Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets

Zeying Feng,1,2,* Yaxin Liu,1,2,* Yun Kuang,2 Shuang Yang,2 Jinlei Li,2 Ling Ye,2 Jie Huang,2 Qi Pei,3 Yuanyuan Huang,1,4 Guoping Yang1– 3 1XiangYa School of Pharmaceutical Sciences, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 2Center of Clinical Ph...

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Main Authors: Feng Z, Liu Y, Kuang Y, Yang S, Li J, Ye L, Huang J, Pei Q, Huang Y, Yang G
Format: Article
Language:English
Published: Dove Medical Press 2022-01-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/open-label-phase-i-pharmacokinetic-studies-in-healthy-chinese-subjects-peer-reviewed-fulltext-article-DDDT
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author Feng Z
Liu Y
Kuang Y
Yang S
Li J
Ye L
Huang J
Pei Q
Huang Y
Yang G
author_facet Feng Z
Liu Y
Kuang Y
Yang S
Li J
Ye L
Huang J
Pei Q
Huang Y
Yang G
author_sort Feng Z
collection DOAJ
description Zeying Feng,1,2,* Yaxin Liu,1,2,* Yun Kuang,2 Shuang Yang,2 Jinlei Li,2 Ling Ye,2 Jie Huang,2 Qi Pei,3 Yuanyuan Huang,1,4 Guoping Yang1– 3 1XiangYa School of Pharmaceutical Sciences, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 2Center of Clinical Pharmacology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 3Department of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 4Clinical Research and Develpment Division II, Jiangsu Hengrui Medicine Co., Ltd., Shanghai, 201200, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yuanyuan HuangClinical Research and Develpment Division II, Jiangsu Hengrui Medicine Co., Ltd., 1288 Haike Road, Pudong District, Shanghai, 201200, People’s Republic of ChinaEmail yuanyuan.huang@hengrui.comGuoping YangThe Third Xiangya Hospital, Central South University, Yinpenling Street, Yuelu District, Changsha, Hunan, 410013, People’s Republic of ChinaTel +86 731-89918665Fax +86 731-88618326Email ygp9880@126.comPurpose: Abiraterone acetate tablets (I)(N-AbA) is a novel tablet co-formulated with the absorption enhancer sodium N-(8-[2-hydroxybenzoyl] amino) caprylate (SNAC). This study aimed to compare the pharmacokinetics, bioequivalence, safety, and food effects of N-AbA with the reference ZYTIGA® (R-AbA) in healthy Chinese male subjects.Patients and Methods: This study was conducted in three parts. Part I was an open, dose-escalation trial conducted in 16 Chinese healthy males; Part II was a randomized, open-label, 2 × 4 crossover, single-dose bioequivalence trial conducted in 36 subjects; Part III was a randomized, 3 × 3 crossover trial conducted on 24 volunteers to investigate the effect of food on the pharmacokinetics of N-AbA.Results: The exposure (AUC0-∞) and maximum concentration (Cmax) of abiraterone and excipient SNAC were linear in the range of 75– 450 mg dose. The bioavailability of N-AbA 300 mg was equivalent to that of R-AbA 1000 mg. The drug exposure of prednisone and prednisolone was not affected by SNAC co-administration. The Cmax of orally administered abiraterone as R-AbA in a modified fed state was 5.9 times and AUC0-∞ was 4.3 times, respectively, higher than those in of orally administered abiraterone as N-AbA in a high-fat diet. The Cmax and AUC0-∞ of orally administered abiraterone as N-AbA on a high-fat diet were 2.2 times and 2 times, respectively, higher than those on a fasting state. All adverse events reported in the three parts of the study were grade 1 or 2, and no serious adverse events were reported.Conclusion: These three Phase I trials showed that N-AbA and excipient SNAC had excellent linear pharmacokinetic characteristics. A single dose of N-AbA 300 mg was bioequivalent to R-AbA 1000 mg in healthy subjects under fasting conditions. Meanwhile, SNAC had no effect on the pharmacokinetics of prednisone and prednisolone. The effect of food on N-AbA was significantly lower than that on R-AbA.Keywords: food effect, pharmacokinetics, abiraterone acetate, bioequivalence
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spelling doaj.art-36757c3c2b974da3b7556697d4eacc1b2022-12-22T04:15:18ZengDove Medical PressDrug Design, Development and Therapy1177-88812022-01-01Volume 1631271974Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate TabletsFeng ZLiu YKuang YYang SLi JYe LHuang JPei QHuang YYang GZeying Feng,1,2,* Yaxin Liu,1,2,* Yun Kuang,2 Shuang Yang,2 Jinlei Li,2 Ling Ye,2 Jie Huang,2 Qi Pei,3 Yuanyuan Huang,1,4 Guoping Yang1– 3 1XiangYa School of Pharmaceutical Sciences, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 2Center of Clinical Pharmacology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 3Department of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 4Clinical Research and Develpment Division II, Jiangsu Hengrui Medicine Co., Ltd., Shanghai, 201200, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yuanyuan HuangClinical Research and Develpment Division II, Jiangsu Hengrui Medicine Co., Ltd., 1288 Haike Road, Pudong District, Shanghai, 201200, People’s Republic of ChinaEmail yuanyuan.huang@hengrui.comGuoping YangThe Third Xiangya Hospital, Central South University, Yinpenling Street, Yuelu District, Changsha, Hunan, 410013, People’s Republic of ChinaTel +86 731-89918665Fax +86 731-88618326Email ygp9880@126.comPurpose: Abiraterone acetate tablets (I)(N-AbA) is a novel tablet co-formulated with the absorption enhancer sodium N-(8-[2-hydroxybenzoyl] amino) caprylate (SNAC). This study aimed to compare the pharmacokinetics, bioequivalence, safety, and food effects of N-AbA with the reference ZYTIGA® (R-AbA) in healthy Chinese male subjects.Patients and Methods: This study was conducted in three parts. Part I was an open, dose-escalation trial conducted in 16 Chinese healthy males; Part II was a randomized, open-label, 2 × 4 crossover, single-dose bioequivalence trial conducted in 36 subjects; Part III was a randomized, 3 × 3 crossover trial conducted on 24 volunteers to investigate the effect of food on the pharmacokinetics of N-AbA.Results: The exposure (AUC0-∞) and maximum concentration (Cmax) of abiraterone and excipient SNAC were linear in the range of 75– 450 mg dose. The bioavailability of N-AbA 300 mg was equivalent to that of R-AbA 1000 mg. The drug exposure of prednisone and prednisolone was not affected by SNAC co-administration. The Cmax of orally administered abiraterone as R-AbA in a modified fed state was 5.9 times and AUC0-∞ was 4.3 times, respectively, higher than those in of orally administered abiraterone as N-AbA in a high-fat diet. The Cmax and AUC0-∞ of orally administered abiraterone as N-AbA on a high-fat diet were 2.2 times and 2 times, respectively, higher than those on a fasting state. All adverse events reported in the three parts of the study were grade 1 or 2, and no serious adverse events were reported.Conclusion: These three Phase I trials showed that N-AbA and excipient SNAC had excellent linear pharmacokinetic characteristics. A single dose of N-AbA 300 mg was bioequivalent to R-AbA 1000 mg in healthy subjects under fasting conditions. Meanwhile, SNAC had no effect on the pharmacokinetics of prednisone and prednisolone. The effect of food on N-AbA was significantly lower than that on R-AbA.Keywords: food effect, pharmacokinetics, abiraterone acetate, bioequivalencehttps://www.dovepress.com/open-label-phase-i-pharmacokinetic-studies-in-healthy-chinese-subjects-peer-reviewed-fulltext-article-DDDTfood effectpharmacokineticsabiraterone acetatebioequivalence
spellingShingle Feng Z
Liu Y
Kuang Y
Yang S
Li J
Ye L
Huang J
Pei Q
Huang Y
Yang G
Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
Drug Design, Development and Therapy
food effect
pharmacokinetics
abiraterone acetate
bioequivalence
title Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
title_full Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
title_fullStr Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
title_full_unstemmed Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
title_short Open-Label, Phase I, Pharmacokinetic Studies in Healthy Chinese Subjects to Evaluate the Bioequivalence and Food Effect of a Novel Formulation of Abiraterone Acetate Tablets
title_sort open label phase i pharmacokinetic studies in healthy chinese subjects to evaluate the bioequivalence and food effect of a novel formulation of abiraterone acetate tablets
topic food effect
pharmacokinetics
abiraterone acetate
bioequivalence
url https://www.dovepress.com/open-label-phase-i-pharmacokinetic-studies-in-healthy-chinese-subjects-peer-reviewed-fulltext-article-DDDT
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