dc.contributor.author |
Tóthfalusi László |
|
dc.contributor.author |
Endrenyi L |
|
dc.date.accessioned |
2014-09-04T21:21:57Z |
|
dc.date.available |
2014-09-04T21:21:57Z |
|
dc.date.issued |
2013 |
|
dc.identifier |
84878797015 |
|
dc.identifier.citation |
pagination=525-528;
journalVolume=51;
journalIssueNumber=6;
journalTitle=INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND THERAPEUTICS; |
|
dc.identifier.uri |
http://repo.lib.semmelweis.hu//handle/123456789/388 |
|
dc.identifier.uri |
doi:10.5414/CP201845 |
|
dc.description.abstract |
OBJECTIVES: To demonstrate that with carbamazepine (CBZ), positive results of bioequivalence trials in healthy volunteers cannot be extrapolated to patients because metabolic enzyme induction fundamentally changes the pharmacokinetics of CBZ. METHODS: Bioequivalence trials were simulated assuming normal and induced metabolic clearance. The relevant pharmacokinetic parameters were drawn from published studies. RESULTS: The Cmax ratio depends on the clearance. A generic product which is fully compliant with the regulatory requirements in healthy volunteers could be non-bioequivalent in patients with enhanced elimination. CONCLUSION: A statement of bioequivalence of CBZ formulations, based on a single-dose study performed in healthy subjects, may not hold for a target patient population in the steady state. |
|
dc.relation.ispartof |
urn:issn:0946-1965 |
|
dc.title |
Approvable generic carbamazepine formulations may not be bioequivalent in target patient populations. |
|
dc.type |
Journal Article |
|
dc.date.updated |
2014-09-04T13:56:47Z |
|
dc.language.rfc3066 |
en |
|
dc.identifier.mtmt |
2381500 |
|
dc.identifier.wos |
000320839700011 |
|
dc.identifier.pubmed |
23611573 |
|
dc.contributor.department |
Semmelweis Egyetem |
|
dc.contributor.institution |
Semmelweis Egyetem |
|