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采用新型注射成型技术开发的用于口服给药的缓释吗啡药物产品的抗滥用特性。

Abuse-deterrent features of an extended-release morphine drug product developed using a novel injection-molding technology for oral drug delivery.

作者信息

Skak Nikolaj, Elhauge Torben, Dayno Jeffrey M, Lindhardt Karsten

机构信息

Senior Director, Pharmaceutical Development, Egalet Corporation, Wayne, Pennsylvania.

Senior Scientist Specialist, Research and Development, Egalet Corporation, Wayne, Pennsylvania.

出版信息

J Opioid Manag. 2017 Nov/Dec;13(6):465-472. doi: 10.5055/jom.2017.0406.

Abstract

OBJECTIVE

A novel technology platform (Guardian™ Technology, Egalet Corporation, Wayne, PA) was used to manufacture morphine abuse-deterrent (AD), extended-release (ER), injection-molded tablets (morphine-ADER-IMT; ARYMO® ER [morphine sulfate] ER tablets; Egalet Corporation), a recently approved morphine product with AD labeling. The aim of this article is to highlight how the features of Guardian™ Technology are linked to the ER profile and AD characteristics of morphine-ADER-IMT.

RESULTS

The ER profile of morphine-ADER-IMT is attributed to the precise release of morphine from the polymer matrix. The approved dosage strengths of morphine-ADER-IMT are bioequivalent to corresponding dosage strengths of morphine ER (MS Contin®; Purdue Pharma LP, Stamford, CT). Morphine-ADER-IMT was very resistant to physical manipulations intended to reduce particle size, with <10 percent of particles being reduced to <500µm, regarded by the US Food and Drug Administration as a relevant cutoff for potential insufflation in their generic solid oral AD opioid guidance. Furthermore, morphine was not readily extracted from the polymer matrix of morphine-ADER-IMT in small- or large-volume solvent extraction studies that evaluated the potential for intravenous and oral abuse.

CONCLUSIONS

The ER profile and AD characteristics of morphine-ADER-IMT are a result of Guardian™ Technology. The combination of the polyethylene oxide matrix and the use of injection molding differentiate morphine-ADER-IMT from other approved AD opioids that deter abuse using physical and chemical barriers. The high degree of flexibility of the Guardian™ Technology enables the development of products that can be tailored to almost any desired release profile; as such, it is a technology platform that may be useful for the development of a wide range of pharmaceutical products.

摘要

目的

采用一种新型技术平台(Guardian™技术,Egalet公司,宾夕法尼亚州韦恩市)来制造具有滥用威慑作用(AD)的吗啡缓释(ER)注射成型片(吗啡-ADER-IMT;ARYMO® ER[硫酸吗啡]缓释片;Egalet公司),这是一种最近获批带有AD标签的吗啡产品。本文旨在强调Guardian™技术的特性如何与吗啡-ADER-IMT的缓释特性及AD特征相关联。

结果

吗啡-ADER-IMT的缓释特性归因于吗啡从聚合物基质中的精确释放。吗啡-ADER-IMT的获批剂量强度与吗啡缓释片(MS Contin®;普渡制药公司,康涅狄格州斯坦福德)的相应剂量强度具有生物等效性。吗啡-ADER-IMT对旨在减小粒径的物理操作具有很强的抗性,粒径减小至<500µm的颗粒不到10%,美国食品药品监督管理局在其通用固体口服AD阿片类药物指南中认为这是潜在吸入的相关临界值。此外,在评估静脉和口服滥用可能性的小体积或大体积溶剂萃取研究中,吗啡不易从吗啡-ADER-IMT的聚合物基质中萃取出来。

结论

吗啡-ADER-IMT的缓释特性及AD特征是Guardian™技术的结果。聚环氧乙烷基质与注射成型的结合使吗啡-ADER-IMT有别于其他获批的使用物理和化学屏障来威慑滥用的AD阿片类药物。Guardian™技术的高度灵活性能够开发出可根据几乎任何所需释放特性进行定制的产品;因此,它是一个可能对广泛的药品开发有用的技术平台。

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