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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Boulton, David W. Chang, Ming Griffen, Steven C. Kitaura, Catia Lubin, Susan Pollack, Allyson LaCreta, Frank |
| Spatial Coverage | Brazil |
| Description | Author Affiliation: Boulton DW ( AstraZeneca, Gaithersburg, Maryland. Electronic address: david.boulton2@astrazeneca.com.); Chang M ( Bristol-Myers Squibb, Hopewell, New Jersey.); Griffen SC ( JDRF, New York, New York.); Kitaura C ( Bristol-Myers Squibb, São Paulo, Brazil.); Lubin S ( Bristol-Myers Squibb, Hopewell, New Jersey.); Pollack A ( Bristol-Myers Squibb, Hopewell, New Jersey.); LaCreta F ( Bristol-Myers Squibb, Princeton, New Jersey.) |
| Abstract | PURPOSE: In patients with type 2 diabetes mellitus, fixed-dose combinations (FDCs) of antihyperglycemic medications may provide complementary efficacy while reducing tablet burden and improving compliance. The aim of this study was to assess the bioequivalence and tolerability of 2 FDCs of dapagliflozin and metformin extended-release (XR) versus their individual component (IC) tablets. METHODS: An open-label, balanced, randomized, 2-way crossover, 4-arm study was conducted in 129 healthy Brazilian subjects (aged 18-55 years). Two oral doses of the FDCs (5 mg dapagliflozin and 500 mg metformin XR, and 10 mg dapagliflozin and 1000 mg metformin XR) were evaluated in fed and fasted states. FINDINGS: Under fed and fasted conditions the 5 mg dapagliflozin and 500 mg metformin XR FDC showed bioequivalence to its ICs. The 10 mg dapagliflozin and 1000 mg metformin XR FDC was bioequivalent to its ICs in fed subjects. Although AUC for the 10 mg dapagliflozin and 1000 mg metformin XR FDC was bioequivalent in fasted subjects, the Cmax for metformin was not bioequivalent to its ICs in fasted subjects (upper 90% CI was 127.5%, and thus outside the 80%-125% bioequivalence interval). The small increase in the fasted state is not considered clinically meaningful due to the small magnitude of the difference (9.2%), the lack of metformin Cmax being associated with efficacy or tolerability concerns, and the fasted state not being the recommended state for dosing of metformin XR. The safety profile and tolerability of the FDCs were similar to those of their ICs and no deaths or serious adverse events were reported. IMPLICATIONS: Both FDCs of dapagliflozin and metformin XR were bioequivalent to their ICs in fed and fasted subjects, except for the metformin Cmax from the 10 mg dapagliflozin and 1000 mg metformin XR FDC in fasted subjects. These data support the use of a dapagliflozin and metformin XR FDC in patients with type 2 diabetes mellitus. |
| File Format | HTM / HTML |
| ISSN | 01492918 |
| Issue Number | 1 |
| Volume Number | 38 |
| e-ISSN | 1879114X |
| Journal | Clinical Therapeutics |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2016-01-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pharmacology Benzhydryl Compounds Pharmacokinetics Glucosides Hypoglycemic Agents Metformin Adolescent Adult Area Under Curve Administration & Dosage Adverse Effects Brazil Cross-over Studies Delayed-action Preparations Drug Combinations Fasting Female Healthy Volunteers Humans Male Middle Aged Tablets Therapeutic Equivalency Young Adult Comparative Study Journal Article Randomized Controlled Trial Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pharmacology Pharmacology (medical) |
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