An IN VIVO bioequivalence study of two film-coated tablet formulations containing amoxicillin (875 mg) and clavulanic acid (125 mg)

Vu Xuan Hai, Nguyen Phuong Thanh, Pham Thi Van Anh, Bui Thi Huong Thao, Nguyen Chi Dung, Hoang Van Linh, Nguyen Ta Mai Huyen, Tran Tuan Hiep, Le Viet Linh, Dau Thuy Duong

Nội dung chính của bài viết

Tóm tắt

This was an open-label, randomized, two-treatment, two-sequence, two-period, single-dose crossover study conducted under fasting conditions in 36 healthy volunteers to assess bioequivalence of two film-coated tablet formulations containing amoxicillin 875 mg and clavulanic acid 125 mg. Participants were randomly assigned to receive either the test or the reference formulation containing 875 mg of amoxicillin and 125 mg of clavulanic acid in each study period. A washout interval of six days was applied between the two periods. Blood samples were collected prior to dosing and up to 8 hours post-administration. Plasma concentrations of amoxicillin and clavulanic acid were quantified using a liquid chromatography mass spectrometry method. For amoxicillin, the 90% confidence intervals of the test-to-reference ratios for Cmax, AUC0–t, and AUC0–∞ were 97.38–108.77%, 94.81–103.99%, and 94.66–104.03%, respectively. For clavulanic acid, the corresponding 90% confidence intervals were 96.21–115.11%, 91.31–109.26%, and 91.97–109.48%. All values fell within the accepted bioequivalence range of 80–125%. No adverse event was reported during the study. Bioequivalence and good tolerability were demonstrated between the test and reference products containing amoxicillin 875 mg and clavulanic acid 125 mg in healthy Vietnamese subjects.

Chi tiết bài viết

Tài liệu tham khảo

1. Brunton, Laurence L; Hilal-Dandan, Randa; Knollmann, Björn C. Goodman & Gilman’s The Pharmacological Basis of Therapeutics. 14th ed. McGraw-Hill; 2023: 1147-1165.
2. Saudagar PS, Survase SA, Singhal RS. Clavulanic acid: a review. Biotechnol Adv. 2008; 26(4): 335-351. doi:10.1016/j.biotechadv.2008.03.002.
3. Bush K, Bradford PA. β-Lactams and β-Lactamase Inhibitors: An Overview. Cold Spring Harb Perspect Med. 2016; 6(8): a025247. doi:10.1101/cshperspect.a025247.
4. European Medicines Agency. Augmentin 1g Tablets - SUMMARY OF PRODUCT CHARACTERISTICS.; 2025.
5. Bộ Y tế. Dược Thư Quốc Gia Việt Nam. tái bản lần thứ 3. Nhà xuất bản Khoa học và kỹ thuật; 2022.
6. Dat Vu Quoc. Antibiotic use in public hospitals in Vietnam between 2018 and 2022: a retrospective study. BMJ Open. 2024; 14(8): e087322. doi:10.1136/bmjopen-2024-087322.
7. Nguyễn Quốc Bình, Châu Thị Ánh Minh. Khảo sát tình hình sử dụng kháng sinh trong điều trị ngoại trú tại Bệnh viện Chợ Rẫy. Tạp Chí Y học TP Hồ Chí Minh. 2017; 21(2): 270-277.
8. Võ Thị Mỹ Hằng, Dương Xuân Chữ. Nghiên cứu tình hình sử dụng kháng sinh tại khoa nội-nhi-nhiễm, Trung tâm y tế huyện Vĩnh Lợi, tỉnh Bạc Liêu. Tạp Chí Y học Việt Nam. 2022; 519(2): 288-293. doi:10.51298/vmj.v519i2.3670.
9. Medicines Evaluation Board (MEB), The Netherlands. Public Assessment Report: Amoxicilline/Clavulaanzuur DSM Sinochem 875 mg/125 mg Powder for Oral Suspension.; 2016.
10. Association of Southeast Asian Nations. ASEAN Guidelines for the Conduct of Bioavailability and Bioequivalence Studies.; 2015.
11. European Medicines Agency. Guideline on the Investigation of Bioequivalence.; 2010.
12. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH). M13A: Bioequivalence for Immediate-Release Solid Oral Dosage Forms.; 2022.
13. Montanha MC, dos Santos Magon TF, de Souza Alcantara C, et al. Reduced bioavailability of oral amoxicillin tablets compared to suspensions in Roux‐en‐Y gastric bypass bariatric subjects. Br J Clin Pharmacol. 2019; 85(9): 2118-2125. doi:10.1111/bcp.14023.
14. Saif AA, Alwan M, Al-Sudani NM. Bioequivalence study of two brands of Co-amoxiclav 1g tablets (Clavimox and Augmentin) in adult healthy volunteers. J Chem Pharm Res. 2014; 6(12): 40-49.