PMID- 33727797 OWN - NLM STAT- MEDLINE DCOM- 20211011 LR - 20221207 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 15 DP - 2021 TI - Pharmacokinetics and Bioequivalence Evaluation of Two Montelukast Sodium Chewable Tablets in Healthy Chinese Volunteers Under Fasted and Fed Conditions. PG - 1091-1099 LID - 10.2147/DDDT.S298355 [doi] AB - PURPOSE: The aim of this study was to assess and compare the pharmacokinetic (PK) properties and bioequivalence of montelukast sodium chewable tablets prepared by two different manufacturers in healthy Chinese volunteers to obtain adequate PK evidence for the registration approval of the test formulation. PATIENTS AND METHODS: A randomized-sequence, single-dose, open-label, 2-period crossover study was conducted in fasted and fed healthy Chinese volunteers (Chinese Clinical Trials Registry identifier: CTR20182362). Eighteen subjects each were selected for a fasted study and a fed study. Eligible participants were randomly assigned in a 1:1 ratio to receive a single dose of the reference formulation or the test formulation, followed by a 5-day washout period and the administration of the alternate formulation. Plasma samples were collected over a 24-hour period following tablet administration and analyzed for montelukast contents by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). The PK parameters, such as maximum serum concentration (C(max)), area under the curve (AUC) from t = 0 to the last quantifiable concentration (AUC(0-t)), AUC from t = 0 to infinity (AUC(0-infinity)), half-life (t(1⁄2)), time to C(max) (T(max)), and terminal elimination rate constant (lambda(z)), were evaluated. The safety assessment included changes in vital signs (blood pressure, pulse, and temperature) or laboratory tests (hematology, blood biochemistry, hepatic function, and urinalysis) and the incidence of adverse events (AEs). RESULTS: The geometric mean ratios (GMRs) between the two formulations for the primary pharmacokinetic parameters (C(max), AUC(0-24), and AUC (0-infinity)) and the corresponding 90% confidence intervals (Cis) were all within the range of 80.00-125.00% for both the fasting and fed states. The safety profiles for both treatments were comparable. CONCLUSION: The PK analysis revealed that the test and reference formulations of montelukast sodium chewable tablets were bioequivalent and well-tolerated by healthy Chinese subjects. CI - (c) 2021 Li et al. FAU - Li, Weihong AU - Li W AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, 061000, People's Republic of China. FAU - Wang, Yanrong AU - Wang Y AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, 061000, People's Republic of China. FAU - Pei, Yingzi AU - Pei Y AD - Research Center of Beijing Fuyuan Pharmaceutical Co., Ltd. (Formerly Beijing Wansheng Pharmaceutical Co., Ltd.), Beijing, 101113, People's Republic of China. FAU - Xia, Yue AU - Xia Y AD - Research Center of Beijing Fuyuan Pharmaceutical Co., Ltd. (Formerly Beijing Wansheng Pharmaceutical Co., Ltd.), Beijing, 101113, People's Republic of China. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20210309 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Acetates) RN - 0 (Cyclopropanes) RN - 0 (Quinolines) RN - 0 (Sulfides) RN - 0 (Tablets) RN - MHM278SD3E (montelukast) SB - IM MH - Acetates/administration & dosage/blood/*pharmacokinetics MH - Administration, Oral MH - Adolescent MH - Adult MH - Asian People MH - Cross-Over Studies MH - Cyclopropanes/administration & dosage/blood/*pharmacokinetics MH - Drug Compounding MH - *Fasting MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Quinolines/administration & dosage/blood/*pharmacokinetics MH - Sulfides/administration & dosage/blood/*pharmacokinetics MH - Tablets MH - Therapeutic Equivalency MH - Young Adult PMC - PMC7955749 OTO - NOTNLM OT - HPLC-MS/MS OT - adverse events OT - bioequivalence OT - montelukast sodium OT - pharmacokinetic profile COIS- Yingzi Pei and Xia Yue are affiliated with Beijing Fuyuan Pharmaceutical Co., Ltd. (formerly Beijing Wansheng Pharmaceutical Co., Ltd.). The authors report no other conflicts of interest in this work. EDAT- 2021/03/18 06:00 MHDA- 2021/10/12 06:00 PMCR- 2021/03/09 CRDT- 2021/03/17 06:44 PHST- 2020/12/24 00:00 [received] PHST- 2021/02/23 00:00 [accepted] PHST- 2021/03/17 06:44 [entrez] PHST- 2021/03/18 06:00 [pubmed] PHST- 2021/10/12 06:00 [medline] PHST- 2021/03/09 00:00 [pmc-release] AID - 298355 [pii] AID - 10.2147/DDDT.S298355 [doi] PST - epublish SO - Drug Des Devel Ther. 2021 Mar 9;15:1091-1099. doi: 10.2147/DDDT.S298355. eCollection 2021.