Skip to main content
Top
Published in: Cancer Chemotherapy and Pharmacology 1/2018

01-07-2018 | Clinical Trial Report

Bioequivalence study of single-dose lenalidomide capsule vs. Revlimid® capsule in healthy Chinese males

Authors: Jin Wang, Lu Qi, Zejuan Wang, Gang Chen, Chen Liu, Ying Liu, Xiaona Liu, Yu Wang, Chunpu Lei, Xinghe Wang

Published in: Cancer Chemotherapy and Pharmacology | Issue 1/2018

Login to get access

Abstract

Objective

Lenalidomide is a 4-amino-glutaryl derivative of thalidomide and belongs to a new generation of immunomodulatory agents for the treatment of patients with myelodysplastic syndrome and multiple myeloma. The aim of this study is to evaluate the bioequivalence and safety of a capsule containing 25 mg of a test formulation of lenalidomide and a 25 mg Revlimid® capsule in healthy, Chinese adult males for good quality anti-cancer medicine with lower costs.

Methods

This was a single-center, randomized, open-label, single-dose, two-period, crossover pharmacokinetic study. Forty-eight healthy, adult Chinese males were administered a test lenalidomide or Revlimid® capsule, 24 in a fasted and 24 in a fed state, followed by crossover to the other capsule.

Results

Twenty-four subjects in the fasting group and 23 in the postprandial group completed the clinical trial. Subjects administered test lenalidomide and Revlimid® capsules in the fasting state had a Cmax of 564 ± 153 and 609 ± 121 ng/mL, respectively; an AUC0−t of 1660 ± 211 and 1660 ± 235 h ng/mL, respectively; and an AUC0−∞ of 1670 ± 210 and 1670 ± 237 h ng/mL, respectively. In the fed state, the subjects had a Cmax of 389 ± 105 and 383 ± 101 ng/mL, respectively; an AUC0−t of 1770 ± 314 and 1740 ± 360 h ng/mL, respectively; and an AUC0−∞ of 1800 ± 316 and 1760 ± 362 h ng/mL, respectively. Both capsules were well tolerated, with no serious adverse events observed.

Conclusion

According to the criteria for bioequivalence, the test formulation of lenalidomide and Revlimid® was determined to be bioequivalent.
Literature
1.
go back to reference Gupta D, Treon SP, Shima Y et al (2001) Adherence of multiple myeloma cells to bone marrow stromal cells up regulates vascular endothelial growth factor secretion: therapeutic applications. Leukemia 15:1950–1961CrossRefPubMed Gupta D, Treon SP, Shima Y et al (2001) Adherence of multiple myeloma cells to bone marrow stromal cells up regulates vascular endothelial growth factor secretion: therapeutic applications. Leukemia 15:1950–1961CrossRefPubMed
2.
go back to reference Lentzsch S, LeBlanc R, Podar K et al (2003) Immunomodulatory analogs of thalidomide inhibit growth of Hs Sultan cells and angiogenesis in vivo. Leukemia 17:41–44CrossRefPubMed Lentzsch S, LeBlanc R, Podar K et al (2003) Immunomodulatory analogs of thalidomide inhibit growth of Hs Sultan cells and angiogenesis in vivo. Leukemia 17:41–44CrossRefPubMed
3.
go back to reference Mitsiades N, Mitsiades CS, Poulaki V et al (2002) Apoptosis signaling induced by immunomodulatory thalidomide analogs in human multiple myeloma cells: therapeutic implications. Blood 99:4525–4530CrossRefPubMed Mitsiades N, Mitsiades CS, Poulaki V et al (2002) Apoptosis signaling induced by immunomodulatory thalidomide analogs in human multiple myeloma cells: therapeutic implications. Blood 99:4525–4530CrossRefPubMed
5.
go back to reference List A, Kurtin S, Roe DJ et al (2005) Efficacy of lenalidomide in myelodysplastic syndromes. N Engl J Med 352(6):549–557CrossRefPubMed List A, Kurtin S, Roe DJ et al (2005) Efficacy of lenalidomide in myelodysplastic syndromes. N Engl J Med 352(6):549–557CrossRefPubMed
6.
go back to reference Melchert M, Kale V, List A (2007) The role of lenalidomide in the treatment of patients with chromosome 5q deletion and other myelodysplastic syndromes. Curr Opin Hematol 14(2):123–129CrossRefPubMed Melchert M, Kale V, List A (2007) The role of lenalidomide in the treatment of patients with chromosome 5q deletion and other myelodysplastic syndromes. Curr Opin Hematol 14(2):123–129CrossRefPubMed
7.
go back to reference Richardson PG, Blood E, Mitsiades CS et al (2006) A randomized phase 2 study of lenalidomide therapy for patients with relapsed or relapsed and refractory multiple myeloma. Blood 108(10):3458–3464CrossRefPubMedPubMedCentral Richardson PG, Blood E, Mitsiades CS et al (2006) A randomized phase 2 study of lenalidomide therapy for patients with relapsed or relapsed and refractory multiple myeloma. Blood 108(10):3458–3464CrossRefPubMedPubMedCentral
8.
go back to reference Chen N, Lau H, Choudhury S et al (2010) Distribution of lenalidomide into semen of healthy men after multiple oral doses. J Clin Pharmacol 50(7):767–774CrossRefPubMed Chen N, Lau H, Choudhury S et al (2010) Distribution of lenalidomide into semen of healthy men after multiple oral doses. J Clin Pharmacol 50(7):767–774CrossRefPubMed
9.
go back to reference Kelly RJ, Smith TJ (2014) Delivering maximum clinical benefit at an affordable price: engaging stakeholders in cancer care. Lancet Oncol 15:e112–e118CrossRefPubMed Kelly RJ, Smith TJ (2014) Delivering maximum clinical benefit at an affordable price: engaging stakeholders in cancer care. Lancet Oncol 15:e112–e118CrossRefPubMed
10.
go back to reference Howard DH, Bach PB, Berndt ER et al (2015) Pricing in the market for anticancer drugs. J Econ Perspect 29:139–162CrossRefPubMed Howard DH, Bach PB, Berndt ER et al (2015) Pricing in the market for anticancer drugs. J Econ Perspect 29:139–162CrossRefPubMed
11.
go back to reference Tefferi A, Kantarjian H, Rajkumar SV et al (2015) In support of a patient-driven initiative and petition to lower the high price of cancer drugs. Mayo Clin Proc 90:996–1000CrossRefPubMedPubMedCentral Tefferi A, Kantarjian H, Rajkumar SV et al (2015) In support of a patient-driven initiative and petition to lower the high price of cancer drugs. Mayo Clin Proc 90:996–1000CrossRefPubMedPubMedCentral
12.
13.
go back to reference Godman B, Wild C, Haycox A (2017) Patent expiry and costs for anti-cancer medicines for clinical use. Gener Biosimilars Initiat J 6(3):105–106CrossRef Godman B, Wild C, Haycox A (2017) Patent expiry and costs for anti-cancer medicines for clinical use. Gener Biosimilars Initiat J 6(3):105–106CrossRef
14.
go back to reference Godman B, Wettermark B, van Woerkom M et al. (2014) Multiple policies to enhance prescribing efficiency for established medicines in Europe with a particular focus on demand-side measures: findings and future implications. Front Pharmacol 5:106PubMedPubMedCentral Godman B, Wettermark B, van Woerkom M et al. (2014) Multiple policies to enhance prescribing efficiency for established medicines in Europe with a particular focus on demand-side measures: findings and future implications. Front Pharmacol 5:106PubMedPubMedCentral
15.
go back to reference Godman B, Bishop I, Finlayson AE et al (2013) Reforms and initiatives in Scotland in recent years to encourage the prescribing of generic drugs, their influence and implications for other countries. Expert Rev Pharmacoecon Outcomes Res 13:469–482CrossRefPubMed Godman B, Bishop I, Finlayson AE et al (2013) Reforms and initiatives in Scotland in recent years to encourage the prescribing of generic drugs, their influence and implications for other countries. Expert Rev Pharmacoecon Outcomes Res 13:469–482CrossRefPubMed
16.
go back to reference Woerkom M, Piepenbrink H, Godman B et al (2012) Ongoing measures to enhance the efficiency of prescribing of proton pump inhibitors and statins in The Netherlands: influence and future implications. J Comp Effect Res 1:527–538CrossRef Woerkom M, Piepenbrink H, Godman B et al (2012) Ongoing measures to enhance the efficiency of prescribing of proton pump inhibitors and statins in The Netherlands: influence and future implications. J Comp Effect Res 1:527–538CrossRef
17.
go back to reference Chen N, Kasserra C, Reyes J et al (2012) Single-dose pharmacokinetics of lenalidomide in healthy volunteers: dose proportionality, food effect, and racial sensitivity. Cancer Chemother Pharmacol 70(5):717–725CrossRefPubMed Chen N, Kasserra C, Reyes J et al (2012) Single-dose pharmacokinetics of lenalidomide in healthy volunteers: dose proportionality, food effect, and racial sensitivity. Cancer Chemother Pharmacol 70(5):717–725CrossRefPubMed
18.
go back to reference Chen N, Zhou S, Palmisano M (2017) Clinical pharmacokinetics and pharmacodynamics of lenalidomide. Clin Pharmacokinet 56(2):139–152CrossRefPubMed Chen N, Zhou S, Palmisano M (2017) Clinical pharmacokinetics and pharmacodynamics of lenalidomide. Clin Pharmacokinet 56(2):139–152CrossRefPubMed
19.
go back to reference Chen N, Wen L, Lau H et al (2012) Pharmacokinetics, metabolism and excretion of [14-C]-lenalidomide following oral administration in healthy male subjects. Cancer Chemother Pharmacol 69:789–797CrossRefPubMed Chen N, Wen L, Lau H et al (2012) Pharmacokinetics, metabolism and excretion of [14-C]-lenalidomide following oral administration in healthy male subjects. Cancer Chemother Pharmacol 69:789–797CrossRefPubMed
20.
go back to reference Chen N, Ye Y, Liu L et al (2013) Lenalidomide at therapeutic and supratherapeutic doses does not prolong QTc intervals in the thorough QTc study conducted in healthy men. Basic Clin Pharmacol Toxicol 113(3):179–186CrossRefPubMedPubMedCentral Chen N, Ye Y, Liu L et al (2013) Lenalidomide at therapeutic and supratherapeutic doses does not prolong QTc intervals in the thorough QTc study conducted in healthy men. Basic Clin Pharmacol Toxicol 113(3):179–186CrossRefPubMedPubMedCentral
Metadata
Title
Bioequivalence study of single-dose lenalidomide capsule vs. Revlimid® capsule in healthy Chinese males
Authors
Jin Wang
Lu Qi
Zejuan Wang
Gang Chen
Chen Liu
Ying Liu
Xiaona Liu
Yu Wang
Chunpu Lei
Xinghe Wang
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
Cancer Chemotherapy and Pharmacology / Issue 1/2018
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-018-3604-x

Other articles of this Issue 1/2018

Cancer Chemotherapy and Pharmacology 1/2018 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine