Dose proportionality and pharmacokinetics of carvedilol sustained-release formulation: a single dose-ascending 10-sequence incomplete block study

• Published in: Drug design, development and therapy Vol. 9; pp. 2911 - 2918
• Main Authors: Bae, Kyun-Seop, Choi, Hee Youn, Noh, Yook-Hwan, Lee, Shi Hyang, Lim, Hyeong-Seok, Kim, Chin, Kim, Yo Han
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 2015; Dove Medical Press
• Subjects: Adrenergic beta-Antagonists - administration & dosage; Adrenergic beta-Antagonists - adverse effects; Adrenergic beta-Antagonists - pharmacokinetics; Adult; Area Under Curve; Carbazoles - administration & dosage; Carbazoles - adverse effects; Carbazoles - pharmacokinetics; Chromatography, High Pressure Liquid - methods; Controlled release technology; Delayed-Action Preparations; Dose-response relationship (Biochemistry); Dose-Response Relationship, Drug; Humans; Innovations; Male; Original Research; Propanolamines - administration & dosage; Propanolamines - adverse effects; Propanolamines - pharmacokinetics; Tandem Mass Spectrometry; Young Adult; dose linearity; healthy subjects; sustained release; carvedilol
• ISSN: 1177-8881; 1177-8881
• DOI: 10.2147/DDDT.S86168

Carvedilol is a third-generation β-blocker indicated for congestive heart failure and high blood pressure. The aim of this study was to investigate the dose proportionality of the carvedilol sustained-release (SR) formulation in healthy male subjects. An open-label, single dose-ascending, 10-sequence, 3-period balanced incomplete block study was performed using healthy male subjects. In varying sequences, each subject received three of five carvedilol SR formulations (8, 16, 32, 64, or 128 mg once). The treatment periods were separated by a washout period of 7 days. Serial blood samples were collected up to 48 h after dosing. The plasma concentrations of carvedilol were determined by using validated liquid chromatography-tandem mass spectrometry. Pharmacokinetic parameters including the area under the plasma concentration-time curve (AUC) from time 0 to the last measurable time (AUClast), AUC extrapolated to infinity (AUCinf), and the measured peak plasma concentration (C max) were obtained by noncompartmental analysis. Dose proportionality was evaluated if the ln-ln plots of AUClast, AUCinf, and C max versus dose were linear and the 90% confidence intervals (CIs) of the slopes were within 0.9195 and 1.0805. Tolerability was assessed by vital signs, electrocardiogram, clinical laboratory tests, and monitoring of adverse events (AEs) throughout the study. A total of 31 subjects were enrolled, and 30 completed the study. The assessment of dose proportionality meets the statistical criteria; the point estimates of slope were 1.0104 (90% CI: 0.9849-1.0359) for AUClast, 1.0003 (90% CI: 0.9748-1.0258) for AUCinf, and 0.9901 (90% CI: 0.9524-1.0277) for C max, respectively. All AEs were mild, and none of the subjects dropped out due to AEs. In this study, exposure to carvedilol was proportional over the therapeutic dose range of 8-128 mg. The carvedilol SR formulation was well tolerated.