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基于阿戈美拉汀的鼻腔给药脑靶向原位凝胶:统计优化、体外及体内评价

Agomelatine-based in situ gels for brain targeting via the nasal route: statistical optimization, in vitro, and in vivo evaluation.

作者信息

Fatouh Ahmed M, Elshafeey Ahmed H, Abdelbary Ahmed

机构信息

a Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy , Cairo University , Cairo , Egypt.

b School of Pharmacy , University of Waterloo , ON , Canada.

出版信息

Drug Deliv. 2017 Nov;24(1):1077-1085. doi: 10.1080/10717544.2017.1357148.

Abstract

Agomelatine (AGM) is an antidepressant drug with a low absolute bioavailability due to the hepatic first pass metabolism. AGM-loaded solid lipid nanoparticles were formulated in the form of an in situ gel to prolong the intranasal retention time and subsequently to increase the absorbed amount of AGM. The optimized in situ gel formula had a sol-gel transition temperature of 31 °C ± 1.40, mucociliary transport time of 27 min ±1.41%, released after 1 and 8 h of 46.3% ± 0.85 and 70.90% ± 1.48. The pharmacokinetic study of the optimized in situ gel revealed a significant increase in the peak plasma concentration, area under plasma concentration versus time curve and absolute bioavailability compared to that of the oral suspension of Valdoxan® with the values of 247 ± 64.40 ng/mL, 6677.41 ± 1996 ng.min/mL, and 37.89%, respectively. It also gave drug targeting efficiency index of 141.42 which revealed more successful brain targeting by the intranasal route compared to the intravenous route and it had direct transport percent index of 29.29 which indicated a significant contribution of the direct nose to brain pathway in the brain drug delivery.

摘要

阿戈美拉汀(AGM)是一种抗抑郁药物,由于肝脏首过代谢,其绝对生物利用度较低。负载AGM的固体脂质纳米粒被制成原位凝胶的形式,以延长鼻内滞留时间,从而增加AGM的吸收量。优化后的原位凝胶配方的溶胶-凝胶转变温度为31℃±1.40,黏液纤毛运输时间为27分钟±1.41%,在1小时和8小时后释放量分别为46.3%±0.85和70.90%±1.48。对优化后的原位凝胶进行的药代动力学研究表明,与伏硫西汀®口服混悬液相比(其峰值血浆浓度、血浆浓度-时间曲线下面积和绝对生物利用度的值分别为247±64.40 ng/mL、6677.41±1996 ng·min/mL和37.89%),其峰值血浆浓度、血浆浓度-时间曲线下面积和绝对生物利用度均显著增加。它还给出了141.42的药物靶向效率指数,这表明与静脉给药途径相比,鼻内给药途径在脑靶向方面更成功,并且其直接转运百分比指数为29.29,这表明在脑药物递送中,鼻脑直接通路有显著贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e70f/8241098/e7faf6ece41b/IDRD_A_1357148_F0001_C.jpg

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