In a previous study (Horii, C., et al., Shoyakugaku Zasshi, 68 (2), 65-69, 2014), the current authors examined the bioequivalence of Shoseiryuto decoction and its extract preparation, and findings from that study indicated that ephedrine and pseudoephedrine from plants in the genus Ephedra could serve as characteristic constituents with which to evaluate the bioequivalence of preparations. As in the previous study, we examined the bioequivalence, the current study used the Shoseiryuto formula of the decoction and the product. The change in concentration of the 9 constituents, paeoniflorin, gomisin A, scizandrin, glycyrrhizicacid, liquiritin, liquiritigenin, asarinin, [6]-shogaol, and zingerone, was observed. These characteristic constituents can be used to evaluate the bioequivalence of preparations after their oral administration.
A cross-over study was conducted by randomly dividing 6 healthy adult men into 2 groups and then orally administering the preparations. Results revealed variations in the plasma concentration of each constituent depending on when blood samples were taken, and this result was true for both the decoction and the extract. Analysis of variance did not reveal significant differences in constituents (except for zingerone) in the decoction or extract. Analysis of variance indicated that the preparation was a significant factor for variability in the Cmax of zingerone. The plasma concentration of zingerone was low and measurements were not obtained with sufficient sensitivity, which presumably explains the results obtained. Analysis of variance indicated that the subject was a significant factor for variability in the peak plasma concentration (Cmax) and the area under the curve for the plasma concentration (AUC0-8) of paeoniflorin, and in the peak plasma concentration (Cmax) of gomisin A, schizandrin, and [6]-shogaol.
The statistical power (1-β) of the Cmax and the AUC0-8 was deemed to be insufficient (less than 80%) for all of the constituents. Therefore, based on the data obtained in this study, we estimated the sample size needed to obtain sufficient power. For liquiritin, a sample size of 9 or more subjects per group would yield a Cmax and AUC0-8 with sufficient power (80% or more). For [6]-shogaol, a sample size of 5 or more subjects per group would do so. For gomisin A, a sample size of 18 or more subjects per group would do so. For schizandrin, a sample size of 15 or more subjects per group would suffice. However, a sample size of 61 or more subjects per group would not yield sufficient power for paeoniflorin, glycyrrhizic acid, or liquiritigenin.
The 9 constituents of Shoseiryuto are known to be representative compounds with active ingredients. Results suggested that increasing the sample size for gomisin A, schizandrin, liquiritin, asarinin and [6]-shogaol might allow those 5 compounds to serve as characteristic constituents with which to evaluate the equivalence of the prescribed preparations. The current results indicated that 4 compounds of zingerone paeoniflorin, glycyrrhizic acid and liquiritigenin could not, at the current point in time, acceptably serve as characteristic constituents with which to evaluate the equivalence of preparations.
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