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DOI: 10.1055/s-0032-1333228
Pharmacokinetics and Bioequivalence Evaluation of Two Acipimox Tablets: A Single-Dose, Randomized-Sequence, Two-Way Crossover Study in Healthy Chinese Male Volunteers
Publication History
received 06 August 2012
accepted 10 December 2012
Publication Date:
17 January 2013 (online)
Abstract
Objective:
The study was designed to compare the pharmacokinetic parameters and relative bioavailability of a newly generic acipimox 250-mg tablets (test formulation) with a branded 250-mg tablets (reference formulation).
Methods:
A single-dose, randomized-sequence, 2-way crossover study was conducted in 20 healthy Chinese male volunteers in the fasted state. Plasma samples were collected over 12 h after a single oral dose of 250-mg acipimox test or reference, followed by a 7-day washout period. Plasma concentrations of acipimox were analyzed by high-performance liquid chromatography. Drug And Statistical-Version 2.0 was used to calculate the pharmacokinetic parameters and assess bioequivalence of the 2 formulations. It is considered bioequivalent if the 90% CIs of the mean ratios (test: reference) for Cmax, AUC0–t and AUC0–∞ are all within the range from 80% to 125%.
Results:
No period, formulation, or sequence effects were observed on any pharmacokinetic parameters. The main pharmacokinetic parameters for the test and reference were as follows: t1/2 were 1.412±0.168 h and 1.390±0.162 h; Tmax were 1.850±0.462 h and 1.800±0.571 h; Cmax were 4.035±1.055 μg · ml-1 and 3.858±0.986 μg · ml-1; AUC0–12 were 14.006±2.564 μg · ml-1 · h and 13.345±2.128 μg · ml-1 · h, and the AUC0–∞ were 14.147±2.568 μg · ml-1 · h and 13.486±2.117 μg · ml-1 · h. The 90% CIs for the ratios (test/reference) of Cmax, AUC0–12, and AUC0 − ∞ were 98.0–111.2%, 100.8–108.5%, and 100.8–108.3%, respectively.
Conclusions:
In this small study, a single 250-mg oral dose of an acipimox tablet (test formulation) is bioequivalent to the established reference formulation.
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References
- 1 Sirtori CR, Gianfranceschi G, Sirtori M et al. Reduced triglyceridemia and increased high density lipoprotein cholesterol levels after treatment with acipimox, a new inhibitor of lipolysis. Atherosclerosis Feb-Mar 1981; 38: 267-271
- 2 Stirling C, McAleer M, Reckless JPD et al. Effects of acipimox, a nicotinic acid derivative, on lipolysis in human adipose tissue and on cholesterol synthesis in human jejunal mucosa. Clin Sci Jan 1985; 68: 83-84
- 3 Fuccella LM, Goldaniga GC, Lovisolo PP et al. Inhibition of lipolysis by nicotinic acid and by acipimox. Clin Pharmacol Ther Dec 1980; 28: 790-795
- 4 Taskinen MR, Nikkilä EA. Effects of acipimox on serumlipids, lipoproteins and lipolytic enzymes in hypertriglyleridemia. Atherosclorosis Feb 1988; 69: 249-255
- 5 Sirtori CR, Gianfranceschi G., Sirtori M et al. Reduced triglyceridemia and increased high density lipoprotein cholesterol levels after treatment with Acipimox, a new inhibitor of lipolysis. Atherosclorosis Feb-Mar 1981; 38: 267-271
- 6 Musatti L, Maggi E, Moro E et al. Bioavailability and pharmacokinetics in man of acipimox, a new antilipolytic and hypolipemic agent. Int Med Res 1981; 9: 381-386
- 7 Maggi E, Pianezzola E, Valzelli G.. Radioimmunoassay of acipimox in human plasma and urine. Pharmacol Res Commun Nov 1984; 16: 1081-1090
- 8 Efthymiopoulos C, Strolin Benedetti M, Poggesi I et al. Pharmacokinetics of acipimox and of its N-deoxy metabolite following single and repeated oral administration to healthy volunteers. Therapie Jan-Feb 1993; 48: 23-26
- 9 State Food and Drug Administration of People’s Republic of China. Guideline for bioavailability and bioequivalence studies of generic drug products [in Chinese]. http://www.cde.org.cn/zdyz.do?method=largePage&id=2066
- 10 European Medicines Agency (EMEA) Note for guidance on good clinical practice. ICH topic E 6 (R1) http://www.emea.europa.eu/pdfs/human/ich/013595en.pdf
- 11 State Food and Drug Administration of China. Guideline for Good Clinical Principles [in Chinese]. http://www.sda.gov.cn/WS01/CL0053/24473.html
- 12 Shin KC, Kwok CF, Hwu CM et al. Acipimox attenuates hypertriglyceridemia in dyslipidemic non-insulin dependent diabetes mellitus patients without perturbation of insulin sensitivity and glycemic control. Diabetes Research and Clinical Practice 1997; 36: 113-119