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Dosage by design – 3D printing individualized cabozantinib tablets with immediate release 剂量设计--3D 打印可立即释放的个性化卡博替尼片。
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-13 DOI: 10.1016/j.ejpb.2024.114501
Jonas Lenhart, Dominique J. Lunter
Production of patient-specific dosage forms is important to improve patient adherence and effectiveness while reducing the prevalence and severity of adverse effects. Due to its possibility of rapid prototyping 3D printing can be used to produce individual dosages while utilizing techniques such as hot melt extrusion to increase the bioavailability of poorly soluble drugs. In this work, Parteck MXP and Kollicoat IR were used as water-soluble polymer bases for formulation development for 3D printing of various dosages incorporating cabozantinib while enabling immediate release. The effect of tablet design and the excipients sorbitol, croscarmellose sodium, and sodium starch glycolate was investigated for this goal. A way to calculate the size of tablets for predetermined dosages is proposed to enable the printing of individual strengths from one formulation. Rheological data were collected to deepen the understanding of the role of melt viscosity in 3D printing and hot melt extrusion processes. The production of immediate-release cabozantinib tablets containing every therapeutically relevant dosage in a single unit produced by two-step 3D printing was realized.
生产针对患者的剂型对于提高患者的依从性和有效性,同时降低不良反应的发生率和严重程度非常重要。由于可以快速制作原型,3D 打印技术可用于生产个性化剂型,同时利用热熔挤出等技术提高溶解性差的药物的生物利用率。在这项工作中,Parteck MXP 和 Kollicoat IR 被用作水溶性聚合物基料,用于制剂开发,以 3D 打印出含卡博替尼的各种剂量,同时实现立即释放。为实现这一目标,研究了片剂设计和辅料山梨糖醇、croscarmellose sodium 和淀粉乙醇酸钠的影响。此外,还提出了一种计算预定剂量片剂大小的方法,以便用一种配方印制不同强度的片剂。收集了流变学数据,以加深了解熔体粘度在三维打印和热熔挤压过程中的作用。通过两步三维打印技术,实现了在单个单元中生产出包含每种治疗相关剂量的卡博替尼速释片剂。
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引用次数: 0
Dissolving microneedle patches for delivery of amniotic mesenchymal stem cell metabolite products for skin regeneration in UV-aging induced mice 用于输送羊膜间充质干细胞代谢物产品的可溶解微针贴片,促进紫外线老化诱导小鼠的皮肤再生
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-13 DOI: 10.1016/j.ejpb.2024.114482
Andang Miatmoko , Berlian Sarasitha Hariawan , Devy Maulidya Cahyani , Qonita Kurnia Anjani , Febri Annuryanti , Rifda Tarimi Octavia , Djoko Legowo , Kusuma Eko Purwantari , Noorma Rosita , Purwati , Ryan F. Donnelly , Dewi Melani Hariyadi

Microneedles offer a promising solution to enhancing dermal delivery of amniotic mesenchymal stem cell metabolite product (AMSC-MP), which contains hydrophilic protein components with high molecular weight, for the purposes of skin rejuvenation and improving human health. This study aimed to evaluate the physicochemical characteristics and in vivo efficacy of AMSC-MP-loaded microneedle patches for effectively regenerating skin tissues in UV-aging induced mice. Dissolving microneedle patches, composed of polyvinyl alcohol with an MW of 9–10 kDa and polyvinylpyrrolidone with an MW of 56 kDa, were fabricated using the double-casting method at three AMSC-MP concentrations: i.e., 30 % (MN30), 25 % (MN25), and 20 % (MN20). The microneedles patches were then evaluated for morphological, mechanical resistance, and insertion properties. An ex vivo release study was also conducted using the Franz cell method, and in vivo efficacy and irritation were then determined through collagen density scores, fibroblast cell counts, and skin irritation studies of UV-aging induced mice. The AMSC-MP microneedles displayed a pyramidal shape with 500 µm sharp tips. Mechanical testing revealed that MN30 achieved its deepest insertion into Parafilm® M (447.44 ± 37.21 µm), while MN25 achieved its deepest insertion into full-thickness porcine skin (717.92 ± 25.40 µm). The study revealed a controlled EGF release for up to 24 h, with MN20 exhibiting the highest deposition (55.94 ± 12.34 %). These findings demonstrate the successful penetration of microneedles through the stratum corneum and viable epidermis. Collagen density scores and fibroblast cell counts were significantly higher in all microneedle formulations than the control, with MN30 having the highest values. Inflammatory cell counts indicated minimal presence suggesting non-irritation in the in vivo study. Dissolving microneedle patches exhibited favorable characteristics and efficiently delivered AMSC-MP with minimal potential for irritation, providing potential technology for delivering biological anti-aging agents for the purposes of fostering skin regeneration.

羊膜间充质干细胞代谢产物(AMSC-MP)含有高分子量的亲水性蛋白质成分,微针为增强其真皮输送提供了一种前景广阔的解决方案,从而达到嫩肤和改善人类健康的目的。本研究旨在评估AMSC-MP微针贴片的理化特性和在紫外线老化诱导的小鼠体内有效再生皮肤组织的功效。研究人员采用双层浇注法制作了由分子量为 9-10 kDa 的聚乙烯醇和分子量为 56 kDa 的聚乙烯吡咯烷酮组成的可溶解微针贴片,AMSC-MP 的浓度分别为 30% (MN30)、25% (MN25) 和 20% (MN20)。然后对微针贴片的形态、机械阻力和插入性能进行了评估。此外,还使用弗兰茨细胞法进行了体内外释放研究,并通过胶原密度评分、成纤维细胞计数和紫外线老化诱导小鼠皮肤刺激性研究确定了体内疗效和刺激性。AMSC-MP 微针呈金字塔形,针尖锋利 500 微米。机械测试显示,MN30 最深插入 Parafilm® M(447.44 ± 37.21 µm),而 MN25 最深插入全厚猪皮(717.92 ± 25.40 µm)。研究显示,MN20 的 EGF 释放受控时间长达 24 小时,沉积率最高(55.94 ± 12.34 %)。这些研究结果表明,微针能成功穿透角质层和有活力的表皮。所有微针配方的胶原密度评分和成纤维细胞计数都明显高于对照组,其中 MN30 的数值最高。炎症细胞计数显示,在体内研究中,炎症细胞极少,表明无刺激性。可溶解微针贴片具有良好的特性,能有效地输送 AMSC-MP,刺激性极低,为输送生物抗衰老剂促进皮肤再生提供了潜在的技术。
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引用次数: 0
Double-layer dissolving microneedles for delivery of mesenchymal stem cell Secretome: Formulation, characterisation and skin irritation study 用于递送间充质干细胞 Secretome 的双层溶解微针:配方、特性和皮肤刺激性研究
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-12 DOI: 10.1016/j.ejpb.2024.114495
Avelia Devina Calista Nainggolan , Pietradewi Hartrianti , Qonita Kurnia Anjani , Ryan F. Donnelly , Agus Budiawan Naro Putra , Katherine Kho , Arief Kurniawan , Rr. Kirana Andranilla , Shereen Angelina Rattu , Delly Ramadon

Regenerative therapy based on stem cells have been developed, focusing on either stem cell or secretome delivery. Most marketed cellular and gene therapy products are available as injectable dosage forms, leading to several limitations requiring alternative routes, such as the intradermal route. Microneedles, capable of penetrating the stratum corneum barrier, offer a potential alternative for intradermal delivery. This present study aimed to develop double-layer dissolving microneedles (DMN) for the delivery of freeze-dried mesenchymal stem cell secretome. DMNs were fabricated using a two-step casting method and composed of two polymer combinations: poly(vinyl pyrrolidone) (PVP) with poly(vinyl alcohol) (PVA) or PVP with sodium hyaluronate (SH). The manufactured DMNs underwent assessments for morphology, mechanical strength, in skin dissolution, protein content, in vitro permeation, in vivo skin irritation, and physical stability. Based on evaluations of morphology and mechanical strength, two formulas (F5 and F12) met acceptance criteria. Evaluation of protein content revealed that F12 (PVP-SH combination) had a higher protein content than F5 (PVP-PVA combination), 99.02 ± 3.24 μg and 78.36 ± 3.75 μg respectively. In vitro permeation studies showed that F5 delivered secretome protein by 100.84 ± 0.88%, while F12 delivered 99.63 ± 9.21% in 24 h. After four days of observation on Sprague-Dawley rat’s skin, no signs of irritation, such as oedema and redness, was observed after applying both formulations. The safety of using PVP-PVA and PVP-SH combinations as excipients for DMN secretome delivery has been confirmed, promising significant advancements in biotherapeutic development in the future.

以干细胞为基础的再生疗法已经开发出来,主要集中在干细胞或分泌物的输送上。市场上销售的大多数细胞和基因治疗产品都是注射剂型,这导致了一些限制,需要采用其他途径,如皮内途径。微针能够穿透角质层屏障,为皮内给药提供了一种潜在的替代途径。本研究旨在开发用于递送冻干间充质干细胞分泌物的双层溶解微针(DMN)。DMN采用两步铸造法制造,由两种聚合物组合组成:聚乙烯吡咯烷酮(PVP)与聚乙烯醇(PVA)或PVP与透明质酸钠(SH)。生产出的 DMN 接受了形态、机械强度、皮肤溶解度、蛋白质含量、体外渗透性、体内皮肤刺激性和物理稳定性等方面的评估。根据对形态和机械强度的评估,两种配方(F5 和 F12)符合验收标准。蛋白质含量评估显示,F12(PVP-SH 组合)的蛋白质含量高于 F5(PVP-PVA 组合),分别为 99.02 ± 3.24 μg 和 78.36 ± 3.75 μg。体外渗透研究表明,在 24 小时内,F5 的分泌组蛋白渗透率为 100.84 ± 0.88%,而 F12 的渗透率为 99.63 ± 9.21%。对 Sprague-Dawley 大鼠皮肤进行四天观察后,两种制剂均未出现水肿和发红等刺激症状。将 PVP-PVA 和 PVP-SH 组合作为 DMN 分泌体递送辅料的安全性已得到证实,有望在未来的生物治疗开发中取得重大进展。
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引用次数: 0
Evaluation of floatability characteristics of gastroretentive tablets using VIS imaging with artificial neural networks 利用人工神经网络 VIS 成像评估胃复安片剂的漂浮特性
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-11 DOI: 10.1016/j.ejpb.2024.114493
Melinda Kakuk , Lilla Alexandra Mészáros , Dóra Farkas , Péter Tonka-Nagy , Bence Tóth , Zsombor Kristóf Nagy , István Antal , Nikolett Kállai-Szabó

Gastroretentive dosage forms are recommended for several active substances because it is often necessary for the drug to be released from the carrier system into the stomach over an extended period. Among gastroretentive dosage forms, floating tablets are a very popular pharmaceutical technology. In this study, it was investigated whether a rapid, nondestructive method can be used to characterize the floating properties of a tablet.

To accomplish our objective, the same composition was compressed, and varied compression forces were applied to achieve the desired tablet. In addition to physical examinations, digital microscopic images of the tablets were captured and analyzed using image analysis techniques, allowing the investigation of the floatability of the dosage form. Image processing algorithms and artificial neural networks (ANNs) were utilized to classify the samples based on their strength and floatability. The input dataset consisted solely of the acquired images.

It has been shown by our research that visible imaging coupled with pattern recognition neural networks is an efficient way to categorize these samples based on their floatability. Rapid and non-destructive digital imaging of tablet surfaces is facilitated by this method, offering insights into both crushing strength and floating properties.

有几种活性物质推荐使用胃复安剂型,因为药物往往需要从载体系统中长时间释放到胃中。在胃药剂型中,浮动片是一种非常流行的制药技术。为了实现我们的目标,我们对相同的成分进行了压缩,并施加了不同的压缩力以获得所需的片剂。除了物理检查外,我们还利用图像分析技术捕捉和分析了片剂的数字显微图像,从而对剂型的漂浮性进行了研究。利用图像处理算法和人工神经网络(ANN),根据强度和漂浮性对样品进行分类。我们的研究表明,可见光成像与模式识别神经网络相结合,可以有效地根据这些样品的漂浮性对其进行分类。这种方法有助于对片剂表面进行快速、无损的数字成像,从而深入了解压碎强度和漂浮特性。
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引用次数: 0
Novel long-acting treatment for schizophrenia based on paliperidone dissolving and implantable microarray patches 基于帕潘立酮溶解和植入式微阵列贴片的新型精神分裂症长效疗法
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-08 DOI: 10.1016/j.ejpb.2024.114481
Li Zhao , Linlin Li , Eneko Larrañeta, Alejandro J. Paredes, Ryan F. Donnelly

Schizophrenia is a severe mental disorder that affects millions of people worldwide. Several atypical antipsychotic medications, including paliperidone (PPD), has been developed and proven effective in treating it. To date, four PPD extended-release products have been launched commercially, providing up to six months of therapeutic effect with a single administration. However, the need for hospital injections by professional healthcare workers not only lead to poor patients’ adherence, but also put additional pressure on the healthcare system. Therefore, three PPD microarray patch (PPD MAP) systems based on dissolving microneedle technology and implantable microneedle technology were developed in this work. The two dissolving microarray patch systems contained either PPD crude drug (PPD DMAP-CD) or PPD nanocrystal (PPD DMAP-NC) and the implantable MAP contained PPD crude drug (PPD IMAP). All three types of PPD MAPs showed excellent mechanical and insertion properties as they achieved over 256 µm insertion depth in skin model. In vitro release study showed that PPD released from IMAP in a much more sustained manner (up to 14 days) than PPD did from DMAPs (7 days), with only 20 % initial burst release from IMAP compared with 43–71 % from DMAPs. The MAP dissolution study showed that both DMAPs can be immediately dissolved within less than 3 min once inserted into the skin, indicating a faster action potential compared with IMAP. Ex vivo delivery study showed that 1.68 ± 0.23 mg, 1.39 ± 0.07 mg, and 1.18 ± 0.12 mg were delivered from DMAP-CD, DMAP-NC and IMAP, respectively, demonstrating that over 50 % and up to 70 % of PPD in the MAPs can be delivered into the skin. The IMAP offers most sustained release of PPD whereas DMAP-NC exhibits fastest PPD release (11.19 % vs 20.01 % into Franz cell receiver compartment over 24 h). This work presents a promising alternative for the sustained delivery of antipsychotic drugs, allowing for patient self-administration and extended release concurrently. Patients may potentially use both DMAP and IMAP to achieve a sustained release of PPD while also avoid having an initial therapeutic lag.

精神分裂症是一种严重的精神障碍,影响着全球数百万人。包括帕利哌酮(PPD)在内的几种非典型抗精神病药物已被开发出来,并被证明对治疗该病有效。迄今为止,已有四种帕利哌酮缓释产品投入市场,一次给药可提供长达六个月的疗效。然而,专业医护人员需要到医院注射,这不仅导致患者依从性差,也给医疗系统带来额外压力。因此,本研究开发了三种基于溶解微针技术和植入微针技术的 PPD 微阵列贴片(PPD MAP)系统。两种溶解型微阵列贴片系统含有 PPD 原药(PPD DMAP-CD)或 PPD 纳米晶体(PPD DMAP-NC),而植入型 MAP 则含有 PPD 原药(PPD IMAP)。这三种 PPD MAP 在皮肤模型中的插入深度均超过 256 微米,显示出优异的机械和插入性能。体外释放研究表明,PPD 从 IMAP 中释放的时间(长达 14 天)比从 DMAP 中释放的时间(7 天)要长得多,IMAP 的初始迸发释放率仅为 20%,而 DMAP 为 43-71%。MAP 溶解研究表明,两种 DMAP 进入皮肤后都能在 3 分钟内立即溶解,这表明与 IMAP 相比,DMAP 的动作电位更快。体内释放研究显示,DMAP-CD、DMAP-NC 和 IMAP 分别释放了 1.68 ± 0.23 毫克、1.39 ± 0.07 毫克和 1.18 ± 0.12 毫克的 PPD,表明 MAP 中超过 50% 和高达 70% 的 PPD 可以释放到皮肤中。IMAP 可提供最持久的 PPD 释放,而 DMAP-NC 则表现出最快的 PPD 释放速度(在 24 小时内进入 Franz 细胞接收区的 PPD 释放率为 11.19% 对 20.01%)。这项研究为抗精神病药物的持续给药提供了一种很有前景的替代方法,病人可以同时自行给药和延长释放时间。患者有可能同时使用 DMAP 和 IMAP 来实现 PPD 的持续释放,同时还能避免最初的治疗滞后。
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引用次数: 0
Advances and perspectives in use of semisolid formulations for photodynamic methods 将半固体制剂用于光动力疗法的进展和前景
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-08 DOI: 10.1016/j.ejpb.2024.114485
Daniel Ziental , Beata Czarczynska-Goslinska , Marcin Wysocki , Marcin Ptaszek , Łukasz Sobotta

Although nearly 30 years have passed since the introduction of the first clinically approved photosensitizer for photodynamic therapy, progress in developing new pharmaceutical formulations remains unsatisfactory. This review highlights that despite years of research, many recurring challenges and issues remain unresolved. The paper includes an analysis of selected essential studies involving aminolevulinic acid and its derivatives, as well as other photosensitizers with potential for development as medical products. Among various possible vehicles, special attention is given to gelatin, alginates, poly(ethylene oxide), polyacrylic acid, and chitosan. The focus is particularly on infectious and cancerous diseases. Key aspects of developing new semi-solid drug forms should prioritize the creation of easily manufacturable and biocompatible preparations for clinical use. At the same time, new formulations should preserve the primary function of photosensitizers, which is the generation of reactive oxygen species capable of destroying pathogenic cells or tumors. Additionally, the use of adjuvant properties of carriers, which can enhance the effectiveness of macrocycles, is emphasized, especially in chitosan-based antibacterial formulations. Current research indicates that many promising dyes and macrocyclic compounds with high potential as photosensitizers in photodynamic therapy remain unexplored in formulation and development work. This review outlines potential new and previously explored pathways for advancing photosensitizers as active pharmaceutical ingredients (APIs).

尽管自第一种用于光动力疗法的光敏剂获得临床批准以来已过去了近 30 年,但新药物制剂的开发进展仍不尽如人意。本综述强调,尽管经过多年的研究,许多反复出现的挑战和问题仍未得到解决。本文分析了涉及氨基乙酰丙酸及其衍生物以及其他有可能开发为医药产品的光敏剂的部分重要研究。在各种可能的载体中,特别关注明胶、藻酸盐、聚环氧乙烷、聚丙烯酸和壳聚糖。重点尤其放在传染病和癌症上。开发新的半固体药物制剂的主要方面应优先考虑生产易于制造和生物相容性好的制剂,以供临床使用。同时,新制剂应保留光敏剂的主要功能,即产生能够破坏致病细胞或肿瘤的活性氧。此外,还要强调载体的辅助特性,因为它可以增强大环的功效,尤其是在基于壳聚糖的抗菌配方中。目前的研究表明,许多在光动力疗法中具有很高光敏剂潜力的染料和大环化合物在配方和开发工作中仍未得到开发。本综述概述了推进光敏剂作为活性药物成分 (API) 的潜在新途径和以前探索过的途径。
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引用次数: 0
In silico evaluation of corneal patch eluting anti-VEGF agents concept 角膜贴片洗脱抗血管内皮生长因子药物概念的硅学评估
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-08 DOI: 10.1016/j.ejpb.2024.114494
Marcin K. Heljak , Sumeyye Cesur , Elif Ilhan , Wojciech Swieszkowski , Oguzhan Gunduz , Ewa Kijeńska-Gawrońska

This study introduces a novel approach utilizing a temporary drug-eluting hydrogel corneal patch to prevent neovascularization, alongside a numerical predictive tool for assessing the release and transport kinetics of bevacizumab (BVZ) after the keratoplasty. A key focus was investigating the impact of tear film clearance on the release kinetics and drug transport from the designed corneal patch. The proposed tear drug clearance model incorporates the physiological mechanism of lacrimal flow (tear turnover), distinguishing itself from previous models. Validation against experimental data confirms the model’s robustness, despite limitations such as a 2D axisymmetrical framework and omission of blink frequency and saccadic eye movements potential effects. Analysis highlights the significant influence of lacrimal flow on ocular drug transport, with the corneal patch extending BVZ residence time compared to topical administration. This research sets the stage for exploring multi-layer drug-eluting corneal patches as a promising therapeutic strategy in ocular health.

本研究介绍了一种利用临时药物洗脱水凝胶角膜贴片防止新生血管形成的新方法,以及一种用于评估角膜移植术后贝伐单抗(BVZ)释放和运输动力学的数字预测工具。重点是研究泪膜清除率对设计的角膜贴片释放动力学和药物运输的影响。所提出的泪液药物清除模型结合了泪液流动(泪液周转)的生理机制,有别于以往的模型。尽管存在二维轴对称框架、忽略眨眼频率和眼球运动潜在影响等限制,但根据实验数据进行的验证证实了该模型的稳健性。分析凸显了泪液流动对眼部药物运输的重要影响,与局部用药相比,角膜贴片延长了BVZ的停留时间。这项研究为探索多层药物洗脱角膜贴片作为眼部健康治疗策略奠定了基础。
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引用次数: 0
A small step toward precision dosing of caffeine in preterm infants: An external evaluation of published population pharmacokinetic models 早产儿咖啡因精确剂量的一小步:对已发布的群体药代动力学模型进行外部评估
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.ejpb.2024.114484
Hao-Ran Dai , Yun Liu , Hong-Li Guo , Ke-Yu Lu , Ya-Hui Hu , Yuan-Yuan Zhang , Jie Wang , Xuan-Sheng Ding , Zheng Jiao , Rui Cheng , Feng Chen

Background

Several population pharmacokinetic (PopPK) models of caffeine in preterm infants have been published, but the extrapolation of these models to facilitate model-informed precision dosing (MIPD) in clinical practice is uncertain. This study aimed to comprehensively evaluate their predictive performance using an external, independent dataset.

Methods

Data used for external evaluation were based on an independent cohort of preterm infants. Currently available PopPK models for caffeine in preterm infants were identified and re-established. Prediction- and simulation-based diagnostics were used to assess model predictability. The influence of prior information was assessed using Bayesian forecasting.

Results

120 plasma samples from 76 preterm infants were included in the evaluation dataset. Twelve PopPK models of caffeine in preterm infants were re-established based on our previously published study. Although two models showed superior predictive performance, none of the 12 PopPK models met all the clinical acceptance criteria of these external evaluation items. Besides, the external predictive performances of most models were unsatisfactory in prediction- and simulation-based diagnostics. Nevertheless, the application of Bayesian forecasting significantly improved the predictive performance, even with only one prior observation.

Conclusions

Two models that included the most covariates had the best predictive performance across all external assessments. Inclusion of different covariates, heterogeneity of preterm infant characteristics, and different study designs influenced predictive performance. Thorough evaluation is needed before these PopPK models can be implemented in clinical practice. The implementation of MIPD for caffeine in preterm infants could benefit from the combination of PopPK models and Bayesian forecasting as a helpful tool.

背景目前已发表了几种咖啡因在早产儿中的群体药代动力学(PopPK)模型,但在临床实践中能否将这些模型推而广之以促进模型信息精准给药(MIPD)尚不确定。本研究旨在利用外部独立数据集全面评估这些模型的预测性能。确定并重新建立了咖啡因在早产儿中的现有 PopPK 模型。使用基于预测和模拟的诊断方法来评估模型的可预测性。结果 评估数据集包括来自 76 名早产儿的 120 份血浆样本。根据我们之前发表的研究重新建立了 12 个早产儿咖啡因的 PopPK 模型。虽然有两个模型显示出较好的预测性能,但这 12 个 PopPK 模型中没有一个符合这些外部评估项目的所有临床接受标准。此外,在基于预测和模拟的诊断中,大多数模型的外部预测性能并不令人满意。结论在所有外部评估中,包含最多协变量的两个模型的预测性能最好。纳入不同的协变量、早产儿特征的异质性和不同的研究设计都会影响预测性能。在将这些 PopPK 模型应用于临床实践之前,还需要进行全面的评估。将PopPK模型与贝叶斯预测相结合作为一种有用的工具,可使早产儿咖啡因MIPD的实施受益匪浅。
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引用次数: 0
Pediatric oral extemporaneous preparations and practices: International Pharmaceutical Federation (FIP) global study 儿科口服即食制剂和做法:国际制药联合会(FIP)全球研究。
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-06 DOI: 10.1016/j.ejpb.2024.114483
Hala M. Fadda , Hannah Weiler , Maria Carvalho , You Zhuan Lee , Hadi Dassouki , Rasha AbuBlan , Sonia Iurian , Aasma Hamid , Gökhan Şeremet , Zhiping Li , Catherine Tuleu , Paola Minghetti , Giovanni M. Pauletti

This publication is the first to report current, global, pediatric oral extemporaneous compounding practices. Complete survey responses were received from 479 participants actively involved in compounding across all the World Health Organization (WHO) regions. The survey addressed oral formulation of extemporaneous liquids, including the use of commercial or in-house vehicles, flavoring excipients, source of formulation recipes, and beyond use dates (BUDs). Over 90% of the survey participants prepared oral liquids. Solid dosage forms, comprising capsules and powder papers (sachets), were also frequently prepared for children, albeit to a lesser extent. The top 20 active pharmaceutical ingredients compounded for children, globally, were: omeprazole, captopril, spironolactone, propranolol, furosemide, phenobarbital, hydrochlorothiazide, ursodeoxycholic acid, sildenafil, melatonin, clonidine, enalapril, dexamethasone, baclofen, caffeine, chloral hydrate, trimethoprim, atenolol, hydrocortisone, carvedilol and prednisolone. Diuretics, drugs for acid-related disorders, and beta-blockers were the top three most frequently compounded classes per the WHO Anatomical Therapeutic Chemical (ATC) classification system. The principal need identified for the practice of extemporaneous compounding for children was the development of an international, open-access formulary that includes validated formulations, as well as updated compounding literature and guidelines. Furthermore, improved access to data from stability studies to allow compounding of formulations with extended BUDs.

本出版物首次报告了当前全球儿科口服即用复方制剂的使用情况。世界卫生组织(WHO)所有地区的 470 名积极从事配制工作的参与者提交了完整的调查问卷。调查内容涉及口服即用液体制剂,包括使用商业或内部载体、调味辅料、制剂配方来源和超过使用日期 (BUD)。超过 90% 的调查参与者配制了口服液。固体制剂包括胶囊和粉末纸(小袋),也经常为儿童配制,但数量较少。全球为儿童配制的前 20 种活性药物成分是奥美拉唑、卡托普利、螺内酯、普萘洛尔、呋塞米、苯巴比妥、氢氯噻嗪、熊去氧胆酸、西地那非、褪黑素、氯尼丁、依那普利、地塞米松、巴氯芬、咖啡因、水合氯醛、曲美普林、阿替洛尔、氢化可的松、卡维地洛和泼尼松龙。根据世卫组织解剖治疗化学(ATC)分类系统,利尿剂、治疗酸相关疾病的药物和 β-受体阻滞剂是最常见的三大复方药物类别。已确定的儿童即用复方制剂实践的主要需求是开发一个国际开放式处方集,其中包括经过验证的配方以及最新的复方制剂文献和指南。此外,还需要更好地获取稳定性研究的数据,以便能够配制具有更长 BUD 的复方制剂。
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引用次数: 0
Physiologically based in vitro – in vivo correlation of modified release oral formulations with non-linear intestinal absorption: A case study using mirabegron 基于生理学的体外-体内修正释放口服制剂与非线性肠道吸收的相关性:使用米拉贝琼的案例研究。
IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-02 DOI: 10.1016/j.ejpb.2024.114479
Yoshinori Takahashi, Atsushi Kambayashi

Establishing an in vitroin vivo correlation (IVIVC) for oral modified release (MR) formulations would make it possible to substitute an in vitro dissolution test for human bioequivalence (BE) studies when changing the formulation or manufacturing methods. However, the number of IVIVC applications and approvals are reportedly low. One of the main reasons for failure to obtain IVIVCs using conventional methodologies may be the lack of consideration of the dissolution and absorption mechanisms of drugs in the physiological environment. In particular, it is difficult to obtain IVIVC using conventional methodologies for drugs with non-linear absorption processes. Therefore, the aim of the present study was to develop a physiologically based biopharmaceutics model (PBBM) that enables Level A IVIVCs for mirabegron MR formulations with non-linear absorption characteristics.

Using human pharmacokinetic (PK) data for immediate-release formulations of mirabegron, the luminal drug concentration-dependent membrane permeation coefficient was calculated through curve fitting. The membrane permeation coefficient data were then applied to the human PK data of the MR formulations to estimate the in vivo dissolution rate by curve fitting. It was assumed that in vivo dissolution could be described using a zero-order rate equation. Furthermore, a Levy plot was generated using the estimated in vivo dissolution rate and the in vitro dissolution rate obtained from the literature. Finally, the dissolution rate of the MR formulations from the Levy plot was applied to the PBBM to predict the oral PK of the mirabegron MR formulations.

This PB-IVIVC approach successfully generated linear Levy plots with slopes of almost 1.0 for MR formulations with different dose strengths and dissolution rates. The Cmax values of the MR formulations were accurately predicted using this approach, whereas the prediction errors for AUC exceeded the Level A IVIVC criteria. This can be attributed to the incomplete description of colonic absorption in the current PBBM.

为口服修正释放(MR)制剂建立体外-体内相关性(IVIVC),可以在改变制剂或生产方法时,用体外溶出试验替代人体生物等效性(BE)研究。然而,据报道 IVIVC 的申请和批准数量很少。使用传统方法无法获得 IVIVC 的主要原因之一可能是没有考虑到药物在生理环境中的溶解和吸收机制。特别是,对于具有非线性吸收过程的药物,使用传统方法很难获得 IVIVC。因此,本研究旨在开发一种基于生理学的生物药剂学模型(PBBM),该模型可为具有非线性吸收特性的米拉贝琼 MR 制剂提供 A 级 IVIVC。利用米拉贝琼速释制剂的人体药代动力学(PK)数据,通过曲线拟合计算出依赖于管腔药物浓度的膜渗透系数。然后将膜渗透系数数据应用于 MR 制剂的人体药代动力学数据,通过曲线拟合估算体内溶出率。假定体内溶解可以用零阶速率方程来描述。此外,还利用估计的体内溶出率和从文献中获得的体外溶出率生成了列维图。最后,将 Levy 图中的 MR 制剂溶出率应用于 PBBM,以预测米拉贝琼 MR 制剂的口服 PK。这种 PB-IVIVC 方法成功地为不同剂量强度和溶出率的 MR 制剂生成了斜率接近 1.0 的线性列维图。使用这种方法可以准确预测 MR 制剂的 Cmax 值,而 AUC 的预测误差则超过了 A 级 IVIVC 标准。这可归因于目前的 PBBM 对结肠吸收的描述不完整。
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引用次数: 0
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European Journal of Pharmaceutics and Biopharmaceutics
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