Comparative Fasting Bioavailability of 2 Cilostazol
Formulations in Healthy Thai Volunteers: An Open-Label,
Single-Dose, Randomized, 2-Way Crossover Study
Pinpilai Jutasompakorn MD*,
Supornchai Kongpatanakul MD*, Piyapat Pongnarin MSc*,
Korbtham Sathirakul PhD**, Somruedee Chatsiricharoenkul MD*
Affiliation :
* Department of Pharmacology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
** Department of Pharmacy, Faculty of Pharmacy, Mahidol University, Bangkok, Thailand
Objective : To evaluate the bioequivalence of 50 mg cilostazol tablets manufactured locally (Citazol®) and originally (Pletaal®)
in healthy Thai volunteers.
Material and Method: An open-label, single dose, randomized, two-period, two-sequence, crossover study in 30 healthy
volunteers. Each volunteer received a 50 mg cilostazol tablet of both formulations with a washout period of at least 14 days.
Blood samples were obtained at pre-dose and over 48 hours after dosing. Cilostazol plasma concentrations were quantified
by using liquid chromatography with tandem mass spectrometry (LC-MS/MS).
Results : The 30 volunteers completed the entire study. The geometric mean ratios (GMR) (test/reference) between the
two formulations of cilostazol were 112.38% (101.70%-124.19%) for Cmax ; 103.66% (96.06%-111.86%) for AUC0-48 ; and
95.14% (86.12%-105.12%) for AUC0-∞. There was no statistical difference of the Tmax between the two formulations (p>0.05).
No serious adverse events related to the studied drugs were found.
Conclusion : No significant difference in the analyzed pharmacokinetic parameters was found between the two formulations
of 50 mg cilostazol tablets. Therefore, it can be concluded that these two cilostazol tablet formulations were considered
bioequivalent.
Keywords : Cilostazol, Bioequivalence
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