Virology & Mycology Infectious Diseases
 
   Publications A-Z
A
»Accounting & Marketing
» Addiction Research & Therapy
»Advances in Automobile Engineering
»Advances in Pharmacoepidemiology & Drug Safety
»Advances in Robotics & Automation
»Aeronautics & Aerospace Engineering
»Agrotechnology
»AIDS & Clinical Research
»Allergy & Therapy
»Air & Water borne Diseases
»Alzheimers Disease & Parkinsonism
»Analytical & Bioanalytical Techniques
»Anaplastology
»Anatomy & Physiology
»Andrology-Open Access
»Anesthesia & Clinical Research
»Antivirals & Antiretrovirals
»Applied & Computational Mathematics
»Applied Mechanical Engineering
»Aquaculture Research & Development
»Architectural Engineering Technology
»Arthritis
»Astrophysics & Aerospace technology
»Autacoids
»Autism-Open Access
  
B
»Bacteriology & Parasitology
»Bioanalysis & Biomedicine
»Biochemistry and Analytical Biochemistry
»Biochemistry & Pharmacology: Open Access
»Biochips & Tissue Chips
»Bioenergetics: Open Access
»Bioengineering & Biomedical Science
»Bioequivalence & Bioavailability
»Biofertilizers & Biopesticides
»Biometrics & Biostatistics
»Biomolecular Research & Therapeutics
»Biochemistry & Physiology: Open Access
»Bioprocessing & Biotechniques
»Bioremediation & Biodegradation
»Biosafety
»Biosensors & Bioelectronics
»Biotechnology & Biomaterials
»Bioterrorism & Biodefense
»Blood Disorders & Transfusion
»Blood & Lymph
»Brain Disorders & Therapy
»Briefing in Intellectual Property Rights
»Business and Financial Affairs
  
C
»Cancer Science & Therapy
»Carcinogenesis & Mutagenesis
»Cell & Developmental Biology
»Cell Science & Therapy
»Chemical Engineering & Process Technology
»Chemotherapy: Open Access
»Chromatography & Separation Techniques
»Civil & Environmental Engineering
»Civil & Legal Sciences
»Clinical & Cellular Immunology
»Clinical Case Reports
»Clinical & Experimental Cardiology
»Clinical & Experimental Dermatology Research
»Clinical & Experimental Ophthalmology
»Clinical & Experimental Pathology
»Clinical & Experimental Pharmacology
»Clinical Pharmacology & Biopharmaceutics
»Clinical Research & Bioethics
»Clinical Toxicology
»Clinical Trials
»Cloning & Transgenesis
»Communicable & Noncommunicable Diseases
»Community Medicine & Health Education
»Computer Science & Systems Biology
»Cytology & Histology
D
»Data Mining in Genomics & Proteomics
»Defense Management
»Dentistry
»Depression and Anxiety
»Diabetes & Metabolism
»Drug Designing
»Drug Metabolism & Toxicology
  
E
»Earth Science & Climatic Change
»Ecosystem & Ecography
»Endocrinology & Metabolic Syndrome
»Entomology, Ornithology & Herpetology
»Environmental & Analytical Toxicology
»Epidemiology: Open Access
»Emergency Medicine
»Ergonomics
»Electrical & Electronics
»Enzyme Engineering
»Entrepreneurship & Organization Management
  
F
»Family Medicine & Medical Science Reserch
»Fermentation Technology
»Fertilization : In Vitro
»Food Processing & Technology
»Forensic Research
»Forest Research: Open Access
»Fungal Genomics & Biology
  
G
»Gastrointestinal & Digestive System
»Genetic Syndromes & Gene Therapy
»Glycobiology
»Glycomics & Lipidomics
»Gynecology& Obstetrics
»Geography & Natural Disasters
»Geology & Geosciences
»Geophysics & Remote Sensing
»Gerontology & Geriatric Research
  
H
»Hair : Therapy & Transplantation
»Health & Medical Informatics
»Hereditary Genetics
»Homeopathy & Ayurvedic Medicine
»Hotel & Business Management
»Human Genetics & Embryology: Current Research
»Hydrology: Current Research
»Hypertension- Open Access
  
I
»Industrial Engineering & Management
»Irrigation and Drainage Systems Engineering
»Information Technology & Software Engineering
»Internal Medicine
»Integrative Oncology
  
L
»Liver
  
M
»Marine Science: Research & Development
»Mass Communication & Journalism
»Material Science & Engineering
»Medicinal Chemistry
»Medical Advancements in Genetic Engineering
»Medicinal & Aromatic Plants
»Medical Diagnostic Methods
»Medical Microbiology & Diagnosis
»Medical & Surgical Urology
»Membrane Science & Technology
»Metabolic Syndrome
»Metabolomics:Open Access
»Microbial & Biochemical Technology
»Molecular Biology
»Molecular Biomarkers & Diagnosis
»Molecular Imaging & Dynamics
»Mycobacterial Diseases
N
»Nanomedicine & Biotherapeutic Discovery
»Nanomedicine & Nanotechnology
»Neonatal Biology
»Nephrology & Therapeutics
»Neurology & Neurophysiology
»Novel Physiotherapies
»Nuclear Energy & Power Generation Technologies
»Nuclear Medicine & Radiation Therapy
»Nutrition & Food Sciences
»Nutritional Disorders & Therapy
»Nursing & Care
  
O
»Obesity & Weight Loss Therapy
»OMICS Journal of Radiology
»Outlook on Developing Drugs: Open Access
»Organ Biology
»Organic Chemistry: Current Research
»Orthopedic & Muscular System: Current Research
»Otolaryngology
  
P
»Pain & Relief
»Palliative Care & Medicine
»Pancreatic Disorders & Therapy
»Pediatrics & Therapeutics
»Petroleum & Environmental Biotechnology
»Pharmaceutica Analytica Acta
»Pharmaceutical Regulatory Affairs: Open Access
»Pharmacogenomics & Pharmacoproteomics
»Physical Chemistry & Biophysics
»Plant Pathology & Microbiology
»Powder Metallurgy & Mining
»Primatology
»Primary Health Care: Open Access
»Proteomics & Bioinformatics
»Psychology & Psychotherapy
»Pulmonary & Respiratory Medicine
  
R
»rDNA Technology
»Reproductive System & Sexual Disorders
»Rheumatology: Current Research
  
S
» Single Cell Genomics & Proteomics
»Sleep Disorders & Therapy
»Social & Economical Issues of Biotechnology
»Socialomics
»Sports Medicine & Doping Studies
»Spine
»Stem Cell Research & Therapy
»Steroids & Hormonal Science
»Stock & Forex Trading
»Surgery: Current Research
  
T
»Telecommunications System & Management
»Textile Science & Engineering
»Thermodynamics & Catalysis
»Thyroid Disorders & Therapy
»Tissue Science & Engineering
»Translational Medicine
»Transplantation Technologies & Research
»Trauma & Treatment
»Tourism & Hospitality
  
V
»Vaccines & Vaccination
»Veterinary Science & Technology
»Virology & Mycology
»Vitamins & Trace Elements
  
W
»Women's Health Care
  
Y
»Yoga & Physical Therapy
 
   Browse by Subjects
Clinical
» AIDS & Clinical Research
» Anesthesia & Clinical Research
» Cancer Science & Therapy
» Carcinogenesis & Mutagenesis
» Cell Science & Therapy
» Clinical & Cellular Immunology
» Clinical & Experimental Cardiology
» Clinical & Experimental Dermatology Research
» Clinical & Experimental Ophthalmology
» Clinical & Experimental Pathology
» Clinical & Experimental Pharmacology
» Clinical Research & Bioethics
» Clinical Toxicology
» Cytology & Histology
» Forensic Research
» Integrative Oncology
» Neurology & Neurophysiology
» Pulmonary & Respiratory Medicine
» Stem Cell Research & Therapy
» Transplantation Technologies & Research
   
Pharmaceutical Sciences
» Advances in Pharmacoepidemiology & Drug Safety
» Antivirals & Antiretrovirals
» Bioanalysis & Biomedicine
» Bioequivalence & Bioavailability
» Clinical Pharmacology & Biopharmaceutics
» Drug Metabolism & Toxicology
» Outlook on Developing Drugs: Open Access
» Pharmaceutica Analytica Acta
» Pharmaceutical Regulatory Affairs: Open Access
» Vaccines & Vaccination
   
Chemistry
» Analytical & Bioanalytical Techniques
» Chromatography & Separation Techniques
» Medicinal Chemistry
» Organic Chemistry
» Physical Chemistry & Biophysics
» Thermodynamics & Catalysis
   
Environmental
» Aquaculture Research & Development
» Earth Science & Climatic Change
» Ecosystem & Ecography
» Environmental & Analytical Toxicology
» Geography & Natural Disasters
» Hydrology: Current Research
» Petroleum & Environmental Biotechnology
   
Omics
» Computer Science & Systems Biology
» Data Mining in Genomics & Proteomics
» Glycomics & Lipidomics
» Health & Medical Informatics
» Metabolomics:Open Access
» Pharmacogenomics & Pharmacoproteomics
» Proteomics & Bioinformatics
   
Life Sciences
» Agrotechnology
» Autism-Open Access
» Bacteriology & Parasitology
» Biochemical Pharmacology
» Biochemistry & Physiology
» Biochemistry & Physiology: Open Access
» Biochemistry and Analytical Biochemistry
» Biochips & Tissue Chips
» Bioenergetics
» Bioengineering & Biomedical Science
» Biofertilizers & Biopesticides
» Biometrics & Biostatistics
» Biomolecular Research & Therapeutics
» Bioremediation & Biodegradation
» Biosafety
» Biosensors & Bioelectronics
» Biotechnology & Biomaterials
» Bioterrorism & Biodefense
» Cell & Developmental Biology
» Chemotherapy
» Enzyme Engineering
» Fermentation Technology
» Forest Research
» Fungal Genomics & Biology
» Marine Science: Research & Development
» Medical Advancements in Genetic Engineering
» Medicinal & Aromatic Plants
» Membrane Science & Technology
» Microbial & Biochemical Technology
» Molecular Imaging & Dynamics
» Nanomedicine & Biotherapeutic Discovery
» Nanomedicine & Nanotechnology
» Nutrition & Food Sciences
» Plant Pathology & Microbiology
» Primatology
» rDNA Technology
» Single Cell Genomics & Proteomics
» Social & Economical Issues of Biotechnology
» Tissue Science & Engineering
» Veterinary Science & Technology
» Virology & Mycology
» Vitamins & Trace Elements
» Women's Health Care
» Yoga & Physical Therapy
   
Engineering
» Advances in Automobile Engineering
» Advances in Robotics & Automation
» Aeronautics & Aerospace Engineering
» Applied & Computational Mathematics
» Applied Mechanical Engineering
» Architectural Engineering Technology
» Astrophysics & Aerospace technology
» Bioprocessing & Biotechniques
» Chemical Engineering & Process Technology
» Civil & Environmental Engineering
» Electrical & Electronics
» Food Processing & Technology
» Geology and Geosciences
» Geophysics & Remote sensing
» Industrial Engineering & Management
» Information Technology & Software Engineering
» Irrigation and Drainage Systems Engineering
» Material Science & Engineering
» Powder Metallurgy & Mining
» Telecommunications System & Management
» Textile Science & Engineering
   
Medical Sciences
» Addiction Research & Therapy
» Air & Water borne Diseases
» Allergy & Therapy
» Alzheimers Disease & Parkinsonism
» Anaplastology
» Anatomy & Physiology
» Andrology
» Arthritis
» Autacoids
» Blood & Lymph
» Blood Disorders & Transfusion
» Brain Disorders & Therapy
» Clinical Case Reports
» Clinical Trials
» Cloning & Transgenesis
» Communicable & Noncommunicable Diseases
» Community Medicine & Health Education
» Dentistry
» Depression and Anxiety
» Diabetes & Metabolism
» Drug Designing
» Emergency Medicine
» Endocrinology & Metabolic Syndrome
» Entomology, Ornithology & Herpetology
» Epidemiology: Open Access
» Ergonomics
» Family Medicine & Medical Science Reserch
» Fertilization : In Vitro
» Gastrointestinal & Digestive System
» Genetic Syndromes & Gene Therapy
» gerontology & Geriatrics Research
» Glycobiology
» Gynecology& Obstetrics
» Hair: Therapy & Transplantation
» Hereditary Genetics
» Homeopathy & Ayurvedic Medicine
» Human Genetics & Embryology
» Hypertension-Open Access
» Internal Medicine
» Liver
» Medical Diagnostic Methods
» Medical Microbiology & Diagnosis
» Metabolic Syndrome
» Molecular Biology
» Molecular Biomarkers & Diagnosis
» Mycobacterial Diseases
» Neonatal Biology
» Nephrology & Therapeutics
» Novel Physiotherapies
» Nuclear Medicine & Radiation Therapy
» Nursing & Care
» Nutritional Disorders & Therapy
» Obesity & Weight Loss Therapy
» OMICS Journal of Radiology
» Organ Biology
» Orthopedic & Muscular System
» Otolaryngology
» Pain & Relief
» Palliative Care & Medicine
» Pancreatic Disorders & Therapy
» Pediatrics & Therapeutics
» Primary Health Care: Open Access
» Psychology & Psychotherapy
» Reproductive System & Sexual Disorders
» Rheumatology: Current Research
» Sleep Disorders & Therapy
» Spine
» Sports Medicine & Doping Studies
» Steroids & Hormonal Science
» Surgery: Current Research
» Thyroid Disorders & Therapy
» Translational Medicine
» Trauma & Treatment
 
Management
» Accounting & Marketing
» Business and Financial Affairs
» Civil & Legal Sciences
» Defense Management
» Entrepreneurship& Organization Management
» Hotel & Business Management
» Industrial Engineering & Management
» Mass Communication & Journalism
» Stock & Forex Trading
» Socialomics
» Tourism & Hospitality
 
   Conferences
Upcoming Conferences
»3rd International Conference on Biomarkers & Clinical Research July 2-4, 2012 Las Vegas, USA.
»2nd International Conference on Proteomics & Bioinformatics July 2-4, 2012 Las Vegas, USA.
»International Conference and Exhibition on Orthopedics August 13-15, 2012 Chicago, USA.
»International Conference and Exhibition on Rheumatology and Therapeutics August 14-15, 2012 Chicago, USA.
»International Conference and Exhibition on Addiction Research & Therapy August 20-22, 2012 Las Vegas, USA.
»2nd World Congress on Virology August 20-22, 2012 Las Vegas, USA.
»International Conference and Exhibition on Nephrology and Therapeutics August 20-22, 2012 Hilton Chicago/Northbrook Chicago, USA.
»2nd International Conference on Vaccines & Vaccination August 20-22, 2012 at Chicago, USA.
»World Congress on Earth Science & Climate Change August 21-22, 2012 Chicago, USA.
»International Conference and Exhibition on pathology August 27-29, 2012 Philadelphia, USA.
»International Conference on Pulmonary & Respiratory Medicine August 27-29, 2012 Philadelphia, USA.
»International Conference and Exhibition on Nutritional Science & Therapy-2012 August 27-29, 2012 Philadelphia, USA.
»International Conference on Central Nervous System September 5-7, 2012 Double by Hilton Philadephia, USA.
»International Conference on Occupational Health and Safety Summit September 5-7, 2012 Philadelphia, USA.
»International Conference on Hydrology and Groundwater Expo September 10-12, 2012 Hilton San Antonio Airport, USA.
»2nd World Congress on Cancer Science & Therapy September 10-12, 2012 San Antonio, USA.
»International Conference and Exhibition on Biowaivers and Biosimilars September 10-12, 2012 San Antonio, TX, USA.
»3rd World Congress on Biotechnology September 13-15, 2012 HICC, Hyderabad, India
»International Conference on Biodiversity & Sustainable Energy Development September 14-15, 2012 Hyderabad, India.
»International Conference and Exhibition on Solar Systems and Power Generation Technologies September 14-15, 2012 Hyderabad International Convention Center, India.
» International Conference on Hotel and Business Management September 14-15, 2012 Hyderabad International Convention Center, India
»International Conference on Toxicology Summit & Expo September 17-19, 2012 San Antonio Texas, USA.
»International Conference on Translational medicine-2012, September 17-19, 2012 Holiday Inn San Antonio, Texas, USA.
»2nd International Conference on Pediatrics & Gynecology September 24-26, 2012, Hyderabad Marriott Hotel & Convention Centre , Hyderabad, India.
»3rd World Congress on Diabetes & Metabolism which is to be held on September 24-26, 2012 Marriott Convention Center, Hyderabad, India.
»International Conference on Tissue Science and Engineering October 1-3, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
»International conference and Exhibition on Pharmacovigilance and Clinical Trials October 1-3, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
»Omics International Integrative Biology Summit 2012 October 1-3, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
»International Conference on Emerging Cell Therapies October 1-3, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
»International Conference on Forensic Research & Technology October 15-17, 2012 at DoubleTree by Hilton Chicago-North Shore, USA.
»International Conference and Exhibition on Otolaryngology October 15-17, 2012 Chicago, USA.
»International conference on Biothreats and Biodefense October 15-17, 2012 at DoubleTree by Hilton Chicago-North Shore, USA.
»International Conference on Genetic Syndromes & GeneTherapy November 19-21, 2012 at Hilton San Antonio Airport, USA.
»International Conference on Clinical and Cellular Immunology October 22-24, 2012 Las Vegas, USA.
»International Conference and Expo on Material science and Engineering October 22-24, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
» International Expo and Conference on Analytrix & HPLC October 22-24, 2012 Hilton Northbrook, Chicago, USA.
»International Conference and Exhibition on Computer Aided Drug Design & QSAR October 29-31, 2012, Chicago, USA.
»International Conference and Exhibition on Personalized Medicine & Molecular Diagnostics during October 29-31, 2012 DoubleTree by Hilton Chicago-North Shore, USA.
»2nd World Congress on Cell Science and Stem Cell Research November 12-14, 2012 Hilton San Antonio Airport, USA.
»International Conference on Clinical Microbiology & Microbial Genomics November 12-14, 2012 San Antonio, USA.
»International Conference on Regenerative and Functional Medicine November 12-14, 2012 at San Antonio, Texas, USA.
»Global Biofuels and Bioproducts Summit November 19-21, 2012 San Antonio, USA.
»International Conference on Genetic Syndromes & GeneTherapy November 19 - 21, 2012 Hilton San Antonio Airport, USA
»International Conference and Exhibition on Probiotics-2012, November 19–21, 2012, Hilton San Antonio Airport, USA.
»International Conference and Exhibition on Food Processing and Technology November 22-24, 2012 Hyderabad, India.
»3rd International Conference and Exhibition on Analytical & Bioanalytical Techniques November 22-24, 2012 Hyderabad International Convention Center, India
»2ndInternational Conference and Exhibition on Pharmaceutical Regulatory Affairs November 23-24, 2012 HICC Hyderabad, India
»International Conference and Exhibition on Cosmetology & Cosmetics November 23-24, 2012 HICC Hyderabad, India.
»International Conference and Exhibition on Surgery & Transplantation November 26-28, 2012 Hilton San Antonio Airport, USA.
»International conference on Hair Transplantation and Trichology November 26-28, 2012 San Antonio, USA.
»International Conference on Anesthesia & Perioperative Care during November 26-28, 2012 San Antonio, USA.
»International Conference and Exhibition on Obesity and Weight Management, December 3-5, 2012 at DoubleTree by Hilton Philadelphia, USA.
»International Summit on GMP & GCP: USA, Europe, Japan, Asia Pacific December 3-5, 2012 DoubleTree by Hilton Philadelphia Center City, USA
»International Conference on QA, QC and Validation, December 3-5, 2012 DoubleTree by Hilton Philadelphia Center City, USA
»2nd International Conference on Nanotek and Expo, December 3-5, 2012 DoubleTree by Hilton Philadelphia Center City, USA
Previous Conferences Organized/Co-organized
» International Conference and Exhibition on Neurology &Therapeutics May 14-16, 2012 Embassy Suites Las Vegas, USA.
»International Conference and Exhibition on Biosensors & Bioelectronics May 14-16, 2012 Embassy Suites Las Vegas, USA.
»3rd World Congress on Bioavailability & Bioequivalence: Pharmaceutical R & D Summit March 26-28, 2012 Marriott Hotel, Hyderabad, India.
»International Conference & Exhibition on Nanotechnology and Nanomedicine March 12-14, 2012 Omaha, USA.
»World Congress on Gastroenterology and Urology March 12-14, 2012 Omaha, USA
»International Conference and Exhibition on Biometrics & Biostatistics March 5-7, 2012 Omaha, USA.
»2nd World Congress on Clinical & Experimental Dermatology March 5-7, 2012 Omaha, USA
»2nd World Congress on Clinical & Experimental Cardiology March 5-7, 2012 Omaha, USA.
» 2nd World Congress on Clinical & Experimental Ophthalmology March 5-7, 2012 Omaha, USA.
»International Conference and Exhibition on Metabolomics & Systems Biology February 20-22, 2012 San Francisco, USA.
»2nd World Congress on Pharmaceutics & Novel Drug Delivery Systems February 20-22, 2012 San Francisco, USA.
»2nd world Congress on Analytical and Bioanalytical Techniques 16-17 December 2011San franscico, USA.
»2nd World Congress on Diabetes & Metabolism 6-8 December 2011 Philadelphia, USA.
»World Congress on Pediatrics & Gynecology 6-8 December 2011 Philadelphia, USA.
»International Conference and Exhibition on Cell Science & Stem Cell Research 29 Nov-1 Dec 2011 Philadelphia, USA.
»2nd World Congress on Biotechnology 29 Nov -1 Dec 2011 Philadelphia, USA.
»International Conference and Exhibition on Vaccines & Vaccination 22-24 November 2011 Philadelphia, USA.
»2nd World Congress on Biomarkers & Clinical Research 12-14 September 2011 Baltimore, USA.
»International Conference and Exhibition on Virology 5-7 September 2011 Baltimore, USA.
»International Conference and Exhibition on Pharmaceutical Regulatory Affairs 6-7 September 2011 Baltimore, USA.
»International Conference and Exhibition on Cancer Science & Therapy 15-17 August 2011 Las Vegas, USA.
»International Conference on Clinical Research: Dermatology, Ophthalmology and Cardiology 5-6 July 2011 San Francisco, USA.
»International Conference & Exhibition on Proteomics & Bioinformatics 6-8 June 2011 HICC, Hyderabad, India.
»International Conference & Exhibition on Pharmaceutical Biotechnology 6-8 June 2011 HICC, Hyderabad, India.
»2nd World Congress on Bioavailability & Bioequivalence: Pharmaceutical R & D Summit 6-8 June 2011 Las Vegas, USA.
»International Conference on Pharmaceutics & Novel Drug Delivery Systems 7-8 June Las Vegas, USA.
»World Congress on Biotechnology 21-23 March 2011 Hyderabad, India.
»International Conference on Diabetes and Metabolism 13-14 December 2010 Santa Clara, USA.
»International Conference on Biomarkers & Clinical Research 22-23 November 2010 Santa Clara, USA
»International Conference and Exhibition on Analytical and Bioanalytical Techniques: Pharmaceutical R & D Summit 01 - 03 November 2010 Hyderabad, India
»International Conference & Exhibition on Bioequivalence & Bioavailability 2010, Pharmaceutical R & D Summit March 01-03, 2010.
»Integrating Glycomics with other Omics in Cancer Detection and Diagnosis, January 19-20, 2010, Stanford University School of Medicine.
»3rd World Congress of Gene-2009, December 1-7, 2009.
»7th Annual World Congress of International Drug Discovery Science & Technology, October 22-25.
»2nd WSA-2009, July 18-20, 2009
»1st CCSB-2009, February 16-17, 2009
»2nd PRICPS-4th AOHUPO, June 22-26, 2008
»95th ISCA, January 5-8, 2008

Search :     Advanced Search 

Home   |   Join   |   Contact     

    
Journal Details
 
 
Research Article Open Access
Bioequivalence Study with Two Naproxen Sodium Tablet Formulations in Healthy Subjects
Setiawati E*, Deniati SH, Yunaidi DA, Handayani LR, Harinanto G, Santoso ID, Purnomo Sari A, Rimainar A
PT Equilab International, Bioavailability and Bioequivalence Laboratory, Jakarta (Indonesia)
 
*Corresponding author: Dr Effi Setiawati, PT Equilab International,
Jl. Utan Kayu 45, Jakarta 13120 (Indonesia),
E-mail : effi@equilab-int.com
 
Received March 20, 2009; Accepted April 19, 2009; Published May 05, 2009
 
Citation: Setiawati E, Deniati SH, Yunaidi DA, Handayani LR, Harinanto G, et al. (2009) Bioequivalence Study with Two Naproxen Sodium Tablet Formulations in Healthy Subjects. J Bioequiv Availab 1: 028-033. doi:10.4172/ jbb.1000005
 
Copyright: © 2009 Setiawati E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 
Abstract
 

The purpose of this study was to find out whether the bioavailability of a 550 mg naproxen sodium (CAS 22204-53- 1 ) tablet (Sunprox, test) produced by Sunward Pharmaceutical Sdn Bhd was equivalent to that produced by the innovator. The pharmacokinetic parameters assessed in this study were area under the plasma concentration-time curve from time zero to 72 hours (AUCt), area under the plasma concentration-time curve from time zero to infinity (AUCinf), the peak plasma concentration of the drug (Cmax), time needed to achieve the peak plasma concentration (tmax), and the elimination half life (t1/2).

This was a randomized, single blind, two-period, cross-over study which included 26 healthy adult male and female subjects under fasting conditions. In each of the two study periods (separated by a washout of one week) single dose of test or reference drug was administered. Blood samples were taken up to 72 h post dose, the plasma was separated and the concentration of naproxen were determined by HPLC-UV method.

In this study, the mean AUCt, AUCinf, Cmax, and t½ of naproxen from the test drug were 936.11 μg.h.mL-1, 977.03μg.h.mL-1, 76.55 μg/mL, and 15.11 h, respectively. The mean AUCt, AUCinf, Cmax, and t½ of naproxen from the reference drug were 969.77 μg.h.mL-1, 1013.72 μg.h.mL-1, 75.92 μg/mL, and 15.11 h, respectively. The median tmax of he test drug and reference drug were 3.0 h and 2.0 h, respectively. The geometric mean ratios (90% CI) of the test drug/ reference drug for naproxen were 96.46% (94.30 – 98.66%) for AUCt, 96.33% (94.03 – 98.69%) for AUCinf, and
100.37% (95.90 – 105.05%) for Cmax.

Based on this study, it can be concluded that the two naproxen sodium tablets (test and drug reference drug) were bioequivalent in term of the rate and extent of absorption.

 
Keywords
 
Naproxen; Naproxen sodium; CAS 22204-53-1; CAS-26159-34-2; Sunprox; Bioavailability; bioequivalence; pharmacokinetic
 
Introduction
 
Bioavailability and bioequivalence of drug products have emerged as critical issues in pharmacy and medicine during the last three decades. Bioavailability is a pharmacokinetic term that describes the rate and extent to which the drug ingredient is absorbed from a drug product and becomes available in the systemic circulation. The area under the concentration versus time curve (AUC) serves as the extent of absorption, the time to reach the peak concentration (tmax) reflects the rate of absorption, while the peak concentration (Cmax) reflects both the extent and the rate of absorption.
 
Naproxen is a propionic acid derivative related to the arylacetic acid group of nonsteroidal anti-inflammatory drugs. Naproxen (CAS 22204-53-1) and naproxen sodium (CAS-26159-34-2) are known chemically as (S)-6-methoxya- methyl-2-naphthaleneacetic acid and (S)-6-methoxy-α- methyl-2-naphthaleneacetic acid, sodium salt, respectively. Naproxen has a molecular weight of 230.26 and a molecular formula of C14H14O3. Naproxen sodium has a molecular weight of 252.23 and a molecular formula of C14H13NaO3. Naproxen is an odorless, white to off-white crystalline substance. It is lipid-soluble, practically insoluble in water at low pH and freely soluble in water at high pH. The octanol/ water partition coefficient of naproxen at pH 7.4 is 1.6 to 1.8. Naproxen sodium is an odorless crystalline powder, white to creamy in color. It is soluble in methanol and water at neutral pH.
 
Naproxen and naproxen sodium have the following structures, respectively:
 
     
 
     
 
The mechanism of action of the naproxen anion, like that of other NSAIDs, is not completely understood but may be related to prostaglandin synthesis inhibition. NSAIDs inhibit both cyclooxygenase-1 (COX-1) and cyclooxygenase- 2 (COX-2) activities, and thereby inhibit synthesis of prostaglandins and thromboxane. The inhibition of COX-2 is thought to mediate the antipyretics, analgesic, and anti-inflammatory action of NSAIDs. Naproxen is rapidly and completely absorbed from the gastrointestinal tract with an in vivo bioavailability of 95%. The rapidity, but not the extent, of absorption is influenced by the presence of food in the stomach. After administration of naproxen and naproxen sodium tablets, peak plasma levels are attained in 2 to 4 hours and 1 to 2 hours, respectively.
 
The plasma half-life of naproxen anion in human ranges from 12 to 17 hours (mean:14 hours). Steady-state levels of naproxen are reached in 4 to 5 days, and the degree of naproxen accumulation is consistent with this half-life. The corresponding half-lives of both naproxen’s metabolites and conjugates are shorter than 12 hours, and their rates of excretion have been found to coincide closely with the rate of naproxen disappearance from plasma. Small amounts, 3% or less of the administered dose, are excreted in feces. In patients with renal failure, metabolites may accumulate.
 
The pharmacokinetic parameters of naproxen following an administration of 550 mg naproxen sodium tablet obtained from previous BE study based on literature6 are 1202.6 + 174.30 μg.h/mL for AUC0-t , 1300.9 + 204.20μg.h/mL for AUC0-inf, 82.35 + 12.48 μg/mL for Cmax and 1.00 + 0.71 h for tmax.
 
The most common adverse events reported after administration of naproxen are mild dyspepsia, gastric discomfort, constipation, diarrhoea, nausea, drowsiness, headache, dizziness, abdominal pain, sweating, itching, tinnitus, edema, and fatigue.
 
The objective of this study was to investigate the pharmacokinetic and bioavailability of two different oral naproxen sodium formulation following single dosing in healthy adult subjects in order to prove the bioequivalence between both preparation.
 
Subjects, Materials, Methods
 
Subjects and Study Design
 
The study was performed at PT. Equilab, Jakarta-Indonesia and was conducted according to the Declaration of Helsinki and the GCP, and GLP Guideline. The study protocol was reviewed and approved by the the committee of The Faculty of Medicine, University of Indonesia, Jakarta- Indonesia.
 
The test formulation was Sunprox (550 mg naproxen sodium equivalent to 500 mg naproxen), tablet (batch number 692-0807), manufactured by Sunward Pharmaceutical Sdn Bhd. Johor, Malaysia. The reference formulation was Synflex® (550 mg naproxen sodium equivalent to 500 mg naproxen ) tablet, produced by Roche Pharma S.A. Spain was purchased at a local pharmacy in Malysia.
 
Twenty six (26) healthy subjects, 22 males and 4 females, aged between 19 and 46 years, body weight within normal range (BMI= 18.13 – 22.97 kg/m2), blood pressure within normal range (100 – 125 mmHg for systolic, and 60 – 80 mmHg for diastolic), pulse rate between 60 and 90 bpm,
that had signed the informed consent were included in this study.
 
At least one week before and during the study period, the subjects were not allowed to take any drug including food supplement and herbal medicine. Pregnant women, nursing mothers, women childbearing potential without adequate contraception, subjects with known contraindications or hypersensitivity to naproxen, chronic gastrointestinal problems, liver dysfunction, clinically significant hematology abnormalities, renal insufficiency, and positive test results for HBsAg, anti-HCV, and/or anti -HIV , any surgical or medical condition (present or history) which might significantly alter the absorption, distribution, metabolism or excretion of the study drug, e.g. gastrointestinal disease including gastric or duodenal ulcers or history of gastric surgery, a donation or loss of 500 mL (or more) of blood within 3 months before this study’s first dosing day, history of drug or alcohol abuse within 12 months prior to this screening, participation in a previous study within 3 months of this study’s first dosing day were excluded from the study, as assessed of physical examination, vital signs (blood pressure, pulse/ heart rate, respiratory rate and temperature), and laboratory values of liver function (AP, ALT, AST and total/direct bilirubin); renal function (serum creatinine and ureum); routine hematology (haemoglobin, leucocyte count, platelet and leucocyte differential count); blood glucose; routine urinalysis (pH, glucose, protein, and urine sediment), and immunology test for HBsAg, anti-HCV, and anti-HIV within 14 days prior to their first dosing day.
 
Treatment Phase and Blood Sampling
 
Subjects attended to PT Equilab International a night before drug administration and they were requested to fast from any food and drink except mineral water from 21:00 PM. In the morning (approximately 06:00 AM) of the dosing day (day 1), after an overnight fast, a pre-dose pharmacokinetic blood sample was taken. Then the study drug (one tablet of Sunward 550 mg naproxen sodium (Sunprox) or one tablet of Synflex®) were given at 07.00 AM with 200 mL of water and swallowed without chewing the drug in sitting posture. Subjects remained seated for 2 hours after drug administration, and avoiding severe physical exertion.
 
The venous blood samples were withdrawn 10 mL immediately before taking the drug (control), and 5 ml each at 15 and 30 minutes, and 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours after drug administration. One week after the first drug administration (washout period), the same procedure
was repeated the alternate drug.
 
The date and the time of taking each sample were recorded in the CRF. Lunch and dinner were provided 4 hours and 10 hours after drug administration.
 
The amount of food and water intake and physical activity for each individual subject were standardized during the sampling days. Xanthine-containing food or beverages and fruit juices were not allowed for 24 hours before and during the entire sampling days.
 
The subjects were under direct medical supervision during the days of naproxen sodium administration. Blood pressure, heart rate and adverse events were monitored during the blood sampling and also on follow-up study.
 
One physician and two nurses with sufficient qualifications and training were present at dosing time and stayed at the site until the last subject left the study unit; thereafter they were reachable by mobile telephone.
 
Assay Methodology
 
Method of Analysis
 
The naproxen concentrations in plasma were assayed using a fully validated high performance liquid chromatography with ultra violet detection (HPLC-UV) method, with respect to adequate sensitivity, specificity, linearity, recovery, accuracy and precision (both within and between days). The Stability of the samples under frozen conditions, at room temperature, and during freeze-thaw cycle were also determined. The following data were taken from the validation report: Calibration curve for naproxen ranged from 0.50 to 100.41 μg/mL; linear relationship between concentration and signal intensity were obtained (r = 0.9999); the limit of quantitation (LOQ) was 0,50 μg/mL; precision: intra-assay coefficient of variation were 2.06%, 0.73%, and 1.44% at low (1.51 μg/mL), medium (25.10 μg/mL), and high (75.31μg/mL) concentrations, respectively; inter-assay coefficient
of variations were 4.59%, 6.12%, and 3.40% at low, medium, and high concentrations, respectively; accuracy: intra assay (% diff) were ranged from -7.33% to -3.27% for the low concentrations, +12.12% to +14.38% for the medium concentrations, and from +1.26% to +5.35% for the high concentrations; inter assay (% diff) were ranged from -13.58% to +3.42% for the low concentrations, -3.46% to +14.38% for the medium concentrations, and from -1.84% to +9.14% for the high concentrations.
 
Assay Procedure
 
The procedure was applied for the extraction of subject samples, calibration and quality control standards. Plasma sample was dispensed in an appropriate tube, and an appropriate solvent was added. The content of the tube was vortexed and centrifuged. The organic phase was transferred to a vial and an aliquot was injected into the HPLC-UV at λ 240 nm system with a suitable condition. Calibration standards, controls, and samples were processed in batches.
 
Instrument and Analysis Conditions
 
A liquid chromatography with LiChroCART(R) 125-4 Lichrospher(R) 100 RP-18 e (5 μm) (Waters, 2795) and pre column of Symmetry C18 5μm, 3.9 x 20mm were used for separation of naproxen. The mobile phase was acetonitrile : KH2PO4 25 mM pH 3,00 (45 : 55, v/v). The flow rate was 1.0 mL/min and the injection volume was 20 μL. Detection were performed with ultra violet at 240 nm.
 
Pharmacokinetic Evaluation
 
The non-compartmental pharmacokinetic analysis method was employed to determine the pharmacokinetic parameter of naproxen. Cmax and tmax were obtained directly from the observed data. The AUCt is calculated by the trapezoidal method. The AUCinf was calculated as AUCt + Ct/ke, where Ct was the last quantifiable concentration, ke was the terminal elimination rate constant and was determined by leastsquares regression analysis during the terminal log-linear phase of the concentration–time curve. The t1/2 was calculated as 0.693/ke.
 
Statistical Evaluation
 
EquivTest version 2.0 (Statistical Solution Ltd., Saugus, MA, USA) was used to perform the statistical analyses of AUCt, AUCinf, and Cmax using analysis of variance (ANOVA) after transformation of the data to their logarithmic (ln) values. Using the error variance (S2) obtained from the ANOVA, the 90% confidence intervals (CIs) were calculated from the following equation:
 
90% CI = (X-T - X-R) ± t0.1(v) √(s2 × 2/n)
 
-X-T,X-R: the means of the ln transformed values for the test product (T) and the reference product (R)
 
- S2 : the error variance obtained from the ANOVA
 
- n : the number of subjects
 
- t0.1 : the t value for 90% CI
 
- v : the degree of freedom of the error variance from the ANOVA
 
The anti ln of the above confidence intervals were the 90% Cls of the ratios of the test / the reference geometric means.The power of study would be 90 % with 0.05 alpha.The acceptance criteria for bioequivalence were that the 90% Cls of the geometric mean ratios 0.80 – 1.25 for
the AUC and Cmax. The tmax difference was analyzed non-parametrically on the original data using Wilcoxon matched-pairs test.
 
Results
 
A total 26 subjects were invited to participate in this study(Gender and age on what basis-referece). Two subjects were dropped out from the study, because they did not follow the study completely until the last blood sampling because of personal reason. Twenty four subjects only were analyzed
for pharmacokinetic evaluation. There was no adverse event encountered during the study. Mean plasma concentrations versus time profiles of naproxen after administration of both formulation in healthy subjects ( n=24) are shown in Fig.1. The mean plasma concentration-time curve of the test
product and the reference drug were comparable.
 

Figure1: Mean plasma concentration- time profiles of naproxen in healthy subjects (n=24) after oral administration of 550 mg naprosen sodium tablet (test) and that produced by the innovator (reference).

 
In this study, the mean (SD) AUCt, AUCinf, Cmax, and t½ of naproxen from the test drug were 936.11 (159.98) μg.h.mL- 1, 977.03 (173.40) μg.h.mL-1, 76.55 (13.98) μg/mL, and 15.11 (1.11) h, respectively, with the median (range) tmax of 0.50 (0.50 – 1.50) h. The mean (SD) AUCt, AUCinf, Cmax, and t½ of naproxen from the reference drug were 969.77 (169.56) μg.h.mL-1, 1013.72 (186.26) μg.h.mL-1, 75.92 (11.18) μg/mL, and 15.11 (1.40) h, respectively, with the median (range) tmax of 1.00 (0.50 – 2.00) h. The pharmacokinetic parameters AUCt, AUCinf, Cmax, and tmax were used for bioequivalence evaluation. The reference drug are presented in Table 1.
 

Table 1: Pharmacokinetic parameters and statistical comparison of naproxen after 550 mg naproxen sodium single dose administration of test and reference drug in 24 healthy subjects.

 
AUCt, AUCinf and Cmax of test drug and the reference drug are presented in Table 1. The 90% confidence intervals for geometric mean ratios of test/reference for AUCt, AUCinf and Cmax were within the acceptable limits (80 -125%) of bioequivalence which implies that the bioequivalence criteria were met. Evaluation of original data with Wilcoxon matched-pairs test showed that was no statistically significant difference between the two formulations for tmax values.
 
Discussion
 
The aim of the present randomized, single-blind, two-period, cross-over study with one-week wash-out period was to compare the bioavailability of the test naproxen sodium tablet produced by Sunward Pharmaceutical Sdn Bhd (Sunprox 550) with the reference naproxen sodium tablet (Synflex®). The formulation were administered to overnight fasted in order to eleiminate the influence of food on drug absorption.
 
For bioequivalence study, AUCt, Cmax and tmax were the main target parameters in order to assess possible bioequivalence between both preparations. Based on bioequivalence guideline, the acceptance criteria for bioequivalence were that the 90% confidence intervals of the the test/reference geometric means ratio for both compounds were in the range 0.80 – 1.25 for the AUC and Cmax.
 
The result of this study showed that the 90% confidence intervals of the test/reference AUC ratio and Cmax ratio were within the acceptable range for bioequivalence.
 
The mean (SD) elimination half-lives (t½) of naproxen for the test drug was 15.11 (0.11) h and for the reference drug was 15.11 (0.40) h. These values were within the naproxen half-life range based on the literature, which is 12 – 17 h (mean: 14 hours). In each subject, the AUCt value of naproxen was more than 80% compared to the value of AUCinf (% AUCt / AUCinf ratio > 80%, 95.94% for test
drug and 95.82% for reference drug), indicating that the sampling time was sufficiently long to ensure an adequate description of the absorption phase.
 
The median (range) of the time to reach maximum naproxen plasma concentration (tmax) of the test drug was 0.50 (0.50 – 1.50) h and 1.00 (0.50 – 2.00) h for the reference drug. Using Wilcoxon matched-pairs test on the original data, the difference between the two drugs (test and reference drug) tmax values was not significantly different. These values were also within the naproxen tmax range in the literature, which is 1 to 2 hours after administration of naproxen sodium tablets.
 
In the present study, the intra subject coefficient of variance (% CV) obtained from the ANOVA for naproxen was 4.47%, it means that the study only required a sample size of less than 24 subjects. Therefore this study had an adequate power to confirm a statistical conclusion.
 
During this study, two subjects (subject 25 and 26) were dropped out at period 2, because they did not follow the study completely until the last blood sampling because of personal reason. There was no adverse event encountered and no protocol deviation during the study.
 
References
 
  1. Carrasco-Portugal MDC, Herrera JE, Reyes-Garcia G, Medina-Santillan R, Flores-Murrieta FJ (2006) Comparative bioavailability of two oral suspensions of naproxen sodium. Arzneim-Forsh 56: 589-92.  »  PubMed  »  Google Scholar

  2. Center for Drug Evaluation and Research. Bioequivalence reviews: Naproxen delayed release tablets.   

  3. Guideline for Bioequivalence Studies. National Agency for Drug and Food Control, Jakarta, December 2004.  

  4. Hardman JG, Lee EL, Alfred GG (2001) Goodman & Gilman’s the Pharmacological Basis of Therapeutics. 10th ed. New York: McGraw-Hill Companies Inc 712: 1987.  »  CrossRef  »   Google Scholar

  5. Medina L, Garcia L, Medina J, Diaz-Oliveros J, Jung H (1998) Implementation of a system for evaluating and ensuring quality of bioequivalence studies. Proc West Pharmacol Soc 41: 175-7.  »   PubMed  »  Google Scholar

  6. Naprosyn Online. Description, chemistry, ingredients, pharmacology, pharmacokinetics, studies and metabolism of naproxen: monograph.

  7. Niazi SK, Alam SM, Ahmad SI (1996) Dose dependent pharmacokinetics of naproxen in man. Biopharm Drug Dispos 17: 355-61.  »  CrossRef  »  PubMed  »  Google Scholar

  8. PDR® Physicians’ Desk Reference. 59th ed. Thomson PDR; Montvale, NJ: 2005. p. 2874-6.  

  9. Tychopoulos V, Astraka K, Lyberi S, Savari E, Benakis AG (2006) Bioequivalence study between two naproxen formulations.
 
 
 
This Article
DOWNLOAD
» XML (65 kB)
» PDF (1,591 kB)
» Citation
   
CONTRIBUTE
» Write a Response
» Read other Responses
» Publishing with OPG
   
SHARE
» E-mail This Article
» Print This Article
» Rights and Permissions
   
Share
EXPLORE
Related Article at
» Pubmed
» DOAJ
» Scholar Google
 
 
 
 
Untitled Document
| More
OMICS Publishing Group: An Open Access Publisher
OMICS Publishing Group is the member of/publishing partner of/source content provider to
All Published content, except where otherwise noted, is licensed under a Creative Commons Attribution License.