PMID- 36264446 OWN - NLM STAT- MEDLINE DCOM- 20221129 LR - 20221129 IS - 1179-6901 (Electronic) IS - 1174-5886 (Print) IS - 1174-5886 (Linking) VI - 22 IP - 4 DP - 2022 Dec TI - Chinese- and French-Manufactured Immediate-Release Glucophage((R)) Bioequivalence: A Randomized, Open-Label, Crossover Study. PG - 301-309 LID - 10.1007/s40268-022-00405-3 [doi] AB - OBJECTIVE: We aimed to assess the bioequivalence, safety, and tolerability of Chinese- and French-manufactured Glucophage((R)) immediate-release (GIR) tablets under fasted and fed conditions in healthy volunteers. A bioequivalence study was proposed to support the manufacturing transfer. METHODS: This was an open-label, randomized, two-period, two-sequence, crossover study. Subjects were randomly assigned to receive the test product (one 500 mg GIR tablet manufactured in China) or reference product (one 500 mg GIR tablet manufactured in France). The primary study endpoint was the area under the plasma concentration-time curve from time zero to the last sampling time (AUC(t)) and maximum observed concentration (C(max)). RESULTS: In total, 96 subjects were screened and 44 subjects were randomly assigned to treatment (fasted group, 26 subjects; fed group, 18 subjects). All 44 subjects received the study drug, completed the study, and were included in the pharmacokinetic (PK) and safety analysis sets. Under fasted or fed conditions, the mean AUC(t) and C(max) (primary PK parameters) were comparable between the test and reference products. Point estimates for both parameters were close to 100% and the corresponding 90% confidence intervals were within the specified 80-125% bioequivalence boundary. There were no hypoglycemia-related adverse events (AEs) in either treatment group. All AEs in the present study were mild in severity. CONCLUSIONS: Bioequivalence between the test and reference GIR tablets was demonstrated under fasted and fed conditions and both were safe and well tolerated. CLINICAL TRIALS REGISTRATION: This study was registered at ClinicalTrials.gov under the identifying number NCT03393208. CI - (c) 2022. The Author(s). FAU - Hu, Chaoying AU - Hu C AUID- ORCID: 0000-0002-0116-4387 AD - Department of Pharmacy, Phase I Clinical Trial Center, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, No. 45 Changchun Street, Xicheng District, Beijing, China. FAU - Gao, Dan AU - Gao D AD - Department of Pharmacy, Phase I Clinical Trial Center, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, No. 45 Changchun Street, Xicheng District, Beijing, China. FAU - Li, Dandan AU - Li D AD - Merck Serono (Beijing) Pharmaceutical R&D Co., Ltd (an affiliate of Merck KGaA), Beijing, China. FAU - Zhou, Dongli AU - Zhou D AD - Merck Serono (Beijing) Pharmaceutical R&D Co., Ltd (an affiliate of Merck KGaA), Beijing, China. FAU - Zhang, Lan AU - Zhang L AUID- ORCID: 0000-0002-5220-3171 AD - Department of Pharmacy, Phase I Clinical Trial Center, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, No. 45 Changchun Street, Xicheng District, Beijing, China. xwzhanglan@126.com. LA - eng SI - ClinicalTrials.gov/NCT03393208 PT - Journal Article PT - Randomized Controlled Trial DEP - 20221020 PL - New Zealand TA - Drugs R D JT - Drugs in R&D JID - 100883647 RN - 9100L32L2N (Metformin) RN - 0 (Tablets) SB - IM MH - Humans MH - Cross-Over Studies MH - Therapeutic Equivalency MH - *Metformin MH - Area Under Curve MH - Tablets MH - China MH - Healthy Volunteers MH - Fasting PMC - PMC9700552 COIS- Dandan Li and Dongli Zhou are employees of Merck Serono (Beijing) Pharmaceutical R&D Co., Ltd, China, an affiliate of Merck KGaA. Chaoying Hu, Dan Gao, and Lan Zhang report no conflicts of interest. EDAT- 2022/10/21 06:00 MHDA- 2022/11/30 06:00 PMCR- 2022/10/20 CRDT- 2022/10/20 11:19 PHST- 2022/09/16 00:00 [accepted] PHST- 2022/10/21 06:00 [pubmed] PHST- 2022/11/30 06:00 [medline] PHST- 2022/10/20 11:19 [entrez] PHST- 2022/10/20 00:00 [pmc-release] AID - 10.1007/s40268-022-00405-3 [pii] AID - 405 [pii] AID - 10.1007/s40268-022-00405-3 [doi] PST - ppublish SO - Drugs R D. 2022 Dec;22(4):301-309. doi: 10.1007/s40268-022-00405-3. Epub 2022 Oct 20.