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[关于一种缓释茶碱制剂的胃耐受性研究(作者译)]

[Investigations to gastric tolerance of a sustained release theophylline formulation (author's transl)].

作者信息

Lücker P W, Kraus M, Brenner H, Kyrein H J, Schnitker J

出版信息

Arzneimittelforschung. 1982;32(4):409-13.

PMID:7201812
Abstract

The measurement of the transmural gastric potential difference (PD) is a suitable method to quantify irritations of the human gastric mucosa caused by drugs. Purpose of this investigation was to check the gastric tolerance of Bronchoretard, a new developed "divided-dose" drug formulation of theophylline as retarded pellets in capsules in comparison to pure theophylline solution. After having checked the suitability of the procedure in respect of the obtained results, a study on 7 healthy male volunteers was considered to be justifiable, as the development of retarded theophylline preparations, which cause lower irritations in the stomach by slower release of pure theophylline, has a high therapeutic value. With the gastric PD model, developed at our institute following variables were calculated: the area under the baseline (AUB), the "Reizindex" (RI), the mean instability time (MIT) of the membrane and the maximum potential difference (Pdmax). The volunteers wee admitted to the ward of our institute 36 h before the first application. On 2 different days 350 mg theophylline, dissolved in 50 ml physiological saline as well as 1 capsule Bronchoretard containing 350 mg theophylline, were administered Cross over according to a randomisation plan and the deviation of the PD was measured as a function of time. The study led to the following results: after administration of Bronchoretard the AUB is statistically significant smaller than after administration of theophylline solution (P less than 0.05). After administration of Bronchoretard the RI is statistically significant smaller than after administration of theophylline solution (p less than 0.05). After administration of Bronchoretard the mean instability time is statistically significant smaller than after administration of theophylline solution (p less than 0.05). After administration of Bronchoretard Pdmax is smaller in trend than theophylline solution (p greater than 0.05). The oral administration of Bronchoretard leads to considerably lower irritation than the instillation of the same dose of theophylline in solution.

摘要

跨膜胃电位差(PD)的测量是一种量化药物对人胃黏膜刺激的合适方法。本研究的目的是检验支气管缓释片(Bronchoretard)的胃耐受性,支气管缓释片是一种新开发的“分剂量”药物制剂,其为胶囊中的缓释小丸形式的茶碱,与纯茶碱溶液相比。在根据所得结果检查了该程序的适用性之后,对7名健康男性志愿者进行研究被认为是合理的,因为缓释茶碱制剂通过较慢释放纯茶碱而对胃产生较低刺激,具有很高的治疗价值。使用我们研究所开发的胃PD模型,计算了以下变量:基线以下面积(AUB)、“刺激指数”(RI)、膜的平均不稳定时间(MIT)和最大电位差(Pdmax)。志愿者在首次给药前36小时入住我们研究所的病房。在2个不同的日子里,分别给予溶解于50ml生理盐水中的350mg茶碱以及含有350mg茶碱的1粒支气管缓释片胶囊,按照随机化方案交叉给药,并测量PD随时间的变化。研究得出以下结果:服用支气管缓释片后,AUB在统计学上显著小于服用茶碱溶液后(P小于0.05)。服用支气管缓释片后,RI在统计学上显著小于服用茶碱溶液后(p小于0.05)。服用支气管缓释片后,平均不稳定时间在统计学上显著小于服用茶碱溶液后(p小于0.05)。服用支气管缓释片后,Pdmax在趋势上小于茶碱溶液(p大于0.05)。口服支气管缓释片比滴注相同剂量的茶碱溶液引起的刺激要低得多。

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