Randomized, Open-Label, Two-Way Crossover Study to Compare the Bioequivalence of PRELIN™ and LYRICA™ Among Bangladeshi Male Volunteers

Authors

  • Uttam Kumar Sarker Department of Chemistry, Hajee Mohammad Danesh Science and Technology University, Dinajpur;
  • Mst. Fakid Sharmin Sristy Department of Chemistry, Hajee Mohammad Danesh Science and Technology University, Dinajpur;
  • Fatiha Farhana Department of Chemistry, Hajee Mohammad Danesh Science and Technology University, Dinajpur;
  • Sorotoshini Haque Uttsha Department of Chemistry, Hajee Mohammad Danesh Science and Technology University, Dinajpur;
  • Balaram Roy Department of Chemistry, Hajee Mohammad Danesh Science and Technology University, Dinajpur;
  • Mir Misbahuddin Department of Pharmacology, Bangabandhu Sheikh Mujib Medical University, Dhaka;
  • Md. Elias Mollah Department of Chemistry, Jahangirnagar University, Savar, Dhaka, Bangladesh.
  • Md. Rabiul Islam  Department of Chemistry, Jahangirnagar University, Savar, Dhaka, Bangladesh.

DOI:

https://doi.org/10.22270/ajprd.v14i3.1838

Abstract

Background: Pregabalin, an anticonvulsant and neuropathic pain agent, acts by binding to the α2δ subunit of voltage-gated calcium channels, reducing neurotransmitter release. It is commonly prescribed for epilepsy, generalized anxiety disorder, and fibromyalgia. Assessing bioequivalence between generic and branded formulations is critical to ensure consistent therapeutic effects.

Objective: This study aimed to compare the bioequivalence of two 150 mg oral pregabalin capsules PRELIN™ (Drug International Ltd., Bangladesh) as the test product and LYRICA™ (Pfizer Laboratories) as the reference in healthy Bangladeshi male subjects.

Methods: A randomized, two-period, two-sequence crossover study was conducted in 16 healthy male volunteers. Each participant received a single 150 mg dose of either formulation after fasting, with a washout period of over one week between treatments. Plasma pregabalin levels were measured over 24 hours using validated LC-MS/MS. Key pharmacokinetic parameters (Cmax, Tmax, AUC₂₄h, t½, and Kel) were calculated using non-compartmental analysis.

Results: The mean AUC₂₄h was 105.0 ± 32.8 ng·h/mL for PRELIN™ and 126.9 ± 40.0 ng·h/mL for LYRICA™, indicating a relative bioavailability of 82.7%. Cmax values were 36.2 ± 10.4 ng/mL (PRELIN™) and 40.3 ± 9.4 ng/mL (LYRICA™), while Tmaxwas 1.4 ± 0.7 hours and 1.1 ± 0.3 hours, respectively. Elimination half-life was 4.6 ± 1.6 hours for PRELIN™ and 4.1 ± 3.6 hours for LYRICA™, with corresponding Kel values of 0.1642 h⁻¹ and 0.0975 h⁻¹.

Conclusion: PRELIN™ exhibited pharmacokinetic parameters similar to LYRICA™, although its relative bioavailability was slightly below the standard bioequivalence threshold. Nonetheless, both formulations showed comparable absorption profiles.

 

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References

Wang, Z.; Naeem, I.; Oyenola, T.; Khan, A. R.; Dennis, A.; Obamiyi, S.; Toews, E.; Singh, S.; Zhu, G. Pregabalin for the Treatment of Neuropathic Pain : A Systematic Review of Patient-Reported Outcomes. 2024;16 (9).

Prnjavorac, B.; Kunic, S.; Pejanovic-skobic, N.; Gorana, P.; Zirojevic, D.; Vukas, S. K.; Tiric, M.; Skopljak, A. Pregabalin in the Treatment of Peripheral and Central Chronic Neuropathic Pain. 2023;35 (1):42–47. https://doi.org/10.5455/msm.2023; 35.42-47.

Li, Y. Efficacy and Safety of Pregabalin for Fibromyalgia in a Population of Chinese Subjects. 2021; 537–548.

Ejaz, K. F.; Wani, R.; Akbar, A.; Khan, Q. U.; Ishtiaq, H. Pain Management in Fibromyalgia : Evaluating the Roles of Pregabalin , Duloxetine , and Milnacipran. 2024; 16 (12).

Taylor, C. P., Angelotti, T., &Fauman, E. Pharmacology and mechanism of action of pregabalin: the calcium channel alpha2-delta (alpha2-delta) subunit as a target for antiepileptic drug discovery. NIH National Library of Medicine, National center for biotechnology information. Pubmed. gov. February 2007. [Accessed on 7th April 2022]. PMID, 17126531, 137-150.

Brawek, B.; Löffler, M.; Dooley, D. J. Differential Modulation of K + -Evoked 3 H-Neurotransmitter Release from Human Neocortex by Gabapentin and Pregabalin. 2008; 301–307. https://doi.org/10.1007/s00210-007-0237-8.

Sarker, U. K., Misbahuddin, M., & Hossain, M. A. (2012). Bioequivalence study of FlunacTM and DiflucanTM in healthy Bangladeshi male volunteers. Journal of Khwaja Yunus Ali Medical College, 2(2), 159–163.

Sarker, U. K., Misbahuddin, M., Ripon, S. H., & Islam, M. R. Randomized, open-label, two-way crossover study to compare the bioequivalence of two formulations of esomeprazole in healthy male volunteers. Journal of Khwaja Yunus Ali Medical College, 2013;4(1);326–330.

Sarker, U. K., Hossain, M., Islam, M. A., Shamsuzzoha, M., Uddin, M. N., Misbahuddin, M., Mollah, M. E., & Islam, M. R. Randomized, open-label, two-way crossover bioequivalence study of Novirax (Drug International Ltd, Bangladesh) compared with Zovirax (Glaxo Wellcome, UK)—two brands of acyclovir—in healthy male volunteers. Asian Journal of Pharmaceutical Research and Development, 2021; 9(3):6–10.

Bockbrader, H. N.; Wesche, D.; Miller, R.; Chapel, S.; Janiczek, N.; Burger, P. A Comparison of the Pharmacokinetics and Pharmacodynamics of Pregabalin and Gabapentin. 2010; 49(10): 661–669.

Bockbrader, H. N.; Burger, P.; Knapp, L.; Corrigan, B. W. Population Pharmacokinetics of Pregabalin in Healthy Subjects and Patients with Chronic Pain or Partial Seizures. 2011; 52 (2):248–257. https://doi.org/10.1111/j.1528-1167.2010.02933.x.

Sarker, U. K., Farhana, F., Islam, A., Shamsuzzoha, M., Misbahuddin, M., Roy, B., Molla, M. E., & Islam, M. R. Bioequivalence study of BETALOC-XR™ (Drug International Ltd, Bangladesh) and METOPROLOL 100 STADA™ (STADA Pharm GmbH, Germany) as an open-label, two-way crossover randomized study among healthy male volunteers. Asian Journal of Pharmaceutical Research and Development, 2022;10(6):9–13.

Farhana, F., Sarker, U. K., Islam, A., Misbahuddin, M., & Islam, M. R. Randomized two-way crossover open-label study to compare the bioequivalence of Losardil 100™ (Drug International Ltd, Bangladesh) and COZAAR™ (Merck Sharp & Dohme Ltd, UK) in Bangladeshi healthy male volunteers. Asian Journal of Pharmaceutical Research and Development, 2023;11(1):8–13.

Godman, B.; Wilcock, M.; Martin, A.; Bryson, S.; Baumgärtel, C.; Bochenek, T.; Bruyn, W. De; Sović, L.; Agata, M. D.; Fogele, A.; Fusté, A. C. 15,16 ,.

The Basic Regulatory Considerations and Prospects for Conducting Bioavailability / The Basic Regulatory Considerations and Prospects for Conducting Bioavailability / Bioequivalence ( BA / BE ) Studies – an Overview. 2011; 8483. https://doi.org/10.2147/CER.S15861.

Tomar, R.; Singh, T.; Sharma, S. Bioequivalence Study : Concepts , Approaches , Design , Various Regulatory Prospects and Considerations. 2024; 6 (3):1–17.

Guidance, D. Bioequivalence Studies With Pharmacokinetic Endpoints for Drugs Submitted Under an ANDA Guidance for Industry Bioequivalence Studies With Pharmacokinetic Endpoints for Drugs Submitted Under an ANDA Guidance for Industry. 2021, No. August.

Mandal, U.; Sarkar, A. K.; Gowda, K. V.; Agarwal, S.; Bose, A.; Bhaumik, U.; Ghosh, D.; Pal, T. K. Determination of Pregabalin in Human Plasma Using LC-MS-MS. 2008; 3:237–243. https://doi.org/10.1365/s10337-007-0440-2.

Vaidya, V. V; Yetal, S. M.; Roy, S. M. N.; Gomes, N. A.; Joshi, S. S. LC-MS – MS Determination of Pregabalin in Human Plasma. 2007; 11: 925–928. https://doi.org/10.1365/s10337-007-0430-4.

Zhao, F.; Lin, C.; Wu, Y.; Luo, X.; Han, N.; Xiong, W.; Zeng, Z. Development and Validation of an LC – MS / MS Method for Quantifying Gabapentin in Plasma : Application to a Pharmacokinetic Study in Cats. 2025;1–12.

Patel, D. S.; Sharma, N.; Patel, M. C.; Patel, B. N.; Shrivastav, P. S. Author ’ s Personal Copy Development and Validation of a Selective and Sensitive LC – MS / MS Method for Determination of Cycloserine in Human Plasma : Application to Bioequivalence Study. https://doi.org/10.1016/j.jchromb.2011.06.011.

Sengupta, P.; Bhaumik, U.; Ghosh, A.; Sarkar, A. K.; Chatterjee, B.; Bose, A.; Pal, T. K. LC – MS – MS Development and Validation for Simultaneous Quantitation of Metformin , Glimepiride and Pioglitazone in Human Plasma and Its Application to a Bioequivalence Study. 2009; 11:1243–1250. https://doi.org/10.1365/s10337-009-1056-5.

Agency, E. M. Guideline On The Investigation Of Bioequivalence. 2010, 1 (January), 1–27.

Midha, K. K.; Mckay, G. Bioequivalence ; Its History , Practice , and Future. 2009; 11 (4): 664–670. https://doi.org/10.1208/s12248-009-9142-z.

Published

2026-06-19 — Updated on 2026-07-28

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How to Cite

Uttam Kumar Sarker, Mst. Fakid Sharmin Sristy, Fatiha Farhana, Sorotoshini Haque Uttsha, Balaram Roy, Mir Misbahuddin, … Md. Rabiul Islam. (2026). Randomized, Open-Label, Two-Way Crossover Study to Compare the Bioequivalence of PRELIN™ and LYRICA™ Among Bangladeshi Male Volunteers. Asian Journal of Pharmaceutical Research and Development, 14(3), 432–437. https://doi.org/10.22270/ajprd.v14i3.1838 (Original work published June 19, 2026)