Wang Yanfeng, Lee Lucy, Somma Russell, Thompson Glenn, Bakhtiar Ray, Lee James, Rekhi Gurvinder Singh, Lau Henry, Sedek Greg, Hossain Mohammad
Clinical Pharmacology, Novartis Pharmaceuticals Corporation, One Health Plaza, East Hanover, NJ 07936, USA.
Biopharm Drug Dispos. 2004 Mar;25(2):91-8. doi: 10.1002/bdd.390.
The objective of this study was to evaluate the in vitro dissolution and in vivo absorption of D,L-threo-methylphenidate (MPH) from a novel bimodal release formulation (Ritalin LA capsule) compared with an immediate-release formulation (Ritalin IR tablet) in healthy volunteers.
The bimodal release formulation contains 50% of the dose in the immediate-release (IR) beads and 50% in polymethacrylate-coated, delayed-release (DR) beads. To better understand the impact of dissolution from the DR beads on oral absorption of MPH, three Ritalin LA formulations with different dissolution profiles for the DR beads (referred to as slow-, medium and fast-release formulations) were prepared, and tested together with the immediate-release formulation in 18 healthy male and female volunteers after a single oral dose under fasted conditions. The rate and extent of oral absorption of MPH were evaluated based on the overall Cmax, tmax and AUC values, as well as the Cmax, tmax and AUC values for each individual peak of the bimodal plasma concentration-time profile. The in vivo absorption-time profile was also examined by deconvolution.
All three Ritalin LA formulations demonstrated similar bimodal plasma concentration-time profiles with two peak concentrations observed at approximately 2 and approximately 6 h post dose, mimicking that of Ritalin IR tablets given 4 h apart. Deconvolution results showed that the absorption of MPH was biphasic, with a rapid absorption phase between 0 to approximately 2 h, and a somewhat slower second absorption between approximately 3-6 h, consistent with the in vitro bimodal release characteristics of Ritalin LA formulation. The three Ritalin LA formulations were bioequivalent to one another based on the overall Cmax and AUC values and the corresponding values describing the first and second peaks, although their in vitro dissolution profiles for the DR beads were different. Compared with Ritalin IR, the Ritalin LA formulation demonstrated a similar rate of absorption for the first peak, a lower second Cmax and a higher trough concentration between peaks, as well as similar overall plasma AUC.
Following a single oral drug administration, Ritalin LA demonstrated a two-peak plasma concentration-time profile, similar to that of the IR formulation given 4 h apart, but with less fluctuation in the plasma concentration-time profile. The in vivo biphasic absorption of MPH appeared to be well correlated with the bimodal dissolution characteristics of this new Ritalin LA formulation, and some changes in the dissolution profiles for the DR beads appeared not to affect the overall bioavailability of MPH in humans.
本研究的目的是在健康志愿者中,评估新型双峰释放制剂(利他林长效胶囊)与速释制剂(利他林速释片)相比,D,L-苏式-甲基苯丙胺(MPH)的体外溶出度和体内吸收情况。
双峰释放制剂中,50%的剂量在速释(IR)微丸中,50%在聚甲基丙烯酸酯包衣的缓释(DR)微丸中。为了更好地理解DR微丸溶出对MPH口服吸收的影响,制备了三种具有不同DR微丸溶出曲线的利他林长效制剂(分别称为慢释、中释和快释制剂),并在禁食条件下单次口服给药后,与速释制剂一起在18名健康男性和女性志愿者中进行测试。基于总体Cmax、tmax和AUC值,以及双峰血浆浓度-时间曲线各单个峰的Cmax、tmax和AUC值,评估MPH的口服吸收速率和程度。还通过反卷积研究体内吸收-时间曲线。
所有三种利他林长效制剂均显示出相似的双峰血浆浓度-时间曲线,给药后约2小时和约6小时观察到两个峰值浓度,类似于间隔4小时服用的利他林速释片。反卷积结果表明,MPH的吸收是双相的,在0至约2小时之间有一个快速吸收阶段,在约3 - 6小时之间有一个稍慢的第二吸收阶段,这与利他林长效制剂的体外双峰释放特性一致。基于总体Cmax和AUC值以及描述第一和第二峰的相应值,三种利他林长效制剂彼此生物等效,尽管它们DR微丸的体外溶出曲线不同。与利他林速释片相比,利他林长效制剂第一个峰的吸收速率相似,第二个Cmax较低,峰间谷浓度较高,总体血浆AUC相似。
单次口服给药后,利他林长效制剂显示出双峰血浆浓度-时间曲线,类似于间隔4小时服用的速释制剂,但血浆浓度-时间曲线的波动较小。MPH的体内双相吸收似乎与这种新型利他林长效制剂的双峰溶出特性密切相关,DR微丸溶出曲线的一些变化似乎不影响MPH在人体中的总体生物利用度。