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用于治疗精神分裂症的可扩展 PLGA-利培酮植入物的体外-体内相关性。

In vitro-in vivo correlations of scalable PLGA-risperidone implants for the treatment of schizophrenia.

机构信息

Translational Neuroscience Program, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

出版信息

Pharm Res. 2010 Aug;27(8):1730-7. doi: 10.1007/s11095-010-0152-4. Epub 2010 Apr 27.

Abstract

PURPOSE

Nonadherence to antipsychotic medications is a major obstacle preventing optimal outcomes for patients with schizophrenia. Extended release systems exist in the form of depot injections, but these formulations exhibit several disadvantages. To address these concerns, we previously demonstrated proof of concept for an antipsychotic implant containing risperidone and the biodegradable polymer poly(lactic-co-glycolic) acid (PLGA).

METHODS

We build upon recently published data by utilizing a scalable single-screw extrusion system for the production of PLGA-risperidone implants. Implants were composed of 40% risperidone and 60% PLGA, with varying ratios of lactide to glycolide (50:50, 65:35, 75:25 or 85:15). Risperidone release was assessed in vitro and in vivo in rats, and Level A, B and C correlations (IVIVCs) attempted for all. Bioavailability was verified with locomotor testing

RESULTS

Level B analysis yielded the greatest correlation between in vitro and in vivo data (R (2) = 0.9425), while Level C yielded the lowest (R (2) = 0.8336). Although, based on qualitative results, a Level A correlation was not achieved, it did produce an R (2) of 0.9261. Locomotor testing demonstrated that peak serum concentrations coincide with significant reductions in activity.

CONCLUSION

Data demonstrate the applicability of our modeling system and advance long-term, implantable antipsychotics toward clinical application.

摘要

目的

抗精神病药物的不依从是阻止精神分裂症患者获得最佳疗效的主要障碍。长效释放系统以储库注射的形式存在,但这些制剂存在几个缺点。为了解决这些问题,我们之前已经证明了含有利培酮和可生物降解聚合物聚(乳酸-共-乙醇酸)(PLGA)的抗精神病植入物的概念验证。

方法

我们利用最近发表的数据,使用可扩展的单螺杆挤出系统来生产 PLGA-利培酮植入物。植入物由 40%利培酮和 60%PLGA 组成,其中丙交酯和乙交酯的比例不同(50:50、65:35、75:25 或 85:15)。在体外和体内评估了利培酮的释放,并在大鼠中进行了 A、B 和 C 级(IVIVCs)的相关性分析。通过运动测试验证了生物利用度。

结果

B 级分析产生了体外和体内数据之间最大的相关性(R²=0.9425),而 C 级则产生了最低的相关性(R²=0.8336)。尽管基于定性结果,未能达到 A 级相关性,但它确实产生了 R²为 0.9261。运动测试表明,血清浓度峰值与活动显著减少相吻合。

结论

数据证明了我们建模系统的适用性,并将长效、可植入的抗精神病药物推进到临床应用。

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