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Bioerodible injectable poly(ortho ester) for tetracycline controlled delivery to periodontal pockets: preliminary trial in humans. 生物可降解注射聚(邻苯二甲酸酯)四环素控制输送到牙周袋:初步试验在人类。
Pub Date : 2002-01-01 DOI: 10.1208/ps040420
K Schwach-Abdellaoui, P J Loup, N Vivien-Castioni, A Mombelli, P Baehni, J Barr, J Heller, R Gurny

The semisolid consistency of poly(ortho esters) (POEs) containing tetracycline free base allows direct injection in the periodontal pocket and shows sustained and almost constant in vitro release in phosphate buffer, pH 7.4 at 37 degrees C, for up to 14 days. Total polymer degradation concomitant with drug release was obtained. Formulations containing 10% or 20% (wt/wt) tetracycline were evaluated in a panel of 12 patients suffering from severe and recurrent periodontitis. In the first trial including 6 patients, single-rooted teeth and molar teeth with furcations were treated immediately after scaling and root planing. Patients tolerated both formulations well, experienced no pain during application, and showed no signs of irritation or discomfort during the observation period. However, retention of the formulation was minimal in this first study. An improved clinical protocol followed in the second study (stopping bleeding after scaling and root planning) prolonged the retention of the formulations in the inflamed periodontal pockets. For up to 11 days, tetracycline concentrations in the gingival crevicular fluid were higher than the minimum inhibitory concentration of tetracycline against most periodontal pathogens.

含有四环素游离基的聚邻苯二甲酸酯(POEs)具有半固体的一致性,可以直接注射到牙周袋中,并且在37℃下pH为7.4的磷酸盐缓冲液中显示出持续和几乎恒定的体外释放,长达14天。获得了总聚合物降解和药物释放。在12名患有严重和复发性牙周炎的患者中,对含有10%或20% (wt/wt)四环素的配方进行了评估。第一次试验6例患者,单根牙和有分化的磨牙在刮除和刨根后立即进行治疗。患者对两种制剂的耐受性都很好,在应用过程中没有疼痛,在观察期间没有表现出刺激或不适的迹象。然而,在第一项研究中,配方的保留是最小的。在第二项研究中,一项改进的临床方案(在洗牙和牙根规划后止血)延长了配方在发炎牙周袋中的保留时间。在长达11天的时间里,龈沟液中的四环素浓度高于四环素对大多数牙周病原体的最低抑制浓度。
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引用次数: 32
Population analysis of the pharmacokinetics and pharmacodynamics of RWJ-270201 (BCX-1812) in treating experimental influenza A and B virus in healthy volunteers. RWJ-270201 (BCX-1812)治疗实验性甲型和乙型流感病毒的人群药代动力学和药效学分析
Pub Date : 2002-01-01 DOI: 10.1208/ps040422
Ganesh R Iyer, Sam Liao, Joseph Massarella

Objective: Our objective was to assess the pharmacokinetics and pharmacodynamics of RWJ-270201 (BCX-1812), an oral neuraminidase inhibitor for the treatment of influenza A and B virus in healthy volunteers.

Methods: This was a double-blind, randomized, placebo-controlled, parallel group study. A total of 80 adult male and female subjects were enrolled for the influenza A challenge study. This was a 5-arm study (100 mg/qd, 200 mg/qd, 200 mg/bid, 400 mg/qd, and placebo). In the challenge B virus model, 60 subjects were enrolled for a 3-arm study (800 mg on Day 1 followed by 400 mg on Days 2-5; 800 mg on Days 1-5; and placebo). The pharmacokinetics of RWJ-270201 (BCX-1812) were characterized with the use of a population approach and were described by a 2-compartmental model with first-order absorption and elimination. The pharmacodynamic data, mean log viral titers, were described with the use of an empirical equation relating the viral growth and the effect of drug on changes in viral titers.

Results: Pharmacokinetic analyses show that weight was the most significant covariate for all estimated pharmacokinetic parameters. The pharmacodynamic data, mean log viral titers showed a decrease in viral titers with increase in plasma exposure. The decrease in viral titer started to occur 12 hours following the drug dosing, and viral suppression lasted 72 hours to 96 hours. The exposures associated with a 50% decrease in viral titers were 1089 ng-h/mL and 1898 ng-h/mL, respectively.

Conclusions: A PK/PD model was well utilized to characterize the effect of RWJ-270201 (BCX-1812) on the influenza A and B virus. The results from this model showed that both the loading dose and the standard dose regimens are efficacious against A and B virus. RWJ-270201 (BCX-1812) is under clinical development for the treatment of influenza A and B infections in adult and high-risk populations. It is a potent and selective inhibitor of both influenza A and B virus neuraminidases and inhibits the viral cleavage of sialic acid from cell surface glycoproteins and glycolipids. Consequently, RWJ-270201 (BCX-1812) prevents infection by stopping the release of newly formed virus from the surface of infected cells and preventing viral spread across the mucous lining of the respiratory tract. It therefore represents an attractive agent for antiviral therapy.

目的:我们的目的是评估RWJ-270201 (BCX-1812)的药代动力学和药效学,RWJ-270201 (BCX-1812)是一种治疗甲型和乙型流感病毒的口服神经氨酸酶抑制剂。方法:这是一项双盲、随机、安慰剂对照、平行组研究。共有80名成年男性和女性受试者参加了甲型流感挑战研究。这是一项五组研究(100mg /qd, 200mg /qd, 200mg /bid, 400mg /qd和安慰剂)。在挑战B病毒模型中,60名受试者参加了一项三组研究(第1天800毫克,第2-5天400毫克;第1-5天800毫克;和安慰剂)。采用群体法对RWJ-270201 (BCX-1812)的药代动力学进行表征,并采用一阶吸收和消除的2室模型进行描述。药效学数据,即平均对数病毒滴度,是用一个与病毒生长和药物对病毒滴度变化的影响有关的经验方程来描述的。结果:药代动力学分析表明,体重是所有估计药代动力学参数中最显著的协变量。药效学数据显示,平均对数病毒滴度随着血浆暴露量的增加而降低。病毒滴度在给药后12小时开始下降,病毒抑制持续72小时至96小时。与病毒滴度下降50%相关的暴露分别为1089 ng-h/mL和1898 ng-h/mL。结论:RWJ-270201 (BCX-1812)对甲型流感病毒和乙型流感病毒的作用可以通过PK/PD模型进行表征。该模型结果表明,负荷剂量和标准剂量方案对A、B病毒均有效。RWJ-270201 (BCX-1812)正在临床开发中,用于治疗成人和高危人群的甲型和乙型流感感染。它是甲型和乙型流感病毒神经氨酸酶的有效和选择性抑制剂,并抑制病毒从细胞表面糖蛋白和糖脂中切割唾液酸。因此,RWJ-270201 (BCX-1812)通过阻止新形成的病毒从感染细胞表面释放并防止病毒在呼吸道粘膜上扩散来预防感染。因此,它代表了抗病毒治疗的一种有吸引力的药物。
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引用次数: 15
Pharmacokinetics, mass balance, and tissue distribution of a novel DNA alkylating agent, VNP40101M, in rat. 新型DNA烷化剂VNP40101M在大鼠体内的药代动力学、质量平衡和组织分布。
Pub Date : 2002-01-01 DOI: 10.1208/ps040424
John Mao, Yang Xu, Diana Wu, Bijan Almassain

VNP40101M (1,2-Bis(methylsulfonyl)-1-(2-chloroethyl)-2-[(2 methylamino)carbonyl] hydrazine), a novel DNA alkylating agent, is currently under clinical development for the treatment of cancer in Phase I clinical trials. This study investigated the pharmacokinetics, mass balance, and tissue distribution of [14C]-VNP40101M in rats following a single intravenous dose of 10 mg/kg. After 7 days, the total recovery of radioactivity was 85% for males and 79% for females. Most of the radioactivity was eliminated within 48 hours through urine (70%), with less excreted in feces (6%). Tissue contained relatively high radioactive residues with the highest concentrations in kidneys, liver, lung, and spleen. After 7 days, tissue still contained 9% of the dose. At both 5 minutes and 1 hour post-dose, brain contained relatively high radioactivity (5.9 and 3.3 micro g equivalence/g and 50% and 30% of the blood concentration, respectively), suggesting that VNP40101M penetrated the blood-brain barrier. The elimination half-life of VNP40101M was approximately 20 minutes, the peak plasma concentration (Cmax) averaged 11.3 micro g/mL, the volume of distribution (Vss) averaged 0.91 L/kg, and the total body clearance (Cl) averaged 33.5 mL/min/kg. The metabolite profile in urine was complex, indicating VNP40101M was extensively metabolized. There were no apparent sex differences in pharmacokinetic parameters of VNP40101M in the rat.

VNP40101M(1,2-双(甲基磺酰基)-1-(2-氯乙基)-2-[(2甲基氨基)羰基]肼)是一种新型DNA烷基化剂,目前正处于临床开发阶段,用于治疗癌症的I期临床试验。本研究研究了[14C]-VNP40101M单次静脉给药10 mg/kg大鼠的药代动力学、质量平衡和组织分布。7 d后,雄性的放射性总回收率为85%,雌性为79%。大部分放射性物质在48小时内通过尿液排出(70%),少量通过粪便排出(6%)。组织中含有较高的放射性残留物,其中肾、肝、肺和脾的浓度最高。7天后,组织中仍含有9%的剂量。在给药后5分钟和1小时,VNP40101M的脑放射性均较高(分别为5.9和3.3微g当量/g, 50%和30%的血药浓度),提示VNP40101M穿透血脑屏障。VNP40101M的消除半衰期约为20分钟,血药浓度峰值(Cmax)平均为11.3微g/mL,分布容积(Vss)平均为0.91 L/kg,总清除率(Cl)平均为33.5 mL/min/kg。尿液中代谢物分布复杂,表明VNP40101M被广泛代谢。VNP40101M在大鼠体内的药动学参数无明显性别差异。
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引用次数: 15
Comparison of the formulation requirements of dosator and dosing disc automatic capsule filling machines. 比较计量器和定量盘自动胶囊灌装机的配方要求。
Pub Date : 2002-01-01 DOI: 10.1208/ps040317
Pavan K Heda, Kapiamba Muteba, Larry L Augsburger

The overall objective of this study was to provide 'semi-quantitative' or 'rigorous' definitions of the fluidity, lubricity and compactibility requirements of formulation for representative dosator and dosing disc capsule filling machines. To that end, model formulations were developed for those properties using Carr's compressibility index, ejection force, and plug breaking force at a specified compression force to gauge fluidity, lubricity, and compactibility, respectively. These formulations were each encapsulated on an Hofliger-Karg GKF-400 dosing disc machine and a Zanasi LZ-64 dosator machine. Each machine was instrumented to measure plug compression and ejection forces. The encapsulation process was evaluated for %CV of fill-weight, ejection force, plug breaking force and the dissolution of marker drugs incorporated in the formulations. The f2 metric was used to compare dissolution profiles. The results suggest: (1) formulations should meet different flow criteria for successful encapsulation on the two machines, (2) a relatively lower level of lubricant may be sufficient for the dosing disc machine, (3) a higher degree of formulation compactibility is needed for the dosator machine, and (4) transferring formulations between these machine types (same class, different subclass per FDA's SUPAC-IR/MR Manufacturing Equipment Addendum) could be challenging. In certain cases dissolution profiles for the same formulation filled on the two machines with equivalent compression force were different based on f2 < 50. Overall, the results of this study suggest a range of formulation characteristics appropriate for transferring formulations between these two types of machines.

本研究的总体目标是为具有代表性的计量器和定量盘胶囊灌装机的配方流动性、润滑性和密实性要求提供 "半定量 "或 "严格 "的定义。为此,我们使用卡尔压缩指数、弹射力和特定压缩力下的断塞力来分别衡量流动性、润滑性和致密性,并针对这些特性开发了模型配方。这些配方分别在 Hofliger-Karg GKF-400 定量圆盘机和 Zanasi LZ-64 定量机上进行封装。每台机器都安装了仪器,用于测量塞子的压缩力和弹射力。对封装过程中的填充重量百分比CV、顶出力、塞子断裂力和配方中标记药物的溶解度进行了评估。使用 f2 指标对溶解曲线进行比较。结果表明:(1) 要在两台机器上成功封装,制剂应满足不同的流动标准;(2) 相对较低的润滑剂水平可能对定量盘机器来说就足够了;(3) 定量器机器需要更高的制剂压实度;(4) 在这些机器类型(根据 FDA 的 SUPAC-IR/MR 制造设备附录,相同类别、不同子类别)之间转移制剂可能具有挑战性。在某些情况下,基于 f2 < 50,在两台机器上以同等压缩力灌装相同制剂的溶出曲线是不同的。总之,本研究结果表明了适合在这两种机器之间转移配方的配方特性范围。
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引用次数: 0
A thermogravimetric analysis of non-polymeric pharmaceutical plasticizers: kinetic analysis, method validation, and thermal stability evaluation. 非聚合药物增塑剂的热重分析:动力学分析、方法验证和热稳定性评价。
Pub Date : 2002-01-01 DOI: 10.1208/ps040445
Aditya S Tatavarti, David Dollimore, Kenneth S Alexander

Four non-polymeric plasticizers, propylene glycol, diethyl phthalate, triacetin, and glycerin have been subjected to rising temperature thermogravimetry for kinetic analysis and vaporization-based thermal stability evaluation. Since volatile loss of a substance is a function of its vapor pressure, the thermal stability of these plasticizers has been analyzed by generating vapor pressure curves using the Antoine and Langmuir equations. Unknown Antoine constants for the sample compounds, triacetin and glycerin have been derived by subjecting the vapor pressure curves to nonlinear regression. For the first time, the entire process of obtaining the unknown Antoine constants through thermogravimetry has been validated by developing an approach called the 'double reference method.' Based on this method, it has been possible to show that this technique is accurate even for structurally diverse compounds. Kinetic analysis on the volatilization of compounds revealed a predominant zero order process. The activation energy values for vaporization of propylene glycol, diethyl phthalate, triacetin, and glycerin, as deduced from the Arrhenius plots, have been determined to be 55.80, 66.45, 65.12, and 67.54 kJ/mol, respectively. The enthalpies of vaporization of the compounds have been determined from the Clausius-Clapeyron plots. Rising temperature thermogravimetry coupled with nonlinear regression analysis has been shown to be an effective and rapid technique for accurately predicting the vapor pressure behavior and thermal stability evaluation of volatile compounds.

四种非聚合增塑剂,丙二醇,邻苯二甲酸二乙酯,三乙酸酯和甘油进行了升温热重法的动力学分析和基于蒸发的热稳定性评估。由于物质的挥发损失是其蒸汽压的函数,因此通过使用Antoine和Langmuir方程生成蒸汽压曲线来分析这些增塑剂的热稳定性。对样品化合物、三乙酸酯和甘油的蒸气压曲线进行非线性回归,得到了未知的安托万常数。通过开发一种称为“双参考法”的方法,首次验证了通过热重法获得未知Antoine常数的整个过程。基于这种方法,可以证明这种技术即使对结构不同的化合物也是准确的。对化合物挥发的动力学分析表明,挥发过程主要为零级过程。根据阿伦尼乌斯图,丙二醇、邻苯二甲酸二乙酯、三乙酸酯和甘油的蒸发活化能分别为55.80、66.45、65.12和67.54 kJ/mol。用克劳修斯-克拉珀龙图测定了化合物的蒸发焓。升温热重法结合非线性回归分析是一种快速、有效的挥发性化合物蒸汽压行为预测和热稳定性评价方法。
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引用次数: 23
Linking human and veterinary health: trends, directions and initiatives. 将人类健康与兽医健康联系起来:趋势、方向和举措。
Pub Date : 2002-01-01 DOI: 10.1208/ps040432
Marilyn Martinez, Michael J Rathbone

The objective of this brief article is to provide an overview of some of the important harmonization efforts that are currently under way within the animal health community. Topics include: scientific networks and interdisciplinary communication; organizations that address animal-related public health concerns; the role of the veterinary pharmaceutical scientist within human health-oriented professional organizations; recent publications pertaining to veterinary pharmacology, pharmaceutics and therapeutics; and the role of global networking in veterinary product research and development.

这篇短文旨在概述动物卫生界目前正在开展的一些重要协调工作。主题包括:科学网络和跨学科交流;解决与动物有关的公共卫生问题的组织;兽医药剂科学家在以人类健康为导向的专业组织中的作用;与兽医药理学、药剂学和治疗学有关的最新出版物;以及全球网络在兽医产品研发中的作用。
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引用次数: 0
Role of plasma lipoproteins in modifying the toxic effects of water-insoluble drugs: studies with cyclosporine A. 血浆脂蛋白在改变水不溶性药物毒性作用中的作用:环孢素A的研究。
Pub Date : 2002-01-01 DOI: 10.1208/ps040430
Kishor M Wasan, Manisha Ramaswamy, Mona Kwong, Kathy D Boulanger

Lipoproteins are a heterogeneous population of macromolecular aggregates of lipids and proteins that are responsible for the transport of lipids through the vascular and extravascular fluids from their site of synthesis or absorption to peripheral tissues. Lipoproteins are involved in other biological processes as well, including coagulation and tissue repair, and serve as carriers of a number of hydrophobic compounds within the systemic circulation. It has been well documented that disease states (eg, AIDS, diabetes, cancer) significantly influence circulating lipoprotein content and composition. Therefore, it appears possible that changes in the lipoprotein profile would affect not only the ability of a compound to associate with lipoproteins but also the distribution of the compound within the lipoprotein subclasses. Such an effect could alter the pharmacokinetics and pharmacological action of the drug. This paper reviews the factors that influence the interaction of one model hydrophobic compound, cyclosporine A, with lipoproteins and the implications of altered plasma lipoprotein concentrations on the pharmacological behavior of this compound.

脂蛋白是脂质和蛋白质的大分子聚集体的异质群体,负责脂质通过血管和血管外液体从合成或吸收部位转运到外周组织。脂蛋白也参与其他生物过程,包括凝血和组织修复,并在体循环中作为许多疏水化合物的载体。有充分证据表明,疾病状态(如艾滋病、糖尿病、癌症)显著影响循环脂蛋白的含量和组成。因此,脂蛋白谱的变化似乎不仅会影响化合物与脂蛋白结合的能力,还会影响化合物在脂蛋白亚类中的分布。这种效应会改变药物的药代动力学和药理作用。本文综述了一种模型疏水化合物环孢素A与脂蛋白相互作用的影响因素,以及血浆脂蛋白浓度改变对该化合物药理学行为的影响。
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引用次数: 14
Evolving importance of biologics and novel delivery systems in the face of microbial resistance. 面对微生物耐药性,生物制剂和新型给药系统的重要性不断变化。
Pub Date : 2002-01-01 DOI: 10.1208/ps040433
Terry L Bowersock

Methods to control infectious diseases in livestock are growing in importance. As the size of the average farm increases - for poultry, dairy and beef cattle, swine, and fish - the risk of rapid spread of infectious diseases increases as well. This increases the need for alternative methods of control of infectious agents. Improvements in specific immunogens, adjuvants, and delivery systems are needed to meet the demand for vaccines to ensure a healthy and safe meat supply. This article explores the challenges, trends, and recent advances in the control of infectious diseases through the use of biologics.

控制家畜传染病的方法日益重要。随着家禽、奶牛、肉牛、猪和鱼类养殖场平均规模的增加,传染病迅速传播的风险也在增加。这就增加了对控制传染原的替代方法的需求。需要改进特异性免疫原、佐剂和递送系统,以满足对疫苗的需求,确保健康和安全的肉类供应。本文探讨了通过使用生物制剂控制传染病的挑战、趋势和最新进展。
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引用次数: 9
The role of the clinical pharmacologist in animal health. 临床药理学家在动物健康中的作用。
Pub Date : 2002-01-01 DOI: 10.1208/ps040436
Cory Langston, Cyril R Clarke

Like most scientific disciplines, pharmacology is replete with subspecialties. Certainly most scientists recognize the value of animal studies in drug development for human pharmaceuticals. However, animals as the target species also represent a major focus of investigation. According to recent estimates, in the United States for the year 2000, 98.1 million cattle, 59.8 million pigs, and 1.5 billion chickens existed. Added to that estimate were companion animals, including 4 million horses, 59 million cats, and 52.9 million dogs. The estimate does not include the so-called "minor" species, such as 7 million sheep and 320,000 acres of freshwater fish production. In most respects, the medical needs of these animals are addressed in a manner parallel to that of human medicine. One such parallel, with certain distinct differences from its human counterpart, is veterinary clinical pharmacology.

像大多数科学学科一样,药理学充满了亚专业。当然,大多数科学家都认识到动物研究在人类药物开发中的价值。然而,动物作为目标物种也是研究的主要焦点。根据最近的估计,2000年美国有9810万头牛、5980万头猪和15亿只鸡。再加上伴侣动物,包括400万匹马、5900万只猫和5290万只狗。这一估计不包括所谓的“次要”物种,如700万只羊和32万英亩的淡水鱼产量。在大多数方面,这些动物的医疗需求以与人类医学类似的方式得到解决。兽药临床药理学就是这样一个类似的学科,它与人类的同类学科有着某些明显的区别。
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引用次数: 2
Model system to study classical nuclear export signals. 研究经典核输出信号的模型系统。
Pub Date : 2002-01-01 DOI: 10.1208/ps040318
Charu Kanwal, Henan Li, Carol S Lim

Signal-mediated protein transport through the nuclear pore complex is of considerable interest in the field of molecular pharmaceutics. Nuclear localization signals can be used to target genes/antisense delivery systems to the nucleus. Studying nuclear export is useful in enhancing the expression and the efficiency of action of these therapeutic agents. The mechanism of nuclear import has been well studied and most of the proteins participating in this mechanism have been identified. The subject of nuclear export is still in the initial stages, and there is a considerable amount of uncertainty in this area. Two main export receptors identified so far are Exportin 1 (Crm1) and Calreticulin. Crm1 recognizes certain leucine-rich amino acid sequences in the proteins it exports called classical nuclear export signals. This paper describes a model system to study, identify, and establish these classical nuclear export signals using green fluorescent protein (GFP). Two putative export signals in the human progesterone receptor (PR) and the strongest nuclear export signal known (from mitogen activated protein kinase kinase [MAPKK]) were studied using this model system.

信号介导的蛋白质通过核孔复合体转运在分子制药学领域引起了极大的兴趣。核定位信号可用于将基因/反义递送系统定向到细胞核。研究核输出有助于提高这些治疗药物的表达和作用效率。核导入的机制已得到深入研究,参与这一机制的大多数蛋白质也已确定。核输出的研究仍处于起步阶段,在这一领域还存在相当多的不确定性。目前已发现的两种主要的核输出受体是输出蛋白 1(Crm1)和钙网蛋白(Calreticulin)。Crm1 能识别其输出的蛋白质中某些富含亮氨酸的氨基酸序列,这些序列被称为经典核输出信号。本文介绍了一种利用绿色荧光蛋白(GFP)研究、识别和确定这些经典核输出信号的模型系统。利用该模型系统研究了人类黄体酮受体(PR)中的两个假定输出信号和已知最强的核输出信号(来自丝裂原活化蛋白激酶激酶 [MAPKK])。
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引用次数: 21
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