The Key Laboratory of Modern Toxicology, Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Jiangsu Center for Safety Evaluation of Drugs, Jiangsu Province Institute of Materia Medica, School of Pharmaceutical Sciences, Nanjing Tech University, Nanjing, 211800, China.
AAPS PharmSciTech. 2022 Jan 6;23(1):50. doi: 10.1208/s12249-021-02191-8.
Inhalation is a promising and challenging method in pharmaceutical and biological science research. A stable environment is critical in dynamic inhalation administration. However, the establishment of a stable inhalation system is very challenging. Indacaterol glycopyrronium bromide inhalation powder (IM/GP mixed powder) is composed of indacaterol maleate and glycopyrronium bromide powder to treat chronic obstructive pulmonary disease (COPD). The aim of this study is to build suitable inhalation conditions and then to evaluate the pulmonary safety of this drug in Sprague-Dawley(SD) rats. In the research, through the coordination of the atomization flow, air pump flow, and scraper speed, aerosols were stabilized at 200 ± 20% mg/m, and then rats were nose-only administered with the IM/GP mixed powder, Ultibro, and lactose-magnesium stearate mixed powder at 2.6 mg/kg/day for 14 days and 14 days of recovery period, respectively. After exposure, hematology, inflammatory cytokines in rats bronchoalveolar lavage fluid (BALF) and serum, histopathological examination were performed. Results showed that the stability of powder aerosols can be realized under the atomization generation flow: 10 L/min, sampling flow: 2 L/min, system pumping capacity: 10 L/min and powder scraper speed: 8-10 L/min, and there were no significant adverse effects on body weight, clinic signs, hematology, and pathology in rats. Overall, the results suggested that the IM/GP mixed powder inhalation at the dose of 2.6 mg/kg/d can be reached when the aerosol concentration is within the range of 200 ± 20% mg/m, and there were no pulmonary toxicity effects in rats.
吸入法是药物和生物科学研究中很有前途但具有挑战性的方法。在动态吸入给药中,稳定的环境至关重要。然而,建立稳定的吸入系统极具挑战性。茚达特罗格隆溴铵吸入粉(IM/GP 混合粉)由马来酸茚达特罗和格隆溴铵粉组成,用于治疗慢性阻塞性肺疾病(COPD)。本研究的目的是建立合适的吸入条件,然后评估该药物在 Sprague-Dawley(SD)大鼠中的肺部安全性。在研究中,通过雾化气流、气泵流量和刮刀速度的协调,将气溶胶稳定在 200±20%mg/m,然后 SD 大鼠仅经鼻给予 IM/GP 混合粉、Ultibro 和乳糖-硬脂酸镁混合粉,剂量分别为 2.6mg/kg/天,持续 14 天和 14 天恢复期。暴露后,对大鼠支气管肺泡灌洗液(BALF)和血清中的血液学、炎症细胞因子以及组织病理学进行检查。结果表明,在雾化生成流量:10L/min、采样流量:2L/min、系统泵送能力:10L/min 和粉末刮刀速度:8-10L/min 下,可实现粉末气溶胶的稳定性,且大鼠体重、临床体征、血液学和病理学均无明显不良反应。总体而言,结果表明,当气溶胶浓度在 200±20%mg/m 范围内时,以 2.6mg/kg/d 的剂量吸入 IM/GP 混合粉可达到预期效果,且在大鼠中无肺部毒性作用。