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鼻腔喷雾在理想化鼻腔入口处的体外局部沉积:与体内伽马闪烁成像的比较。

In Vitro Regional Deposition of Nasal Sprays in an Idealized Nasal Inlet: Comparison with In Vivo Gamma Scintigraphy.

机构信息

Department of Mechanical Engineering, Faculty of Engineering, University of Alberta, 10-265 Donadeo Innovation Centre for Engineering, Edmonton, Canada.

出版信息

Pharm Res. 2022 Nov;39(11):3021-3028. doi: 10.1007/s11095-022-03388-7. Epub 2022 Sep 15.

Abstract

PURPOSE

To compare in vitro regional nasal deposition measurements using an idealized nasal airway geometry, the Alberta Idealized Nasal Inlet (AINI), with in vivo regional deposition for nasal drug products.

MATERIALS AND METHODS

One aqueous solution formulation (NasalCrom), one aqueous suspension formulation (Nasonex) and one nasal pressurized metered dose spray device (QNASL) were selected. Two spray orientation angles, 60° and 45° from the horizontal, were selected. A steady inhalation flow rate of 7.5 L/min was selected to simulate slow inhalation through a single nostril. After actuation, the AINI was disassembled. The mass of drug deposited in each region and a downstream filter, representing penetration of drug to the lungs, was determined using ultraviolet-visible (UV-Vis) spectrophotometry.

RESULTS

No filter (lung) deposition was detected for NasalCrom or Nasonex. Filter deposition ranged from 6 to 11% for QNASL. For NasalCrom, 45% to 69% of the dose deposited in the AINI was deposited in the vestibule and 31% to 55% was deposited in the turbinates; for Nasonex, 66% to 74% (vestibule) and 26% to 34% (turbinates); for QNASL, 90% to 100% (vestibule) and 0% to 10% (turbinates). No statistically significant difference was observed between regional deposition in vivo and in vitro for any of the formulations, except that nasopharyngeal deposition with Nasonex differed by less than 1.56% from in vivo, which while statistically significant, is unlikely to be clinically significant.

CONCLUSIONS

The AINI was able to mimic regional in vivo deposition for nasal drug products, permitting differentiation between devices based on regional deposition.

摘要

目的

比较使用理想化鼻腔入口(AINI)的体外局部鼻腔沉积测量值与鼻腔药物的体内局部沉积值。

材料和方法

选择了一种水溶液制剂(NasalCrom)、一种水混悬剂(Nasonex)和一种鼻腔加压计量喷雾装置(QNASL)。选择了两个喷雾方向角,即 60°和 45°与水平方向的夹角。选择 7.5 L/min 的稳定吸入气流速度模拟通过单个鼻孔缓慢吸入。喷雾器启动后,将 AINI 拆开。使用紫外-可见(UV-Vis)分光光度法测定沉积在各个区域和下游过滤器(代表药物穿透至肺部)中的药物质量。

结果

NasalCrom 或 Nasonex 无药物(肺部)沉积在过滤器上。QNASL 的过滤器沉积量为 6%至 11%。对于 NasalCrom,沉积在 AINI 中的剂量的 45%至 69%沉积在前庭中,31%至 55%沉积在鼻甲中;对于 Nasonex,66%至 74%(前庭)和 26%至 34%(鼻甲);对于 QNASL,90%至 100%(前庭)和 0%至 10%(鼻甲)。除了 Nasonex 的鼻咽部沉积与体内测量值相差不到 1.56%外,所有制剂的体内和体外局部沉积均无统计学差异,尽管这在统计学上有意义,但在临床上可能并不重要。

结论

AINI 能够模拟鼻腔药物的体内局部沉积,能够根据局部沉积区分装置。

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