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Pharmacokinetics and Bioequivalence of 2 Azithromycin Tablet Formulations: A Randomized, Open‐Label, 2‐Stage Crossover Study in Healthy Volunteers

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The current study aimed to assess the bioequivalence of a new branded azithromycin with the reference formulation. An open‐label, randomized, 2‐stage, crossover study design was implemented involving 77 healthy volunteers… Click to show full abstract

The current study aimed to assess the bioequivalence of a new branded azithromycin with the reference formulation. An open‐label, randomized, 2‐stage, crossover study design was implemented involving 77 healthy volunteers under fasting conditions. Each volunteer received a single dose of 250‐mg azithromycin tablets test and reference formulations separated by a 21‐day washout period. Twenty‐two samples were collected at pre‐dose and until 72 hours post‐dose. Azithromycin concentrations were analyzed using a high‐performance liquid chromatography‐mass spectrometry validated method following a solid‐phase plasma extraction. Noncompartmental analysis was carried out to estimate the pharmacokinetic parameters, which were compared between the test and reference products using a multivariate analysis of variance. The difference between Cmax and AUC0‐72 of the test and reference formulation was not significant. The 94.1% confidence intervals of ln‐transformed Cmax and AUC0‐72 of azithromycin were within the bioequivalence acceptance limits of 80%–125%, therefore it can be concluded that the tested formulation is bioequivalent to the reference formulation.

Keywords: reference; crossover study; bioequivalence; open label; stage crossover; study

Journal Title: Clinical Pharmacology in Drug Development
Year Published: 2022

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