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新型每日一次溴莫尼定眼用纳米混悬液的临床前评估

Preclinical Evaluation of a Novel Once-a-Day Brimonidine Ophthalmic Nanosuspension.

作者信息

Khopade Ajay J, Halder Arindam, Patel Vivek, Upadhyay Shivam, Burade Vinod, Pateliya Bharat, Panchal Satish, Mandhane Sanjay, Awati Chandan, Zope Murlidhar

机构信息

Department of Formulation R&D Non-Orals, Sun Pharmaceutical Industries Ltd., Vadodara, India.

Department of Translational Development, Sun Pharma Advanced Research Company Ltd., Vadodara, India.

出版信息

J Ocul Pharmacol Ther. 2023 Aug 30. doi: 10.1089/jop.2023.0038.

Abstract

This article aims to describe a preclinical proof of concept for a novel once-a-day (OD) brimonidine ophthalmic nanosuspension. The preclinical proof of concept was established using New Zealand white rabbits as animal models. Dose-finding, multiple-dose efficacy, ocular pharmacokinetic, and hemodynamic studies were performed in normotensive rabbits. Steroid-induced ocular hypertension model in rabbits was used to study efficacy in glaucomatous pathophysiology. The test (0.35% OD suspension) and reference (0.15% three times a day [TID] solution) were compared. The intraocular pressure (IOP) reduction was sustained for 0.35% and 0.5% strengths but not for other lower strengths tested or reference strengths. A 0.35% OD suspension reduced IOP >2 mmHg after 24 h of dosing, which was not seen with the reference. After multiple dosing, 0.35% OD suspension reduced IOP by 4-6 mmHg after 24 h, which was comparable to the 0.15% TID reference solution. An ocular pharmacokinetic study showed that the brimonidine was rapidly absorbed and distributed throughout the eye after topical administration. Concentration was higher in tissues with high α receptors, such as cornea-conjunctiva, iris/ciliary body, and choroid/retina. The steady-state concentrations in these organs were also significant after 24 h of the last dose. There was an indication of increased plasma levels, so a hemodynamic study was performed to assess any adverse effects. All hemodynamic parameters were normal and no new unusual safety findings were observed. The study demonstrated that the novel brimonidine 0.35% ophthalmic nanosuspension is both safe and effective when administered OD and is comparable to the marketed reference formulation administered TID.

摘要

本文旨在描述一种新型每日一次(OD)的溴莫尼定眼用纳米混悬液的临床前概念验证。该临床前概念验证是以新西兰白兔作为动物模型建立的。在血压正常的兔子身上进行了剂量探索、多剂量疗效、眼药代动力学和血流动力学研究。采用兔类固醇诱导性高眼压模型研究其在青光眼病理生理学中的疗效。对试验制剂(0.35% OD混悬液)和对照制剂(0.15% 每日三次 [TID] 溶液)进行了比较。0.35% 和 0.5% 浓度的制剂能持续降低眼压,但其他测试的较低浓度制剂或对照制剂浓度则不能。给药24小时后,0.35% OD混悬液降低眼压 >2 mmHg,对照制剂则未出现这种情况。多次给药后,0.35% OD混悬液在24小时后可使眼压降低4 - 6 mmHg,与0.15% TID对照溶液相当。一项眼药代动力学研究表明,局部给药后溴莫尼定能迅速吸收并分布于全眼。在α受体含量高的组织中,如角膜 - 结膜、虹膜/睫状体和脉络膜/视网膜,药物浓度较高。最后一次给药24小时后,这些器官中的稳态浓度也很显著。有迹象表明血浆水平升高,因此进行了血流动力学研究以评估任何不良反应。所有血流动力学参数均正常,未观察到新的异常安全性发现。该研究表明,新型0.35%溴莫尼定眼用纳米混悬液每日一次给药时既安全又有效,且与市售每日三次给药的对照制剂相当。

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