Nornoo Adwoa O, Chow Diana S-L
Department of Pharmaceutical Sciences, Albany College of Pharmacy, Albany, NY 12208, USA.
Int J Pharm. 2008 Feb 12;349(1-2):117-23. doi: 10.1016/j.ijpharm.2007.07.043. Epub 2007 Aug 7.
Two cremophor-free microemulsion systems LBMW (lecithin:butanol:myvacet:water) and CMW (capmul:myvacet:water), for intravenous (IV) administration of paclitaxel (PAC) were previously developed and characterized. Their chemical stability, in vitro release and pharmacokinetics of PAC were assessed using Taxol (cremophor:ethanol 1:1, 6 mg/ml) as a reference. The shelf-lives of PAC at 25 degrees C in Taxol, LBMW and CMW, in an accelerated stability study, were 71, 57 and 31 days, respectively. The activation energy (Ea) for PAC in Taxol, LBMW and CMW was 23, 16 and 14 kcal/mol, respectively. PAC released from LBMW and CMW using a dialysis technique was significantly slower than that from Taxol. The extents of release of PAC from LBMW and CMW were 25 and 50% of that from Taxol. In vivo pharmacokinetic studies in male Sprague-Dawley rats after IV administration revealed that PAC in LBMW and CMW remained in the systemic circulation five and two times longer and was eight and three times more widely distributed than PAC from Taxol. LBMW and CMW offer a significant clinical advantage in terms of the prolonged half-life and wide tissue distribution, indicating that PAC delivered by these systems intravenously may result in prolonged exposure of PAC to the tumor and subsequently an improved clinical efficacy.
之前已研发并表征了两种用于静脉注射紫杉醇(PAC)的无聚氧乙烯蓖麻油微乳体系LBMW(卵磷脂:丁醇:十四酸异丙酯:水)和CMW(辛酸癸酸甘油三酯:十四酸异丙酯:水)。以泰素(聚氧乙烯蓖麻油:乙醇1:1,6毫克/毫升)作为对照,评估了它们的化学稳定性、PAC的体外释放及药代动力学。在加速稳定性研究中,PAC在25摄氏度下于泰素、LBMW和CMW中的有效期分别为71天、57天和31天。PAC在泰素、LBMW和CMW中的活化能(Ea)分别为23千卡/摩尔、16千卡/摩尔和14千卡/摩尔。采用透析技术从LBMW和CMW中释放的PAC明显慢于从泰素中释放的PAC。从LBMW和CMW中释放的PAC量分别为从泰素中释放量的25%和50%。静脉注射后在雄性Sprague-Dawley大鼠中进行的体内药代动力学研究显示,LBMW和CMW中的PAC在体循环中的留存时间分别是泰素中PAC的5倍和2倍,分布范围是泰素中PAC的8倍和3倍。LBMW和CMW在延长半衰期和广泛的组织分布方面具有显著的临床优势,这表明通过这些体系静脉注射PAC可能会使PAC在肿瘤部位的暴露时间延长,从而提高临床疗效。