PMID- 32753845 OWN - NLM STAT- MEDLINE DCOM- 20210604 LR - 20221207 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 14 DP - 2020 TI - Evaluation of Bioequivalency and Pharmacokinetic Parameters for Two Formulations of Glimepiride 1-mg in Chinese Subjects. PG - 2637-2644 LID - 10.2147/DDDT.S249355 [doi] AB - PURPOSE: Glimepiride, an FDA-approved oral hypoglycemic drug, is a long-acting sulfonylurea (SU), used for treating type 2 diabetes. The study aimed to evaluate the bioequivalence and safety profiles of two different formulations of glimepiride 1 mg from two different manufactures in healthy Chinese subjects in the fasting and fed state in order to acquire adequate pharmacokinetic evidence for registration approval of the test formulation. PATIENTS AND METHODS: This study is an open-label, two-period, two-sequence, randomized, two-way crossover pharmacokinetic study in healthy Chinese subjects in the fasting and fed state. Seventy-two subjects were randomly assigned to the fasting group and the fed group (n=36 each). We collected blood samples, 24-h post drug administration. The plasma concentration of glimepiride was assessed using HPLC coupled with mass spectrometry. The following parameters were evaluated: AUC(0-inf), AUC(0-last), C(max), t(1⁄2), T(max), and lambda(z). Safety was determined based on the occurrence of adverse events (AEs) and laboratory examinations (biochemistry, hematology, and urinalysis) throughout the entire study period. RESULTS: The geometric mean ratios (GMR) amongst the two glimepiride formulations for the primary pharmacokinetic parameters, ie, AUC(0-inf), AUC(0-last), and C(max) as well as the corresponding 90% CIs, were all within the range of 80.00-125.00% in the fasting and fed state. The safety profile for both treatments was comparable. CONCLUSION: PK analysis revealed that the test and reference formulations of glimepiride were bioequivalent and well tolerated in healthy Chinese subjects. Chinese Clinical Trials Registry identifier: CTR20171121. CLINICAL TRIAL REGISTRATION NUMBER: CTR20171121. CI - (c) 2020 Ju et al. FAU - Ju, Gehang AU - Ju G AD - School of Pharmacy Lanzhou University, Lanzhou University, Lanzhou, People's Republic of China. FAU - Yan, Keyu AU - Yan K AD - School of Pharmacy Lanzhou University, Lanzhou University, Lanzhou, People's Republic of China. FAU - Xu, Youwei AU - Xu Y AD - Research Institute, Shandong Xinhua Pharmaceutical Company Limited, Shandong, People's Republic of China. FAU - Chen, Shilin AU - Chen S AUID- ORCID: 0000-0003-3680-9066 AD - The Department of Analysis, Chengdu Fanweixi Pharmaceutical Technology Company, Limited, Chengdu, People's Republic of China. FAU - Zheng, Zhonghui AU - Zheng Z AD - Research Institute, Shandong Xinhua Pharmaceutical Company Limited, Shandong, People's Republic of China. FAU - Qiu, Wen AU - Qiu W AD - Phase I Clinical Unit, Lanzhou University Second Hospital, Lanzhou, People's Republic of China. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20200706 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Hypoglycemic Agents) RN - 0 (Sulfonylurea Compounds) RN - 6KY687524K (glimepiride) SB - IM MH - Adolescent MH - Adult MH - Asian People MH - Cross-Over Studies MH - Diabetes Mellitus, Type 2/drug therapy MH - Dose-Response Relationship, Drug MH - Drug Compounding MH - Female MH - Humans MH - Hypoglycemic Agents/administration & dosage/blood/*pharmacokinetics MH - Male MH - Sulfonylurea Compounds/administration & dosage/blood/*pharmacokinetics MH - Therapeutic Equivalency MH - Young Adult PMC - PMC7351633 OTO - NOTNLM OT - HPLC-MS/MS OT - adverse event OT - bioequivalence OT - glimepiride OT - pharmacokinetics COIS- Youwei Xu and Zhonghui Zheng are employees of Shandong Xinhua Pharmaceutical Company Limited. Shilin Chen is an employee of Chengdu Fanweixi Pharmaceutical Technology Company, Limited. The authors report no other conflicts of interest in this work. EDAT- 2020/08/06 06:00 MHDA- 2021/06/05 06:00 PMCR- 2020/07/06 CRDT- 2020/08/06 06:00 PHST- 2020/02/12 00:00 [received] PHST- 2020/06/09 00:00 [accepted] PHST- 2020/08/06 06:00 [entrez] PHST- 2020/08/06 06:00 [pubmed] PHST- 2021/06/05 06:00 [medline] PHST- 2020/07/06 00:00 [pmc-release] AID - 249355 [pii] AID - 10.2147/DDDT.S249355 [doi] PST - epublish SO - Drug Des Devel Ther. 2020 Jul 6;14:2637-2644. doi: 10.2147/DDDT.S249355. eCollection 2020.