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摘要: 目的:评价国产来那度胺胶囊在健康人体空腹/餐后状态下生物等效性试验研究。方法:采用开放、随机、两交叉、两周期试验设计,30例健康男性受试者随机分为2组,分别空腹/餐后口服受试制剂或参比制剂25 mg,0~24 h间隔采集血样。以液相色谱串联质谱法(LC-MS/MS)测定血浆来那度胺浓度,用WinNonlin软件计算药动学参数。结果:建立的LC-MS/MS法在1~1000 ng·mL-1浓度范围内的线性关系良好,最低定量下限为1 ng·mL-1,批间及批内精密度(RSD)均小于15%。空腹口服受试和参比制剂后,血浆中来那度胺的主要药动学参数如下:受试制剂和参比制剂的Tmax分别为0.75[0.5,3]和0.75[0.5,2] h,Cmax分别为(529.20±150.24)和(492.10±157.45) ng·mL-1,t1/2分别为(3.31±0.59)和(3.24±0.56) h,AUC0-24 h分别为(1471.94±290.21)和(1446.96±289.91) h·ng·mL-1。餐后口服受试和参比制剂后,受试制剂和参比制剂的Tmax分别为3[0.5,4]和3[1.25,4] h,Cmax分别为(248.77±65.71)和(241.57±55.40) ng·mL-1,t1/2分别为(3.57±0.45)和(3.62±0.42) h,AUC0-24 h分别为(1227.55±285.04)和(1201.47±258.62) h·ng·mL-1。结论:建立的LC-MS/MS法准确可靠,国产来那度胺胶囊和参比制剂瑞复美具有人体生物等效性。Abstract: Objective:To investigate the bioequivalence of 2 formulations of lenalidomide capsules in Chinese healthy volunteers under fasting and postprandial conditions.Method:In a randomized two-way crossover study,30 healthy male volunteers were divided into two groups and were administrated orally with 25 mg of test or reference formulations under fasting and postprandial conditions.The blood samples were collected at several predetermined time intervals during 24 hours after administration.The plasma concentration of lenalidomide was determined by LC-MS/MS.The pharmacokinetic parameters were estimated using WinNonlin software.Result:The established LC-MS/MS method had linear calibration range over 1 to 1 000 ng·mL-1 with a LLOQ (limit of quantitation) of 1 ng·mL-1 for lenalidomide in human plasma.The inter- and intra-batch standard deviations were less than 15%.The pharmacokinetic parameters for the test and reference capsules under fasting conditions were as follows:Tmax 0.75 [0.5,3] and 0.75 [0.5,2] h,Cmax (529.20 ±150.24) and (492.10 ±157.45) ng·mL-1,t1/2 (3.31 ±0.59) and (3.24 ±0.56) h,AUC0-24 h (1 471.94 ±290.21) and (1 446.96 ±289.91) h·ng·mL-1.The pharmacokinetic parameters for the test and reference capsules under postprandial conditions were as follows:Tmax 3 [0.5,4] and 3 [1.25,4] h,Cmax (248.77±65.71) and (241.57±55.40) ng·mL-1,t1/2 (3.57±0.45) and (3.62±0.42) h,AUC0-24 h (1 227.55±285.04) and (1 201.47±258.62) h·ng·mL-1 respectively.Conclusion:The method is suitable for the pharmacokinetic study of lenalidomide capsules and the two preparations are bioequivalent.
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Key words:
- lenalidomide /
- bioequivalence /
- LC-MS/MS
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[1] Lenalidomide, (REVLIMID?) specification, Celgene Corporation公司.Revised:02/2015.
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[3] 国家食品药品监督管理局药品审评中心.生物等效性试验和等效性判断标准[S].2011.
[4] Chen N, Weiss D, Reyes J, et al.No clinically significant drug interactions between lenalidomide and P-glycoprotein substrates and inhibitors:results from controlled phase I studies in healthy volunteers[J].Cancer Chemother Pharmacol, 2014, 73:1031-1039.
[5] Weiss D, Knight R, Zhou S, et al.Evaluation of pharmacokinetic and pharmacodynamic interactions when lenalidomide is co-administered with warfarin in a randomized clinical trial setting[J].Clin Drug Investig, 2015, 35:455-461.
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