Objective To evaluate the bioequivalence and safety of the test and reference preparations of palbociclib capsules in Chinese healthy subjects under fasting and postprandial conditions.
Methods A single-center, randomized, open-label, two-drug, two-sequence and two-cycle crossover trial was designed. 32 healthy subjects were enrolled in the fasting trial and 28 healthy subjects were enrolled in the postprandial trial. The subjects were randomly assigned to two experimental groups (T-R group and R-T group), with a weekly administration of 125 mg each time. The concentration of palbociclib in plasma was determined by HPLC-MS/MS. The PK parameter set was obtained by Phoenix WinNonlin 8.3 software. The pharmacokinetic parameters of palbociclib capsules in each subject were calculated by noncompartmental model and statistically analyzed. The safety of clinical observation indexes of subjects was also evaluated.
Results In the fasting and postprandial trials, 31 and 28 subjects completed two cycles of dosing, respectively. The 90% confidence intervals of the geometric mean ratios of Cmax, AUC0-t and AUC0-∞ of the test preparation and the reference preparation were in the range of 80.00%-125.00%, and the two preparations were bioequivalent after taking palbociclib capsules under fasting and postprandial conditions. No serious adverse events occurred throughout the trial.
Conclusion The test and reference preparations of palbociclib capsules have bioequivalence and good safety in healthy Chinese volunteers under fasting and postprandial conditions.
1.McCain J. First-in-class CDK4/6 inhibitor palbociclib could usher in a new wave of combination therapies for HR+, HER2- breast cancer[J]. P T, 2015, 40(8): 511-520. DOI: 10.1159/000447417.
2.张帆,毛大华. CDK4/6抑制剂治疗HR阳性和HER2阴性晚期乳腺癌的作用机制研究进展[J].医学综述, 2021, 21(12): 2349-2353. [Zhang F, Mao DH. Research progress in mechanism of CDK4/6 inhibitor in treatment of HR positive and HER2 negative advanced breast cancer[J].Medical Review, 2021, 21(12): 2349-2353.] DOI: 10.3969/j.issn.1006-2084.2021.12.012.
3.李贝贝, 杨婷婷, 关萌, 等. HR+HER2—晚期乳腺癌内分泌治疗临床应用的研究进展[J].吉林大学学报(医学版), 2019, 19(3): 736-741. [Li BB, Yang TT, Guan M, et al. Research progress in clinical application of endocrine therapy for HR+ HER2 -advanced breast cancer[J]. Journal of Jilin University (Medical Science), 2019, 19(3): 736-741.] DOI: 10.13481/j.1671-587x.20190347.
4.Finn RS, Crown JP, Lang I, et al. The cyclin-dependent kinase 4/6 inhibitor palbociclib in combination with letrozole versus letrozole alone as first-line treatment of oestrogen receptor-positive, HER2-negative, advanced breast cancer (PALOMA-1/TRIO-18): a randomised phase 2 study[J]. Lancet Oncol, 2015, 16(1): 25-35. DOI: 10.1016/S1470-2045(14)71159-3.
5.赵临襄, 韩宇, 佟童. Palbociclib, Ribociclib, Abemaciclib的临床研究进展[J]. 实用药物与临床, 2019, 22(6): 658-663. [Zhao LX, Han Y, Tong T. Clinical research progress of palbociclib, ribociclib and abemaciclib[J]. Practical Pharmacy and Clinical Remedies, 2019, 22(6): 658-663.] DOI: 10.14053/j.cnki.ppcr.201906024.
6.国务院办公厅. 国务院办公厅关于开展仿制药质量和疗效一致性评价的意见[J]. 中国药物评价, 2016, 33(2): 2. DOI: 10.3969/j.issn.2095-3593.2016.02.002.
7.国家药品监督管理局.化学药物临床药代动力学研究技术指导原则[S]. 2005.
8.国家药品监督管理局.药物临床试验的生物统计学指导原则[S]. 2016.
9.国家药品监督管理局.以药动学参数为终点评价指标的化学药物仿制药人体生物等效性研究技术指导原则[S]. 2016.
10.US Food and Drug Administration. Draft guidance on palbociclib[S]. 2016.
11.康建磊, 王彦明. 首个CDK4/6抑制剂新药——Palbociclib[J]. 临床药物治疗杂志, 2016, 14(4): 87-90. [Kang JL, Wang YM. Palbociclib:a first-in-class CDK4/CDK6 inhibitor for the treatment of hormone-receptor positive advanced breast cancer[J]. Journal of Clinical Pharmacotherapy, 2016, 14(4): 87-90.] DOI: 10.3969/j.issn.1672-3384.2016.04.018.
12.Raman S, Polli JE. Prediction of positive food effect: Bioavailability enhancement of BCS class Ⅱ drugs-ScienceDirect[J]. Int J Pharm, 2016, 506(1-2): 110-115. DOI: 10.1016/j.ijpharm.2016.04.013.
13.Deng JY, Zhu X, Chen ZM, et al. A review of food-drug interactions on oral drug absorption[J]. Drugs, 2017, 77(17): 1833-1855. DOI: 10.1007/s40265-017-0832-z.
14.Chu NN, Zhang L, Wang J, et al. Bioequivalence study of palbociclib capsules in healthy Chinese subjects under fasting and fed conditions[J]. Clin Drug Investig, 2022, 42(1): 53-63. DOI: 10.1007/s40261-021-01103-9.