Rohr U D, Nauert C, Ehrly A M
Zentrum für Innere Medizin, Medizinische Klinik I; Schwerpunkt Angiologie.
Zentralbl Gynakol. 1995;117(10):531-9.
A novel patch containing 17 beta-Estradiol exhibits improved kinetic profiles compared to the currently available leading transdermal product. The blood concentrations produced by the newly developed matrix patch are stable over 3 to 4 days, thus avoiding the occurrence of 17 beta-Estradiol peaks in the blood. In an additional clinical study an almost linear relationship could be identified between the patch size (Test patch: 7.25, 14.5 and 29.0 cm2) and the obtained 17-estradiol bioavailability (judged on AUC, cmax, c(ave), Cmin). These results are corroborated by the additional in vitro experiments. An almost constant drug delivery rate of 48 micrograms +/- 15 micrograms/day of 17 beta-Estradiol per 13.85 cm2 patch over 4 days can be detected through excised human skin. No statistically significantly different transdermal flux rates of 17 beta-Estradiol were detected in 3 different batches of the transdermal drug delivery system in vitro. Statistical evaluations were performed with the 3-Way-Anova test on the 0.05 significance level. This newly developed product presents a kinetically optimized transdermal 17 beta-estradiol patch for hormone substitution therapy.
与目前市面上领先的透皮产品相比,一种含有17β-雌二醇的新型贴片展现出了更好的药代动力学特征。新开发的基质贴片产生的血药浓度在3至4天内保持稳定,从而避免了血液中17β-雌二醇峰值的出现。在另一项临床研究中,可确定贴片面积(测试贴片:7.25、14.5和29.0平方厘米)与所获得的17-雌二醇生物利用度(根据AUC、cmax、c(ave)、Cmin判断)之间几乎呈线性关系。这些结果得到了额外体外实验的证实。通过切除的人体皮肤可检测到,每13.85平方厘米贴片在4天内17β-雌二醇的药物释放速率几乎恒定,为48微克±15微克/天。在体外对3个不同批次的透皮给药系统检测到的17β-雌二醇透皮通量率无统计学显著差异。采用三因素方差分析在0.05显著性水平上进行统计评估。这种新开发的产品为激素替代疗法提供了一种药代动力学优化的透皮17β-雌二醇贴片。