دورية أكاديمية

Pharmacokinetic Comparison of a Fixed-Dose Combination of Candesartan Cilexetil/Amlodipine/Atorvastatin Versus Co-administration of Individual Formulations in Healthy Participants.

التفاصيل البيبلوغرافية
العنوان: Pharmacokinetic Comparison of a Fixed-Dose Combination of Candesartan Cilexetil/Amlodipine/Atorvastatin Versus Co-administration of Individual Formulations in Healthy Participants.
المؤلفون: Kim JH; Clinical Trials Center, Chungnam National University Hospital, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea.; Department of Medical Science, Chungnam National University College of Medicine, Daejeon, Republic of Korea., Song JH; Clinical Trials Center, Chungnam National University Hospital, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea.; Department of Medical Science, Chungnam National University College of Medicine, Daejeon, Republic of Korea., Kim M; Pharmaceutical Research and Technology Development Center, Chong Kun Dang Pharmaceutical Corporation, Yongin, Gyeonggi, Republic of Korea., Hong JH; Clinical Trials Center, Chungnam National University Hospital, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea.; Department of Pharmacology, Chungnam National University College of Medicine, Daejeon, Republic of Korea., Sunwoo J; Clinical Trials Center, Chungnam National University Hospital, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea. swj4991@cnuh.co.kr., Jung JG; Department of Family Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea. jjg72@hanmail.net.; Department of Family Medicine, Chungnam National University College of Medicine, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea. jjg72@hanmail.net.
المصدر: Advances in therapy [Adv Ther] 2024 Jul; Vol. 41 (7), pp. 2808-2825. Date of Electronic Publication: 2024 May 21.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Health Communications Inc Country of Publication: United States NLM ID: 8611864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1865-8652 (Electronic) Linking ISSN: 0741238X NLM ISO Abbreviation: Adv Ther Subsets: MEDLINE
أسماء مطبوعة: Publication: New York : Springer Healthcare Communications, 2008- : Health Communications Inc.
Original Publication: Metuchen, N.J. : Health Communications Inc., c1984-
مواضيع طبية MeSH: Biphenyl Compounds*/pharmacokinetics , Biphenyl Compounds*/administration & dosage , Amlodipine*/pharmacokinetics , Amlodipine*/administration & dosage , Benzimidazoles*/pharmacokinetics , Benzimidazoles*/administration & dosage , Tetrazoles*/pharmacokinetics , Tetrazoles*/administration & dosage , Cross-Over Studies* , Drug Combinations* , Atorvastatin*/pharmacokinetics , Atorvastatin*/administration & dosage, Humans ; Male ; Adult ; Female ; Young Adult ; Area Under Curve ; Middle Aged ; Angiotensin II Type 1 Receptor Blockers/pharmacokinetics ; Angiotensin II Type 1 Receptor Blockers/administration & dosage ; Calcium Channel Blockers/pharmacokinetics ; Calcium Channel Blockers/administration & dosage ; Therapeutic Equivalency ; Antihypertensive Agents/pharmacokinetics ; Antihypertensive Agents/administration & dosage ; Heptanoic Acids/pharmacokinetics ; Heptanoic Acids/administration & dosage ; Healthy Volunteers
مستخلص: Introduction: Fixed-dose combinations (FDCs) of angiotensin II receptor blockers, calcium channel blockers, and statins are conventional therapeutic interventions prescribed for cardiovascular diseases. This study aimed at drawing a comparison between the pharmacokinetics and safety of an FDC and the corresponding individual formulations in healthy subjects.
Methods: A randomized, open-label, single-dose, three-sequence, three-period, partially repeated crossover study was conducted with a cohort of healthy volunteers. A 14-day washout period was maintained between each of the three periods. In this study, candesartan cilexetil, amlodipine, and atorvastatin was administered orally as FDCs of 16/10/40 mg in study 1 and 16/5/20 mg in study 2. The maximum plasma concentration (C max ) and area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC last ) of candesartan, amlodipine, and atorvastatin were estimated as the geometric mean ratios (GMRs) and 90% confidence intervals (CIs) of the FDC to individual formulations. If the within-subject coefficient of variation (CV wr ) of C max was greater than 0.3, the bioequivalence (BE) range calculated using the reference-scaled average bioequivalence was used to assess whether the 90% CI was within the BE range.
Results: The GMRs (90% CIs) for the AUC last for candesartan and amlodipine were 0.9612 (0.9158-1.0089)/0.9965 (0.9550-1.0397) and 1.0033 (0.9800-1.0271)/1.0067 (0.9798-1.0344), and the GMRs (90% CIs) for C max were 0.9600 (0.8953-1.0294)/0.9851 (0.9368-1.0359) and 1.0198 (0.9950-1.0453)/1.0003 (0.9694-1.0321) in studies 1 and 2, respectively. The extended BE ranges calculated from the CV wr of the C max of atorvastatin were 0.7814-1.2797 and 0.7415-1.3485, respectively. The GMRs (90% CIs) for the AUC last of atorvastatin were 1.0532 (1.0082-1.1003)/1.0252 (0.9841-1.0680), and the GMRs (90% CIs) for C max were 1.0630 (0.9418-1.1997)/0.9888 (0.8792-1.1120) in studies 1 and 2, respectively.
Conclusion: The C max and AUC last values of candesartan cilexetil/amlodipine/atorvastatin 16/10/40 mg and 16/5/20 mg, respectively, were within the BE ranges. There were no clinically significant differences in safety between the two formulations.
Trial Registration: ClinicalTrials.gov identifier, study 1: NCT04478097; study 2: NCT04627207.
(© 2024. The Author(s).)
References: Clin Pharmacokinet. 2002;41(1):7-17. (PMID: 11825094)
Pharmacoepidemiol Drug Saf. 2015 Jun;24(6):637-46. (PMID: 25858336)
Br J Gen Pract. 2012 Mar;62(596):163-4. (PMID: 22429432)
Hypertension. 1995 Jan;25(1):14-21. (PMID: 7843746)
Pharm Res. 2008 Jan;25(1):237-41. (PMID: 17891552)
Clin Pharmacokinet. 1992 Jan;22(1):22-31. (PMID: 1532771)
Circ Cardiovasc Qual Outcomes. 2009 Mar;2(2):65-72. (PMID: 20031817)
Circulation. 2017 Sep 19;136(12):1087-1098. (PMID: 28687710)
Blood Press Suppl. 2001;(3):5-10. (PMID: 11683476)
BMJ. 2021 Jul 14;374:n1537. (PMID: 34261627)
Am J Hypertens. 1999 Dec;12(12 Pt 1-2):1181-7. (PMID: 10619580)
Circulation. 2019 Jun 18;139(25):e1082-e1143. (PMID: 30586774)
BMC Res Notes. 2014 Jun 05;7:340. (PMID: 24897943)
Drugs. 2007;67 Suppl 1:63-9. (PMID: 17910522)
BMJ. 2009 Dec 22;339:b4904. (PMID: 20028777)
Lancet. 2012 Jul 7;380(9836):37-43. (PMID: 22579043)
Int J Clin Pharmacol Ther. 2005 Oct;43(10):485-98. (PMID: 16240706)
Drug Des Devel Ther. 2018 Aug 10;12:2475-2483. (PMID: 30127595)
Kidney Int Suppl. 1996 Jun;55:S24-9. (PMID: 8743506)
Clin Pharmacol Drug Dev. 2020 Apr;9(3):386-394. (PMID: 31373174)
J Hypertens. 2023 Dec 1;41(12):1874-2071. (PMID: 37345492)
Drugs Aging. 2014 May;31(5):379-86. (PMID: 24687310)
Curr Med Chem. 2010;17(6):571-84. (PMID: 20015034)
Transl Med UniSa. 2016 Jan 31;13:59-64. (PMID: 27042434)
Drug Dev Ind Pharm. 2013 Sep;39(9):1296-9. (PMID: 23030309)
Transl Clin Pharmacol. 2017 Dec;25(4):190-195. (PMID: 32095474)
BMJ. 2012 Oct 04;345:e6341. (PMID: 23036829)
Clin Pharmacokinet. 2003;42(13):1141-60. (PMID: 14531725)
J Am Geriatr Soc. 2017 Apr;65(4):747-753. (PMID: 27991653)
Arch Intern Med. 2005 May 23;165(10):1147-52. (PMID: 15911728)
Clin Pharmacol Ther. 1999 Aug;66(2):118-27. (PMID: 10460065)
N Engl J Med. 2017 Aug 24;377(8):745-755. (PMID: 28834469)
Acta Clin Belg. 2016 Jun;71(3):158-66. (PMID: 27105401)
Clin Pharmacol Drug Dev. 2021 Feb;10(2):190-197. (PMID: 32388918)
J Comp Eff Res. 2018 Jul;7(7):651-660. (PMID: 29888950)
Korean J Intern Med. 2021 Jan;36(1):124-134. (PMID: 32088938)
Clin Pharmacol Ther. 1998 Jul;64(1):58-65. (PMID: 9695720)
Drug Des Devel Ther. 2019 May 13;13:1623-1632. (PMID: 31190741)
J Hypertens. 2023 Sep 1;41(9):1466-1473. (PMID: 37432906)
Pharmacoepidemiol Drug Saf. 2017 Feb;26(2):192-200. (PMID: 27935150)
Drug Des Devel Ther. 2020 May 20;14:1953-1961. (PMID: 32546962)
JAMA Cardiol. 2017 May 1;2(5):581-582. (PMID: 28199457)
Fam Pract. 2007 Feb;24(1):14-9. (PMID: 17164234)
N Engl J Med. 2015 Nov 26;373(22):2103-16. (PMID: 26551272)
فهرسة مساهمة: Keywords: Amlodipine; Atorvastatin; Candesartan cilexetil; Fixed-dose combination; Pharmacokinetics
سلسلة جزيئية: ClinicalTrials.gov NCT04478097; NCT04627207
المشرفين على المادة: 0 (Biphenyl Compounds)
1J444QC288 (Amlodipine)
0 (Benzimidazoles)
0 (Tetrazoles)
0 (Drug Combinations)
A0JWA85V8F (Atorvastatin)
R85M2X0D68 (candesartan cilexetil)
0 (Angiotensin II Type 1 Receptor Blockers)
0 (Calcium Channel Blockers)
0 (Antihypertensive Agents)
0 (Heptanoic Acids)
تواريخ الأحداث: Date Created: 20240521 Date Completed: 20240628 Latest Revision: 20240701
رمز التحديث: 20240701
مُعرف محوري في PubMed: PMC11213815
DOI: 10.1007/s12325-024-02869-y
PMID: 38771476
قاعدة البيانات: MEDLINE
الوصف
تدمد:1865-8652
DOI:10.1007/s12325-024-02869-y