Abstract:
Objective: To study the bioequivalence of amoxicillin capsules in healthy Chinese subjects.
Methods: A single-center, open-label, randomized, two-formulation, two-period, two-sequence crossover trial was designed.A total of 48 subjects(24 in each fasting and postprandial trial)were orally administered 0.25 g of amoxicillin capsule test formulation or reference formulation.High performance liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was used to determine the plasma concentration of amoxicillin at different times after administration, and the main pharmacokinetic parameters were calculated to determine whether the two formulations were equivalent.
Results: The fasting trial showed the maximum plasma concentration (
Cmax)of the test formulation and the reference formulation of amoxicillin were (5, 483.296±1, 321.102) ng/mL and(5, 611.291±1, 659.407) ng/mL, respectively; the area under the concentration-time curve from time 0 to time t(AUC
0-t)were(13, 255.3±1, 715.7)h·ng/mL and(13, 115.5±2, 091.7)h·ng/mL, respectively; the AUC from time 0 to infinity (AUC
0-∞) were (13, 329.4±1, 718.8) h·ng/mL and (13, 192.7±2, 107.1) h·ng/mL, respectively; both of their T
max was 1.38 h.The postprandial trial showed the C
max of the test formulation and the reference formulation of amoxicillin were
Cmax were (4, 218.072±780.598) ng/mL and (4, 156.713±877.752) ng/mL, respectively; AUC
0-t were (13, 073.9±1, 584.3) h·ng/mL and (12, 817.8±1, 575.5) h·ng/mL, respectively; AUC
0-∞were (13, 166.8±1, 606.0) h·ng/mL and (12914.8±1587.2) h·ng/mL, respectively; both of their T
max was 3.00 h.The 90% confidence intervals (
CI) of the geometric mean ratios of
Cmax, AUC
0-t and AUC
0-∞of the two preparations were all within the acceptable bioequivalence range (80%-125%).
Conclusion: The absorption rate and degree of two amoxicillin capsules are bioequivalent in Chinese healthy subjects.