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用于手术切口长效止痛的温度响应水凝胶中罗哌卡因的控释的临床前研究。

Preclinical studies of ropivacaine extended-release from a temperature responsive hydrogel for prolonged relief of pain at the surgical wound.

机构信息

TGel Bio, Co, LTD, Seoul, Republic of Korea.

Korea Research Institute of Chemical Technology (KRICT), Daejeon City, Republic of Korea.

出版信息

Int J Pharm. 2019 Mar 10;558:225-230. doi: 10.1016/j.ijpharm.2019.01.011. Epub 2019 Jan 14.

DOI:10.1016/j.ijpharm.2019.01.011
PMID:30654057
Abstract

Postoperative pain is a common form of acute pain that has been treated commonly by local anesthetics through regional nerve blocking. In this study, a series of experiments were conducted using rats to investigate the pharmacokinetic, distribution, and efficacy of a temperature responsive hydrogel-based drug delivery device (PF-72) containing ropivacaine (0.75%) for extended relief of postoperative pain by allowing the prolonged release of ropivacaine. When the ropivacaine was administered using PF-72, its concentration-time curve (AUC) and peak concentration (C) were 577.0 hng/mL and 271.9 ng/mL, respectively. In contrast when the ropivacaine solution was administered using saline solution, its AUC and C were 982.8 hng/mL and 423.6 ng/mL, respectively. In the tissue distribution study, the peak concentration and mean area under the curve of the ropivacaine in injection area (target tissue) were found about 2-fold higher in the case of PF-72 compared with the case of conventional ropivacaine solution. These results clearly demonstrate the capability of PF-72 hydrogel to retain the ropivacaine at the injection site for an extended period. Effective extended (at least 24 h) pain relief of ropivacaine administered using PF-72 was found in the pharmacodynamic study of prolonged analgesic effect. The results of this study indicated that local drug delivery by PF-72 hydrogel formulation may be an effective method to achieve extended relief of pain. Other advantages of ropivacaine administration using PF-72 include reduced systemic side effects and high localization of a drug in target tissues.

摘要

术后疼痛是一种常见的急性疼痛形式,通常通过局部麻醉剂进行区域神经阻滞来治疗。在这项研究中,使用大鼠进行了一系列实验,以研究一种包含罗哌卡因(0.75%)的温度响应水凝胶药物输送装置(PF-72)的药代动力学、分布和疗效,通过延长罗哌卡因的释放来延长术后疼痛缓解时间。当使用 PF-72 给予罗哌卡因时,其浓度-时间曲线(AUC)和峰值浓度(C)分别为 577.0 hng/mL 和 271.9 ng/mL。相比之下,当使用生理盐水溶液给予罗哌卡因溶液时,其 AUC 和 C 分别为 982.8 hng/mL 和 423.6 ng/mL。在组织分布研究中,发现注射区域(靶组织)中罗哌卡因的峰值浓度和平均曲线下面积在 PF-72 情况下比常规罗哌卡因溶液情况下高约 2 倍。这些结果清楚地表明 PF-72 水凝胶能够将罗哌卡因在注射部位保留更长时间。在延长镇痛效果的药效学研究中,发现使用 PF-72 给予罗哌卡因可有效延长(至少 24 小时)疼痛缓解。这项研究的结果表明,PF-72 水凝胶制剂的局部药物输送可能是实现疼痛缓解的有效方法。使用 PF-72 给予罗哌卡因的其他优点包括减少全身副作用和药物在靶组织中的高定位。

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