Bioequivalence Study of Two Oral Methocarbamol Formulations in Healthy Subjects Under Fasting Conditions: A Randomized, Open-Label, Crossover Clinical Trial

在健康受试者空腹条件下,两种口服美索巴莫制剂的生物等效性研究:一项随机、开放标签、交叉临床试验

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Abstract

Objective: This study aimed to assess the bioequivalence of two oral methocarbamol formulations, as follows: the test (T) methocarbamol 1500 mg tablets and the reference (R) Robaxin(®) 500 mg tablets (3 tablets, total dose: 1500 mg) under fasting conditions, and compare their pharmacokinetic performance. Methods: This was a single-center, phase I, randomized, open-label (blinded for analytical determination), two-sequence, two-period, crossover, bioequivalence study. A total of 32 healthy volunteers were randomly assigned to receive the T-R or R-T administration sequence. Each volunteer received a single dose of each methocarbamol formulation (T or R) separated by a washout period of 7 days. To evaluate the pharmacokinetic profile, blood samples were collected at nineteen time points after dosing. Results: The arithmetic mean C(max) was 31.72 µg/mL for R and 32.39 µg/mL for T, and the arithmetic mean AUC(0-t) was 90.25 h × µg/mL and 89.72 h × µg/mL, respectively. All adverse events reported were mild for both formulations. The 90% confidence intervals for the corresponding logarithmically transformed geometric mean ratios of C(max) and AUC(0-t) fell within the acceptance interval of 80.00-125.00%, as their values were 91.67-112.47% for ln(C(max)) and 92.34-103.47% for ln(AUC(0-t)). Conclusion: Therefore, one tablet of methocarbamol 1500 mg was found to be bioequivalent to the Robaxin(®) 500 mg tablets (3 tablets), with comparable tolerability and safety profiles.

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