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A Comparative Analysis of the Pharmacodynamic and Pharmacokinetic Properties of 2 Controlled‐Release Formulations Versus a Marketed Orlistat Product
Empros Pharma AB Solna Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Paediatric Inflammation, Metabolism and Child Health Research.ORCID iD: 0000-0001-9109-4556
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Centre for Health and Sustainability. Department of Global Public Health Karolinska Institutet Stockholm Sweden;Clinical Trial Consultants AB Uppsala Sweden.ORCID iD: 0000-0001-7164-598x
Clinical Trial Consultants AB Uppsala Sweden.
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2025 (English)In: Clinical Pharmacology in Drug Development, ISSN 2160-763X, E-ISSN 2160-7648, Vol. 14, no 4, p. 304-310Article in journal (Refereed) Published
Abstract [en]

A new modified-release oral formulation combines acarbose and orlistat (MR-OA) to enhance efficacy and reduce adverse effects through controlled drug release. This study aims to compare the pharmacodynamic properties of the orlistat component of MR-OA (MR-O) with a conventional orlistat product, Xenical (Conv-O), analyzing the percentage of fecal fat excretion. In addition, the pharmacokinetic properties of the complete formulation, MR-OA, were compared with Conv-O. In Part I of the study, 20 healthy volunteers were randomized in a single-blind, crossover trial to take MR-O or Conv-O (120-mg orlistat) 3 times daily for 9 days. Fecal fat was measured at baseline and after each treatment. MR-O and Conv-O similarly increased fecal fat percentage from 3.8% to 13.5%, confirming pharmacodynamic equivalence. Adverse events were few and generally rated as mild. In Part II, participants received MR-OA and then Conv-O, with blood samples collected for 12 hours to measure orlistat and acarbose levels. Orlistat's peak concentration stayed below 5 ng/mL, and acarbose plasma levels were mostly undetectable, indicating minimal systemic absorption. This shows that the new weight loss product MR-OA retains the dietary energy loss pathway used in Conv-O. Consistent with previous studies, minimal systemic absorption of orlistat and acarbose was observed for MR-OA, confirming that no significant alteration of the original substances occurs when modifying their release.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 14, no 4, p. 304-310
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Clinical Medicine
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Medical Science
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URN: urn:nbn:se:uu:diva-548805DOI: 10.1002/cpdd.1503ISI: 001392101800001Scopus ID: 2-s2.0-85214678347OAI: oai:DiVA.org:uu-548805DiVA, id: diva2:1932327
Available from: 2025-01-29 Created: 2025-01-29 Last updated: 2025-06-23Bibliographically approved

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Forslund, AndersLitorp, HelenaAlderborn, GöranHolmbäck, Ulf

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Paediatric Inflammation, Metabolism and Child Health ResearchCentre for Health and SustainabilityDepartment of Pharmaceutical BiosciencesClinical Nutrition and Metabolism
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