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监管视角下含纳米级材料药物的吸收、分布、代谢和排泄(ADME)评估的重要性

Regulatory perspective on the importance of ADME assessment of nanoscale material containing drugs.

作者信息

Zolnik Banu S, Sadrieh Nakissa

机构信息

Food and Drug Administration, Center for Drug Evaluation and Research, Office of Pharmaceutical Science, 10903 New Hampshire Avenue, WO51, HFD-003, Silver Spring, MD 20993, USA.

出版信息

Adv Drug Deliv Rev. 2009 Jun 21;61(6):422-7. doi: 10.1016/j.addr.2009.03.006. Epub 2009 Apr 20.


DOI:10.1016/j.addr.2009.03.006
PMID:19389437
Abstract

The promise of nanoscale material containing drug products to treat complex diseases is mounting. According to the literature, in addition to the liposomes, micelles, emulsions, there are novel drug delivery systems such as dendrimers and metal colloids at different stages of pre-clinical and clinical development. With the anticipation that more nanoscale material containing drug products will be submitted to the Food and Drug Administration (FDA) for approval in the future, FDA formed a Nanotechnology Task Force in 2006 to determine the critical regulatory issues regarding nanomaterials. As a result, all centers within the FDA are considering the development of guidance documents to address nanomaterial specific issues. It is well established in the literature that physico-chemical characterization (PCC) studies are crucial for nanomaterial containing drug products. However, this paper addresses the equally important topic of Absorption, Distribution, Metabolism and Excretion (ADME) studies for nanomaterials and provides examples of how physical properties affect biodistribution (i.e. the state of agglomeration, or aggregation, surface characteristics, stability of PEG). This paper also attempts to highlight some of the ADME study design issues related to nanomaterials such as the need for conducting biodistribution studies on each moiety of the multifunctional nanoparticles, dual labeled pharmacokinetic (PK) studies, and comparative PK studies on the free versus encapsulated drugs. In addition, this paper underlines the importance of long-term biodistribution and mass balance studies to understand the nanoparticle accumulation profile which may help to assess the safety and efficacy of the nanomaterial containing drug products. This review also lists some of the pre-clinical guidance documents that may help sponsors get started in developing data for inclusion in an initial investigational new drug application package for nanoscale material containing drug products.

摘要

含有药物的纳米级材料用于治疗复杂疾病的前景日益明朗。据文献报道,除了脂质体、胶束、乳剂外,还有新型药物递送系统,如处于临床前和临床开发不同阶段的树枝状大分子和金属胶体。鉴于未来会有更多含有药物的纳米级材料提交给美国食品药品监督管理局(FDA)批准,FDA于2006年成立了纳米技术特别工作组,以确定与纳米材料相关的关键监管问题。因此,FDA的所有中心都在考虑制定指导文件,以解决纳米材料的特定问题。文献中已明确指出,物理化学特性(PCC)研究对于含有药物的纳米材料至关重要。然而,本文探讨了纳米材料吸收、分布、代谢和排泄(ADME)研究这一同样重要的主题,并举例说明了物理性质如何影响生物分布(即团聚或聚集状态、表面特性、PEG的稳定性)。本文还试图强调一些与纳米材料相关的ADME研究设计问题,例如对多功能纳米颗粒的每个部分进行生物分布研究的必要性、双标记药代动力学(PK)研究以及游离药物与包封药物的比较PK研究。此外,本文强调了长期生物分布和质量平衡研究对于了解纳米颗粒积累情况的重要性,这可能有助于评估含有药物的纳米材料的安全性和有效性。本综述还列出了一些临床前指导文件,这些文件可能有助于申办者着手开展数据收集工作,以便纳入含有药物的纳米级材料的初始研究性新药申请包中。

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