PMID- 38226890 OWN - NLM STAT- MEDLINE DCOM- 20240405 LR - 20240416 IS - 2160-7648 (Electronic) IS - 2160-763X (Linking) VI - 13 IP - 4 DP - 2024 Apr TI - Pharmacokinetics, Bioequivalence, and Safety Evaluation of Two Oral Formulations of Calcium Dobesilate Capsules in Healthy Chinese Volunteers Under Fasting and Fed Conditions. PG - 360-366 LID - 10.1002/cpdd.1376 [doi] AB - To determine the pharmacokinetics (PK), safety, and bioequivalence profiles of 0.5-g calcium dobesilate capsules in both fasting and fed states for the test drug and reference drug. 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: CTR202000268-01). The fasting and fed studies, both involving 24 subjects, were conducted. A single dosage of either the reference or the test preparation was given to each eligible subject in a 1:1 ratio, followed by a 7-day rest interval before the administration of the alternative formulation. After taking the capsules, plasma samples were taken for 48 hours, and using liquid chromatography-tandem mass spectrometry, the calcium dobesilate level was determined. The PK parameters evaluated in the study included the maximum serum concentration (C(max)), area under the plasma concentration-time curve (AUC) from time 0 to the last quantifiable concentration, AUC from time 0 to infinity, half-life, time to C(max), and terminal elimination rate constant. In addition, the safety evaluation encompassed monitoring fluctuations in vitals (temperature, pulse, and blood pressure) and laboratory tests (urinalysis, hepatic function, blood biochemistry, and hematology), as well as recording the emergence of adverse events (AEs). The geometric mean ratio (GMR) of the test/reference medications was used to assess bioequivalence by determining if the 90% confidence intervals of the GMR fell within the predefined range of 80%-125%. AEs were assessed as safety end points. The study included 48 healthy Chinese volunteers (with n = 24 each for the fasting and the fed conditions), and no subjects dropped out for any reason. The differences in the PK metrics for the test and reference drugs for both conditions were insignificant (P > .05). For bioequivalence, irrespective of whether the food was consumed or not, the range of the 90% confidence intervals of the GMR for C(max), AUC from time 0 to the last quantifiable concentration, and AUC from time 0 to infinity was between 80% and 125%. In the experiment, no serious AEs were recorded. Our findings revealed that the calcium dobesilate capsules used as the reference and the test drugs were both bioequivalent. Irrespective of whether the healthy Chinese volunteers consumed food or not, the PK and safety profiles were comparable. CI - (c) 2024, The American College of Clinical Pharmacology. FAU - Wang, Yanrong AU - Wang Y AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Liu, Ying AU - Liu Y AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Tang, Liyuan AU - Tang L AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Gao, Jie AU - Gao J AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Li, Hongmin AU - Li H AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Dai, Xinya AU - Dai X AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Chen, Ran AU - Chen R AD - GCP Office of Cangzhou Central Hospital, Cangzhou, Hebei, People's Republic of China. FAU - Wang, Fengqin AU - Wang F AD - Research Center of Hainan Linheng Pharmaceutical Co. LTD, Haikou, Hainan, People's Republic of China. LA - eng GR - Hainan Linheng Pharmaceutical Co. LTD/ GR - 20200340/Hebei Province medical science/ PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20240116 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 5921X1560Q (Calcium Dobesilate) SB - IM MH - Humans MH - Area Under Curve MH - Biological Availability MH - *Calcium Dobesilate MH - China MH - Cross-Over Studies MH - Fasting MH - Therapeutic Equivalency MH - Volunteers MH - East Asian People OTO - NOTNLM OT - bioequivalence OT - calcium dobesilate capsules OT - pharmacokinetics OT - safety EDAT- 2024/01/16 13:42 MHDA- 2024/04/05 06:44 CRDT- 2024/01/16 09:53 PHST- 2023/09/05 00:00 [received] PHST- 2023/12/19 00:00 [accepted] PHST- 2024/04/05 06:44 [medline] PHST- 2024/01/16 13:42 [pubmed] PHST- 2024/01/16 09:53 [entrez] AID - 10.1002/cpdd.1376 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2024 Apr;13(4):360-366. doi: 10.1002/cpdd.1376. Epub 2024 Jan 16.