Comparative Pharmacokinetic Profiles of a Novel Low-Dose Micronized Formulation of Raloxifene 45 mg (AD-101) and the Conventional Raloxifene 60 mg in Healthy Subjects.


Journal

Clinical pharmacology in drug development
ISSN: 2160-7648
Titre abrégé: Clin Pharmacol Drug Dev
Pays: United States
ID NLM: 101572899

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 13 04 2023
accepted: 29 07 2023
medline: 4 12 2023
pubmed: 25 8 2023
entrez: 25 8 2023
Statut: ppublish

Résumé

Raloxifene hydrochloride shows poor bioavailability (only 2%) when orally administered because of its poor aqueous solubility and its extensive first-pass metabolism. A new micronized formulation of raloxifene was developed to improve bioavailability via enhanced gastrointestinal absorption. The primary objective of this study was to evaluate the pharmacokinetic characteristics of a new micronized raloxifene formulation (AD-101) in comparison with the conventional raloxifene formulation. This study was designed as an open-label, randomized, 2-treatment-period, crossover study with a 2-week washout period. Two treatments consisted of micronized raloxifene 45 mg daily; and conventional raloxifene 60 mg daily administered in fasting conditions. Plasma raloxifene concentrations were determined by a validated method using ultra-fast liquid chromatography-tandem mass spectrometry, and pharmacokinetic parameters were calculated using a noncompartmental model. In total, 49 subjects completed the study. The geometric mean ratio (micronized/conventional) of the maximum concentration and the area under the plasma concentration-time curve from time zero to the last concentration values were 1.08 (90% CI, 0.95-1.24) and 0.97 (90% CI, 0.89-1.05), respectively. The adverse event profile did not differ between the 2 formulations. The results demonstrate that micronized formulation of raloxifene 45 mg is equivalent to conventional formulation of raloxifene 60 mg when administered at the single dose in the fasted state. After single oral dosing of AD-101, there were no serious or unexpected adverse events.

Identifiants

pubmed: 37622634
doi: 10.1002/cpdd.1319
doi:

Substances chimiques

Raloxifene Hydrochloride 4F86W47BR6
AD 101 0

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1204-1210

Informations de copyright

© 2023 The Authors. Clinical Pharmacology in Drug Development published by Wiley Periodicals LLC on behalf of American College of Clinical Pharmacology.

Références

Scott JA, Da Camara CC, Early JE. Raloxifene: a selective estrogen receptor modulator. Am Fam Physician. 1999;60:1131-1139.
Heringa M. Review on raloxifene: profile of a selective estrogen receptor modulator. Int J Clin Pharmacol Ther. 2003;41:331-345.
Tu KN, Lie JD, Wan CKV, et al. Osteoporosis: a review of treatment options. P.T. 2018;43:92-104.
Ravi PR, Aditya N, Kathuria H, Malekar S, Vats R. Lipid nanoparticles for oral delivery of raloxifene: optimization, stability, in vivo evaluation a nd uptake mechanism. Eur J Pharm Biopharm. 2014;87:114-124
Murthy A, Ravi PR, Kathuria H, Malekar S. Oral bioavailability enhancement of raloxifene with nanostructured lipid carriers. Nanomaterials (Basel). 2020;10:1085.
Kushwaha AK, Vuddanda PR, Karunanidhi P, Singh SK, Singh S. Development and evaluation of solid lipid nanoparticles of raloxifene hydrochloride for enhanced bioavailability. Biomed Res Int. 2013;2013:584549.
Morello KC, Wurz GT, DeGregorio MW. Pharmacokinetics of selective estrogen receptor modulators. Clin Pharmacokinet. 2003;42:361-372.
Zhou X, Wang S, Sun H, Wu B. Sulfonation of raloxifene in HEK293 cells overexpressing SULT1A3: involvement of breast cancer resistance protein (BCRT/ABCG2) and multidrug resistance-associated protein 4 (MRP4/ABCC4) in excretion of sulfate metabolites. Drug Metab Pharmacokinet. 2015;30:425-433.
Lušin TT, Mrhar A, Stieger B, et al. Influence of hepatic and intestinal efflux transporters and their genetic variants on the pharmacokinetics and pharmacodynamics of raloxifene in osteoporosis treatment. Transl Res. 2012;160(4):298-308.
Trontelj J, Marc J, Zavratnik A, Bogataj M, Mrhar A. Effects of UGT1A1*28 polymorphism on raloxifene pharmacokinetics and pharmacodynamics. Br J Clin Pharmacol. 2009;67(4):437-444.
Lušin TT, Stieger B, Marc J, et al. Organic anion transporting polypeptides OATP1B1 and OATP1B3 and their genetic variants influence the pharmacokinetics and pharmacodynamics of raloxifene. J Transl Med. 2012;10:76.
Ku MS. Use of the biopharmaceutical classification system in early drug development. AAPS J. 2008;10(1):208-212.
Wang Z, Solomos M, Axnanda S, et al. Varied bulk powder properties of micro-sized API within size specifications as a result of particle engineering methods. Pharmaceutics. 2022;14(9):1901.
Saleem IY, Smyth HDC. Micronization of a soft material: air-jet and micro-ball milling. AAPS PharmSciTech. 2010;11(4):1642-1649.
Lee HW, Kang WY, Jung W, et al. Pharmacokinetic drug interaction between raloxifene and cholecalciferol in healthy volunteers. Clin Pharmacol Drug Dev. 2022;11(5):623-631.
Kabeya K, Satoh H, Hori S, Miura Y, Sawada Y. Threshold size of medical tablets and capsules: based on information collected by Japanese medical wholesaler. Patient Prefer Adherence. 2020;14:1251-1258.
Vallet T, Michelon H, Orlu M, et al. Acceptability in the older population: the importance of an appropriate tablet size. Pharmaceutics. 2020;12:746.
Lee HW, Kang WY, Gwon MR, et al. A randomized, open-label, single-dose, two-way crossover study to assess the pharmacokinetics between two tablets of fixed-dose combination formulation with raloxifene and cholecalciferol and concomitant administration of each agents in healthy male volunteers. Transl Clin Pharmacol. 2022;30(3):136-144.

Auteurs

Hae Won Lee (HW)

Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu, Republic of Korea.

Woo Youl Kang (WY)

Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu, Republic of Korea.

Mi-Ri Gwon (MR)

Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu, Republic of Korea.
Department of Molecular Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Soo-Jin Park (SJ)

Department of Histology and Anatomy, College of Korean Medicine, Daegu Haany University, Gyeongsan, Republic of Korea.

Kyunghee Cho (K)

Analytical Research Division, Biocore Co. Ltd., Seoul, Republic of Korea.

Sook Jin Seong (SJ)

Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu, Republic of Korea.
Department of Molecular Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Young-Ran Yoon (YR)

Department of Clinical Pharmacology, Kyungpook National University Hospital, Daegu, Republic of Korea.
Department of Molecular Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH