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体外-体内相关性研究:沙丁胺醇干粉吸入剂的药代动力学和药效学

The study of in vitro-in vivo correlation: pharmacokinetics and pharmacodynamics of albuterol dry powder inhalers.

作者信息

Srichana Teerapol, Suedee Roongnapa, Muanpanarai Det, Tanmanee Niwan

机构信息

Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat Yai, Songkla, 90112, Thailand.

出版信息

J Pharm Sci. 2005 Jan;94(1):220-30. doi: 10.1002/jps.20218.

Abstract

The pharmacokinetics and pharmacodynamics of albuterol were studied following inhalation of three different in-house dry powder formulations in healthy volunteers and in asthmatics. Albuterol in plasma was measured using liquid chromatography-mass spectrometry (LC-MS). The plasma concentration time profiles were fitted to a two-compartment model with first-order kinetics. Oral absorption of swallowed albuterol was eliminated by oral dosing of 560 mg activated charcoal 1 h prior to albuterol aerosol administration. The peak concentration was reached within 15-20 min. Mean peak concentrations in healthy volunteers (six males and six females) were 1.74 +/- 0.34, 2.01 +/- 0.35, and 2.59 +/- 0.27 ng/mL following inhalation of formulations with fine particle doses (FPDs) of 100, 120, and 160 microg of albuterol, respectively. The corresponding peak plasma concentrations of 1.23 +/- 0.29, 1.37 +/- 0.13, and 1.53 +/- 0.11 ng/mL were obtained when asthmatics (six males and six females) were dosed with the same three formulations. The FPD of each formulation correlated well with the area under the curve of plasma concentration-time (AUC(0-8)) profile. Plasma potassium did not show any significant change over a period of 8 h. The forced vital capacity (FVC), the force expiratory volume in 1 s (FEV(1)), and mid expiratory flow (FEF(25-75)) did not correlate with FPD for the three different formulations.

摘要

在健康志愿者和哮喘患者中,吸入三种不同的自制干粉制剂后,研究了沙丁胺醇的药代动力学和药效学。使用液相色谱 - 质谱联用仪(LC - MS)测定血浆中的沙丁胺醇。血浆浓度 - 时间曲线采用具有一级动力学的二室模型拟合。在给予沙丁胺醇气雾剂前1小时口服560 mg活性炭,以消除吞咽的沙丁胺醇的口服吸收。在15 - 20分钟内达到峰值浓度。在分别吸入含100、120和160μg沙丁胺醇细颗粒剂量(FPD)的制剂后,健康志愿者(6名男性和6名女性)的平均峰值浓度分别为1.74±0.34、2.01±0.35和2.59±0.27 ng/mL。当哮喘患者(6名男性和6名女性)使用相同的三种制剂给药时,相应的血浆峰值浓度分别为1.23±0.29、1.37±0.13和1.53±0.11 ng/mL。每种制剂的FPD与血浆浓度 - 时间曲线下面积(AUC(0 - 8)) profile密切相关。在8小时内,血浆钾没有显示出任何显著变化。对于三种不同的制剂,用力肺活量(FVC)、1秒用力呼气量(FEV(1))和呼气中期流速(FEF(25 - 75))与FPD均无相关性。

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