Liu Xing, Chen Dawei, Zhang Ruhua
School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, Liaoning, P.R. China.
Drug Dev Ind Pharm. 2003 Aug;29(7):813-9. doi: 10.1081/ddc-120021781.
The aim of this study was to evaluate the monolithic osmotic tablet system (MOTS) containing a solid dispersion with the practically water-insoluble drug nifedipine in vitro and in vivo. In the drug release study in vitro, the release profiles of this system had almost zero-order kinetics. The influences of tablet formulation variables, sizes of the delivery orifice, membrane variables, and values of pH in the dissolution medium on nifedipine release from MOTS have been investigated. The results provided evidence that the tablet core played an important role in MOTS. While orifice sizes and membrane variables affected the nifedipine release rate, MOTS was independent of the dissolution medium. The appropriate orifice size was found to be in the range of 0.5-1.0 mm. The coating membrane incorporating hydrophilic polyethylene glycol (PEG) formed a porous structure. The human pharmacokinetics and relative bioavailability of MOTS containing nifedipine were compared with a commercial Adalat osmotic tablet system containing an equivalent dose of nifedipine following an oral single dose of 30 mg given to each of 11 healthy volunteers in an open, randomized crossover study in vivo. The relative bioavailability for MOTS was 112%. There was no statistically significant difference in the pharmacokinetic parameters between two dosage forms. It is concluded that the monolithic osmotic tablet controlled release system is feasible for a long-acting preparation as a once-daily treatment.
本研究的目的是在体外和体内评估含有与几乎不溶于水的药物硝苯地平的固体分散体的整体渗透片系统(MOTS)。在体外药物释放研究中,该系统的释放曲线几乎呈零级动力学。研究了片剂配方变量、释药孔尺寸、包衣膜变量以及溶出介质pH值对MOTS中硝苯地平释放的影响。结果表明片剂核心在MOTS中起重要作用。虽然释药孔尺寸和包衣膜变量影响硝苯地平的释放速率,但MOTS与溶出介质无关。发现合适的释药孔尺寸在0.5 - 1.0毫米范围内。含有亲水性聚乙二醇(PEG)的包衣膜形成了多孔结构。在一项开放、随机交叉的体内研究中,给11名健康志愿者每人单次口服30毫克硝苯地平后,将含硝苯地平的MOTS的人体药代动力学和相对生物利用度与含等量硝苯地平的市售拜新同渗透片系统进行了比较。MOTS的相对生物利用度为112%。两种剂型的药代动力学参数之间无统计学显著差异。结论是,整体渗透片控释系统作为每日一次治疗的长效制剂是可行的。