Simultaneous oral therapeutic and intravenous ¹⁴C-microdoses to determine the absolute oral bioavailability of saxagliptin and dapagliflozin

Br J Clin Pharmacol. 2013 Mar;75(3):763-8. doi: 10.1111/j.1365-2125.2012.04391.x.

Abstract

Aim: To determine the absolute oral bioavailability (F(p.o.) ) of saxagliptin and dapagliflozin using simultaneous intravenous ¹⁴C-microdose/therapeutic oral dosing (i.v.micro + oraltherap).

Methods: The F(p.o.) values of saxagliptin and dapagliflozin were determined in healthy subjects (n = 7 and 8, respectively) following the concomitant administration of single i.v. micro doses with unlabelled oraltherap doses. Accelerator mass spectrometry and liquid chromatography-tandem mass spectrometry were used to quantify the labelled and unlabelled drug, respectively.

Results: The geometric mean point estimates (90% confidence interval) F(p.o) . values for saxagliptin and dapagliflozin were 50% (48, 53%) and 78% (73, 83%), respectively. The i.v.micro had similar pharmacokinetics to oraltherap.

Conclusions: Simultaneous i.v.micro + oraltherap dosing is a valuable tool to assess human absolute bioavailability.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adamantane / analogs & derivatives*
  • Adamantane / pharmacokinetics
  • Administration, Intravenous
  • Administration, Oral
  • Adolescent
  • Adult
  • Area Under Curve
  • Benzhydryl Compounds
  • Biological Availability
  • Chromatography, Liquid
  • Dipeptides / pharmacokinetics*
  • Dipeptidyl-Peptidase IV Inhibitors / administration & dosage*
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacokinetics
  • Dose-Response Relationship, Drug
  • Glucosides / pharmacokinetics*
  • Humans
  • Male
  • Mass Spectrometry
  • Middle Aged
  • Sodium-Glucose Transport Proteins / administration & dosage
  • Sodium-Glucose Transport Proteins / antagonists & inhibitors*
  • Sodium-Glucose Transport Proteins / pharmacokinetics
  • White People
  • Young Adult

Substances

  • Benzhydryl Compounds
  • Dipeptides
  • Dipeptidyl-Peptidase IV Inhibitors
  • Glucosides
  • Sodium-Glucose Transport Proteins
  • dapagliflozin
  • saxagliptin
  • Adamantane