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吸入用脂质干粉布地奈德制剂的药物闪烁显像评估

Pharmacoscintigraphic evaluation of lipid dry powder budesonide formulations for inhalation.

作者信息

Sebti Thami, Pilcer Gabrielle, Van Gansbeke Bernard, Goldman Serge, Michils Alain, Vanderbist Francis, Amighi Karim

机构信息

Laboratory of Pharmaceutics and Biopharmaceutics, Université Libre de Bruxelles, Brussels, Belgium.

出版信息

Eur J Pharm Biopharm. 2006 Aug;64(1):26-32. doi: 10.1016/j.ejpb.2006.03.005. Epub 2006 May 11.

Abstract

Lung deposition of new formulations of budesonide, using solid lipid microparticles (SLmP) as a pharmaceutically acceptable filler and carrier for inhalation aerosols, and administered from a dry powder inhaler (Cyclohaler), were compared with that from Pulmicort Turbuhaler. Six healthy volunteers took part in a three-way randomized cross-over study, and inhaled a nominal dose of 400 microg budesonide, labelled with 99mTc, on each study day. Lung deposition was determined by gamma scintigraphy and by a pharmacokinetic method. The percentage of dose (SD) in the whole lung was 49.9 (3.7)% for the lipidic matricial form (M) and 62.8 (4.9)% for the lipidic physical blend formulation (PB). These results corresponded well with the in vitro fine particle assessment. In comparison with data recorded in literature for in vivo deposition obtained with Pulmicort Turbuhaler, it was estimated that lung deposition was 1.5 and 2.0 times higher for the M and PB formulations, respectively. Furthermore, the relative drug availability obtained from the pharmacokinetic evaluation, expressed as the percentage of pulmonary absorption of the comparator product, was 154% and 220% for M and PB, respectively. The results of the present study indicate that pulmonary administration using SLmP gives a prominent and significant increase in budesonide lung deposition.

摘要

将布地奈德新制剂(使用固体脂质微粒(SLmP)作为吸入气雾剂的药学可接受填充剂和载体,并通过干粉吸入器(Cyclohaler)给药)的肺部沉积情况与普米克都保的进行了比较。六名健康志愿者参与了一项三向随机交叉研究,在每个研究日吸入标称剂量为400微克且用99mTc标记的布地奈德。通过γ闪烁显像和药代动力学方法测定肺部沉积。脂质基质剂型(M)在全肺中的剂量百分比(标准差)为49.9(3.7)%,脂质物理混合制剂(PB)为62.8(4.9)%。这些结果与体外细颗粒评估结果非常吻合。与文献中记录的使用普米克都保获得的体内沉积数据相比,估计M和PB制剂的肺部沉积分别高1.5倍和2.0倍。此外,从药代动力学评估获得的相对药物可用性,以对照产品肺部吸收的百分比表示,M和PB分别为154%和220%。本研究结果表明,使用SLmP进行肺部给药可显著增加布地奈德在肺部的沉积。

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