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生物相关的胃排空模拟及其对模型药物溶出和吸收动力学的影响。

The biorelevant simulation of gastric emptying and its impact on model drug dissolution and absorption kinetics.

机构信息

The Chair for Biopharmaceutics and Pharmacokinetics, University of Ljubljana, Faculty of Pharmacy, Aškerčeva 7, 1000 Ljubljana, Slovenia.

The Chair for Biopharmaceutics and Pharmacokinetics, University of Ljubljana, Faculty of Pharmacy, Aškerčeva 7, 1000 Ljubljana, Slovenia.

出版信息

Eur J Pharm Biopharm. 2020 Apr;149:113-120. doi: 10.1016/j.ejpb.2020.02.002. Epub 2020 Feb 10.

Abstract

The highly variable physiological conditions within the gastrointestinal tract can cause variable drug release and absorption from the orally administrated dosage forms. The emptying of the gastric content is one of the most critical physiological processes, dictating the amount of the active ingredient available for absorption into the systemic circulation. In this study, we prepared two water gastric emptying regimes on advanced gastric simulator (AGS) with programmable "pyloric" valve. Gastric emptying regimes were designed in such a way to capture the main findings of the MRI (magnetic resonance imaging) in vivo studies, conducted under fasted conditions according to the EMA and FDA guidelines for bioavailability and bioequivalence studies. Four immediate release formulations containing a model drug of BCS class III were tested. Comparative dissolution tests were also performed with the USP2 apparatus. In vitro release profiles were compared to the in vivo data in order to evaluate the importance of gastric emptying for subsequent absorption of the active substance from the tested formulations. Our bio-relevant in vitro dissolution model showed good discriminatory power for all of the tested formulations. Moreover, a better relation to in vivo data was achieved with AGS with respect to the tested conventional dissolution method.

摘要

胃肠道内高度变化的生理条件会导致经口服给药剂型的药物释放和吸收出现变化。胃内容物的排空是最关键的生理过程之一,它决定了有多少有效成分可被吸收到体循环中。在这项研究中,我们在具有可编程“幽门”阀的高级胃模拟器(AGS)上准备了两种水胃排空方案。胃排空方案的设计方式旨在根据 EMA 和 FDA 的生物利用度和生物等效性研究指南,针对空腹条件下的体内 MRI(磁共振成像)研究的主要发现进行捕获。我们测试了四种含有 BCS 类 III 模型药物的即释制剂。还使用 USP2 装置进行了比较溶出度测试。将体外释放曲线与体内数据进行比较,以评估胃排空对从测试制剂中吸收活性物质的重要性。我们的生物相关性体外溶出模型对所有测试制剂均具有良好的区分能力。此外,AGS 相对于测试的常规溶出方法,与体内数据的相关性更好。

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