、张娅婻、张丹、张丽娜、王进

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航天中心医院临床药理室,北京 100049

甲磺酸雷沙吉兰片 高变异药物 药代动力学 生物等效性

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(19)