Meng-Lund Emil, Jacobsen Jette, Andersen Morten B, Jespersen Mads L, Karlsson Jens-Jacob, Garmer Mats, Jørgensen Erling B, Holm René
Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen , Denmark .
Drug Dev Ind Pharm. 2014 May;40(5):604-10. doi: 10.3109/03639045.2014.884119. Epub 2014 Feb 7.
The potential of buccal mucosa as a site for systemic absorption has attracted increased attention in recent years creating a need for new predictive in-vivo models. The aim of this study was to evaluate anaesthetised and conscious Göttingen mini-pigs as a model for buccal drug absorption by testing pH-dependent absorption of metoprolol from a solid dosage form. Buccal tablets buffered to pH 6.2 and pH 8.9, oral liquid and intravenous injection were tested in four conscious and anaesthetised Göttingen mini-pigs in a non-randomised cross-over study. Blood samples were collected and processed before analysis by ultra-performance liquid chromatography with tandem mass spectrometry detection. An ex-vivo flow retention model was applied to study release and retention of the bioadhesive buccal tablets. The Tmax obtained from the two buccal conscious groups (55 ± 5 and 35 ± 5 min) were significantly different to the buccal anaesthetised groups (120 ± 0 and 165 ± 15 min) for buccal tablet pH 6.2 and pH 8.9, respectively. Also, the absolute bioavailability from the anaesthetised buccal tablet pH 8.9 (20.7 ± 4.0%) had a significant increase compared to all other buccal tablet groups. In conclusion, this study showed a pH-dependent absolute bioavailability of metoprolol when administrated as bioadhesive buccal tablets to anaesthetised mini-pigs. The anaesthesia was found to delay the time to reach maximal plasma concentration of metoprolol as compared to the conscious pig model when administrated as buccal tablets.
近年来,颊黏膜作为全身吸收部位的潜力已引起越来越多的关注,这就需要新的体内预测模型。本研究的目的是通过测试美托洛尔从固体剂型中的pH依赖性吸收,评估麻醉和清醒的哥廷根小型猪作为颊部药物吸收的模型。在一项非随机交叉研究中,对4只清醒和麻醉的哥廷根小型猪测试了缓冲至pH 6.2和pH 8.9的颊含片、口服液和静脉注射剂。采集血样并进行处理,然后通过超高效液相色谱-串联质谱检测进行分析。应用体外流动保留模型研究生物黏附颊含片的释放和保留。对于颊含片pH 6.2和pH 8.9,两个清醒颊部给药组的达峰时间(分别为55±5和35±5分钟)与麻醉颊部给药组(分别为120±0和165±15分钟)有显著差异。此外,麻醉状态下pH 8.9颊含片的绝对生物利用度(20.7±4.0%)与所有其他颊含片组相比有显著提高。总之,本研究表明,当以生物黏附颊含片形式给麻醉小型猪给药时,美托洛尔的绝对生物利用度具有pH依赖性。与清醒猪模型相比,当以颊含片形式给药时,发现麻醉会延迟美托洛尔达到最大血浆浓度的时间。