Key result
Valsartan extemporaneous suspension and oral solution formulations yielded significantly higher peak plasma concentrations and AUC compared to the tablet formulation (P < .001).
Why the study?
Do valsartan liquid dosage forms (suspension and solution) improve oral bioavailability compared to tablet formulation in healthy adults?
RCT
Open-label
crossover
Do valsartan liquid dosage forms (suspension and solution) improve oral bioavailability compared to tablet formulation in healthy adults?
Valsartan liquid dosage forms (suspension and solution) demonstrate significantly higher rate and extent of absorption compared to the solid tablet formulation in healthy adults.
Answers are grounded in this paper and cite their sources.
May necessitate dose adjustment with liquid valsartan; extends formulation-specific PK data for clinical use.
The oral bioavailability of valsartan from extemporaneous suspension and solution formulations were evaluated relative to tablet formulation in two separate open-label, randomized crossover studies in healthy adults. In both studies, the plasma concentrations of valsartan after oral administration were analyzed using validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) methods, and the corresponding pharmacokinetic parameters were estimated using noncompartmental analysis. The peak plasma concentration (Cmax ) and area under the concentration time-curves (AUC(0-∞) ) of valsartan from the extemporaneous suspension were higher by 1.93- and 1.56-fold, respectively, relative to the tablet formulation (P < .001). The Cmax and AUC(0-∞) of valsartan from the oral solution were higher by 2.21- and 1.74-fold, respectively, relative to the tablet formulation (P < .001). These results indicate that both rate and extent of absorption of valsartan are higher in the two liquid dosage forms (extemporaneous suspension and solution formulations) relative to the solid oral dosage form (tablet formulation).
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Sunkara et al. (2013) conducted an RCT in healthy adults. Valsartan extemporaneous suspension and solution formulations vs. Valsartan tablet formulation was evaluated on Peak plasma concentration (Cmax) and area under the concentration time-curves (AUC(0-∞)) (1.93-fold higher Cmax and 1.56-fold higher AUC for suspension; 2.21-fold higher Cmax and 1.74-fold higher AUC for solution, p=<.001). Valsartan extemporaneous suspension and oral solution formulations yielded significantly higher peak plasma concentrations and AUC compared to the tablet formulation (P < .001).
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