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一种GMP级抗炎纳米疗法的药物研发与临床前评估

Pharmaceutical development and preclinical evaluation of a GMP-grade anti-inflammatory nanotherapy.

作者信息

Lobatto Mark E, Calcagno Claudia, Otten Maarten J, Millon Antoine, Ramachandran Sarayu, Paridaans Maarten P M, van der Valk Fleur M, Storm Gert, Stroes Erik S G, Fayad Zahi A, Mulder Willem J M, Metselaar Josbert M

机构信息

Translational and Molecular Imaging Institute, Department of Radiology, Icahn School of Medicine at Mount Sinai, NY, NY, United States; Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.

Translational and Molecular Imaging Institute, Department of Radiology, Icahn School of Medicine at Mount Sinai, NY, NY, United States.

出版信息

Nanomedicine. 2015 Jul;11(5):1133-40. doi: 10.1016/j.nano.2015.02.020. Epub 2015 Mar 17.

Abstract

UNLABELLED

The present study describes the development of a good manufacturing practice (GMP)-grade liposomal nanotherapy containing prednisolone phosphate for the treatment of inflammatory diseases. After formulation design, GMP production was commenced which yielded consistent, stable liposomes sized 100nm±10nm, with a prednisolone phosphate (PLP) incorporation efficiency of 3%-5%. Pharmacokinetics and toxicokinetics of GMP-grade liposomal nanoparticles were evaluated in healthy rats, which were compared to daily and weekly administration of free prednisolone phosphate, revealing a long circulatory half-life with minimal side effects. Subsequently, non-invasive multimodal clinical imaging after liposomal nanotherapy's intravenous administration revealed anti-inflammatory effects on the vessel wall of atherosclerotic rabbits. The present program led to institutional review board approval for two clinical trials with patients with atherosclerosis.

FROM THE CLINICAL EDITOR

In drug discovery, bringing production to industrial scale is an essential process. In this article the authors describe the development of an anti-inflammatory nanoparticle according to good manufacturing practice. As a result, this paves the way for translating laboratory studies to clinical trials in humans.

摘要

未标注

本研究描述了一种用于治疗炎症性疾病的含磷酸泼尼松龙的药品生产质量管理规范(GMP)级脂质体纳米疗法的研发情况。在完成制剂设计后,开始进行GMP生产,生产出了尺寸为100nm±10nm、一致性和稳定性良好的脂质体,磷酸泼尼松龙(PLP)的包封效率为3%-5%。在健康大鼠中评估了GMP级脂质体纳米颗粒的药代动力学和毒代动力学,并与每日和每周给予游离磷酸泼尼松龙的情况进行了比较,结果显示其具有较长的循环半衰期且副作用极小。随后,脂质体纳米疗法静脉给药后的非侵入性多模态临床成像显示对动脉粥样硬化兔的血管壁有抗炎作用。本项目获得了机构审查委员会对两项针对动脉粥样硬化患者的临床试验的批准。

临床编辑评论

在药物研发中,将生产扩大到工业规模是一个必不可少的过程。在本文中,作者描述了根据药品生产质量管理规范研发一种抗炎纳米颗粒的情况。因此,这为将实验室研究转化为人体临床试验铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f949/4495976/a097a0261689/nihms693836f1.jpg

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本文引用的文献

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Imaging and nanomedicine in inflammatory atherosclerosis.炎症性动脉粥样硬化中的成像与纳米医学
Sci Transl Med. 2014 Jun 4;6(239):239sr1. doi: 10.1126/scitranslmed.3005101.
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Strategies in the design of nanoparticles for therapeutic applications.用于治疗应用的纳米粒子设计策略。
Nat Rev Drug Discov. 2010 Aug;9(8):615-27. doi: 10.1038/nrd2591. Epub 2010 Jul 9.

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