Bioequivalence study between two formulations of betamethasone dipropionate and betamethasone disodium phosphate injectable suspension in healthy adults

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DOI:

https://doi.org/10.30968/rbfhss.2024.153.1138

Abstract

Objective: To evaluate bioequivalence between two formulations of 5,0 mg/mL betamethasone dipropionate + 2,0 mg/mL betamethasone disodium phosphate injectable suspension in healthy adults under fasting condition. Methods: The study was an open label, randomized, single dose, 2x2 crossover study in 36 healthy adult subjects under fasting conditions. Betamethasone concentrations in human plasma were determined using a validated liquid chromatography coupled to a tandem mass spectrometer detector method. Results: Statistical analysis has determined confidence intervals, power of the test and p-value for sequence effect to the pharmacokinetic parameters Cmax, AUC0-t and AUC0-∞. The geometric mean ratio (90%CI) of the test drug/reference drug for betamethasone were 87.74% to 92.23% for Cmax, 93.95% to 98.91% for AUC0-t and 94.36% to 99.95% for AUC0-∞. Power of the test was 100% for all parameters and p-value for sequence effect were 33.39% for Cmax, 19.98% AUC0-t, and 24.32% for AUC0-∞. Conclusion: Reference and test formulations are statistically bioequivalent and, therefore, interchangeable, according to the local and international criteria, since confidence intervals for Cmax and AUC0-t ratios were within 80% and 125%, according to Anvisa resolution RE nº 1170/2006.

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References

ANVISA. Agencia Nacional de Vigilância Sanitária.. RESOLUÇÃO- RE nº 1.170, DE 19 DE ABRIL DE 2006, (2006).

Brunton LLCBKB. Goodman & Gilman: As Bases Farmacológicas da Terapêutica. 12 ed: McGraw-Hill; 2012. 2112 p.

Information NCfB. PubChem Compound Summary for CID 9782, Betamethasone [Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Betamethasone.

Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci (Lond). 1998;94(6):557-72.

Liggins GC, Howie RN. A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics. 1972;50(4):515-25.

Kopylov AT, Novikov AA, Kaysheva AL, et al. Quantitative assessment of betamethasone dual-acting formulation in urine of patients with rheumatoid arthritis and ankylosing spondylitis after single-dose intramuscular administration and its application to long-term pharmacokinetic study. J Pharm Biomed Anal. 2018;149:278-89.

Cosmed. Indústria de Cosméticos e Medicamentos S.A. Diprospan ® (dipropionato de betametasona +fosfato dissódico de betametasona) . Bula do medicamento. Responsável Técnica: Luciana Lopes da Costa - CRF-GO nº 2.757. 26.04.2021. . 2021.

He C, Fan H, Tan J, et al. Pharmacokinetics of betamethasone and betamethasone 17-monopropionate in Chinese healthy volunteers after intramuscular injection of betamethasone phosphate/betamethasone dipropionate. Arzneimittelforschung. 2011;61(7):417-20.

Chen MY, Tang YJ, Wang YC, et al. Quantitative determination of betamethasone sodium phosphate and betamethasone dipropionate in human plasma by UPLC-MS/MS and a bioequivalence study. Anal Methods. 2016;8(17):3550-63.

ANVISA. Agencia Nacional de Vigilância Sanitária.. RESOLUÇÃO - RDC Nº 27, DE 17 DE MAIO DE 2012, (2012).

ANVISA. Agencia Nacional de Vigilância Sanitária. RESOLUÇÃO- RE Nº 898, DE 29 DE MAIO DE 2003: Guia para planejamento e realização da etapa estatística de estudos de biodisponibilidade relativa/bioequivalência., (2003).

BRASIL. ANVISA. Agência Nacional de Vigilância Sanitária. Lista 2 - Analito para Estabelecimento da Biodisponibilidade Relativa/Bioequivalência. 2019.

Pereira Ados S, Oliveira LS, Mendes GD, et al. Quantification of betamethasone in human plasma by liquid chromatography-tandem mass spectrometry using atmospheric pressure photoionization in negative mode. J Chromatogr B Analyt Technol Biomed Life Sci. 2005;828(1-2):27-32.

Salem, II, Najib NM. Pharmacokinetics of betamethasone after single-dose intramuscular administration of betamethasone phosphate and betamethasone acetate to healthy subjects. Clin Ther. 2012;34(1):214-20.

Pohl O, Homery MC, Lemaux F, et al. Pharmacokinetic interactions of OBE001 and betamethasone in healthy female volunteers. J Clin Pharm Ther. 2015;40(3):328-32.

Romantsik O, Barco S, Bruschettini M, et al. A LC-MS/MS method for the quantification of caffeine, betamethasone, clonidine and furosemide in cerebrospinal fluid of preterm infants. J Pharm Biomed Anal. 2020;179:112996.

Qu TT, Zhang R, Wang BJ, et al. Determination of betamethasone in human plasma by liquid chromatography with tandem mass. Yao Xue Xue Bao. 2008;43(4):402-7.

Salem II, Alkhatib M, Najib N. LC–MS/MS determination of betamethasone and its phosphate and acetate esters in human plasma after sample stabilization. Journal of Pharmaceutical and Biomedical Analysis. 2011;56(5):983-91.

Yao Q, Guo Y, Xue J, et al. Development and validation of a LC-MS/MS method for simultaneous determination of six glucocorticoids and its application to a pharmacokinetic study in nude mice. J Pharm Biomed Anal. 2020;179:112980.

Zakeri-Milani P, Ghanbarzadeh S, Basmenji S, et al. Comparative bioequivalence study of two marketed formulation of betamethasone injectable suspensions. Drug Res (Stuttg). 2013;63(10):545-9.

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Published

2024-09-29

How to Cite

1.
SVERDLOFF C, REZENDE VM, AIHARA CK, ENGUEL V, GUIMARÃES CL, SILVEIRA AM, ANTÔNIO MA. Bioequivalence study between two formulations of betamethasone dipropionate and betamethasone disodium phosphate injectable suspension in healthy adults. Rev Bras Farm Hosp Serv Saude [Internet]. 2024Sep.29 [cited 2024Oct.15];15(3):e1138. Available from: https://rbfhss.emnuvens.com.br/sbrafh/article/view/1138

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