Lee Sang-Ho, Kim Joo-Eun
Department of Pharmaceutical Engineering, Catholic University of Daegu, Hayang-Ro 13-13, Gyeongsan City 38430, Gyeongbuk, Korea.
Pharmaceutics. 2021 Feb 14;13(2):259. doi: 10.3390/pharmaceutics13020259.
The aim of this study was to develop immediate-release oral rabeprazole sodium tablets with rapid efficacy and gastric stability for the treatment of gastroesophageal reflux disease. Rabeprazole sodium is a commonly prescribed proton pump inhibitor; however, it is extremely unstable and degrades in acidic environments. Hence, it has been manufactured and supplied only in enteric-coated tablet form, while immediate-release (IR) formulations for this drug are very limited. In this study, we applied the quality by design (QbD) approach to formulate and optimize an IR dry-coated tablet containing rabeprazole sodium as an inner core with an outer sodium bicarbonate layer to stabilize the active pharmaceutical ingredient at gastric pH. We also investigated the stability of the pharmaceutical dosage form and its pharmacokinetic profile. The results show that the developed tablets are stable for approximately 12 months and have a high dissolution rate, greater than or equal to 90% at 30 min. Further, in vivo beagle pharmacokinetics confirmed that the newly developed IR tablet had an AUC which is bioequivalent to the existing delayed-release rabeprazole tablet; however, its T was 0.5 h, which is up to seven times faster than that of the existing tablet. Moreover, the IR tablet was found to immediately absorb in the stomach. Hence, the development of IR tablets can be used as a platform to overcome the technical and commercial limitations currently associated with various proton pump inhibitors used to treat patients with gastroesophageal reflux disease that require immediate therapeutic relief.
本研究的目的是开发具有快速疗效和胃稳定性的雷贝拉唑钠速释口服片剂,用于治疗胃食管反流病。雷贝拉唑钠是一种常用的质子泵抑制剂;然而,它极不稳定,在酸性环境中会降解。因此,它仅以肠溶衣片剂形式生产和供应,而这种药物的速释(IR)制剂非常有限。在本研究中,我们应用质量源于设计(QbD)方法来制备和优化一种IR干包衣片剂,该片剂以雷贝拉唑钠为内核,外层为碳酸氢钠层,以在胃pH值下稳定活性药物成分。我们还研究了药物剂型的稳定性及其药代动力学特征。结果表明,所开发的片剂在约12个月内稳定,具有高溶出率,在30分钟时大于或等于90%。此外,体内比格犬药代动力学证实,新开发的IR片剂的AUC与现有的雷贝拉唑缓释片生物等效;然而,其Tmax为0.5小时,比现有片剂快达7倍。此外,发现IR片剂在胃中立即吸收。因此,IR片剂的开发可作为一个平台,以克服目前与用于治疗需要立即缓解治疗的胃食管反流病患者的各种质子泵抑制剂相关的技术和商业限制。