Arzneimittelforschung 2012; 62(05): 247-251
DOI: 10.1055/s-0032-1304649
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Pharmacokinetic and Bioequivalence Studies of Trospium chloride after a Single-dose Administration in Healthy Chinese Volunteers

R. Zhang
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
G. Yuan
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
R. Li
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
X. Liu
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
C. Wei
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
B. Wang
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
H. Gao
2   Department of Health Care, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
,
R. Guo
1   Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China
› Author Affiliations
Further Information

Publication History

received 10 December 2011

accepted 08 February 2012

Publication Date:
01 March 2012 (online)

Abstract

The study aimed to compare and evaluate the bioequivalence of a new generic preparation of trospium chloride (CAS NO:10405-02-4) capsule (20 mg, test) and the available import tablet (20 mg , reference) for the requirement of state regulatory criteria in China. A randomized- sequence, 2-period crossover study was conducted in 20 healthy Chinese male volunteers in the fasted state. Blood samples were collected before and 1, 2, 3, 4, 5, 6, 7, 8, 12, 24, 36, 48, 60 h after administration of a single oral dose of 40 mg trospium chloride capsules or tablets, followed by a 7-day washout period. The concentration of trospium chloride was determined by a LC-MS/MS method. Drug And Statistical-Version 2.0 was used to caculate the pharmacokinetics parameters and assess bioequivalence of the two preparations. It was considered bioequivalent if the 90% CIs of the mean ratios (test: reference) for Cmax, AUC0–t and AUC0–∞ were within the range from 80% to 125%, respectively. The main pharmacokinetics parameters of test and reference were as follows: t1/2 was (15.11±3.24) h and (16.00±3.96) h; Tmax was (4.0±1.2) h and (4.1±0.9) h; Cmax was (3.76±1.87) ng·mL − 1 and (3.70±1.89) ng·mL − 1; AUC0–t was (33.51±14.39) ng·mL − 1·h and (33.33±14.88) ng·mL − 1·h, and the AUC0–∞ was (35.20±14.88) ng·mL − 1·h and (35.16±15.17) ng·mL − 1·h. The ratios (test: reference) for Cmax, AUC0–t, and AUC0–∞ were 94.0%~111.7%, 96.4%~106.8%, and 96.1%~105.3%, respectively. No significant differences in pharmacokinetic parameters were found between preparations and periods (p>0.05). No obvious adverse events were monitored throughout the study based on clinical parameters and patient reports.

 
  • References

  • 1 Fusgen I, Hauri D. Trospium chloride: an effective option for medical treatment of bladder overactivity. Int J Clin Pharmacol Ther May 2000; 38 (05) 223-234
  • 2 Pak RW, Petrou SP, Staskin DR. Trospium chloride: A quaternary amine with unique pharmacologic properties. Curr Urol Rep Dec 2003; 4 (06) 436-440
  • 3 Biastre K, Burnakis T. Trospium chloride treatment of overactive bladder. Ann Pharmacother Feb 2009; 43 (02) 283-295
  • 4 Doroshyenko O, Jetter A, Odenthal KP et al. Clinical pharmacokinetics of trospium chloride. Clin Pharmacokinet 2005; 44 (07) 701-720
  • 5 Schröder S, Jetter A, Zaigler M et al. Absorption pattern of trospium chloride along the human gastrointestinal tract assessed using local enteral administration. Int J Clin Pharmacol Ther Oct 2004; 42 (10) 543-549
  • 6 Schladitz-Keil G, Spahn H, Mutschler E. Determination of the bioavailability of the quaternary compound trospium chloride in man from urinary excretion data. Arzneimittelforschung Jun 1986; 36 (06) 984-987
  • 7 Scheife R, Takeda M. Central nervous system safety of anticholinergic drugs for the treatment of overactive bladder in the elderly. Clin Ther. Feb 2005; 27 (02) 144-153
  • 8 Kay GG, Ebinger U. Preserving cognitive function for patients with overactive bladder: evidence for a differential effect with darifenacin. Int J Clin Pract Nov 2008; 62 (11) 1792-1800
  • 9 Singh-Franco D, Machado C, Tuteja S et al. Trospium chloride for the treatment of overactive bladder with urge incontinence. Clin Ther May 2005; 27 (05) 511-530
  • 10 Staskin D, Kay G, Tannenbaum C et al. Trospium chloride has no effect on memory testing and is assay undetectable in the central nervous system of older patients with overactive bladder. Int J Clin Pract Aug 2010; 64 (09) 1294-1300
  • 11 Geyer J, Gavrilova O, Petzinger E. The role of p-glycoprotein in limiting brain penetration of the peripherally acting anticholinergic overactive bladder drug trospium chloride. Drug Metab Dispos Jul 2009; 37 (07) 1371-1374
  • 12 Schladitz-Keil G, Spahn H, Mutschler E. Fluorimetric determination of the quaternary compound trospium and its metabolite in biological material after derivatization with benoxaprofen chloride [J]. J Chromatogr Nov 29 1985; 345 (01) 99-110
  • 13 Lehtola T, Lavikainen O, Huhtikangas A. Radioimmunoassay of trospium chloride, a quaternary tropane derivative [J]. J Immunoassay 1988; 9 (3–4) 297-307
  • 14 Xiang HL, Ding JS, Tan ZR et al. Determination of trospium chloride in human plasma by LC-MS and studay on the relative bioavailability of domestic and imported preparations [J]. Chinese Hospital Pharmacy Journal 2007; 27 (04) 451-454
  • 15 Hotha KK, Bharathi DV, Kumar SS et al. Determination of the quaternary ammonium compound trospium in human plasma by LC–MS/MS: Application to a pharmacokinetic study. J Chromatogr B Analyt Technol Biomed Life Sci Apr 2010; 878 (13–14) 981-986