Abstract

Aim: To evaluate the pharmacokinetics and bioequivalence of cefdinir dispersible tablet with cefdinir capsule in healthy Chinese volunteers. Methods: cefdinir dispersible tablet and cefdinir capsule were used as the test and reference preparations respectively. Two randomized, comparative two-way crossover studies were conducted in 18 healthy Chinese male volunteers. Test preparation 200mg, reference preparation 200mg were administered once orally to the volunteers fasting overnight, with 5 days washout period between the doses of the test and reference preparations. Before dosing blood sample, after dosing several blood samples were collected for a period of 12 hours. The plasma concentrations of cefdinir at different times were determined by high performance liquid chromatogrphy (HPLC) with ultraviolet (UV) assay. Pharmacokinetic parameters were calculated. Safety of the drug was evaluated. Results: The main pharmacokinetic parameters of the test and reference preparations were as follows: Cmax were 1.52±0.48μg/ml and 1.42±0.39μg/ml, T max were 3.08±0.73h and 3.22±0.81h, t 1/2 were 2.04±0.53h and 1.87±0.29h, AUC 0-t were 7.12±1.85 μg/ml•h -1 and 6.86±1.60μg/ml•h -1 AUC 0-∞ were 7.67±2.01μg/ml•h -1 and 7.38±1.85μg/ml•h -1 respectively. The relative bioavailability of test preparation was 103.53±11.50%. No significant differences between two preparations were found. The parameter mean values of the pharmacokinetic characteristics for test drug were within the bioequivalence acceptable range of 80~125% and 70~143% respectively for AUC and C max . Conclusion: The results indicate that the test preparation is bioequivalent to the reference preparation.

Highlights

  • Cefdinir is one of the third generation cephalosporins which have broad spectrum antibacterial activity

  • The analytical method used for measurement of cefdinir in plasma was proved to be accurate and sensitive

  • The regression equation was described as Y=0.9032X+0.0001 (r=1.0016, n=3) (Y: peak area ratio of cefdinir and internal standard [S/IS], X:plasma concentration of cefdinir), using (1/C) weighted least-square regression

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Summary

Introduction

Cefdinir is one of the third generation cephalosporins which have broad spectrum antibacterial activity. Cefdinir has activity against Gram-positive and Gram-negative bacteria. It is effective against β-lactamase producing strains of haemophilis and neisseria. This drug is used to treat wide variety of sensitive bacteria infections, especially for mild and moderate infections [1]. Tablet and suspension are available in the market for several years [2]. Cefdinir dispersible tablet is investegated to determine whether it is bioequivalent to other cefdinir preparations [3,4,5]. The purpose of this study was to determine the pharmacokinetics and bioequivalence between cefdinir dispersible tablet (test preparation) and cefdinir capsule (reference preparation) and to ascertain the safety in medical practice

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