Key result
A fixed-dose combination of pitavastatin/valsartan 4/160 mg showed pharmacokinetic equivalence with the corresponding individual components (pitavastatin Cmax GMR 1.05; 90% CI 0.96-1.15).
Why the study?
Hypertension and hyperlipidemia frequently coexist, and a fixed-dose combination (FDC) may improve compliance compared with separate drugs, prompting evaluation of the pharmacokinetic bioequivalence of an FDC of pitavastatin/valsartan 4/160 mg versus its individual components.
Does a fixed-dose combination of pitavastatin/valsartan 4/160 mg demonstrate pharmacokinetic bioequivalence to its individual components in healthy male subjects?
RCT (n=54)
Open-label
randomized
Does a fixed-dose combination of pitavastatin/valsartan 4/160 mg demonstrate pharmacokinetic bioequivalence to its individual components in healthy male subjects?
A fixed-dose combination of pitavastatin/valsartan 4/160 mg demonstrates pharmacokinetic bioequivalence to its individual components, supporting its potential use to improve compliance in patients with comorbid hypertension and hyperlipidemia.
Answers are grounded in this paper and cite their sources.
Supports fixed-dose combination development; leaves open clinical efficacy and safety in patients.
Hypertension and hyperlipidemia are often comorbid, requiring combination therapies of antihypertensive drugs and antihyperlipidemia drugs. Taking 1 fixed‐dose combination (FDC) may increase patient compliance rather than taking each of the drugs separately. This study aimed to evaluate the pharmacokinetic bioequivalence between an FDC of pitavastatin/valsartan 4/160 mg and the corresponding individual components. Considering that valsartan is a highly variable drug for maximum plasma concentration (C max ), an open‐label, randomized, partial replicated crossover study was conducted in 54 healthy subjects. The subjects received a single oral dose of the FDC of pitavastatin/valsartan 4/160 mg in 1 period or the corresponding individual components in the other 2 periods. The geometric mean ratios and their 90%CIs of the FDC to the corresponding individual components for C max and area under the concentration‐time curve from time 0 to the last measurable time point were 1.05 (90%CI, 0.96‐1.15) and 0.10 (90%CI, 0.95‐1.04) for pitavastatin and 1.15 (90%CI, 1.06‐1.25) and 1.06 (0.99‐1.14) for valsartan, respectively. The geometric mean ratios (90%CIs) for area under the concentration‐time curve from time 0 to the last measurable time point and C max of both drugs were included in the bioequivalence criteria. In conclusion, the FDC of pitavastatin/valsartan 4/160 mg showed pharmacokinetic equivalence with the corresponding individual components.
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Na et al. (2022) conducted an RCT in Healthy subjects (n=54). Fixed-dose combination of pitavastatin/valsartan vs. Corresponding individual components was evaluated on Pharmacokinetic bioequivalence (Cmax and AUC) (GMR 1.05, 95% CI 0.96-1.15). A fixed-dose combination of pitavastatin/valsartan 4/160 mg showed pharmacokinetic equivalence with the corresponding individual components (pitavastatin Cmax GMR 1.05; 90% CI 0.96-1.15).
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