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Dissolution of poorly water-soluble drugs in biphasic media using USP 4 and fiber optic system 使用usp4和光纤系统在双相介质中溶解水溶性差的药物
Pub Date : 2009-06-01 DOI: 10.1080/10601330902905887
S. Vangani, Xiaoling Li, Peter Zhou, M. Del-Barrio, R. Chiu, Nina S. Cauchon, P. Gao, Cesar Medina, B. Jasti
A novel in-vitro dissolution system based on the principle of flow-through technique has been designed to evaluate the in-vitro release rate of poorly water-soluble compounds. The flow through apparatus (USP 4) has been coupled with the compendial dissolution apparatus (USP apparatus 2). A bi-phasic dissolution medium is used to achieve sink conditions. The dissolved drug is continuously removed from the aqueous phase into the organic phase of the dissolution medium, mimicking the process of absorption in the systemic circulation. The in vitro release profiles obtained from this dissolution model was able to distinguish the formulation changes of several poorly water-soluble drugs from their dosage forms. For AMG 517, the model drug, excellent rank order correlation has been obtained between the in-vitro release and the in-vivo absorption of the drug from several different dosage forms and their formulations. In addition, for several commercial formulations, the model successfully discriminated between the bioequivalent and non-bioequivalent formulations.
本文设计了一种基于流动技术原理的体外溶出体系,用于评价难水溶性化合物的体外释放速度。通过装置(USP 4)与药典溶解装置(USP装置2)耦合。使用双相溶解介质来达到沉淀条件。溶解后的药物连续地从水相中析出,进入溶解介质的有机相,模拟体循环中的吸收过程。利用该溶出度模型获得的体外释放曲线能够区分几种水溶性较差药物的剂型变化。以模型药物AMG 517为例,不同剂型及其制剂的体外释放度与体内吸收具有良好的秩序相关性。此外,对于几种商业制剂,该模型成功地区分了生物等效性和非生物等效性制剂。
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引用次数: 46
Certification in good clinical practice and clinical trial quality: A retrospective analysis of protocol adherence in four multicenter trials in the USA 良好临床实践和临床试验质量认证:美国四个多中心试验方案依从性的回顾性分析
Pub Date : 2009-06-01 DOI: 10.1080/10601330902911893
Jean-Marc C. Haeusler
Background: The value of training in Good Clinical Practice (GCP) for clinical research professionals is unknown. The objective of this study was to assess the impact of formal training in GCP on the quality of clinical trials. Methods: Retrospective analysis of data collected from four multicenter trials conducted in the US in 2008. Certification as Physician Investigator (CPI) or Clinical Research Coordinator (CCRC) was used as proof of formal training in GCP. Protocol adherence was used as a proxy for the quality of clinical trials and quantified by the number of protocol deviations. The primary variable for analysis was the number of protocol deviations per randomized subject and site. Results: A total of 1,418 subjects were randomized by 101 investigators (29% CPI) and 109 clinical research coordinators (29% CCRC), with 520 protocol deviations. Compared to “no certification”, the Odds Ratios (OR) for the incidence of protocol deviations were OR = 1.20 (95% Confidence Interval [0.852–1.688]; p NS) for “CCRC-only”, OR = 0.70 ([0.513–0.953]; p = 0.0256) for “CPI-only”, and OR = 0.37 ([0.273–0.507]; p < 0.0001) for “CCRC + CPI”. Conclusions: This pilot study showed that formal training in GCP has the potential to improve protocol adherence and clinical trial quality.
背景:良好临床规范(GCP)培训对临床研究专业人员的价值尚不清楚。本研究的目的是评估GCP正规培训对临床试验质量的影响。方法:回顾性分析2008年在美国进行的四项多中心试验收集的数据。作为医师调查员(CPI)或临床研究协调员(CCRC)的认证被用作GCP正式培训的证明。方案依从性被用作临床试验质量的代表,并通过方案偏差的数量来量化。分析的主要变量是每个随机受试者和地点的方案偏差数。结果:共有1418名受试者被随机分为101名调查员(29% CPI)和109名临床研究协调员(29% CCRC), 520个方案偏差。与“无认证”相比,方案偏差发生率的比值比(OR)为OR = 1.20(95%可信区间[0.852-1.688];p NS), OR = 0.70 ([0.513-0.953];“CPI-only”p = 0.0256),或= 0.37 ((0.273 - -0.507);p < 0.0001)为“CCRC + CPI”。结论:这项初步研究表明,GCP的正式培训有可能提高方案的依从性和临床试验质量。
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引用次数: 7
Physicians’ knowledge and attitudes toward scheduling 医生对日程安排的知识和态度
Pub Date : 2009-05-01 DOI: 10.1080/10601330902852725
Jonathon M Parker, E. Larrat
Objective: To determine physicians’ knowledge and attitudes of medico-legal issues regarding drug scheduling. Methods: The cross sectional survey was designed to assess attitudes and mailed to 400 randomly selected physicians. Results: A total of 155 (43.8%) of the 354 delivered surveys were returned. Physicians across all groups provided consistent responses suggesting a negative attitude about scheduling, a lack of understanding of scheduling issues and a harmful impact of scheduling on their practice. Physicians who saw 20 or more patients differed significantly from the other groups in 50% (4 of the 8) questions suggesting enhanced dissatisfaction.
目的:了解医师对药品调度相关法医学问题的认识和态度。方法:采用横断面调查方法,随机抽取400名医生进行问卷调查。结果:共发放问卷354份,回收问卷155份(43.8%)。所有小组的医生都提供了一致的回答,表明对日程安排持消极态度,缺乏对日程安排问题的理解,以及日程安排对他们的实践的有害影响。看过20个或更多病人的医生在50%(8个问题中的4个)的问题上与其他组明显不同,表明不满意程度增加。
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引用次数: 4
Disposition kinetics of a dipeptide ester prodrug of acyclovir and its metabolites following intravenous and oral administrations in rat. 大鼠静脉和口服给药后阿昔洛韦二肽酯前药及其代谢产物的处置动力学。
Pub Date : 2009-01-01 DOI: 10.1080/10601330903200684
Ravi S Talluri, Ripal Gaudana, Sudharshan Hariharan, Ritesh Jain, Ashim K Mitra

The objective of this work was to study the disposition kinetics of valine-valine-acyclovir (VVACV), a dipeptide ester prodrug of acyclovir following intravenous and oral administrations in rat. A validated LC-MS/MS analytical method was developed for the analysis VVACV, Valine-Acyclovir (VACV), and Acyclovir (ACV) using a linear Ion Trap Quadrupole. ACV was administered orally for comparison purpose. In the VVACV group, both blood and urine samples and in the ACV group only blood samples were collected. All the samples were analyzed using LC-MS/MS. The LLOQ for ACV, VACV, and VVACV were 10, 10, and 50 ng/ml, respectively. Relevant pharmacokinetic parameters were obtained by non-compartmental analyses of data with WinNonlin. Following i.v. administration of VVACV, AUC(0-inf) (min*µM) values for VVACV, VACV, and ACV were 55.06, 106, and 466.96, respectively. The AUC obtained after oral administration of ACV was 178.8. However, following oral administration of VVACV, AUC(0-inf) values for VACV and ACV were 89.28 and 810.77, respectively. Thus the exposure of ACV obtained following oral administration of VVACV was almost 6-fold higher than ACV. This preclinical pharmacokinetic data revealed that VVACV has certainly improved the oral bioavailability of ACV and is an effective prodrug for oral delivery of ACV.

本研究的目的是研究缬氨酸-缬氨酸-阿昔洛韦(valine-valine-acyclovir, VVACV),一种阿昔洛韦的二肽酯前药,在大鼠体内静脉和口服给药后的处置动力学。建立了线性离子阱四极杆色谱-质谱联用分析VVACV、缬氨酸-阿昔洛韦(VACV)和阿昔洛韦(ACV)的方法。口服ACV进行比较。VVACV组同时采集血液和尿液样本,ACV组仅采集血液样本。所有样品采用LC-MS/MS进行分析。ACV、VACV和VVACV的定量限分别为10、10和50 ng/ml。用WinNonlin软件对数据进行非区室分析,获得相关药动学参数。静脉注射VVACV后,VVACV、VACV和ACV的AUC(0-inf) (min*µM)值分别为55.06、106和466.96。口服ACV后AUC为178.8。然而,口服VVACV后,VACV和ACV的AUC(0-inf)值分别为89.28和810.77。因此,口服VVACV后获得的ACV暴露量几乎是ACV的6倍。这些临床前药代动力学数据表明,VVACV确实提高了ACV的口服生物利用度,是口服给药ACV的有效前药。
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引用次数: 3
Transdermal Delivery of Methotrexate Using Mixed Grades of Eudragit: Physico-Chemical, In-Vitro, and In-Vivo Evaluations 使用混合等级的乌龙茶经皮给药甲氨蝶呤:物理化学,体外和体内评价
Pub Date : 2008-01-01 DOI: 10.1080/10601330801937544
Ashok R. Chandak, P. Verma
The present study was aimed to develop Eudragit-based matrix system for transdermal delivery of methotrexate, an immunosuppressant drug for rheumatoid arthritis. Drug release followed zero order rather than first order or Higuchi type release kinetics. FT-IR, DSC and X-RD studies indicated no interaction between drug and polymer. The in-vitro dissolution rate constant, dissolution half life, and pharmacokinetic parameters (Cmax, tmax, AUC(s), t1/2, Kel, and MRT) were evaluated statistically by two-way ANOVA. A significant difference was observed between test products but not within test products. Statistically, a good correlation was found between percent of drug absorbed from patches versus Cmax, and AUC(s). Percent of drug dissolved at a given time versus serum drug concentration was correlated statistically. The results of this study indicate that the polymeric matrix films of methotrexate hold potential for transdermal.
本研究旨在开发以乌拉吉为基础的基质系统,用于类风湿性关节炎免疫抑制剂甲氨蝶呤的经皮给药。药物释放动力学遵循零级而非一级或Higuchi型释放动力学。FT-IR, DSC和X-RD研究表明药物与聚合物无相互作用。采用双因素方差分析(two-way ANOVA)对体外溶出速率常数、溶出半衰期、药代动力学参数(Cmax、tmax、AUC(s)、t1/2、Kel、MRT)进行统计学评价。在测试产品之间观察到显著差异,但在测试产品内部没有观察到显著差异。统计上,贴片吸收的药物百分比与Cmax和AUC(s)之间存在良好的相关性。在给定时间内药物溶解的百分比与血清药物浓度有统计学相关性。本研究结果表明甲氨蝶呤聚合物基质膜具有透皮的潜力。
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引用次数: 10
The Role of Inflammation in Tumor Progression: Targeting Tumor-Associated Macrophages 炎症在肿瘤进展中的作用:靶向肿瘤相关巨噬细胞
Pub Date : 2008-01-01 DOI: 10.1080/10601330802208291
M. Varney, Rakesh K. Singh
Current evidence suggests an increasing role for inflammation as a critical link to tumor progression. The host response to a cancer shares many parallels with an infection or a wound. Thus it is not surprising that many tumors arise from areas of infection or chronic inflammation. Tumors have been described as wounds that never heal. The local production of cytokines, including chemokines not only attracts circulating immune cells, but also activates stromal cells in the surrounding microenvironment. Of particular interest are tumor-associated macrophages (TAM). The infiltration of tumors with TAM has been shown to correlate with poor prognosis in several cancers. Recent studies suggest an emerging role for TAM in the remodeling of the tumor microenvironment to support growth and metastasis and support the concept of modifying TAM's responses as novel therapeutic approaches. In this review, we will discuss our current understanding of the role of macrophages, and inflammation in the progression to malignant disease and possibilities for development of better therapeutics for the treatment and perhaps prevention of malignancies.
目前的证据表明,炎症在肿瘤进展中起着越来越重要的作用。宿主对癌症的反应与感染或伤口有许多相似之处。因此,许多肿瘤起源于感染或慢性炎症就不足为奇了。肿瘤被描述为永不愈合的伤口。局部产生的细胞因子,包括趋化因子,不仅吸引循环免疫细胞,而且激活周围微环境中的基质细胞。特别令人感兴趣的是肿瘤相关巨噬细胞(TAM)。TAM浸润肿瘤已被证明与几种癌症的不良预后相关。最近的研究表明,TAM在肿瘤微环境的重塑中起着新的作用,以支持肿瘤的生长和转移,并支持将TAM的反应作为新的治疗方法的概念。在这篇综述中,我们将讨论我们目前对巨噬细胞和炎症在恶性疾病进展中的作用的理解,以及开发更好的治疗和预防恶性肿瘤的治疗方法的可能性。
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引用次数: 2
Population Pharmacokinetics of Amikacin in Indian Pediatric Patients 阿米卡星在印度儿科患者中的人群药代动力学
Pub Date : 2008-01-01 DOI: 10.1080/10601330802383441
Butchi Raju Akondi, R. Chodavarapu, K. Devarakonda
The aim of this study was to describe population pharmacokinetics of amikacin in Indian pediatric population. Dosage adjustment based on individual pharmacokinetic parameters is of considerable importance for effective and safe use of drugs. Extensive work on amikacin and other aminoglycosides was carried out in different pediatric patient populations but no data are available in Indian pediatric patients. In the present study 74 steady state concentrations of amikacin were analyzed from 42 patients. Pharmacostatistical work was done by using NONMEM. The covariates evaluated in this study were age, body weight, height, and sex and creatinine clearance. The model found to best describe the data following FO method was: Clearance (CL) = θ1*(wt/14.2)*exp. (η1) and volume (V) = θ2*exp (η2) and following FOCE method was: Clearance (CL) = θ1*(age/5.38) + θ3*(wt/14.2)*exp.(η1) and volume(V) = θ2*exp(η2). The final model estimates of CL and V estimated by FO method were1.02 L/h and 4.55L respectively and by FOCE method were1.07L/hr and 4.91L respectively. These parameters are utilized for individualizing the loading and maintenance doses in pediatric patients.
本研究的目的是描述阿米卡星在印度儿科人群中的群体药代动力学。基于个体药代动力学参数的剂量调整对于药物的有效和安全使用具有相当重要的意义。对阿米卡星和其他氨基糖苷的广泛研究在不同的儿科患者群体中进行,但没有印度儿科患者的数据。本研究分析了42例患者的74例阿米卡星稳态浓度。采用NONMEM进行药物统计工作。本研究评估的协变量包括年龄、体重、身高、性别和肌酐清除率。采用FO方法得到的最能描述数据的模型为:Clearance (CL) = θ1*(wt/14.2)*exp。(η1),体积(V) = θ2*exp(η2),采用的FOCE方法为:清除率(CL) = θ1*(年龄/5.38)+ θ3*(wt/14.2)*exp (η1),体积(V) = θ2*exp(η2)。FO法估算的CL和V最终模型估计值分别为1.02 L/h和4.55L, FOCE法估算的CL和V最终模型估计值分别为1.07L/h和4.91L。这些参数用于个性化儿科患者的负荷和维持剂量。
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引用次数: 1
Formulation and Clinical Evaluation Of Ultradeformable Liposomes in the Topical Treatment of Psoriasis 超成形脂质体局部治疗银屑病的配方及临床评价
Pub Date : 2008-01-01 DOI: 10.1080/10601330701885116
K. Vanaja, R. H. Shobha Rani, S. Sacchidananda
Ultradeformable liposomes of Methotrexate (MTX) were formulated to enhance its transdermal delivery in the treatment of psoriasis. Formulations were characterized for particle size, polydispersity index, morphology employing TEM and residual solvent analysis. The efficacy of topical liposomal MTX gel was compared with the commercially available plain MTX gel by clinically investigating the reduction in PASI score in psoriasis patients. Allergic contact sensitization potential of placebo ultradeformable liposomal gel was evaluated which showed that the placebo gel did not produce any reaction in the induction as well as challenge phase in 12 human volunteers. Open label, randomized parallel study was conducted in 25 patients. Baseline PASI score in the group receiving liposomal gel (0.25%) was 5.3 ± 1.027 and at the 10th week was reduced to 2.4 ± 0.625. In the case of the group applying plain MTX gel (1%), the baseline PASI score was 6.2 ± 0.17, reduced to 2.9 ± 0.79 at the 10th week. It was observed that liposomal MTX gel of 0.25% improved palmoplantar psoriasis in comparison with 1% plain MTX gel. Therefore, reducing the dose by entrapping MTX in liposomes improved the efficacy and patient compliance.
甲氨蝶呤(MTX)的超成型脂质体,以提高其透皮输送治疗牛皮癣。用透射电镜和残余溶剂分析对配方的粒径、多分散性指数、形貌进行了表征。通过临床研究银屑病患者PASI评分的降低,比较外用脂质体MTX凝胶与市售普通MTX凝胶的疗效。对安慰剂超成形脂质体凝胶的过敏接触致敏潜力进行了评估,结果表明,在12名人类志愿者的诱导和激发阶段,安慰剂凝胶没有产生任何反应。在25例患者中进行了开放标签,随机平行研究。脂质体凝胶(0.25%)组PASI基线评分为5.3±1.027,第10周降至2.4±0.625。在使用普通MTX凝胶(1%)的组中,基线PASI评分为6.2±0.17,在第10周降至2.9±0.79。我们观察到0.25%的MTX脂质体凝胶与1%的普通MTX凝胶相比,能改善掌跖牛皮癣。因此,通过脂质体包埋MTX减少剂量可以提高疗效和患者依从性。
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引用次数: 23
Evaluation of Bioequivalence of Highly Variable Drugs 高度可变药物的生物等效性评价
Pub Date : 2008-01-01 DOI: 10.1080/10601330802131451
L. Endrenyi, L. Tothfalusi
There is no abstract
没有抽象
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引用次数: 6
Comparison of Effect of Fasting and of Five Different Diets on the Bioavailability of Single Oral Dose of Amoxicillin 500 mg Capsule 空腹与5种不同膳食对阿莫西林500mg胶囊单次口服生物利用度影响的比较
Pub Date : 2008-01-01 DOI: 10.1080/10601330802064272
A. Khuroo, T. Monif, P. Verma, S. Gurule
The objective of this crossover bioavailability study on amoxicillin was to compare the bioavailability under fasting and five different diets, in twelve healthy adult male human volunteers. A single dose of amoxicillin 500 mg capsule was administered at six occasions: after overnight fasting, after two vegetarian diets (high-fat and low-fat), two non-vegetarian diets (high-fat and low-fat) and milk. Serial blood samples were collected up to 8 h after dose. Plasma concentrations were determined using a validated LC-MS/MS method. Tmax increased and AUC and Cmax values decreased in the presence of food. The non-vegetarian diets affected the rate of absorption of amoxicillin more than the vegetarian diets.
这项阿莫西林交叉生物利用度研究的目的是比较12名健康成年男性志愿者在禁食和五种不同饮食下的生物利用度。单剂量阿莫西林500毫克胶囊分六次服用:禁食一夜后,两次素食(高脂肪和低脂肪),两次非素食(高脂肪和低脂肪)和牛奶后。连续采集血液样本至给药后8小时。采用经验证的LC-MS/MS法测定血浆浓度。食物存在时,Tmax值升高,AUC和Cmax值降低。非素食饮食比素食饮食更能影响阿莫西林的吸收率。
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引用次数: 2
期刊
Clinical Research and Regulatory Affairs
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