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基于自动挤出的给药:用于儿科护理的氯吡格雷片剂的个性化给药与质量控制。

Automated extrusion-based dispensing: Personalized dosing and quality control of clopidogrel tablets for pediatric care.

作者信息

Shokraneh Farnaz, Filppula Anne M, Tornio Aleksi, Aruväli Jaan, Paaver Urve, Topelius Niklas Sandler

机构信息

Pharmaceutical Sciences Laboratory, Science and Engineering, Åbo Akademi University, BioCity, Tykistökatu 6A, Turku FI-20520, Finland; CurifyLabs Oy, Salmisaarenaukio 1, Helsinki FI-00180, Finland.

Pharmaceutical Sciences Laboratory, Science and Engineering, Åbo Akademi University, BioCity, Tykistökatu 6A, Turku FI-20520, Finland.

出版信息

Eur J Pharm Sci. 2025 Jan 1;204:106967. doi: 10.1016/j.ejps.2024.106967. Epub 2024 Nov 19.

DOI:10.1016/j.ejps.2024.106967
PMID:39571628
Abstract

The exploration of three-dimensional (3D) printing inspired technologies in pharmaceutical compounding reveals a promising frontier in personalized medicine manufacture. This study focuses on the development of clopidogrel bisulphate tablets, with doses ranging from 2 mg to 20 mg per tablet, suitable for pediatric use. The study explored a semi-solid extrusion-based deposition technology already being used in compounding pharmacies across several European locations. The investigation explored various properties of two formulations of 1 % and 2 % clopidogrel gel tablets, with a specific focus on mass variation, drug content uniformity, in vitro drug release profiles, disintegration time, and stability. The mean weights of the smallest printed 200 mg tablets with 1 % and 2 % clopidogrel concentrations were 199.1 ± 4.6 mg and 201.0 ± 3.2 mg, respectively. For the largest printed 500 mg tablets with 1 % and 2 % concentrations, the mean weights were 499.3 ± 7.7 mg and 501.7 ± 6.5 mg, respectively. The mean clopidogrel content uniformity for 1 % clopidogrel 200 mg and 500 mg tablets were 102.0 ± 1.8 %and 96.6 ± 2.6 %, respectively, and for 2 % clopidogrel 200 mg and 500 mg were 102.6 ± 3.9 % and 101.2 ± 1.6 %, respectively, well within the acceptable acceptance value (AV) range of 3 to 12. Both 1 % and 2 % formulations of clopidogrel tablets exhibited rapid drug release, meeting the USP pharmacopeial target of 85 % release in 15 min. All tablet sizes formulated at 1 % and 2 % concentrations met specified disintegration specifications. The stability assessment over three months revealed consistent pH values and assay results within target specifications for both clopidogrel formulations (93.5 % for 1 % formulation and 93.6 % for 2 % formulation). At three months, X-ray Diffraction (XRD) and Fourier Transform Infrared Spectroscopy (FTIR) results demonstrated stability in clopidogrel tablets. In conclusion, a comprehensive evaluation of our developed clopidogrel tablets demonstrate their suitability for clinical use in an extemporaneous setting using the presented semi-solid extrusion-based automation technology.

摘要

在药物配制中探索三维(3D)打印启发的技术,揭示了个性化药物制造中一个充满希望的前沿领域。本研究专注于开发硫酸氢氯吡格雷片,每片剂量范围为2毫克至20毫克,适用于儿科。该研究探索了一种基于半固体挤出的沉积技术,该技术已在欧洲多个地区的配药药房中使用。该调查研究了1%和2%氯吡格雷凝胶片两种制剂的各种特性,特别关注质量变化、药物含量均匀性、体外药物释放曲线、崩解时间和稳定性。1%和2%氯吡格雷浓度的最小打印200毫克片剂的平均重量分别为199.1±4.6毫克和201.0±3.2毫克。对于1%和2%浓度的最大打印500毫克片剂,平均重量分别为499.3±7.7毫克和501.7±6.5毫克。1%氯吡格雷200毫克和500毫克片剂的平均氯吡格雷含量均匀度分别为102.0±1.8%和96.6±2.6%,2%氯吡格雷200毫克和500毫克片剂的平均含量均匀度分别为102.6±3.9%和101.2±1.6%,均在3至12的可接受值(AV)范围内。1%和2%的氯吡格雷片制剂均表现出快速药物释放,符合美国药典在15分钟内释放85%的药典目标。所有1%和2%浓度配制的片剂尺寸均符合规定的崩解规格。三个月的稳定性评估显示,两种氯吡格雷制剂的pH值和含量测定结果在目标规格内一致(1%制剂为93.5%,2%制剂为93.6%)。在三个月时,X射线衍射(XRD)和傅里叶变换红外光谱(FTIR)结果证明氯吡格雷片具有稳定性。总之,对我们开发的氯吡格雷片进行的综合评估表明,使用所展示的基于半固体挤出的自动化技术,它们适用于临时配制环境中的临床使用。

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