The effect of the composition of a fixed dose combination on bioequivalence results

Int J Pharm. 2018 Jul 30;546(1-2):235-246. doi: 10.1016/j.ijpharm.2018.05.030. Epub 2018 May 26.

Abstract

The purpose of this work was to develop a new supergeneric product Meloxicam/Omeprazole. Such a combination brings a benefit in terms of decreasing side effects for the patients using meloxicam. The new combination is composed of a meloxicam powder blend (MPB) and omeprazole gastro-resistant pellets (OAP) in hard gelatin capsules. The main tasks were to select the excipients to keep the functional layer of OAP active and to prove the bioequivalence to the original products of meloxicam tablets together with omeprazole capsules. Although dissolution profiles similar to the original product were obtained, the unexpected results of omeprazole low bioavailability in the fed bioequivalence study (BES I) showed the necessity to investigate the formulation in greater depth. A modified more complex dissolution method was developed in order to understand the release of omeprazole under gastric conditions. This method revealed the degradation of omeprazole in the formulation when exposed to the fed conditions because of the increase in microenvironmental pH in the capsule caused by trisodium citrate, commonly used for improving solubility of meloxicam. This pH increase dissolved the gastro-resistant layer of OAP and caused the chemical degradation. To prevent this effect, a trisodium citrate-free formulation was developed. Reformulated capsules passed the repeated fed bioequivalence study (BES II).

Keywords: Bioequivalence study; Biorelevant dissolution; Meloxicam; Omeprazole; Supergeneric product.

Publication types

  • Clinical Trial

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal* / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal* / chemistry
  • Anti-Inflammatory Agents, Non-Steroidal* / pharmacokinetics
  • Anti-Ulcer Agents* / administration & dosage
  • Anti-Ulcer Agents* / chemistry
  • Anti-Ulcer Agents* / pharmacokinetics
  • Capsules
  • Chemistry, Pharmaceutical
  • Citrates / chemistry
  • Cross-Over Studies
  • Drug Combinations
  • Drug Liberation
  • Excipients / chemistry
  • Female
  • Gelatin / chemistry
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Meloxicam
  • Omeprazole* / administration & dosage
  • Omeprazole* / chemistry
  • Omeprazole* / pharmacokinetics
  • Powders
  • Therapeutic Equivalency
  • Thiazines* / administration & dosage
  • Thiazines* / chemistry
  • Thiazines* / pharmacokinetics
  • Thiazoles* / administration & dosage
  • Thiazoles* / chemistry
  • Thiazoles* / pharmacokinetics

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Anti-Ulcer Agents
  • Capsules
  • Citrates
  • Drug Combinations
  • Excipients
  • Powders
  • Thiazines
  • Thiazoles
  • trisodium citrate
  • Gelatin
  • Omeprazole
  • Meloxicam