Louise
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New Zealand,
2013-05-24 05:33
(4371 d 07:02 ago)

Posting: # 10637
Views: 4,991
 

 Glucose solution and drug absorption [Study Per­for­mance]

It's recommended that some drugs (anti-diabetic in particular) are dosed with a 20% glucose solution rather than with water to reduce potential AEs in healthy volunteers. Does this have any effect on absorption of the drug?


Edit: Category changed. Please see the Forum’s Policy (aka “Good morning!”). [Helmut]
Dr_Dan
★★  

Germany,
2013-05-24 12:06
(4371 d 00:29 ago)

@ Louise
Posting: # 10640
Views: 4,063
 

 Glucose solution and drug absorption

Dear Luise
If co-administration of 20% glucose solution in order to reduce potential AEs in healthy volunteers has an effect on absorption of the drug, does this matter? If you are interested just in bioavailability this might be a question but if you refer to bioequivalence you should keep in mind that th co-administration would only affect the solubilized drug, the comparison of test and reference formulation would not be affected. The purpose of bioequivalence studies is to detect possible impact of different formulations on the pharmacokinetics of the investigated drug and if both formulations are administered the same way everything is fine since absorption is a characteristic of the drug substance itself and is unaffected by formulation.
I hope this helps
Kind regards
Dan

Kind regards and have a nice day
Dr_Dan
Helmut
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Vienna, Austria,
2013-05-24 18:22
(4370 d 18:12 ago)

@ Dr_Dan
Posting: # 10644
Views: 4,063
 

 Absorption # drug specific

Dear Dan!

❝ […] absorption is a characteristic of the drug substance itself and is unaffected by formulation.


<nitpicking>

Disagree.
Absorption may be influenced by excipients (gastric emptying: sorbitol, mannitol; permeability: surfactants), which are not necessarily identical across formulations tested. But I agree that we should not expect an interaction with glucose.

</nitpicking>

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Louise
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New Zealand,
2013-05-27 03:16
(4368 d 09:18 ago)

@ Dr_Dan
Posting: # 10660
Views: 4,049
 

 Glucose solution and drug absorption

Thanks Dr Dan.

As the test and reference products are administered under the same conditions I wouldn't have thought this would be an issue. I hadn't seen this question from regulatory authorities before and haven't been able to locate any studies on glucose administration and drug absorption.
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