a Department of Pharmaceutics and Industrial Pharmacy , Modern University for Technology & Information (MTI) , Cairo , Egypt.
b Department of Pharmaceutics and Industrial Pharmacy , Cairo University , Cairo , Egypt.
Drug Deliv. 2016 Nov;23(9):3374-3386. doi: 10.1080/10717544.2016.1183721. Epub 2016 May 17.
Migraine attack is a troublesome physiological condition associated with throbbing, intense headache, in one half of the head. Zolmitriptan is a potent second-generation triptan, prescribed for patients with migraine attacks, with or without an aura, and cluster headaches. The absolute bioavailability of zolmitriptan is about 40% for oral administration; due to hepatic first metabolism. Nasal administration would circumvent the pre-systemic metabolism thus increasing the bioavailability of zolmitriptan. In addition, due to the presence of microvilli and high vasculature, the absorption is expected to be faster compared to oral route. However, the bioavailability of nasal administered drugs is particularly restricted by poor membrane penetration. Thus, the aim of this work is to explore the potential of novel nanovesicular fatty acid enriched structures (novasomes) for effective and enhanced nasal delivery of zolmitriptan and investigate their nose to brain targeting potential. Novasomes were prepared using nonionic surfactant, cholesterol in addition to a free fatty acid. A 2 full factorial design was adopted to study the influence of the type of surfactant, type of free fatty acid and ratio between the free fatty acid and the surfactant on novasomes properties. The particle size, entrapment efficiency, polydispersity index, zeta potential and % zolmitriptan released after 2 h were selected as dependent variables. Novasomes were further optimized using Design Expert® software (version 7; Stat-Ease Inc., Minneapolis, MN), and an optimized formulation composed of Span® 80:Cholesterol:stearic acid (in the ratio 1:1:1) was selected. This formulation showed zolmitriptan entrapment of 92.94%, particle size of 149.9 nm, zeta potential of -55.57 mV, and released 48.43% zolmitriptan after 2 h. The optimized formulation was further examined using transmission electron microscope, which revealed non-aggregating multi-lamellar nanovesicles with narrow size distribution. DSC, XRD examination of the optimized formulation confirmed that the drug have been homogeneously dispersed throughout the novasomes in an amorphous state. In-vivo bio-distribution studies of Tc radio-labeled intranasal zolmitriptan loaded novasomes were done on mice, the pharmacokinetic parameters were compared with those following administration of intravenous Tc-zolmitriptan solution. Results revealed the great enhancement in zolmitriptan targeting to the brain, with drug targeting potential of about 99% following intranasal administration of novasomes compared with the intravenous drug solution. Zolmitriptan loaded novasomes administered via the nasal route may therefore constitute an advance in the management of acute migraine attacks.
偏头痛发作是一种与头部一侧搏动性、剧烈头痛相关的生理状况。佐米曲普坦是一种强效的第二代曲坦类药物,用于治疗偏头痛发作的患者,无论是否伴有先兆,也用于丛集性头痛。佐米曲普坦口服的绝对生物利用度约为 40%;由于肝脏的首过代谢。鼻内给药可以绕过这种预系统代谢,从而提高佐米曲普坦的生物利用度。此外,由于存在微绒毛和丰富的血管,吸收速度预计会比口服途径更快。然而,鼻内给药药物的生物利用度受到较差的膜穿透性的限制。因此,本工作的目的是探索新型纳米脂肪酸富集结构(novasomes)用于有效和增强佐米曲普坦鼻内给药的潜力,并研究其鼻腔到脑靶向的潜力。novasomes 是使用非离子表面活性剂、胆固醇和游离脂肪酸制备的。采用 2 全因子设计来研究表面活性剂的类型、游离脂肪酸的类型以及游离脂肪酸与表面活性剂之间的比例对 novasomes 性质的影响。选择粒径、包封效率、多分散指数、zeta 电位和 2 小时后释放的%佐米曲普坦作为因变量。novasomes 进一步通过 Design Expert®软件(版本 7;Stat-Ease Inc.,明尼苏达州明尼阿波利斯市)进行优化,选择由 Span®80:胆固醇:硬脂酸(比例为 1:1:1)组成的优化配方。该配方显示佐米曲普坦包封率为 92.94%,粒径为 149.9nm,zeta 电位为-55.57mV,2 小时后释放 48.43%佐米曲普坦。进一步用透射电子显微镜检查优化后的配方,结果显示出非聚集的多层层状纳米囊泡,具有较窄的粒径分布。DSC、X 射线衍射检查优化后的配方证实药物以无定形状态均匀分散在 novasomes 中。将 Tc 放射性标记的经鼻给予的佐米曲普坦负载的 novasomes 在小鼠中进行体内生物分布研究,比较了其药代动力学参数与静脉给予 Tc-佐米曲普坦溶液后的参数。结果表明,经鼻给予 novasomes 后,佐米曲普坦向大脑的靶向性大大增强,药物靶向潜力约为 99%,而静脉给予药物溶液则为 99%。因此,经鼻给予佐米曲普坦负载的 novasomes 可能是治疗急性偏头痛发作的一种进展。