Formulation and In Vitro, In Vivo Correlation Between Two Candesartan Cilexetil Tablets

In this study, the in vitro and in vivo interchangeability between generic candesartan 16 mg and the branded formulation was assessed. The in vitro release of these products was conducted in 3 pH media (1.2,5.0, and 6.8), and similarity factors (f(2)) were calculated. This bioequivalence study was a randomized,2-period crossover study that included 42 healthy adult male subjects under fasting conditions with a 9-day washout. The pharmacokinetic (PK) parameters AUC(0-last),AUC(0-infinity,) and C-max, t(max), and the elimination half-life time were assessed based on the plasma concentrations of candesartan, using a newly developed and validated liquid chromatography-tandem mass spectrometry bioanalytical method with acceptable degrees of linearity, sensitivity, precision, and accuracy. The geometric mean (ng.h/mL) of the AUC(0-infinity) for the test and brand was 1595.49 and 1620.54, respectively, and the C-max(ng/mL) was 160.91 and 160.88, respectively. The 90%CIs of geometric mean ratios (test-to-reference ratios) were 98.26%, 98.45%, and 99.86% for AUC(0-last), AUC(0-infinity), and C-max respectively. These PK parameters lie within the US Food and Drug Administration- and European Medicines Agency- specified bioequivalence limit (80%-125%). Both products were well tolerated by all the subjects. The tested drug product was bioequivalent to the reference drug and had the same safety profile.