Bioequivalence and Bioavailability of an ODT of Sildenafil Citrate

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Bioequivalence and Bioavailability of an Orodispersible Tablet of Sildenafil Citrate in Healthy Chinese Male Subjects




Abstract

Sildenafil citrate is approved to treat erectile dysfunction. An orally disintegrating tablet (ODT) of sildenafil citrate that does not require swallowing or administration with fluids has been developed. The bioequivalence and bioavailability of sildenafil citrate ODT (50 mg) without and with water were compared with conventional sildenafil citrate tablets (50 mg) in an open-label, randomized crossover study. Healthy Chinese male subjects (n = 36) were allocated to 1 of 6 sildenafil citrate treatment sequences under fasted conditions, and plasma samples for determination of sildenafil concentrations were collected predose through 14 hours postdose. Bioequivalence was demonstrated for sildenafil citrate ODT administered without water relative to the sildenafil citrate tablet administered with water; 90%CIs for the ratios of adjusted geometric means for sildenafil AUClast , Cmax , and AUCinf (ratio, 101.41%; 90%CI, 95.49%-107.70%; ratio, 93.55%; 90%CI, 84.15%-104.00%; and ratio, 101.03%; 90%CI, 94.80%-107.66%; respectively) were wholly contained within the bioequivalence acceptance range of 80% to 125%, indicating bioequivalence criteria were met. Relative bioavailability of sildenafil citrate ODT administered with water to the sildenafil citrate tablet (50 mg) administered with water was 97.10%, 91.43%, and 97.09% with respect to sildenafil AUClast , Cmax , and AUCinf , respectively (90%CI, 91.43%-03.12%, 82.25%-101.65%, and 90.90%-103.71%, respectively). Both sildenafil citrate formulations were generally well tolerated in healthy Chinese men. Sildenafil citrate ODT administered without or with water was bioequivalent to or met bioequivalence criteria compared with conventional sildenafil citrate tablets administered with water under fasted conditions in healthy Chinese men, thus offering a convenient alternative method of oral administration.






Conclusions

As a 50‐mg dose, sildenafil citrate ODT taken either without or with water is bioequivalent to or meets bioequivalence criteria compared with the commercial sildenafil citrate film‐coated tablet taken with water, thus offering a convenient alternative method of oral administration. Both formulations were safe and generally well-tolerated in healthy Chinese men.
 

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Figure 1. Mean plasma sildenafil citrate concentration-time profile following a single oral dose of 50-mg sildenafil. Error bars are the SD for Viagra tablet, 50 mg with water. ODT, orally disintegrating tablet.
 
Beyond Testosterone Book by Nelson Vergel
The ODT’s are interesting and I have tried several from PDE5’s to Oxytocin, and others, and they seem very effective. ODTs have to meet certain criteria such as dissolving in the mouth with no water within a specific timeframe. As long as the dalton (molecule) weight is low enough that the molecule of the substances can pass through the oral mucosa (No HCG for example) then bioavailability should be high. And they have the advantage over troches as being more stable at warmer temperatures.

Stay away from RDT’s (rapid dissolve tablets) which are different from ODT’s. The high heat required to manufacture RDT’s actually destroys almost all of the active ingredients in the cases of PDE5’s, Oxytocin, and others.
 
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