מדינה: קנדה
שפה: אנגלית
מקור: Health Canada
KETOCONAZOLE
APOTEX INC
J02AB02
KETOCONAZOLE
200MG
TABLET
KETOCONAZOLE 200MG
ORAL
100
Prescription
AZOLES
Active ingredient group (AIG) number: 0116793001; AHFS:
APPROVED
2021-04-07
PRODUCT MONOGRAPH Pr KETOCONAZOLE Ketoconazole Tablets USP 200 mg Antifungal Agent APOTEX INC. 150 Signet Drive Weston, Ontario M9L 1T9 DATE OF PREPARATION: April 6, 2021 CONTROL NO.: 245850 1 2 PRODUCT MONOGRAPH KETOCONAZOLE Ketoconazole Tablets USP 200 mg THERAPEUTIC CLASSIFICATION Antifungal Agent ACTION AND CLINICAL PHARMACOLOGY _In vitro _studies suggest that the antifungal properties of ketoconazole may be related to its ability to impair the synthesis of ergosterol, a component of fungal and yeast cell membranes. Without the availability of this essential sterol, there are morphological alterations of the fungal and yeast cell membranes manifested as abnormal membranous inclusions between the cell wall and the plasma membrane. The inhibition of ergosterol synthesis has been attributed to interference with the reactions involved in the removal of the 14-α-methyl group of the precursor of ergosterol, lanosterol. Comparative Bioavailability A double-blind, two way, randomized, cross-over bioavailability study was conducted in 18 adult, healthy, male volunteers to evaluate the relative bioavailability of single oral doses (200 mg) of Ketoconazole 200. mg tablets manufactured by Apotex Inc. and Nizoral ® 200 mg tablets manufactured by Janssen Pharmaceutica Inc. The mean pharmacokinetic data obtained from the 17 evaluable subjects were as follows: Table 1: Pharmacokinetic Indices for Ketoconazole Parameter Geometric Mean Arithmetic Mean (C.V.) Ratio of Geometric Means (%) * Ketoconazole Nizoral ® † AUC T (ng.hr/mL) AUC I (ng.hr/mL) C max (ng/mL) T max ** (hr) t 1/2 ** (hr) 15246.7 17667.8 (51) 15679.2 18036.4 (51) 3756.6 4218.7 (38) 2.32 (35) 1.75 (50) 16668.8 18600.0 (42) 17041.7 18941.6 (42) 4030.7 4355.7 (33) 2.44 (34) 1.59 (18) 91.5 92.0 93.2 -- -- † Nizoral ® (Janssen Pharmaceutica Inc.) was purchased at a Canadian retail pharmacy. * Based on the least squares estimate of the geometric means. ** The T max and t 1/2 parameters are expressed as the arithmetic means (CV). 3 INDICATIONS KETOCONAZOLE (ke קרא את המסמך השלם