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新型左旋多巴胃滞留剂型:犬体内评价

Novel levodopa gastroretentive dosage form: in-vivo evaluation in dogs.

作者信息

Klausner Eytan A, Eyal Sara, Lavy Eran, Friedman Michael, Hoffman Amnon

机构信息

Department of Pharmaceutics, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, POB 12065, Jerusalem 91120, Israel.

出版信息

J Control Release. 2003 Feb 14;88(1):117-26. doi: 10.1016/s0168-3659(02)00487-x.

Abstract

Due to its narrow absorption window, levodopa has to be administered continuously to the upper parts of the intestine in order to maintain sustained therapeutic levels. This may be achieved by a controlled release (CR) gastroretentive dosage form (GRDF). The aim of this work was to develop a novel GRDF, based on unfolding polymeric membranes, that combines extended dimensions with high rigidity, and to examine the pharmacokinetics of levodopa compounded in the GRDF. Levodopa CR-GRDFs were administered to beagle dogs pretreated with carbidopa. The CR-GRDF location in the gastrointestinal tract was determined by X-ray, and serial blood samples were collected and assayed for levodopa. Optimization of the pharmacokinetic profile of levodopa from the CR-GRDFs was carried out based on the in-vitro in-vivo correlation following modifications of the release rates (adjusted by various membrane thicknesses) and drug loads. The successful CR-GRDF maintained therapeutic levodopa concentrations (>500 ng ml(-1)) over 9 h. In comparison to non-gastroretentive CR-particles and oral solution, mean absorption time was significantly extended. These outcomes demonstrate that the CR-GRDF may be used to improve levodopa therapy and can be applied to extend the absorption of other narrow absorption window drugs that require continuous input.

摘要

由于左旋多巴的吸收窗口较窄,必须持续将其给药至小肠上部,以维持持续的治疗水平。这可以通过控释(CR)胃滞留剂型(GRDF)来实现。本研究的目的是开发一种基于可展开聚合物膜的新型GRDF,该膜兼具较大尺寸与高刚性,并研究复方左旋多巴在GRDF中的药代动力学。将左旋多巴CR-GRDF给予用卡比多巴预处理的比格犬。通过X射线确定CR-GRDF在胃肠道中的位置,并采集系列血样测定左旋多巴。在对释放速率(通过各种膜厚度进行调整)和药物载量进行修改后,基于体外-体内相关性对来自CR-GRDF的左旋多巴药代动力学特征进行优化。成功的CR-GRDF在9小时内维持治疗性左旋多巴浓度(>500 ng ml(-1))。与非胃滞留CR颗粒和口服溶液相比,平均吸收时间显著延长。这些结果表明,CR-GRDF可用于改善左旋多巴治疗,并可应用于延长其他需要持续输入的窄吸收窗口药物的吸收。

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