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提高大麻素生物利用度:一项比较新型自纳米乳化药物递送系统与市售油基制剂的交叉研究。

Enhancing cannabinoid bioavailability: a crossover study comparing a novel self-nanoemulsifying drug delivery system and a commercial oil-based formulation.

作者信息

Hermush Vered, Mizrahi Nisim, Brodezky Tal, Ezra Rafael

机构信息

Geriatric Wing, Laniado Hospital, Netanya, Israel.

Ariel School of Medicine, Ariel, Israel.

出版信息

J Cannabis Res. 2025 Jun 13;7(1):35. doi: 10.1186/s42238-025-00294-8.

Abstract

PURPOSE

The oral bioavailability of cannabinoids is limited due to extensive first-pass metabolism, reducing their therapeutic efficacy. This study aimed to evaluate the pharmacokinetics and relative bioavailability of cannabinoids delivered via delta-9-tetrahydrocannabinol/cannabidiol self-emulsifying (THC/CBD-SE) powder, a self-nanoemulsifying drug delivery system, compared to standard oil-based drops.

METHODS

Fourteen healthy volunteers (3 men, 11 women) participated in a crossover study. Each received a single oral doses of 8 mg THC and 8 mg CBD in both formulations, with a 30-day washout period between treatments. Blood samples were collected at specified intervals post-administration to assess pharmacokinetic parameters, including maximum plasma concentration (Cmax) and time to reach Cmax (Tmax).

RESULTS

THC/CBD-SE Powder significantly enhanced Cmax for THC (32.79 ± 44.37 ng/mL) and its metabolite 11-OH-THC (10.91 ± 6.64 ng/mL) compared to oil-based drops (THC: 10.17 ± 11.41 ng/mL; 11-OH-THC: 4.64 ± 2.55 ng/mL). Similarly, Cmax for 7-OH-CBD was higher with THC/CBD-SE Powder (2.38 ± 1.63 ng/mL vs. 0.86 ± 0.56 ng/mL). Tmax for 11-OH-THC and 7-OH-CBD was shorter with THC/CBD-SE Powder (0.86 ± 0.36 h vs. 4.54 ± 3.44 h and 1.11 ± 0.59 h vs. 4.68 ± 3.38 h, respectively), indicating a faster onset of action. The THC/CBD-SE Powder exhibited over double the relative bioavailability of cannabinoids compared to oil drops, suggesting improved absorption and rapid onset. Both formulations were well tolerated with no serious adverse events.

CONCLUSION

THC/CBD-SE Powder significantly improves cannabinoid bioavailability and absorption rates compared to oil-based drops, offering a promising oral delivery method for enhanced therapeutic potential.

摘要

目的

大麻素的口服生物利用度因广泛的首过代谢而受限,从而降低了它们的治疗效果。本研究旨在评估通过δ-9-四氢大麻酚/大麻二酚自乳化(THC/CBD-SE)粉末(一种自纳米乳化药物递送系统)递送的大麻素与标准油基滴剂相比的药代动力学和相对生物利用度。

方法

14名健康志愿者(3名男性,11名女性)参与了一项交叉研究。每位志愿者在两种制剂中均接受单次口服剂量的8毫克THC和8毫克CBD,治疗之间有30天的洗脱期。给药后按指定时间间隔采集血样,以评估药代动力学参数,包括最大血浆浓度(Cmax)和达到Cmax的时间(Tmax)。

结果

与油基滴剂(THC:10.17±11.41纳克/毫升;11-羟基-THC:4.64±2.55纳克/毫升)相比,THC/CBD-SE粉末显著提高了THC(32.79±44.37纳克/毫升)及其代谢物11-羟基-THC(10.91±6.64纳克/毫升)的Cmax。同样,THC/CBD-SE粉末的7-羟基-CBD的Cmax更高(2.38±1.63纳克/毫升对0.86±0.56纳克/毫升)。THC/CBD-SE粉末使11-羟基-THC和7-羟基-CBD的Tmax更短(分别为0.86±0.36小时对4.54±3.44小时和1.11±0.59小时对4.68±3.38小时),表明起效更快。与油滴相比,THC/CBD-SE粉末的大麻素相对生物利用度提高了一倍多,表明吸收改善且起效迅速。两种制剂耐受性良好,无严重不良事件。

结论

与油基滴剂相比,THC/CBD-SE粉末显著提高了大麻素的生物利用度和吸收率,为增强治疗潜力提供了一种有前景的口服给药方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf4/12166629/e9bdb0c1fe5a/42238_2025_294_Fig1_HTML.jpg

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