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中国临床药理学与治疗学 ›› 2019, Vol. 24 ›› Issue (11): 1275-1280.doi: 10.12092/j.issn.1009-2501.2019.11.010

• 临床药理学 • 上一篇    下一篇

吉非替尼片在中国健康受试者的人体生物等效性研究

王梦瑶,黄 洁,刘亚男,杨 双,吴淑婷,阳晓燕,叶 玲,郭 灿,黄志军   

  1. 中南大学湘雅三医院临床试验研究中心,长沙 410013,湖南
  • 收稿日期:2019-08-09 修回日期:2019-09-16 出版日期:2019-11-26 发布日期:2019-12-02
  • 通讯作者: 黄志军,男,博士,副研究员,主要从事临床药理学相关研究。 Tel: 0731-88618339 E-mail: huangzj@csu.edu.cn
  • 作者简介:王梦瑶,女,硕士研究生在读,主要从事临床药理学相关研究。
  • 基金资助:

    国家重大新药创制重大专项(2020ZX09201010)

Study on bioequivalence of gefitinib tablets in healthy Chinese subjects

WANG Mengyao , HUANG Jie, LIU Yanan, YANG Shuang, WU Shuting, YANG Xiaoyan, YE Ling, GUO Can, HUANG Zhijun   

  1. Research Center for Clinical Trials of The Third Xiangya Hospital of Center South University, Changsha 410013, Hunan, China
  • Received:2019-08-09 Revised:2019-09-16 Online:2019-11-26 Published:2019-12-02

摘要:

目的:研究两种吉非替尼片在中国健康受试者体内的生物等效性。方法:本研究为随机、开放、双周期、单次口服给药的单中心试验,56位受试者分空腹生物等效性研究和餐后生物等效性研究两部分进行,给药剂量为250 mg,采用HPLC-MS/MS法测定给药后不同时间吉非替尼的血药浓度,采用非房室模型药动学参数计算的方法求算药动学参数,并进行统计分析。结果:空腹给药组受试制剂与参比制剂的t1/2分别为(20.8±8.3)和(21.5±9.7) h,tmax分别为(5.63±1.82)和(5.30±1.44) h,Cmax分别为(200±86)和(203±84) ng/mL,AUC0-t分别为(4 968±2 268)和(4 853±2 073) ng·h/mL,AUC0-∞分别为(5 054±2 325)和(4 950±2 111) ng·h/mL,相对生物利用度按AUC0-t计算为104.4%,按AUC0-∞计算为103.9%;餐后给药组受试制剂与参比制剂的t1/2分别为(21.1±9.9)和(22.0±10.1) h,tmax分别为(4.46±2.22)和(4.46±1.82) h,Cmax分别为(299±106)和(304±119) ng/mL,AUC0-t分别为(6 700±3 142)和(6 594±3 004) ng·h/mL,AUC0-∞分别为(6 846±3 265)和(6 750±3 136) ng·h/mL,相对生物利用度按AUC0-t计算为101.1%,按AUC0-∞计算为100.9%。结论:受试制剂与参比制剂的空腹用药和餐后用药生物等效。

关键词: 吉非替尼, 健康人, 生物等效性, HPLC-MS/MS

Abstract:

AIM: To evaluate the bioequivalence of two preparations of gefitinib tablets in healthy Chinese subjects. METHODS: This study was a randomized, open-label, double-period, single-center clinical trial after a single-dose oral administration of 250 mg, 56 subjects were divided into groups of fasting bioequivalence study and postprandial bioequivalence study. The blood concentrations of gefitinib tablets in plasma at different time after drug administration were determined by HPLC-MS/MS. The pharmacokinetic parameters were calculated and analyzed statistically with non compartment model method. RESULTS:The main pharmacokinetic parameters of test and reference(27 subjects) of gefitinib tablets administered fasted were as follows: t1/2 were(20.8±8.3)and(21.5±9.7)h, tmax were(5.63±1.82)and(5.30±1.44)h, Cmax were(200±86)and(203±84)ng/mL, AUC0-t were(4 968±2 268)and(4 853±2 073)ng·h/mL, AUC0-∞ were(5 054±2 325),(4 950±2 111)ng·h/mL, the relative bioavailability calculated by AUC0-tand AUC0-∞were 104.4% and 103.9%, respectively; The main pharmacokinetic parameters of test and reference(28 subjects) of gefitinib tablets administered with food were as follows: t1/2 were(21.1±9.9)and(22.0±10.1)h;tmax were(4.46±2.22)and(4.46±1.82)h;Cmax were(299±106)and(304±119)ng/mL;AUC0-t were(6 700±3 142)and(6 594±3 004 )ng·h/mL;AUC0-∞ were(6 846±3 265),(6 750±3 136)ng·h/mL , the relative bioavailability calculated by AUC0-t and AUC0-∞ were 101.1% and 100.9%, respectively. CONCLUSION: The two gefitinib tablets administered fasted or with food were bioequivalent in healthy Chinese subjects.

Key words: gefitinib, healthy volunteers, bioequivalence, HPLC-MS/MS

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