PMID- 28803122 OWN - NLM STAT- MEDLINE DCOM- 20180302 LR - 20221207 IS - 1879-114X (Electronic) IS - 0149-2918 (Linking) VI - 39 IP - 9 DP - 2017 Sep TI - Comparison of Pharmacokinetics and Safety of a Fixed-dose Combination of Rosuvastatin and Ezetimibe Versus Separate Tablets in Healthy Subjects. PG - 1799-1810 LID - S0149-2918(17)30827-5 [pii] LID - 10.1016/j.clinthera.2017.07.038 [doi] AB - PURPOSE: Rosuvastatin and ezetimibe are concomitantly used for dyslipidemia treatment. Compared with separate tablets, fixed-dose combination (FDC) tablets of rosuvastatin/ezetimibe could increase patient compliance. The aim of this study was to compare the pharmacokinetic (PK) profiles of an FDC tablet of rosuvastatin/ezetimibe and co-administration of rosuvastatin and ezetimibe as separate tablets in healthy Korean volunteers. METHODS: This trial was a randomized, open-label, single-dose, 2-way crossover study. The healthy subjects received an FDC tablet of rosuvastatin 20 mg/ezetimibe 10 mg (test) or co-administration of rosuvastatin 20 mg and ezetimibe 10 mg (reference) in each period (periods 1 and 2), with a 14-day washout period. The blood samples for PK analysis were collected predose and up to 96 hours after administration, and safety was assessed throughout the study. FINDINGS: Sixty-four healthy Korean subjects were enrolled, and 57 subjects completed the study. All subjects were men and mean age was 28.52 +/- 5.93. The geometric least squares mean ratios (test/reference) and 90% CIs of C(max) and AUC(0-last) were 101.54% (94.03-109.65) and 97.71% (91.86-103.93) for rosuvastatin, 108.93% (98.55-120.40) and 102.90% (96.72-109.47) for free ezetimibe, and 106.74% (98.18-116.05) and 104.24 % (99.53-109.17) for total ezetimibe. Twenty-four adverse events (AEs) were reported in 22 subjects. Three cases were related to the study drugs; 2 cases were mild, and 1 case was severe. However, all AEs were resolved without any sequelae. In addition, there were no serious AEs throughout the study. IMPLICATIONS: The FDC tablet of rosuvastatin/ezetimibe was well tolerated and resulted in comparable systemic exposure with co-administration of rosuvastatin and ezetimibe. ClinicalTrials.gov identifier: NCT02941848. CI - Copyright (c) 2017 Elsevier HS Journals, Inc. All rights reserved. FAU - Min, Kyoung Lok AU - Min KL AD - Department of Pharmaceutical Medicine and Regulatory Sciences, Colleges of Medicine and Pharmacy, Yonsei University, Incheon, South Korea. FAU - Park, Min Soo AU - Park MS AD - Department of Pharmaceutical Medicine and Regulatory Sciences, Colleges of Medicine and Pharmacy, Yonsei University, Incheon, South Korea; Department of Clinical Pharmacology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea; Department of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea. FAU - Jung, Jina AU - Jung J AD - Clinical Research Team, Hanmi Pharmaceutical Co, Ltd, Seoul, South Korea. FAU - Chang, Min Jung AU - Chang MJ AD - Department of Pharmaceutical Medicine and Regulatory Sciences, Colleges of Medicine and Pharmacy, Yonsei University, Incheon, South Korea; Department of Pharmacy and Yonsei Institute of Pharmaceutical Sciences, College of Pharmacy, Yonsei University, Incheon, South Korea. Electronic address: delivery98@yuhs.ac. FAU - Kim, Choon Ok AU - Kim CO AD - Department of Clinical Pharmacology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea. Electronic address: mjchang@yonsei.ac.kr. LA - eng SI - ClinicalTrials.gov/NCT02941848 PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20170810 PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Anticholesteremic Agents) RN - 0 (Drug Combinations) RN - 0 (Tablets) RN - 83MVU38M7Q (Rosuvastatin Calcium) RN - EOR26LQQ24 (Ezetimibe) SB - IM MH - Adult MH - Anticholesteremic Agents/administration & dosage/*adverse effects/*pharmacokinetics MH - Area Under Curve MH - Asian People MH - Cross-Over Studies MH - Drug Combinations MH - Ezetimibe/administration & dosage/*adverse effects/*pharmacokinetics MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Rosuvastatin Calcium/administration & dosage/*adverse effects/*pharmacokinetics MH - Tablets MH - Young Adult OTO - NOTNLM OT - ezetimibe OT - fixed-dose combination OT - pharmacokinetics OT - rosuvastatin EDAT- 2017/08/15 06:00 MHDA- 2018/03/03 06:00 CRDT- 2017/08/14 06:00 PHST- 2017/04/06 00:00 [received] PHST- 2017/07/13 00:00 [revised] PHST- 2017/07/19 00:00 [accepted] PHST- 2017/08/15 06:00 [pubmed] PHST- 2018/03/03 06:00 [medline] PHST- 2017/08/14 06:00 [entrez] AID - S0149-2918(17)30827-5 [pii] AID - 10.1016/j.clinthera.2017.07.038 [doi] PST - ppublish SO - Clin Ther. 2017 Sep;39(9):1799-1810. doi: 10.1016/j.clinthera.2017.07.038. Epub 2017 Aug 10.