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贝达喹啉给药创新:推进耐多药结核病治疗策略的综述

Bedaquiline Delivery Innovations: A Review on Advancing MDR-TB Treatment Strategies.

作者信息

Ahmad Asad, Akhtar Juber, Ahmad Mohammad, Khan Mohammad Irfan, Singh Aditya, Islam Anas

机构信息

Faculty of Pharmacy, Integral University, Lucknow, 226026, India.

出版信息

Recent Adv Antiinfect Drug Discov. 2025;20(2):92-111. doi: 10.2174/0127724344318310241018113206.

DOI:10.2174/0127724344318310241018113206
PMID:40356389
Abstract

Multidrug-resistant tuberculosis (MDR-TB) poses a persistent challenge to global health, necessitating continuous efforts to enhance treatment efficacy. Bedaquiline, a cornerstone in MDR-TB management, presents biopharmaceutical challenges that impact its therapeutic potential. This review provides a comprehensive analysis of recent innovations in drug delivery strategies designed to optimize Bedaquiline's efficacy and improve MDR-TB treatment outcomes. Through a systematic examination of various delivery systems, including nanotechnology and formulation advancements, we explore their potential in addressing drug solubility and bioavailability challenges. Emphasizing the integration of Quality by Design (QbD) principles, this review aims to present a cohesive overview of evolving Bedaquiline delivery innovations, providing valuable insights for researchers and healthcare practitioners working towards advancing MDR-TB treatment strategies.

摘要

耐多药结核病(MDR-TB)对全球卫生构成持续挑战,因此需要不断努力提高治疗效果。贝达喹啉是耐多药结核病管理的基石,但存在生物制药方面的挑战,影响其治疗潜力。本综述全面分析了旨在优化贝达喹啉疗效和改善耐多药结核病治疗结果的药物递送策略的最新创新。通过系统考察各种递送系统,包括纳米技术和制剂进展,我们探讨了它们在解决药物溶解度和生物利用度挑战方面的潜力。本综述强调设计质量(QbD)原则的整合,旨在对不断发展的贝达喹啉递送创新进行连贯概述,为致力于推进耐多药结核病治疗策略的研究人员和医疗从业者提供有价值的见解。

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本文引用的文献

1
Bioanalysis of bedaquiline in human plasma by liquid chromatography-tandem mass spectrometry: Application to pharmacokinetic study.采用液相色谱-串联质谱法对人血浆中贝达喹啉进行生物分析:在药代动力学研究中的应用。
J Mass Spectrom Adv Clin Lab. 2024 Jan 13;31:27-32. doi: 10.1016/j.jmsacl.2024.01.001. eCollection 2024 Jan.
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Efficacy and safety of bedaquiline containing regimens in patients of drug-resistant tuberculosis: An updated systematic review and meta-analysis.含贝达喹啉方案治疗耐多药结核病患者的疗效和安全性:一项更新的系统评价和荟萃分析。
J Clin Tuberc Other Mycobact Dis. 2023 Dec 1;34:100405. doi: 10.1016/j.jctube.2023.100405. eCollection 2024 Feb.
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Economic burden of multidrug-resistant tuberculosis on patients and households: a global systematic review and meta-analysis.
耐多药结核病给患者和家庭带来的经济负担:全球系统评价和荟萃分析。
Sci Rep. 2023 Dec 15;13(1):22361. doi: 10.1038/s41598-023-47094-9.
4
Development of Bedaquiline-Loaded SNEDDS Using Quality by Design (QbD) Approach to Improve Biopharmaceutical Attributes for the Management of Multidrug-Resistant Tuberculosis (MDR-TB).采用质量源于设计(QbD)方法开发载有贝达喹啉的自乳化药物传递系统(SNEDDS)以改善生物药剂学特性用于耐多药结核病(MDR-TB)的治疗
Antibiotics (Basel). 2023 Oct 3;12(10):1510. doi: 10.3390/antibiotics12101510.
5
Model-based dose optimization framework for bedaquiline, pretomanid and linezolid for the treatment of drug-resistant tuberculosis.基于模型的贝达喹啉、普托马尼德和利奈唑胺治疗耐药结核病的剂量优化框架。
Br J Clin Pharmacol. 2024 Feb;90(2):463-474. doi: 10.1111/bcp.15925. Epub 2023 Oct 26.
6
The Efficacy and Safety of Bedaquiline in the Treatment of Pulmonary Tuberculosis Patients: A Systematic Review and Meta-Analysis.贝达喹啉治疗肺结核患者的疗效与安全性:一项系统评价和荟萃分析
Antibiotics (Basel). 2023 Aug 31;12(9):1389. doi: 10.3390/antibiotics12091389.
7
Insight into the drug-resistant characteristics and genetic diversity of multidrug-resistant in China.中国多药耐药菌的耐药特征及遗传多样性洞察
Microbiol Spectr. 2023 Sep 21;11(5):e0132423. doi: 10.1128/spectrum.01324-23.
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Assessment of drug-susceptible and multidrug-resistant tuberculosis (MDR-TB) in the Central Region of Somalia: A 3-year retrospective study.索马里中部地区药物敏感和耐多药结核病(MDR-TB)的评估:一项为期3年的回顾性研究。
PLOS Glob Public Health. 2023 Sep 7;3(9):e0002319. doi: 10.1371/journal.pgph.0002319. eCollection 2023.
9
Outbreak of Multidrug-Resistant Tuberculosis - Kansas, 2021-2022.2021-2022 年堪萨斯州耐多药结核病爆发。
MMWR Morb Mortal Wkly Rep. 2023 Sep 1;72(35):957-960. doi: 10.15585/mmwr.mm7235a4.
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Expert Opin Drug Saf. 2023 Jan-Jun;22(5):373-380. doi: 10.1080/14740338.2023.2219892. Epub 2023 May 29.