College of Pharmacy, Chungbuk National University, Cheongju, Republic of Korea.
College of Pharmacy, Wonkwang University, Iksan, Republic of Korea.
Drug Deliv. 2022 Dec;29(1):3384-3396. doi: 10.1080/10717544.2022.2149899.
Pirfenidone (PRF) is the first FDA-approved API in the treatment of idiopathic pulmonary fibrosis (IPF). However, PRF induces serious side effects, such as photophobia and gastrointestinal disorder. PRF inhalation can be expected with a lower effective dose and reduced side effects. In this study, PRF was prepared as inhalable co-spray-dried particles for dry powder inhalation. Mannitol, L-leucine (Leu), and NaCl were used as a stabilizer. The kinds and ratios of stabilizers affecting the physicochemical properties of particles were analyzed, including particle size and surface composition, because of the surface enrichment properties of Leu, the most effective stabilizer. The co-spray-dried PRF and Leu microparticle (SD-PL1:1) have the smallest size and highest aerosol performance. The bioavailability was confirmed by pharmacokinetics (PK) studies. In addition, pharmacodynamics (PD) experiments were conducted using a bleomycin-induced IPF rat model. PK experiments demonstrated that pulmonary administration of SD-PL1:1 was 4 times more effective than the oral route. Similar to the PK results, the therapeutic effect was improved when SD-PL1:1 was administered via the pulmonary route compared to the oral route.
吡非尼酮(PRF)是美国食品药品监督管理局(FDA)批准用于治疗特发性肺纤维化(IPF)的首个 API。然而,PRF 会引起严重的副作用,如畏光和胃肠道紊乱。PRF 吸入剂有望以较低的有效剂量和减少副作用。在这项研究中,PRF 被制备成可吸入的共喷雾干燥颗粒用于干粉吸入。甘露醇、L-亮氨酸(Leu)和 NaCl 被用作稳定剂。分析了影响颗粒理化性质的稳定剂的种类和比例,包括粒径和表面组成,因为 Leu 具有表面富集特性,是最有效的稳定剂。共喷雾干燥的 PRF 和 Leu 微球(SD-PL1:1)具有最小的粒径和最高的气溶胶性能。通过药代动力学(PK)研究证实了生物利用度。此外,还使用博来霉素诱导的 IPF 大鼠模型进行了药效学(PD)实验。PK 实验表明,SD-PL1:1 经肺部给药的效果是口服途径的 4 倍。与 PK 结果相似,与口服途径相比,SD-PL1:1 经肺部给药时的治疗效果得到了改善。
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