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在正常和升高的皮肤温度下丁丙诺啡透皮系统的体内-体外相关性。

In Vitro-In Vivo Correlation of Buprenorphine Transdermal Systems Under Normal and Elevated Skin Temperature.

机构信息

Department of Pharmaceutical Sciences, School of Pharmacy, University of Maryland, Baltimore, MD, 21201, USA.

Department of Pharmaceutics and Industrial Pharmacy Faculty of Pharmacy, Helwan University, Cairo, Egypt.

出版信息

Pharm Res. 2023 May;40(5):1249-1258. doi: 10.1007/s11095-023-03487-z. Epub 2023 Apr 24.

Abstract

PURPOSE

Application of external heat using a heating pad over buprenorphine transdermal system, Butrans® has been shown to increase systemic levels of buprenorphine in human volunteers. The purpose of this study was to perform in vitro permeation studies at normal as well as elevated temperature conditions to evaluate the correlation of in vitro data with the existing in vivo data.

METHODS

In vitro permeation tests (IVPT) were performed on human skin from four donors. The IVPT study design was harmonized to a previously published clinical study design and skin temperature was maintained at either 32 ± 1 °C or 42 ± 1 °C to mimic normal and elevated skin temperature conditions, respectively.

RESULTS

IVPT studies on human skin were able to demonstrate heat induced enhancement in flux and cumulative amount of drug permeated from Butrans® which was reasonably consistent with the corresponding enhancement observed in vivo. Level A in vitro-in vivo correlation (IVIVC) was established using unit impulse response (UIR) based deconvolution method for both baseline and heat arms of the study. The percent prediction error (%PE) calculated for AUC and C values was less than 20%.

CONCLUSIONS

The studies indicated that IVPT studies performed under the same conditions as those of interest in vivo may be useful for comparative evaluation of the effect of external heat on transdermal delivery system (TDS). Further research may be warranted to evaluate factors, beyond cutaneous bioavailability (BA) assessed using an IVPT study, that can influence plasma exposure in vivo for a given drug product.

摘要

目的

在丁丙诺啡透皮贴剂(Butrans®)上使用加热垫施加外部热量已被证明会增加人体志愿者中丁丙诺啡的全身水平。本研究的目的是在正常和升高的温度条件下进行体外渗透研究,以评估体外数据与现有体内数据的相关性。

方法

对来自四个供体的人体皮肤进行体外渗透试验(IVPT)。IVPT 研究设计与先前发表的临床研究设计相协调,皮肤温度分别维持在 32 ± 1°C 或 42 ± 1°C,以分别模拟正常和升高的皮肤温度条件。

结果

人体皮肤的 IVPT 研究能够证明热诱导增强了从 Butrans®渗透的药物通量和累积量,这与体内观察到的相应增强相当一致。使用基于单位脉冲响应(UIR)的解卷积方法为研究的基线和加热臂建立了 A 级体外-体内相关性(IVIVC)。AUC 和 C 值的预测误差(%PE)计算值小于 20%。

结论

这些研究表明,在与体内感兴趣条件相同的条件下进行的 IVPT 研究可能有助于比较评估外部热量对透皮给药系统(TDS)的影响。可能需要进一步研究,以评估除使用 IVPT 研究评估的皮肤生物利用度(BA)之外的因素,这些因素会影响特定药物产品在体内的血浆暴露。

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