Evidence map›Paper›PMID 32374030›Full record

ArticleBritish journal of clinical pharmacology2020

Bioequivalence of macitentan and tadalafil given as fixed-dose combination or single-component tablets in healthy subjects.

Simon Grill, Shirin Bruderer, Patricia N Sidharta, Mariya Antonova, Susanne Globig, James Carlson, Armin Schultz, Dénes Csonka

Open access · hybridAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Endothelin receptor antagonists for pulmonary arterial hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Management of pulmonary hypertension in special conditions.The European respiratory journal · 2024
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Simon GrillActelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Shirin BrudererActelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Patricia N SidhartaIdorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
Mariya AntonovaAixial s.r.o., Brno, Czech Republic.
Susanne GlobigIdorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
James CarlsonReven, LLC., Golden, CO, USA.
Armin SchultzClinical Research Services Mannheim GmbH, Mannheim, Germany.
Dénes CsonkaActelion Pharmaceuticals Ltd., Allschwil, Switzerland.ORCID 0000-0001-7797-2615
Actelion (Switzerland) · CHIdorsia (Switzerland) · CHKomix (Czechia) · CZNative American Technologies (United States) · USTechnische Hochschule Mannheim · DE

Funding

Actelion Pharmaceuticals Ltd
6 · The paper itself

Abstract

aimsTo demonstrate the bioequivalence of macitentan/tadalafil fixed-dose combination (FDC) tablets with single-component tablets of macitentan and tadalafil in healthy subjects.

methodsStudies AC-077-101 and AC-077-103 were single-centre, open-label, single-dose, 2-period, randomized, crossover Phase 1 studies conducted in healthy subjects. Two FDCs were investigated: FDC-1 and FDC-2 in Study AC-077-101 and FDC-2 in Study AC-077-103. Both FDCs contained 10 mg/40 mg of macitentan/tadalafil and differed in excipients and coating materials used. In both studies, pharmacokinetic sampling over 216 hours was conducted, and pharmacokinetic parameters were derived using noncompartmental methods.

resultsBioequivalence of macitentan, its active metabolite ACT-132577, and tadalafil was established for FDC-2 in both studies AC-077-101 and AC-077-103 in which tadalafil as a single component was sourced from the USA and EU, respectively, to fulfil regional regulatory requirements. The area under the plasma concentration-time curve and maximum plasma concentration with 90% confidence intervals of all components were entirely within the bioequivalence limits (0.8000-1.2500). No subject died and no serious adverse events were reported in either studies.

conclusionThe FDC-2 tablet containing 10 mg/40 mg of macitentan/tadalafil was bioequivalent to the free combination of 10 mg macitentan and 40 mg tadalafil (both US and EU sourced). Macitentan and tadalafil were well tolerated when administered as FDC or as a free combination.

Indexed as

Hypoglycemic AgentsMetforminPyrimidinesSulfonamidesTadalafilAdolescentAdultArea Under CurveCross-Over StudiesDelayed-Action PreparationsDrug CombinationsFemaleHealthy VolunteersHumansMaleMiddle AgedDelayed-Action PreparationsDrug CombinationsHypoglycemic AgentsmacitentanMetforminPyrimidinesSulfonamidesTabletsTadalafilbioequivalencefixed-dose combinationmacitentanpulmonary arterial hypertensiontadalafil

Identifiers

PMID32374030
PMCPMC7688529
OpenAlexW3023942836

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.