Fo. Muller et al., RELATIVE BIOAVAILABILITY OF 4 CLOMIPRAMINE HYDROCHLORIDE TABLET PRODUCTS, Biopharmaceutics & drug disposition, 17(1), 1996, pp. 81-90
The relative bioavailability of clomipramine was determined in two sin
gle-blind, single-dose, randomized, crossover studies. In the first st
udy, the relative bioavailability of the test product, 2 x 25 mg clomi
pramine hydrochloride tablets (Noristan Ltd.), with respect to the ref
erence product, Anafranil(R) 2 x 25 mg tablets (clomipramine HCl; Ciba
-Geigy (Pty) Ltd.) was determined. In the second study, the relative b
ioavailability of the test product, 5 x 10 mg clomipramine hydrochlori
de tablets (Noristan Ltd.), with respect to the reference product, Ana
franil(R) 5 x 10 mg tablets (clomipramine HCl; Ciba-Geigy (Pty) Ltd.),
was determined. The geometric mean values for the variable C-max were
31.3 ng mL(-1) for the reference and 31.6 ng mL(-1) for the test prod
uct in study 1. The geometric mean values for the variable AUC were 73
6 ng h mL(-1) and 753 ng h mL(-1) for the reference and test, respecti
vely. In study 2, the geometric mean C,, values were 25.8 ng mL(-1) an
d 23.9 ng mL(-1) for the reference and test respectively; the geometri
c mean AUC values were 569 ng h mL(-1) and 547 ng h mL(-1). The 90% co
nfidence intervals for the 'test/reference' mean ratios of the plasma
clomipramine pharmacokinetic variables C-max and AUC((0-infinity)) (as
measures of the rate and extent of absorption of clomipramine, respec
tively) fail within the conventional bioequivalence range of 80-125% f
or both studies. The test products (clomipramine HCl) are therefore bi
oequivalent to the reference products (Anafranil(R)) with respect to t
he rate and the extent of absorption of clomipramine in both 10 mg and
25 mg strengths.