Pidotimod ((R)-3-[(S)-(5-oxo-2-pyrrolidinyl) carbonyl]- thiazolidine-4
-carboxylic acid, PGT/1A, CAS 121808-62-6) is a dipeptide-like molecul
e with immunostimulating activity in animals and in men. According to
a cross-over randomized study design, 12 healthy volunteers received p
idotimod both as 800 mg sachets and 800 mg ampoules after fasting and
after a standard meal. The intake of a standard meal before pidotimod
administration either as sachet or as ampoule, reduced the bioavailabi
lity of the drug, probably due to an interference at the absorption le
vel. After eating, the time of maximum plasma level was significantly
longer than that observed after fasting, while AUC values and the maxi
mum concentration were reduced by 50 %. On the contrary, the pharmacok
inetics after absorption phase were not influenced by food. as a matte
r of fact, half-life and MRT did not differ significantly, when the dr
ug was taken after fasting or after a standard meal. Finally, the two
formulations used in this study resulted bioequivalent.