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Antimicrobial Agents and Chemotherapy, January 1999, p. 134-140, Vol. 43, No. 1
Instituto Nacional de Câncer,
Received 20 March 1998/Returned for modification 21 August
1998/Accepted 29 September 1998
The extensive interindividual variability in oral bioavailability
of itraconazole prompted an assessment of the bioequivalence of two
formulations marketed in Brazil, namely, Sporanox (reference) and
Traconal (test). Eighteen healthy volunteers received single 200-mg
oral doses of each formulation at 2-week intervals in a randomized,
crossover protocol. The concentrations of itraconazole and
hydroxy-itraconazole in plasma were measured by high-performance liquid
chromatography, and the datum points (n = 396) were
subsequently used to develop limited-sampling strategy models for
estimation of the areas under the curve (AUCs) for both compounds. The
90% confidence intervals for individual percent ratios (test/reference formulations) of the maximum concentration of drug in serum, the AUC
from 0 to 48 h and the AUC from time zero to infinity
(AUC0-
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Limited-Sampling Strategy Models for Itraconazole
and Hydroxy-Itraconazole Based on Data from a Bioequivalence
Study
) for itraconazole and hydoxy-itraconazole were
below the range of 80 to 125%, suggesting that these formulations are
not bioequivalent. Linear regression analysis of the
AUC0-
against time and a "jackknife" validation
procedure revealed that models based on three sampling times accurately
predict (R2, >0.98; bias, <3%; precision, 3 to 7%) the AUC0-
for each of the four
formulation-compound pairs tested. Increasing the number of sampling
points to more than three adds little to the accuracy of the estimates
of AUC0-
. The three-point models developed for the
reference formulation were validated retrospectively and were found to
predict within 2% the AUC0-
reported in previous
studies performed under similar protocols. In conclusion, the data in
this study indicate (i) that the tested formulations are not
bioequivalent when single doses are compared and (ii) that
limited-sampling strategy models based on three points predict
accurately the AUC0-
s for itraconazole and
hydroxy-itraconazole and could be a valuable tool in pharmacokinetic and bioequivalence studies of single oral doses of itraconazole.
*
Corresponding author. Mailing address: Instituto
Nacional de Câncer-CPQ, Praça da Cruz Vermelha 23/4°, Rio
de Janeiro, RJ 20130-230, Brazil. Phone: 5521 506-6275. Fax: 5521 509-2004. E-mail: kurtz{at}inca.org.br.
Antimicrobial Agents and Chemotherapy, January 1999, p. 134-140, Vol. 43, No. 1
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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