BIOEQUIVALENCE EVALUATION OF ORALLY DISINTEGRATING STRIPS OF RIZATRIPTAN IN MALE VOLUNTEERS UNDER FASTING CONDITIONS
DOI:
https://doi.org/10.22159/ijap.2021v13i5.41602Keywords:
Rizatriptan, Orally Disintegrating Strips, Pharmacokinetics, BioequivalenceAbstract
Objective: A randomized, open-label, balanced, two-treatment, two-period, two-sequence, single-dose, crossover bioequivalence study comparing Rizatriptan 10 mg Orally Disintegrating Strips (ODS, test) with that of established Oral Lyophilisate Rizatriptan 10 mg, Maxalt-MLT® (reference) was conducted in 24 healthy male volunteers under fasting conditions. A single oral dose of 10 mg Rizatriptan was administrated to each volunteer.
Methods: Plasma concentrations of Rizatriptan were determined by a validated LC-MS/MS bioanalytical method. The plasma concentrations of Rizatriptan were considered for statistical analysis and for establishing bioequivalence. Pharmacokinetic analysis was done by using the non-compartmental method. Pharmacokinetic parameters Cmax, AUC0→t, AUC 0→∞, t1/2, Tmax, and Ke1 were estimated for each subject and each treatment.
Results: Ninety percent confidence intervals (90% CI) calculated for the ratio of AUC0→t, AUC0→∞, and Cmax values for the test and reference formulations were 96.91-110.30%, 96.24-109.07%, and 90.37-113.56%, respectively for Rizatriptan. The 90% CIs of AUC0→t, AUC0→∞, and Cmax values were totally within 80-125%.
Conclusion: Based on a statistical analysis of the results, both formulations of Rizatriptan 10 mg, were found to be bioequivalent in terms of rate and extent of absorption under fasting conditions.
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References
Staffa JA, Lipton RB, Stewart WE. The epidemiology of migraine headache. Rev Contemp Pharmacother 1994;5:241-52.
Stewart WF, Shechter A, Rasmussen BK. Migraine prevalence: a review of population-based studies. Neurology 1994;44(Suppl 4):17-23.
Hu XH, Markson LE, Lipton RB. Burden of migraine in the United States: disability and economic costs. Arch Intern Med 1999;159:813-8.
Lipton RB, Stewart WF, Von Korff M. The burden of migraine: a review of cost to society. Pharmacoeconomics 1994;6:215-21.
Solomon GD, Price KL. The burden of migraine: a review of its socio-economic impact. Pharmacoeconomics 1997;11(Suppl 1):1-10.
Clarke CE, MacMillan L, Sondhi S. Economic and social impact of migraine. QJM 1996;89:77-84.
Edmeads J, Findlay H, Tugwell P. Impact of migraine and tension-type headache on life-style, consulting behavior, and medication use: a canadian population survey. Can J Neurol Sci 1993;20:131-7.
Arne May. International Encyclopedia of Public Health: Migraine. 2nd edition: Academic Press; 2008. p. 458-62.
Jhingran P, Cady RK, Rubino J. Improvements in health-related quality of life with sumatriptan treatment for migraine. J Fam Pract 1996;42:36-42.
Paul L McCormack, Rachel H Foster. Rizatriptan: a pharmacoeconomic review of its use in the acute treatment of migraine. Pharmacoeconomics 2005;23:1283-98.
Carl GH Dahlof, Alan M Rapoport, Fred D Sheftell. Rizatriptan in the treatment of migraine. Clin Ther 1999;21:1823-36.
MAXALT–MLT ® orally disintegrating tablets; product label package insert (Merck and Co.). Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/020864s013lbl.pdf. [Last accessed on 10 Feb 2021]
Lainez MJA. Rizatriptan in the treatment of migraine. Neuropsychiatr Dis Treat 2006;2:247-59.
Teall J, Tuchman M, Cutler N. Rizatriptan (MAXALT) for the acute treatment of migraine and migraine recurrence: a placebo-controlled, outpatient study. Headache: J Head Face Pain 1998;38:281-7.
Dixit RP, Puthli SP. Oral strip technology: overview and future potential. J Controlled Release 2009;139:94-107.
Hoffmann EM, Breitenbach A, Breitkreutz J. Advances in orodispersible films for drug delivery. Expert Opin Drug Delivery 2011;8:299-316.
Hariharan M, Bogue A. Orally dissolving film strips (ODFS): the final evolution of orally dissolving dosage forms. Drug Delivery Technol 2009;9:24-9.
Dahiya M, Saha S, Shahiwala AF. A review on mouth dissolving films. Curr Drug Delivery 2009;6:469-76.
Velusamy S, Masimukkub VM, Chereddy S. Bioanalytical method development and validation of rizatriptan in human plasma using LC-MS/MS method. Int J Chem Anal Sci 2013;4:108-14.
Kulkarni S, Lodhe V. Review on: alternatives to large dosage forms for ease of swallowing. J Drug Delivery Sci Technol 2020;57:1-9.
Irfan M, Rabel S, Bukhtar Q. Orally disintegrating films: a modern expansion in drug delivery system. Saudi Pharm J 2016;10:537-46.
Choksi A, Vaishya R, Inavolu R, Potta T. Intranasal spray formulation containing rizatriptan benzoate for the treatment of migraine. Int J Pharm 2019;571:118702.
K Pallavi, T Pallavi. Formulation and evaluation of fast dissolving films of eletriptan hydrobromide. Int J Curr Pharm Res 2017;9:59-63.
Tiwari RR, Umashankar MS, Damodharan N. Recent update on oral films: a bench to market potential. Int J Appl Pharma 2018;10:27-33.
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