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评价海藻酸钠和羧甲基纤维素钠对盐酸左氧氟沙星喷雾干燥微球肺部给药的影响。

Evaluating the effect of sodium alginate and sodium carboxymethylcellulose on pulmonary delivery of levofloxacin spray-dried microparticles.

机构信息

Aerosol Research Laboratory, Department of Pharmaceutics, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Daru. 2024 Dec;32(2):557-571. doi: 10.1007/s40199-024-00526-x. Epub 2024 Jul 2.

Abstract

BACKGROUND

Patients with cystic fibrosis commonly suffer from lung infections caused by Pseudomonas aeruginosa. Recently, the Levofloxacin (LVF) nebulizing solution (Quinsair®) has been prescribed for the antimicrobial management. The sustained-release (SR) dry powder formulation of LVF is a convenient alternative to Quinsair®. It has the potential to enhance patient convenience and decrease the likelihood of drug resistance over time.

OBJECTIVE

In this paper, we set forth to formulate and evaluate the potential application of sodium alginate (SA) and sodium carboxymethylcellulose (SCMC) for sustained pulmonary delivery of LVF.

METHODS

The spray-dried (SD) LVF microparticles were formulated using SCMC and SA along with L-leucine (Leu). The microparticles were analyzed in terms of particle size, morphology, x-ray diffraction (XRD), in-vitro drug release, and aerodynamic properties. Selected formulations were further proceeded to short-term stability test.

RESULTS

The polymer-containing samples displayed process yield of 33.31%-39.67%, mean entrapment efficiency of 89% and volume size within the range of 2-5 μm. All the hydrogel microparticles were amorphous and exhibited rounded morphology with surface indentations. Formulations with a drug-to-excipient ratio of 50:50 and higher, showed a 24-h SR. The aerodynamic parameters were fine particle fraction and emitted dose percentage ranging between 46.21%-60.6% and 66.67%-87.75%, respectively. The short-term stability test revealed that the formulation with a 50:50 drug-to-excipient ratio, containing SA, demonstrated better physical stability.

CONCLUSION

The selected formulation containing SA has the potential to extend the release duration. However, further enhancements are required to optimize its performance.

摘要

背景

囊性纤维化患者常患有铜绿假单胞菌引起的肺部感染。最近,左氧氟沙星(LVF)雾化溶液(Quinsair®)已被开处方用于抗菌管理。LVF 的缓释(SR)干粉制剂是 Quinsair®的便捷替代品。随着时间的推移,它有可能提高患者的便利性并降低耐药性的可能性。

目的

本文旨在提出并评估海藻酸钠(SA)和羧甲基纤维素钠(SCMC)在 LVF 持续肺部给药中的潜在应用。

方法

使用 SCMC 和 SA 以及 L-亮氨酸(Leu)制备喷雾干燥(SD)LVF 微球。从粒径、形态、X 射线衍射(XRD)、体外药物释放和空气动力学特性等方面对微球进行分析。选择的配方进一步进行短期稳定性测试。

结果

含聚合物的样品显示出 33.31%-39.67%的工艺收率、89%的平均包封效率和 2-5μm 的体积大小。所有水凝胶微球均为无定形,呈圆形,表面有凹痕。药物与赋形剂比例为 50:50 及更高的配方显示出 24 小时 SR。空气动力学参数为细颗粒分数和发射剂量百分比,分别在 46.21%-60.6%和 66.67%-87.75%之间。短期稳定性测试表明,含有 SA 的 50:50 药物与赋形剂比例的配方表现出更好的物理稳定性。

结论

含有 SA 的选定配方具有延长释放时间的潜力。然而,需要进一步改进以优化其性能。

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