PMID- 22098139 OWN - NLM STAT- MEDLINE DCOM- 20120319 LR - 20221207 IS - 1744-7607 (Electronic) IS - 1742-5255 (Linking) VI - 7 IP - 12 DP - 2011 Dec TI - A phase I study to characterize the multiple-dose pharmacokinetics, pharmacodynamics and safety of new enteric-coated triflusal formulations in healthy male volunteers. PG - 1471-9 LID - 10.1517/17425255.2011.630661 [doi] AB - OBJECTIVES: An enteric-coated formulation of triflusal (triflusal EC), an antiplatelet agent, was developed to reduce the high incidence of gastrointestinal adverse events (AEs). The aim of this study is to compare the pharmacokinetics, pharmacodynamics and safety of triflusal EC with triflusal in healthy Korean male subjects to determine bioequivalence and non-inferiority for the purposes of marketing approval. METHODS: A randomized, open-label, two-period, crossover study was conducted in 38 subjects. Either triflusal EC or triflusal was administered orally as a single 900 mg loading dose (day 1) followed by eight 600 mg/day maintenance doses on days 2 - 9, with a 13-day washout period. The plasma concentrations of 2-hydroxy-4-trifluoromethyl benzoic acid (HTB), the predominant active metabolite of triflusal, were assessed after administration of the loading dose, using HPLC/MS/MS. The platelet aggregation response to arachidonic acid was determined using turbidimetric aggregometry. RESULTS: The 90% CIs, for the geometric mean ratios of the log-transformed AUC(tau) and C(max) of HTB were seen to be within the predetermined range of 0.8 - 1.25. Triflusal EC was also shown to be non-inferior in its anti-aggregatory effect. No serious AEs were reported during this study. CONCLUSIONS: The pharmacokinetic and pharmacodynamic profiles of the two triflusal formulations met the requirements for bioequivalence and non-inferiority, respectively. Both formulations were well tolerated. FAU - Lee, Hae Won AU - Lee HW AD - Kyungpook National University Graduate School and Hospital, Department of Biomedical Science and Clinical Trial Center, 200 Dongduk-Ro, Jung-gu, Daegu, 700-721, Republic of Korea. FAU - Lim, Mi-sun AU - Lim MS FAU - Seong, Sook Jin AU - Seong SJ FAU - Lee, Joomi AU - Lee J FAU - Park, Jeonghyeon AU - Park J FAU - Seo, Jeong Ju AU - Seo JJ FAU - Yun, Hwi-yeol AU - Yun HY FAU - Baek, In-hwan AU - Baek IH FAU - Kwon, Kwang-il AU - Kwon KI FAU - Yoon, Young-Ran AU - Yoon YR LA - eng PT - Clinical Trial, Phase I PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Expert Opin Drug Metab Toxicol JT - Expert opinion on drug metabolism & toxicology JID - 101228422 RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Salicylates) RN - 1Z0YFI05OO (triflusal) RN - 27YG812J1I (Arachidonic Acid) RN - 328-90-5 (4-trifluoromethylsalicylic acid) SB - IM MH - Administration, Oral MH - Adult MH - Arachidonic Acid/metabolism MH - Asian People MH - Chemistry, Pharmaceutical MH - Chromatography, High Pressure Liquid MH - Cross-Over Studies MH - *Dose-Response Relationship, Drug MH - Humans MH - Male MH - Platelet Aggregation/drug effects MH - Platelet Aggregation Inhibitors/*administration & dosage/*pharmacokinetics MH - Salicylates/*administration & dosage/blood/*pharmacokinetics MH - Tandem Mass Spectrometry MH - Therapeutic Equivalency MH - Young Adult EDAT- 2011/11/22 06:00 MHDA- 2012/03/20 06:00 CRDT- 2011/11/22 06:00 PHST- 2011/11/22 06:00 [entrez] PHST- 2011/11/22 06:00 [pubmed] PHST- 2012/03/20 06:00 [medline] AID - 10.1517/17425255.2011.630661 [doi] PST - ppublish SO - Expert Opin Drug Metab Toxicol. 2011 Dec;7(12):1471-9. doi: 10.1517/17425255.2011.630661.