Löbenberg Raimar, Kim Jae Seung, Amidon Gordon L
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alta., Canada.
Eur J Pharm Biopharm. 2005 May;60(1):17-23. doi: 10.1016/j.ejpb.2004.11.010.
Clinical studies have shown that circadian patterns influence the pharmacokinetics of certain drugs used in the treatment of different diseases. For such drugs, the bioavailability is influenced by the time of administration. The objective of this study was to investigate differences in the pharmacokinetic patterns between a pulsatile drug delivery system using a pulsatile capsule, an immediate release tablet and a controlled release tablet. Metoprolol was chosen as a model drug because of its high solubility and high permeability pattern throughout the GI tract. The dosage forms were administered to four dogs and the plasma levels were measured using LC-MS/MS. Pharmacokinetic parameters were determined for each dosage form. Fluctuations in the plasma time curves over the observation period indicated that physiological factors like motility have an influence on the drug absorption. The comparison of the plasma time curves of the dosage forms showed that each dosage form caused significant differences in the drug plasma levels. The pulsatile drug delivery capsule caused two defined C(max) values for each dose between 1-1.75 and 2.5-3.5h. Implications for the use of a pulsatile drug delivery device for chronopharmacotherapy are discussed. Pulsatile drug delivery offers a promising way for chronopharmacotherapy if the time of administration and pulse time are adjusted to the circadian pattern.
临床研究表明,昼夜节律模式会影响用于治疗不同疾病的某些药物的药代动力学。对于这类药物,生物利用度受给药时间的影响。本研究的目的是调查使用脉冲胶囊的脉冲给药系统、速释片和控释片之间药代动力学模式的差异。美托洛尔因其在整个胃肠道具有高溶解度和高渗透性而被选为模型药物。将剂型给予四只狗,并使用液相色谱-串联质谱法测量血浆水平。确定每种剂型的药代动力学参数。观察期内血浆时间曲线的波动表明,诸如蠕动等生理因素对药物吸收有影响。剂型血浆时间曲线的比较表明,每种剂型在药物血浆水平上都造成了显著差异。脉冲给药胶囊在1 - 1.75小时和2.5 - 3.5小时之间每剂产生两个确定的C(max)值。讨论了脉冲给药装置用于时辰治疗的意义。如果给药时间和脉冲时间根据昼夜节律模式进行调整,脉冲给药为时辰治疗提供了一种有前景的方法。