Bioequivalence Study of Diclofenac 150 mg XR: A Single-Dose, Randomized, Open Label, 2-Period Crossover Study in Healthy Adult Volunteers

Evelyn Pena, Alfredo Inatti, Xenón Serrano Martin
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Abstract

Objectives: Evaluate the bioequivalence (BE) of two oral tablets formulations of diclofenac 150 mg in healthy male subjects under fasting condition. This was a phase I, randomized, open label, balanced, two period, two sequences, single oral dose, crossover, analyst blind study. Methods: Twenty four (24) healthy subjects were randomly assigned to one of two sequences protocol: 150 mg XR of reference formulation (R), diclofenac sodium in the first period or the test formulation (T), diclofenac potassium in the second or vice versa. The plasma concentrations were determined using a validated LC-MS/MS method. Pharmacokinetic (PK) parameters included: maximum plasma concentration (Cmax), area under the plasma concentration—time curve from time 0 to the last measurable concentration (AUC0-t), and area under the plasma concentration—time from time 0 to infinity (AUC0-∞), were evaluated for BE. Results: The results showed that 90% confidence intervals for the test/reference geometric mean ratios (GMR) of Cmax (90.43 - 107.17), AUC0-t (93.08 - 116.46) and AUC0-∞ (92.52 - 117.39) were within the BE (80% - 125%) acceptance range. Conclusions: Two formulations, reference product (R) Voltaren® (diclofenac sodium) of Novartis and test product (T), Diklason Bi (diclofenac potassium) of Laboratorios Leti S.A.V., with a single dose of 150 mg XR, under fasting conditions were bioequivalent. No severe, serious or unexpected adverse events (AEs) were reported in this study.
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双氯芬酸150mg XR的生物等效性研究:一项健康成人志愿者单剂量、随机、开放标签、2期交叉研究
目的:评价两种口服双氯芬酸150mg片剂在健康男性禁食条件下的生物等效性。这是一项I期、随机、开放标签、平衡、两期、两序列、单次口服剂量、交叉、分析师盲法研究。方法:24名健康受试者随机分为两组:参考制剂(R) 150 mg XR,第一期双氯芬酸钠或试验制剂(T),第二期双氯芬酸钾,反之亦然。采用经验证的LC-MS/MS法测定血浆浓度。评估药代动力学(PK)参数:最大血浆浓度(Cmax)、0时刻至最后可测浓度的血浆浓度-时间曲线下面积(AUC0-t)、0时刻至无穷远的血浆浓度-时间曲线下面积(AUC0-∞)。结果:Cmax(90.43 ~ 107.17)、AUC0-t(93.08 ~ 116.46)和AUC0-∞(92.52 ~ 117.39)的检验/参考几何平均比(GMR)的90%置信区间均在BE(80% ~ 125%)可接受范围内。结论:诺华公司(Novartis)的参比产品(R) volaren®(双氯芬酸钠)和Laboratorios Leti S.A.V的试验产品(T) Diklason Bi(双氯芬酸钾)单剂量150mg XR在空腹条件下具有生物等效性。本研究未报告严重、严重或意外的不良事件(ae)。
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