Alvisi V, Gasparetto A, Dentale A, Heras H, Felletti-Spadazzi A, D'Ambrosi A
Institute of Internal Medicine I, School of Specialization in Gastroenterology and Digestive Endoscopy, University of Ferrara, Italy.
Drugs Exp Clin Res. 1996;22(1):29-33.
Several controlled release formulations of ursodeoxycholic acid (UDCA) are currently available. However, none of these results in an optimal bioavailability of the active ingredient as a function of the absorption windows for bile acids found at the gastroduodenal level. Nonsaturated passive absorption of bile acids occurs at these sites, while absorption in the rest of the intestinal tract is less consistent as it is limited by the presence of carriers. These considerations led to the development of an original delayed-release formulation of UDCA using the bioadhesive technique. This allows a longer residence time at the appropriate sites and hence a higher passive absorption of UDCA. The results of this pharmacokinetic study, which compared the new formulation with a traditional pH-dependent sequential release formulation, demonstrated that the new formulation had a greater area under the curve (AUC) during a 24 h period, when compared with that of the reference drug, reaching statistically significant values (p < 0.01) within the first 12 h.
目前有几种熊去氧胆酸(UDCA)的控释制剂。然而,这些制剂均未根据胃十二指肠水平发现的胆汁酸吸收窗实现活性成分的最佳生物利用度。胆汁酸在这些部位发生非饱和被动吸收,而在肠道其余部位的吸收则不太稳定,因为它受到载体存在的限制。这些考虑因素促使人们利用生物粘附技术开发出一种原创的UDCA延迟释放制剂。这使得药物在适当部位的停留时间更长,从而实现UDCA更高的被动吸收。这项药代动力学研究将新制剂与传统的pH依赖性顺序释放制剂进行了比较,结果表明,与参比药物相比,新制剂在24小时内的曲线下面积(AUC)更大,在前12小时内达到统计学显著值(p < 0.01)。