Evaluation of reference-scaled average bioequivalence of two oral formulations of abiraterone acetate in healthy Chinese subjects

Int J Clin Pharmacol Ther. 2018 Nov;56(11):562-570. doi: 10.5414/CP203295.

Abstract

Objective: This study was designed to evaluate the pharmacokinetic (PK) properties and bioequivalence (BE) of two 250-mg tablet formulations of abiraterone acetate: a newly developed generic formulation (test) and a branded formulation (reference) in healthy adult Chinese subjects under fasted (n = 40) and fed (n = 40) conditions.

Materials and methods: The comparison was performed using a single-dose, open, randomized, and four-way replicate study. The concentration of abiraterone in blood samples taken over 48 hours was determined by liquid chromatography tandem mass spectrometry (LC-MS/MS). To assess the BE of the test and reference formulations, confidence intervals (CI, 90%) for the peak plasma concentration (Cmax) and area under the concentration-time curves (AUC0-t and AUC0-∞) were calculated using the reference-scaled average bioequivalence (RSABE) method.

Results: The results showed that the 90% CIs for the ratios of Cmax, AUC0-t, and AUC0-∞ in the fasted study were 90.14 - 114.11, 93.96 - 115.07, and 93.72 - 113.331, respectively. For the fed study, the 90% CIs were 81.83 - 102.51, 91.51 - 104.89, and 91.46 - 104.58, respectively.

Conclusion: In conclusion, the tested 250-mg abiraterone tablets were bioequivalent to 250-mg Zytiga tablets (reference) under both fasted and fed conditions. In addition, food intake increased the systemic exposure and Cmax of abiraterone by 3-fold and 7-fold, respectively. .

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Abiraterone Acetate / adverse effects
  • Abiraterone Acetate / pharmacokinetics*
  • Adolescent
  • Adult
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / pharmacokinetics*
  • Area Under Curve
  • Cross-Over Studies
  • Drug Compounding
  • Fasting
  • Food-Drug Interactions
  • Healthy Volunteers
  • Humans
  • Male
  • Middle Aged
  • Reference Values
  • Tablets
  • Therapeutic Equivalency
  • Young Adult

Substances

  • Antineoplastic Agents
  • Tablets
  • Abiraterone Acetate