Lin Hong-Liang, Chen Ling-Chun, Cheng Wen-Ting, Cheng Wei-Jie, Ho Hsiu-O, Sheu Ming-Thau
School of Pharmacy, College of Pharmacy, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Biotechnology and Pharmaceutical Technology, Yuanpei University of Medical Technology, Hsinchu 30015, Taiwan.
Pharmaceutics. 2020 Feb 6;12(2):137. doi: 10.3390/pharmaceutics12020137.
Regarding compliance and minimization of side effects of nilotinib therapy, there is a medical need to have a gastroretentive drug delivery system (GRDDS) to enhance the oral bioavailability that is able to administer an optimal dose in a quaque die (QD) or daily manner. In this study, the influence on a swelling and floating () GRDDS composed of a polymeric excipient (HPMC 90SH 100K, HEC 250HHX, or PEO 7000K) and Kollidon SR was examined. Results demonstrated that PEO 7000K/Kollidon SR (P/K) at a 7/3 ratio was determined to be a basic GRDDS formulation with optimal swelling and floating abilities. MCC PH102 or HPC was further added at a 50% content to this basic formulation to increase the tablet hardness and release all of the drug within 24 h. Also, the caplet form and capsule form containing the same formulation demonstrated higher hardness for the former and enhanced floating ability for the latter. A pharmacokinetic study on rabbits with pH values in stomach and intestine similar to human confirmed that the enhanced oral bioavailability ranged from 2.65-8.39-fold with respect to Tasigna, a commercially available form of nilotinib. In conclusion, the multiple of enhancement of the oral bioavailability of nilotinib with GRDDS could offer a pharmacokinetic profile with therapeutic effectiveness for the QD administration of a reasonable dose of nilotinib, thereby increasing compliance and minimizing side effects.
关于尼罗替尼治疗的依从性和副作用最小化,医学上需要一种胃滞留药物递送系统(GRDDS)来提高口服生物利用度,该系统能够以每日一次(QD)或每日的方式给予最佳剂量。在本研究中,考察了由聚合物辅料(HPMC 90SH 100K、HEC 250HHX或PEO 7000K)和共聚维酮组成的溶胀性和漂浮性GRDDS的影响。结果表明,7/3比例的PEO 7000K/共聚维酮(P/K)被确定为具有最佳溶胀和漂浮能力的基本GRDDS制剂。向该基本制剂中进一步添加50%含量的微晶纤维素PH102或羟丙基纤维素以提高片剂硬度并在24小时内释放所有药物。此外,含有相同制剂的胶囊形和胶囊剂形式显示前者硬度更高,后者漂浮能力增强。对胃和肠道pH值与人类相似的兔子进行的药代动力学研究证实,相对于市售形式的尼罗替尼(Tasigna),口服生物利用度提高了2.65至8.39倍。总之,GRDDS提高尼罗替尼口服生物利用度的倍数可为合理剂量尼罗替尼的QD给药提供具有治疗效果的药代动力学特征,从而提高依从性并使副作用最小化。