Rahul
☆    

India,
2009-05-27 10:47
(6240 d 13:14 ago)

Posting: # 3772
Views: 4,830
 

 Clopidogrel [Design Issues]

Dear All,

We are planing to do Bioequivalence study of Clopidogrel 300 mg Table.

I had read back posts regarding PD endpoint of clopidogrel.

As Tmax of clopidogrel is around 45 mins and is detected in the body for almost 2 hrs,
  1. is it necessary to do sampling upto 24 hrs? (Single-dose randomized, open-label, 2-way crossover bioequivalence study of clopidogrel 75 mg tablet in healthy volunteers under fasting conditions. Filipe A, Almeida S, Franco Spínola AC, Neves R, Tanguay M, Jiménez C, Shink E; Int J Clin Pharmacol Ther. 2009 Mar;47(3):187-94)
  2. Active metabolite is non-detectable and as per recommendation we have to measure clopidogrel, so is it required to measure carboxylic acid inactive metabolite? if so, why?

Thanks n regards,
Rahul...
hirenpharm
☆    

Ahmedabad,
2009-05-27 14:43
(6240 d 09:17 ago)

@ Rahul
Posting: # 3777
Views: 3,902
 

 Clopidogrel

No need to measure carboxylic acid metabolite if u can measure parent drug sufficiently.

Sampling time points can be designed according to PK parameters, BUT recent advancement for detection of clopidogrel in plasma may over rule the sentence" clopidogrel disappers from plasma beyond 2 hours".

Dr. Hiren Mehta
Helmut
★★★
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Vienna, Austria,
2009-05-27 15:31
(6240 d 08:29 ago)

@ Rahul
Posting: # 3778
Views: 3,932
 

 Clopidogrel

Dear Rahul,

❝ ... 300 mg Table.

           ^^^^ SCNR :-D

❝ Active metabolite is non-detectable and as per recommendation we have to measure clopidogrel, so is it required to measure carboxylic acid inactive metabolite?


In the future please state the target country. If you mean the FDA's Draft Guidance it's clear: parent only.
Filipe et al. (2009) is a somewhat strange paper. To be honest I have my doubts whether the analytical method 'worked well' in the lower range. I would not expect to obtain 'clean extracts' by liquid-liquid extraction with n-hexane:ethyl actetate (85:15). Obviously they excluded 4 subjects from the evaluation of AUCinf. Arithmetic and geometric means of t½ are far apart with CVs of almost 90%. Unfortunatelly no individual ('spaghetti') plots are given, only arithmetic means of formulations.
I would guess that with a better analytical method the 'terminal phase' seen in this study might disappear. Once you have your own method I would strongly advice to run a pilot study to check the suitability of the method and find optimal sampling time points (also in conformity with FDA's recommendations).

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Rahul
☆    

India,
2009-05-28 14:29
(6239 d 09:32 ago)

@ Helmut
Posting: # 3783
Views: 3,843
 

 Clopidogrel

Dear HS & HP,

Thanks for your reply...

We are doing pilot study at first...

thanks again...

Thanks n regards,
Rahul...
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