PMID- 36815228 OWN - NLM STAT- MEDLINE DCOM- 20230703 LR - 20240416 IS - 2160-7648 (Electronic) IS - 2160-763X (Linking) VI - 12 IP - 7 DP - 2023 Jul TI - A Bioequivalence Study With Pharmacokinetic Endpoints for Azithromycin Eye Drops. PG - 761-766 LID - 10.1002/cpdd.1226 [doi] AB - Azithromycin eye drops with a bioadhesive ocular drug-delivery system can offer a simplified dosing regimen. In this study, we compared the pharmacokinetic properties and assessed the bioequivalence of a newly developed generic azithromycin eye drop with a branded formulation. This open-label, single-dose, randomized, crossover, sparse-sampling ocular bioequivalence study was conducted on 48 healthy Chinese volunteers. Tear samples were collected for up to 36 hours, and each participant was randomly allocated to one of the prespecified sampling times. Tear drug concentrations were determined using a validated liquid chromatography-tandem mass spectrometry method. The pharmacokinetic parameters were calculated via noncompartmental analysis. A nonparametric bootstrap method was used to obtain 90% confidence intervals (CIs) for the ratios of the test and reference drugs. Tolerability was evaluated for adverse events (AEs). After bootstrapping (1000 iterations), the 90%CIs for the log-transformed ratios of C(max) , AUC(0-t) , and AUC(0-infinity) were within the acceptable bioequivalence range (80%-125%). No moderate-to-severe AEs were reported for either formulation. Bioequivalence was demonstrated between the two formulations. The sparse-sampling design with the bootstrapping technique is promising for bioequivalence studies of topical ophthalmic drugs. CI - (c) 2023, The American College of Clinical Pharmacology. FAU - Wu, Feng AU - Wu F AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Zhao, Xiuli AU - Zhao X AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Guo, Shaojie AU - Guo S AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Ni, Siyang AU - Ni S AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Dai, Yuyang AU - Dai Y AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Han, Ying AU - Han Y AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Ma, Ke AU - Ma K AD - National Institute for Drug Clinical Trial, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Wang, Yunzhe AU - Wang Y AD - Essex Bio-Technology Limited, Zhuhai, Guangdong, China. LA - eng GR - 2011ZX09302-007-05/Chinese National Major Scientific and Technological Special Project for Significant New Drug Development/ GR - Z191100007619038/Beijing Science and Technology Planning Project/ PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20230222 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 83905-01-5 (Azithromycin) RN - 0 (Drugs, Generic) SB - IM MH - Humans MH - *Azithromycin/adverse effects MH - Therapeutic Equivalency MH - Chromatography, Liquid MH - *Drugs, Generic/pharmacokinetics MH - Tandem Mass Spectrometry/methods MH - Cross-Over Studies OTO - NOTNLM OT - azithromycin eye drops OT - bioequivalence OT - bootstrapping OT - ocular pharmacokinetics OT - sparse sampling EDAT- 2023/02/24 06:00 MHDA- 2023/07/03 06:41 CRDT- 2023/02/23 02:43 PHST- 2022/11/20 00:00 [received] PHST- 2023/01/16 00:00 [accepted] PHST- 2023/07/03 06:41 [medline] PHST- 2023/02/24 06:00 [pubmed] PHST- 2023/02/23 02:43 [entrez] AID - 10.1002/cpdd.1226 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2023 Jul;12(7):761-766. doi: 10.1002/cpdd.1226. Epub 2023 Feb 22.