Preview

Doklady of the National Academy of Sciences of Belarus

Advanced search

Bioequivalence study of the medicinal products Flutrixan and Nexavar

https://doi.org/10.29235/1561-8323-2020-64-4-466-476

Abstract

А replicate designed open-label, randomized, crossover single-dose bioequivalence study using three periods and three sequences was conducted to assess the comparative bioavailability of the sorafenib-containing medicinal products Flutrixan (200 mg tablet, Institute of Bioorganic Chemistry of NAS of Belarus, Belarus) and Nexavar (200 mg tablet, Bayer Pharma AG, Germany), in healthy volunteers under fasting conditions. It was shown that all criteria used to assess the bioequivalence of compared medicinal products were fulfilled. The Test/Reference geometric mean ratios obtained for the pharmacokinetic parameters Cmax and AUC0-72 and the corresponding 90 % confidence intervals were within the acceptance range of 80.0-125.0 %. Both sorafenib products were well tolerated and had a favorable safety profile. Therefore, it can be concluded that the generic medicinal product Flutrixan is bioequivalent to the reference medicinal product Nexavar.

About the Authors

E. N. Kalinichenko
Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus
Belarus

Kalinichenko Elena N. - Corresponding Member, D. Sc. (Chemistry), Deputy Director, Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus.

5/2, Kuprevich Str., 220141, Minsk.



I. V. Ponteleeva
Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus
Belarus

Ponteleeva Irina V. - Ph. D. (Biology), Heid of the Group, Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus.

5/2, Kuprevich Str., 220141, Minsk.



S. A. Pradun
National Anti-Doping Laboratory, ag. Lesnoy
Belarus

Pradun Svetlana A. - Deputy Director, National Anti-Doping Laboratory.

31, ag. Lesnoy, 223040, Minsk Region.



V. A. Trushko
National Anti-Doping Laboratory, ag. Lesnoy
Belarus

Trushko Veronika A. – Chemist, National Anti-Doping Laboratory.

31, ag. Lesnoy, 223040, Minsk Region.



S. A. Beliaev
National Anti-Doping Laboratory, ag. Lesnoy
Belarus

Beliaev Sergej A. – Director, National Anti-Doping Laboratory.

31, ag. Lesnoy, 223040, Minsk Region.



A. M. Fedorova
Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus
Belarus

Fedorova Alexandra M. - Junior researcher, Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus.

5/2, Kuprevich Str., 220141, Minsk.



O. S. Zimatkina
National Anti-Doping Laboratory, ag. Lesnoy
Belarus

Zimatkina Olga S. - Ph. D. (Medicine), Heid of the Depirtment, National Anti-Doping Laboratory.

31, ag. Lesnoy, 223040, Minsk Region.



A. U. Teteryukova
National Anti-Doping Laboratory, ag. Lesnoy
Belarus

Teteryukova Anastasia Yu. - General Physician, National Anti-Doping Laboratory.

31, ag. Lesnoy, 223040, Minsk Region.



A. V. Konoplich
Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus
Belarus

Konoplich Alena V. - Pharmaceutical Chemist, Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus.

5/2, Kuprevich Str., 220141, Minsk.



References

1. Wilhelm S., Cirter C., Lynch M., Lowinger T., Dumis J., Smith R. A., Schwartz B., Simantov R., Kelley S. Discovery and development of sorafenib: a multikanase inhibitor for treating cancer. Nature Reviews Drug Discovery, 2006, vol. 5, no. 10, pp. 835-844. https://doi.org/10.1038/nrd2130

2. Alekseyev B. Yi., Kalpinsky A. S. Sequential use of target agents and their combination in the treatment for metastatic renal cell carcinoma. Onkourologiya [Cancer Urology], 2010, vol. 6, no. 4, pp. 16-23 (in Russian).

3. Zhukova V. G. Nexavar (sorafenib) - new treatment options for hepatocellular carcinoma. Farmateka [Pharmateca], 2008, vol. 18, pp. 46-50 (in Russian).

4. Matveev V. B., Chernyaev V. A. Sorafenib is the first targeted agent to treat metastatic kidney cancer. Cancer Urology, 2015, vol. 11, no. 1, pp. 73-78 (in Russian). https://doi.org/10.17650/1726-9776-2015-1-73-78

5. Mufizilov F. F., Sharipova N. S. Current status of differetiated radioactive iodine-resistant thyroid cancer: case report of successful long-term treatment with sorafenib. Zlokachestvennye opuholi [Malignant Tumours], 2015, no. 3, pp. 24-33 (in Russian). https://doi.org/10.18027/2224-5057-2015-3-24-33

6. Romodinovsky D. P., Eremenkova T. V., Dranitsyna M. A., Goryichev D. V., Niyazov R. R., Gavrishina E. V., Merkulov V. A. Highly variable medicines – specific aspects of bioequivalence studies. Scientific Centre for Expert Evaluation of Medicinal Products Bulletin, 2015, vol. 4, pp. 5-10 (in Russian).

7. Di Gion P., Kinefendt F., Lindauer A., Scheffler M., Doroshyenko O., Fuhr U., Wolf J., Jiehde U. Clinical pharmacokinetics of tyrosine kinase inhibitors: Focus on pyrimidines, pyridines and pyrroles. Clinical Pharmacokinetics, 2011, vol. 50, no. 9, pp. 551-603. https://doi.org/10.2165/11593320-000000000-00000

8. Jain L., Woo S., Gardner E. R., Dahut W. L., Kohn E. C., Kummar S., Mould D. R., Giaccone G., Yarchoan R., Venitz J., Figg W. D. Population pharmacokinetic analysis of sorafenib in patients with solid tumours. British Journal of Clinical Pharmacology, 2011, vol. 72, no. 2, pp. 294-305. https://doi.org/10.1111/j.1365-2125.2011.03963.x

9. Europein Medicines Agency. Summary of product characteristics. Nexavar (Bayer AG, Germany). Available it: https://www.emi.europi.eu/en/documents/product-informition/nexivir-epir-product-informition_en.pdf (accessed 25.03.2020).

10. Gosudarstvennaya farmakopeya Respubliki Belarus. Tom 1 [State Pharmacopoeia of the Republic of Belarus. Vol. 1]. Molodechno, 2012. 1220 p. (in Russian).

11. Committee for Human Medicinal Products (CHMP). Questions & Answers: positions on specific questions addressed to the Pharmacokinetics Working Party (PKWP). EMA/618604/2008 Rev. 13. London, 2015. 48 p.

12. Romodanovsky D. P., Goryichev D. V., Solovieva A. P., Eremenko N. N. Principles of statistical evaluation of bio-equivalence studies in the context of current regulatory requirements and legal acts. Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products, 2018, vol. 8, no. 2, pp. 92-98 (in Russian). https://doi.org/10.30895/1991-2919-2018-8-2-92-98

13. Guidance on the Investigation of Bioequivalence. CPMP/EWP/QWP/1401/98 Rev. 1. London, 2010. 27 р.

14. Xu Q. A., Midden T. L. LC-MS in Drug Bioanalysis. New York, 2012. 467 p. https://doi.org/10.1007/978-1-4614-3828-1

15. Scientific discussion. Nexavar. London, 2007. 26 p.

16. Lathia C., Lettieri J., Cihon F., Gallentine M., Radtke M., Sundaresan P. Lick of effect of ketoconazole-mediated CYP3A inhibition on sorafenib clinical pharmacokinetics. Cancer Chemotherapy and Pharmacology, 2006, vol. 57, no. 5, pp. 685-692. https://doi.org/10.1007/s00280-005-0068-6


Review

Views: 1464


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1561-8323 (Print)
ISSN 2524-2431 (Online)