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用于心绞痛时辰治疗的丹参酮IIA载药丸:基于去卷积的制剂设计与优化、药代动力学和药效学评价

Tanshinone IIA - loaded pellets developed for angina chronotherapy: Deconvolution-based formulation design and optimization, pharmacokinetic and pharmacodynamic evaluation.

作者信息

Yan Hong-Xiang, Li Jin, Li Zheng-Hua, Zhang Wen-Li, Liu Jian-Ping

机构信息

Department of Pharmaceutics, China Pharmaceutical University, Nanjing, PR China.

Department of Pharmacy, Xuzhou Medical College, Xuzhou, PR China.

出版信息

Eur J Pharm Sci. 2015 Aug 30;76:156-64. doi: 10.1016/j.ejps.2015.05.012. Epub 2015 May 11.

DOI:10.1016/j.ejps.2015.05.012
PMID:25976225
Abstract

This paper put forward a deconvolution-based method for designing and optimizing tanshinone IIA sustained-release pellets (TA-SRPs) with improved efficacy in the treatment of variant angina. TA-SRPs were prepared by coating TA ternary solid dispersion immediate-release pellets (TA-tSD-IRPs) with the blends of polyvinyl acetate (PVAc) and polyvinyl alcohol-polyethylene glycol (PVA-PEG) using fluidized bed technology. The plasma concentration-time curve of TA-tSD-IRPs following oral administration as a weight function was investigated in New Zealand white rabbits. The predicted/expected plasma concentration-time curve of TA-SRPs as a response function was simulated according to the circadian rhythm of variant angina during 24h based on chronotherapy theory. The desired drug release profile of TA-SRPs was obtained via the point-area deconvolution procedure using the weight function and response function, and used for formulation optimization of TA-SRPs. The coating formulation of TA-SRPs was optimized as 70:30 (w/w) PVAc/PVA-PEG with 5% (w/w) coating weight due to in vitro drug release profile of these TA-SRPs was similar to the desired release profile (similarity factor f2=64.90). Pharmacokinetic studies of these optimized TA-SRPs validated that their actual plasma concentration-time curve possessed a basically consistent trend with the predicted plasma concentration-time curve and the absolute percent errors (%PE) of concentrations in 8-12h were less than 10%. Pharmacodynamic studies further demonstrated that these TA-SRPs had stable and improved efficacy with almost simultaneous drug concentration-efficacy. In conclusion, deconvolution could be employed in the development of TA-SRPs for angina chronotherapy with simultaneous drug efficacy and reduced design blindness and complexity.

摘要

本文提出了一种基于去卷积的方法,用于设计和优化丹参酮IIA缓释微丸(TA-SRPs),以提高其治疗变异型心绞痛的疗效。采用流化床技术,用聚醋酸乙烯酯(PVAc)和聚乙烯醇-聚乙二醇(PVA-PEG)的混合物包衣丹参酮三元固体分散体速释微丸(TA-tSD-IRPs)来制备TA-SRPs。在新西兰白兔中研究了TA-tSD-IRPs口服给药后作为体重函数的血浆浓度-时间曲线。根据时辰治疗学理论,基于变异型心绞痛的昼夜节律,模拟了TA-SRPs作为响应函数的预测/预期血浆浓度-时间曲线。通过使用体重函数和响应函数的点面积去卷积程序获得TA-SRPs所需的药物释放曲线,并用于TA-SRPs的处方优化。由于这些TA-SRPs的体外药物释放曲线与所需释放曲线相似(相似因子f2 = 64.90),TA-SRPs的包衣处方优化为70:30(w/w)PVAc/PVA-PEG,包衣重量为5%(w/w)。这些优化后的TA-SRPs的药代动力学研究证实,其实际血浆浓度-时间曲线与预测的血浆浓度-时间曲线基本一致,8-12小时浓度的绝对百分误差(%PE)小于10%。药效学研究进一步表明,这些TA-SRPs具有稳定且提高的疗效,药物浓度-疗效几乎同步。总之,去卷积可用于TA-SRPs的研发,用于心绞痛的时辰治疗,同时具有药物疗效,降低设计盲目性和复杂性。

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