Department of Pharmacy, Faculty of Medicine and health sciences, An-Najah National University, Nablus, Palestine
Rana Bustami
Pharmaceutical Research Unit, Amman, Jordan
Ayman Mousa
R&D Department, Middle East Pharmaceutical Industries Co Ltd, Riyadh, Saudi Arabia
Sewar Khasawneh
Pharmaceutical Research Unit, Amman, Jordan
Preferred Abstract (Original):
OBJECTIVE: The
aim of this study was to evaluate the bioequivalence of two drug
products, generic clopidogrel bisulfate 75 mg film-coated tablets versus
the reference Plavix(®) clopidogrel bisulfate 75 mg film-coated
tablets. METHODS: Bioequivalence
of tablets was tested by comparisons against the reference brand
product in accordance with the requirements of the Declaration of
Helsinki, the current Good Clinical Practice Guidelines, and the
International Conference on Harmonization. RESULTS: The
relationship between concentration and peak area ratio was found to be
linear within the range 24.500-1,836.600 pg/mL for clopidogrel. The
correlation coefficient (r) was always greater than 0.99 during the
course of the validation. Statistical comparison of the main
pharmacokinetic parameters showed no significant difference between test
and reference. The point estimates (ratios of geometric mean) were
104.122%, 104.184%, and 109.091% for areas under the plasma
concentration-time curve (AUC) AUC0-last, AUC0-∞, and peak plasma
concentration C max, respectively. These pharmacokinetic parameter
values of clopidogrel and its main metabolite lie within the
bioequivalence limit (80%-125%) specified by the US Food and Drug
Administration and the European Medicines Agency. CONCLUSION: The
tested drug product was bioequivalent to the reference drug under
fasting conditions and had the same safety profile, which is important
to achieve equivalent therapeutic effect with the reference.