A randomized, open-label, two-cycle, two-crossover phase I clinical trial comparing the bioequivalence and safety of afatinib and Giotrif® in healthy Chinese subjects

Abstract

Objective: Afatinib is an oral, irreversible ErbB family blocker. It binds covalently to the kinase domains of epidermal growth factor (EGFR), HER2 and HER4, resulting in irreversible inhibition of tyrosine kinase autophosphorylation. Our trial compared the bioequivalence and safety between afatinib produced by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. and Giotrif^® produced by Boehringer Ingelheim.

Methods: Healthy Chinese subjects (N = 36) were randomly divided into two groups at a ratio of 1:1. There was a single dose per period of afatinib and Giotrif^®. The washout was set as 14 days. Plasma drug concentrations of afatinib and Giotrif^® were analyzed by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Statistical analysis of major pharmacokinetic (PK) parameters was conducted to assess drug bioequivalence. In addition, we evaluated the safety of the drugs throughout the trial.

Results: The geometric mean ratios (GMRs) of C_max, AUC_0-t, and AUC_0-∞ for afatinib and Giotrif^® were 102.80%, 101.83%, and 101.58%, respectively. The 90% confidence intervals (CIs) were all within 80%-125%, meeting the bioequivalence standards. In addition, both drugs showed a good safety profile during the trial.

Conclusion: This study showed that afatinib was bioequivalent to Giotrif^® in healthy Chinese subjects with well safety.

Chinese clinical trial registry: This trial is registered at the Chinese Clinical Trial website ( http://www.chinadrugtrials.org.cn/index.html # CTR20171160).

Keywords: Afatinib; Bioequivalence; Epidermal growth factor; Generic drug; Lung cancer.