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中国临床药理学与治疗学 ›› 1998, Vol. 3 ›› Issue (3): 165-170.

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双氯芬酸缓释片的人体生物利用度试验

高连用, 李全胜, 魏广力, 肖淑华, 刘昌孝   

  1. 国家医药管理局天津药物研究院, 天津300193
  • 收稿日期:1998-03-05 修回日期:1998-05-13 发布日期:2020-12-02
  • 作者简介:高连用, 男, 32 岁, 药理室副主任, 从事药物代谢动力学和临床药理学研究。刘昌孝, 男, 56 岁, 研究员, 国家新药研究与开发专家委员会委员,致力于药理、药代动力学和药理统计学研究。

Bioavailability study of a new diclofenac slow release tablet in 12 healthy volunteers

GAO Lian-Yong, LI Quan-Sheng, WEI Guang-Li, XIAO Shu-Hua, LIU Chang-Xiao   

  1. Tianjin Institute of Pharmaceutical Research Tianjin 300193
  • Received:1998-03-05 Revised:1998-05-13 Published:2020-12-02

摘要: 目的 进行两种双氯芬酸缓释片的单次给药的生物利用度比较研究和多次给药的峰谷浓度波动研究。方法 12位健康男性受试者按交叉试验单剂量服用试验片和对照片, 采用HPLC方法测定人血清中的药物浓度, 并比较其生物利用度。结果 两种片剂的Cmax和AUC无显著差异(P >0.05), 但试验片给药后的达峰时间(Tpeak)显著小于对照片, 与对照片相比有非常显著差异(P <0.01)。试验片相对于对照片的相对生物利用度为98.11%, 经统计学检验证明这两种制剂具有生物等效性。12位受试者连续服用试验片和对照片的交叉试验表明, 两种缓释片在稳态时的峰浓度(Cmax)、谷浓度(Cmax)、平均浓度(Cavg)、峰谷比(r)和峰谷波动度(DF)均无显著差异(P >0.05), 最小有效浓度持续时间(Tmec50)也基本一致, 说明两种缓释片在稳态时的峰谷浓度波动程度相当, 具有较好的缓释特征。在多次给药时, 试验片的达峰时间同样显著小于对照片(P <0.01)。结论 试验结果表明两种缓释片具有生物等效性, 都具有峰谷浓度差异小, 波动幅度小的特点, 与对照片相比, 无论单次给药还是多次给药, 试验片的达峰时间都显著缩短。

关键词: 双氯芬酸, 药物动力学, 单次和多次口服给药, 生物利用度

Abstract: Aim The comparative bioavailability of two diclofenac slow release tablets was studied after a single and repeated oral administration in 12 healthy male volunteers. Methods HPLC method with UV detection was used to determine the serum drug concentrations. Results The pharmacokinetic parameters obtained after single oral administration of the two formulations to the subjects in cross-over design showed that there was not significant difference between the two formulations in maximum concentration (Cmax) and the area under the time-concentration curve (AUC) (P>0.05) whereas the time to reach the CCmax of the test tablets (TT) was shorter than that of the reference tablets (RT), with a significant difference between them. The relative bioavailability of TT was 98.11%. The result of the study on the repeated oral doses in 12 subjects indicated that there was no significant difference between the two tablets in Cmax, Cmin, Cave, r and DF (P>0.05). The duration of the minimum effective therapeutic drug level (Tmec) and the serum drug concentration peak-trough fluctuation of TT and RT in steady state were similar. Both TT and RT possessed good sustained release property. Conclution The two slow release tablets are bioequivalent formulation, with small difference between the two tablets in Cmax and Cmin. Tpeak of TT in both single and repeated oral doses is significantly shorter than that of RT.

Key words: diclofenac, HPLC, pharmacokinetics, single and mutiple oral dose, bioavailability

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