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This was a randomized, single blind, two-period, two sequence cross-over study under fasting condition to compare the bioavailability of two glimepiride 4 mg tablet formulations (test and reference formulations).
The participating subjects were required to have an overnight fast; and in the next morning they were given orally either one tablet of 4 mg glimepiride as the test drug (produced by PT Dexa Medica) or one tablet of 4 mg glimepiride (Amaryl®, Sanofi Aventis) as the reference drug with 200 mL water.
Blood samples were drawn immediately before taking the drug (control), and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4.5, 6, 9, 12, 18 and 24 hours after drug administration. Immediately after drug administration, subjects were administered 100 ml of 10% glucose at approximately 0.5, 1.5, 2, 2.5, 3.5, and 4.5 hours. In addition, 20% glucose solution was given to any subject who exhibited symptoms of hypoglycaemia. One week after the first drug administration (wash-out period), the procedure was repeated using the alternate drug.
The plasma concentrations of glimepiride were determined by high performance liquid chromatography with ultraviolet detection (HPLC-UV). The pharmacokinetic parameters assessed are AUCt, AUCinf, Cmax, tmax, and t1/2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I (Test) | Experimental | Test : glimepiride 4 mg tablet of PT Dexa Medica |
|
| Group II (Reference) | Active Comparator | Reference : glimepiride (Amaryl) 4 mg tablet of PT Sanofi-Aventis, Indonesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group I (Test) : Glimepiride 4 mg tablet of PT Dexa Medica | Drug | In each of the two study periods (separated by a washout of one week) a single dose of test or reference product was administered. |
| Measure | Description | Time Frame |
|---|---|---|
| Bioavailability | Relative bioavailability (primarily measured by AUC and Cmax) between two glimepiride 4 mg tablet formulations (test and reference formulations) under fasting condition. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Bioavailability | Relative bioavailability (secondarily measured by tmax and t1/2) between two formulations of glimepiride 4 mg tablets (the Test and Reference formulations) | 24 hours |
| Adverse events |
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Inclusion Criteria:
Male and female subjects with absence of significant disease or clinically significant abnormal laboratory values on laboratory evaluation, medical history or physical examination during screening
Age of 18 - 55 years
Preferably non-smokers or moderate smokers (less than 10 cigarettes per day)
Able to participate, communicate well with the investigators and willing to provide written informed consent to participate in the study
BMI 18 - 25 kg/m2
Vital signs (after 10 minutes rest) must be within the following ranges:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Danang A. Yunaidi, MD | PT Equilab International | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PT Equilab International | Jakarta | Jakarta Special Capital Region | 12430 | Indonesia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14659441 | Background | Salem II, Idrees J, Al Tamimi JI. Determination of glimepiride in human plasma by liquid chromatography-electrospray ionization tandem mass spectrometry. J Chromatogr B Analyt Technol Biomed Life Sci. 2004 Jan 5;799(1):103-9. doi: 10.1016/j.jchromb.2003.10.024. | |
| 17252706 | Background | Jovanovic D, Stojsic D, Zlatkovic M, Jovic-Stosic J, Jovanovic M. Bioequivalence assessment of the two brands of glimepiride tablets. Vojnosanit Pregl. 2006 Dec;63(12):1015-20. doi: 10.2298/vsp0612015j. |
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| ID | Term |
|---|---|
| C057619 | glimepiride |
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| Group II (Reference) : glimepiride (Amaryl) 4 mg tablet of PT Sanofi Aventis | Drug | In each of the two study periods (separated by a washout of one week) a single dose of test or reference product was administered. |
|
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The presence of adverse events will be observed, reported and sufficiently handled during subjects' participation in the study (1 month).
| 1 months |
| 12369757 | Background | Malerczyk V, Badian M, Korn A, Lehr KH, Waldhausl W. Dose linearity assessment of glimepiride (Amaryl) tablets in healthy volunteers. Drug Metabol Drug Interact. 1994;11(4):341-57. doi: 10.1515/dmdi.1994.11.4.341. |