目的研究屈螺酮炔雌醇片的生物利用度,评价其生物等效性。方法用两药物、两周期、交叉试验设计。34名健康女性受试者随机分为2组,单剂量口服试验药物或参比药物2片。用HPLC-MS/MS法分别测定血浆中屈螺酮及炔雌醇的浓度,用Phoenix Win Nonlin 6.1软件计算屈螺酮及炔雌醇的药代动力学参数,并进行生物等效性评价。结果试验药物和参比药物中屈螺酮的主要药代动力学参数:Cmax分别为(69.6±16.6),(71.6±15.9)μg·L-1,tmax分别为(1.6±0.7),(1.5±0.7)h,AUClast分别为(845.2±229.1),(831.3±217.8)μg·L-1·h,AUCinf分别为(968.6±233.3),(965.5±243.1)μg·L-1·h,t1/2分别为(30.8±5.9),(31.8±7.2)h,试验药物对参比药物的相对生物利用度Flast为(102.4±14.0)%,Finf为(101.6±13.2)%。试验药物和参比药物中炔雌醇的主要药代动力学参数:Cmax分别为(139.6±49.7),(131.0±45.1)ng·L-1,tmax分别为(1.6±0.4),(1.7±0.5)h,AUClast分别为(1256.3±408.3),(1205.6±440.7)ng·L-1·h,AUCinf为(1420.9±429.8),(1403.3±495.3)ng·L-1·h,t1/2分别为(12.4±3.1),(13.5±5.6)h,试验药物对参比药物的相对生物利用度Flast为(110.3±34.0)%,Finf为(107.2±31.7)%。结论试验药物和参比药物在中国健康女性体内具有生物等效性。
Objective To evaluate the bioavailability of drospirenone and ethinylestradiol tablets, and to assess its bioequivalence in Chinese healthy volunteers. Methods A two drugs, two periods, crossover trial was designed, a single oral dose of subject drug and 6 mg drospirenone - 0. 06 mg ethinyloestradiol was given to thirty -four healthy female volun- teers, respectively. The concentrations of drospirenone and ethinylestra- diol in plasma were determined by HPLC -MS/MS. The pharmaeokine- tic parameters of drospirenone and ethinylestradiol were calculated and analyzed by WinNonlin 6. 1 software. Results The main pharmacokinet- ics parameters of drospirenone in subject drug and reference drug were as follow: Cmax were (69.6 ± 16.6), (71.6 ±15.9)μg · L-1· h, were (1.6± 0.7), (1.5 ± 0.7) h, AUClast were (845.2 ± 229.1), (831.3 ±217.8)μg · L-1· h, AUCinf were (968.6 ± 233.3 ), (965.5 ±243.1 ) μg · L-1· h; tl/2 were (30.8±5.9) and(31.8 ±7.2) h, the relative bioavailability of subject drug were as follow: Flast was ( 102. 4 ± 14.0) %, Finf,fwas ( 101.6 ± 13.2) %. The main pharmacokinetics parameters of ethinyloestradiol in subject drug and reference drug were as follow: : Cmax were (139.6 ±49.7), (131.0± 45.1)ng · L-1, tmax were (1.6+0.4), (1.7 +0.5) h, AUClet, were (1256.3±408.3), (1205.6 ±440.7) ng· L-1 · h, AUCi.f were ( 1420.9 ± 429.8), ( 1403.3 ± 495.3 ) ng· L- 1· h 1/2 were ( 12. 4 ±3.1 ), ( 13.5 ± 5.6) h, the relative bioavail- ability of subject drug were as follow : follow ( 110. 3 ± 34.0) %, Finf was ( 107.2 ± 31.7 ) %. Conclusion Subject drug and reference drug have bioequivalence.