ClinSync Clinical Research Pvt. Ltd., JSR Mall, Plot No. 7 to 18, Survey # 225, Opposite Mythri Nagar, Madinaguda, Hyderabad, Telangana, 500 050, India.
Adv Ther. 2022 May;39(5):2128-2138. doi: 10.1007/s12325-022-02081-w. Epub 2022 Mar 16.
Despite its broad range of biological activities, use of curcumin is limited because of poor bioavailability. Here we report a novel curcumin formulation, Curcuwin Ultra+ (CU+), with superior bioavailability as compared to 95% turmeric extract (TUR 1800).
A randomized, double-blind, three-treatment, crossover oral bioavailability study was conducted in 24 healthy volunteers under fasting conditions. Subjects received a single dose of CU+ 250 mg, 500 mg and 1900 mg of TUR1800 as per randomization schedule and blood samples were collected at 4 h and 0 h before dosing, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24 h post dose. Total curcuminoids were measured as curcumin, demethoxycurcumin, bisdemethoxycurcumin, and tetrahydrocurcumin using a validated LC-MS/MS method.
CU+ achieved a significantly higher (p < 0.05) maximum plasma concentration (C) and total systemic exposure (AUC and AUC) for total curcuminoids as compared to TUR 1800. We observed 101 and 100 times higher C respectively for 250 and 500 mg doses of CU+ as compared to 1900 mg of TUR1800. Similarly, AUC was 144 and 149 times higher whereas AUC was 99 and 113 times higher respectively for 250 and 500 mg doses of CU+ as compared to 1900 mg dose of TUR1800. Further, CU+ showed 40% faster absorption (p < 0.05). No safety issues were observed.
CU+, which is designed for increased absorption and protection of curcuminoids from intestinal degradation, demonstrated superior bioavailability as compared to TUR1800 at considerably smaller doses. Additional clinical studies will help to demonstrate the impact of its increased bioavailability on efficacy.
CTRI/2020/10/028508 (Clinical Trials Registry-India).
尽管姜黄素具有广泛的生物学活性,但由于其生物利用度差,其应用受到限制。本文报道了一种新型姜黄素制剂 Curcuwin Ultra+(CU+),与 95%姜黄提取物(TUR1800)相比,其生物利用度更高。
在禁食条件下,24 名健康志愿者进行了一项随机、双盲、三处理、交叉口服生物利用度研究。受试者根据随机分组方案接受 CU+250mg、500mg 和 TUR18001900mg 的单次剂量,并在给药前 4 小时和 0 小时、0.5 小时、1 小时、2 小时、3 小时、4 小时、5 小时、6 小时、8 小时、10 小时、12 小时和 24 小时采集血样。采用已验证的 LC-MS/MS 方法测定总姜黄素类化合物(姜黄素、去甲氧基姜黄素、双去甲氧基姜黄素和四氢姜黄素)。
与 TUR1800 相比,CU+显著提高了总姜黄素类化合物的最大血浆浓度(C)和总系统暴露量(AUC 和 AUC)(p<0.05)。与 1900mg TUR1800 相比,CU+250mg 和 500mg 剂量的 C 分别高 101 倍和 100 倍。同样,AUC 分别高 144 倍和 149 倍,AUC 分别高 99 倍和 113 倍。此外,CU+的吸收速度快 40%(p<0.05)。未观察到安全性问题。
CU+旨在提高姜黄素类化合物的吸收并保护其免受肠道降解,与 TUR1800 相比,其在较小剂量下显示出更高的生物利用度。进一步的临床研究将有助于证明其增加的生物利用度对疗效的影响。
CTRI/2020/10/028508(印度临床试验注册处)。