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采用阳离子交换树脂作为载体提高曲马多治疗神经病理性疼痛的潜力:药代动力学和药效学研究的证据。

Improved therapeutic potential of tapentadol employing cationic exchange resins as carriers in neuropathic pain: evidence from pharmacokinetic and pharmacodynamics study.

机构信息

Department of Pharmacy, Banasthali Vidyapith, Banasthali, Rajasthan, 304022, India.

出版信息

Sci Rep. 2018 Feb 12;8(1):2812. doi: 10.1038/s41598-018-21214-2.

DOI:10.1038/s41598-018-21214-2
PMID:29434240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5809392/
Abstract

Current investigation was endeavoured to overcome problem of poor palatability and bioavailability of centrally acting analgesic, tapentadol (TAP) by formulating controlled release drug-resin complexes (DRCs). The technology encompassed in preparation of DRCs involved chemisorption of TAP to weak cationic resins (KyronT-134 and Tulsion335) by batch method. Various formulation variables like drug-resin ratio, pH, resin activation and swelling time were optimized to achieve maximum drug loading in DRCs. FT-IR, DSC, pXRD, in vitro release study under bio-relevant condition of mouth and in vivo sensory taste evaluation established formation of taste masked DRC whereas dissolution study assured prolonged drug release behaviour of optimized DRC. Among DRCs, TAP-KyronT-134 complex exhibited higher drug loading (80.89 ± 4.56%), stability and prolonged release profile (10 h) without any detectable amount of drug release under salivary conditions. Pharmacokinetic studies in wistar rats revealed increased T (2.67-fold), MRT (1.94-fold), elimination half-life (2.79-fold) and relative oral bioavailability (2.62-fold) of TAP on oral administration of optimized formulation compared to TAP solution. Furthermore, pharmacodynamics study confessed higher potential of DRC in attenuating chronic injury induced tactile allodynia for prolonged duration. In conclusion, the method developed is easily scalable and holds potential for commercialization with an evidence of obtaining more efficacious neuropathic pain management therapy.

摘要

当前的研究旨在克服中枢作用镇痛药曲马多(TAP)口感差和生物利用度低的问题,通过制备控释药物树脂复合物(DRC)来解决。该技术包括通过批处理方法将 TAP 化学吸附到弱阳离子树脂(KyronT-134 和 Tulsion335)上。优化了各种制剂变量,如药物-树脂比、pH 值、树脂活化和溶胀时间,以实现 DRC 中最大的药物载量。傅里叶变换红外光谱(FT-IR)、差示扫描量热法(DSC)、粉末 X 射线衍射(pXRD)、口腔生物相关条件下的体外释放研究以及体内感官味觉评价表明,形成了掩味 DRC,而溶解研究则确保了优化 DRC 的延长药物释放行为。在 DRC 中,TAP-KyronT-134 复合物表现出更高的药物载量(80.89±4.56%)、稳定性和延长的释放曲线(10 小时),在唾液条件下没有检测到任何药物释放。在 Wistar 大鼠中的药代动力学研究表明,与 TAP 溶液相比,口服优化制剂后 TAP 的 T(2.67 倍)、MRT(1.94 倍)、消除半衰期(2.79 倍)和相对口服生物利用度(2.62 倍)增加。此外,药效学研究证实,DRC 具有更大的潜力,可长期缓解慢性损伤引起的触觉痛觉过敏。总之,所开发的方法易于规模化,具有商业化潜力,并为获得更有效的治疗神经病理性疼痛的疗法提供了证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/f9bdf3adcb1f/41598_2018_21214_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/beb1875bb97f/41598_2018_21214_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/8c4836c02503/41598_2018_21214_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/a6f0c3b33a95/41598_2018_21214_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/f9bdf3adcb1f/41598_2018_21214_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/beb1875bb97f/41598_2018_21214_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/8c4836c02503/41598_2018_21214_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/a6f0c3b33a95/41598_2018_21214_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b0/5809392/f9bdf3adcb1f/41598_2018_21214_Fig4_HTML.jpg

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