Krishnaiah Y S R, Satyanarayana V, Dinesh Kumar B, Karthikeyan R S, Bhaskar P
Department of Pharmaceutical Sciences, Andhra University, Visakhapatnam, 530 003, India.
Eur J Pharm Sci. 2003 Aug;19(5):355-62. doi: 10.1016/s0928-0987(03)00139-8.
The objective of the present study is to compare the guar gum-based colon-targeted tablets of 5-fluorouracil against an immediate release tablet by in vitro dissolution and in vivo pharmacokinetic studies in human volunteers. Twelve healthy volunteers participated in the study. 5-Fluorouracil was administered at a dose of 50 mg both in immediate release tablet and colon-targeted tablet. On oral administration of colon-targeted tablets, 5-fluorouracil started appearing in the plasma at 6 h, and reached the peak concentration (C(max) of 216+/-15 ng/ml) at 7.6+/-0.1 h (T(max)), whereas the immediate release tablets produced peak plasma concentration (C(max) of 278+/-21 ng/ml) at 0.6+/-0.01 h (T(max)). The AUC(0- infinity ) for 5-fluorouracil from colon-targeted tablet and immediate release tablet were found to be 617+/-39 and 205+/-21 ng/ml/h, respectively. Colon-targeted tablets showed delayed t(max), delayed absorption time (t(a)), decreased C(max) and decreased absorption rate constant when compared to the immediate release tablets. The results of the study indicated that the guar gum-based colon-targeted formulation did not release the drug in stomach and small intestine, but delivered it to the colon resulting in a slow absorption of the drug and making it available for local action in colon.
本研究的目的是通过体外溶出度和人体志愿者体内药代动力学研究,比较基于瓜尔胶的5-氟尿嘧啶结肠靶向片剂与速释片剂。12名健康志愿者参与了该研究。速释片剂和结肠靶向片剂中5-氟尿嘧啶的给药剂量均为50mg。口服结肠靶向片剂后,5-氟尿嘧啶在6小时开始出现在血浆中,并在7.6±0.1小时(Tmax)达到峰值浓度(Cmax为216±15ng/ml),而速释片剂在0.6±0.01小时(Tmax)产生血浆峰值浓度(Cmax为278±21ng/ml)。结肠靶向片剂和速释片剂中5-氟尿嘧啶的AUC(0-∞)分别为617±39和205±21ng/ml/h。与速释片剂相比,结肠靶向片剂的Tmax延迟、吸收时间(t(a))延迟、Cmax降低且吸收速率常数降低。研究结果表明,基于瓜尔胶的结肠靶向制剂在胃和小肠中不释放药物,但将其输送到结肠,导致药物吸收缓慢并使其可用于结肠的局部作用。