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通过计算机模拟舌下给药对拉曲匹定进行临床药代动力学研究。

Clinical pharmacokinetic study of latrepirdine via in silico sublingual administration.

作者信息

Santos Joana, Lobato Luísa, Vale Nuno

机构信息

OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine of University of Porto, Rua Dr. Plácido da Costa, 4200-450 Porto, Portugal.

Laboratory of Pharmacology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal.

出版信息

In Silico Pharmacol. 2021 Apr 5;9(1):29. doi: 10.1007/s40203-021-00083-0. eCollection 2021.

Abstract

In recent decades, numerous in silico methodologies have been developed focused on the study of pharmacodynamic, pharmacokinetics and toxicological properties of drugs. The study of the pharmacokinetic behavior of new chemical entities is an essential part of the successful development of a new drug and Gastroplus™ is a simulation software used to predict the pharmacokinetic behavior of chemical entities. Latrepirdine is a drug that has been studied for Alzheimer's disease and Huntington's disease and later abandoned by the pharmaceutical industry already in the clinical trials because it has not demonstrated therapeutic efficacy. During this project, through Gastroplus™ simulations, it was possible to achieve predicted values of C coincident with those found in clinical trials, showing its utility in the prediction of pharmacokinetic parameters. Besides, sublingual delivery has the potential to offer improved bioavailability by circumventing first-pass metabolism. This study used GastroPlus™ to simulate sublingual administration of latrepirdine and the results showed improvements in bioavailability and plasma concentrations achieved though this route of administration.

摘要

近几十年来,已经开发了许多计算机模拟方法,专注于研究药物的药效学、药代动力学和毒理学特性。新化学实体的药代动力学行为研究是新药成功开发的重要组成部分,而Gastroplus™是一种用于预测化学实体药代动力学行为的模拟软件。拉曲匹定是一种曾针对阿尔茨海默病和亨廷顿病进行研究的药物,后来在临床试验阶段被制药行业放弃,因为它未显示出治疗效果。在本项目中,通过Gastroplus™模拟,可以获得与临床试验中发现的C值相符的预测值,表明其在预测药代动力学参数方面的效用。此外,舌下给药有可能通过规避首过代谢来提高生物利用度。本研究使用GastroPlus™模拟拉曲匹定的舌下给药,结果显示通过该给药途径可提高生物利用度和血浆浓度。

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