盐酸普萘洛尔缓释片与常释片的生物利用度比较研究

目的：通过双交叉试验证明盐酸普萘洛尔缓释片有缓释作用。方法：用HPLC方法,测定血清中普萘洛尔浓度,进行盐酸普萘洛尔缓释片与常释片的生物利用度比较及峰谷浓度波动研究。结果：12位健康男性受试者一次交叉口服缓释片和常释片(均为40 mg)后的C_max分别为62.4±23.3和95.9±12.6 ng.mL^-1,AUC分别为360.2±80.6和383.5±74.2 ng.h.mL^-1,缓释片相对于常释片的相对生物利用度为95%;12位受试者连续服缓释片和常释片后平均稳态浓度分别为42.2±12.2和32.7±7.1 ng.mL^-1,波动度(DF)分别为0.90±0.35和2.09±0.34。结论：两种制剂具生物等效性,且缓释片比常释片有峰谷浓度差异小、血药浓度波动幅度小的特点。     

家犬单剂量和多剂量口服阿昔莫司缓释制剂的药代动力学和生物等效性研究

目的研究阿昔莫司缓释片在家犬体内单剂量和多剂量的药代动力学和生物等效性。方法测定6只家犬单剂量和多剂量口服缓释片和普通胶囊后的血药浓度。结果阿昔莫司的药-时曲线符合非隔室模型。单剂量给药后，缓释片和普通胶囊的AUC分别为(158±30)和(147±37) μg·h·mL^-1；T_max分别为(4.3±0.8)和(2.6±1.3) h；C_max分别为(29±6)和(42±10) μg·mL^-1；T_1/2分别为(2.3±0.7)和(1.60±0.10) h；MRT分别为(6.0±0.8)和(3.9±0.7) h；F_r为(108±16)%。多剂量给药后，缓释片和普通胶囊的AUC分别为(209±23)和(195±26) μg·h·mL^-1；T_max分别为(6.3±0.8)和(3.4±1.5) h；C_max分别为(27±4)和(36±5) μg·mL^-1；Cmin分别为(2.2±1.0)和(0.20±0.20) μg·mL^-1；C_av分别为(8.7±1.0)和(8.1±1.1) μg·mL^-1；FI分别为(293±73)%和(448±91)%；F_r为(114±19)%。结论单剂量实验的双单侧检验结果表明：缓释片和普通胶囊生物等效；缓释片具有良好的缓释效果。多剂量实验结果表明：缓释片和普通胶囊生物等效；缓释片的波动系数优于普通胶囊。     

普罗布考包合物胶囊在家犬体内的药代动力学与相对生物利用度

目的研究普罗布考包合物胶囊在家犬体内的药代动力学与相对生物利用度。方法用高效液相色谱法测定6条健康犬po 250 mg普罗布考片(制剂A)或普罗布考包合物胶囊(制剂B)后不同时间血浆中活性药物的浓度,绘制药-时曲线,计算药代动力学参数及相对生物利用度。结果制剂A和制剂B的药-时曲线符合二室模型,其T_max均为(9.3±2.1) h,C_max分别为(1.5±1.0) μg·mL^-1和(2.3±0.9) μg·mL^-1,AUC_0～240分别为(85±56) μg·h·mL^-1和(134±55) μg·h·mL^-1。以制剂A为参比,制剂B中普罗布考的相对生物利用度为(198±90)%,两种制剂的AUC_0～240有显著性差异(P<0.05)。结论初步分析认为,改善普罗布考的水溶性是提高普罗布考生物利用度的关键因素之一。     

二甲双胍缓释片人体药代动力学及其相对生物利用度

目的 研究国产盐酸二甲双胍缓释片在人体药代动力学行为并与普通片进行等效性评价比较,并估算其药代动力学参数。方法 20名受试者分两组交叉服用缓释片和普通片,用RP-HPLC法测定血浆中药物浓度,并估算相应的药动学参数。结果 单剂量口服1000mg缓释片和普通片后估算的AUC_0-24分别为11.95±2.62μg·h^-1·ml^-1和10.72±2.23μg·h^-1·ml^-1;C_max分别为1.50±0.22μg·ml^-1和2.34±0.30μg·ml^-1;T_max分别为3.38±0.8h和1.61±0.32h;t_1/2分别为4.94±0.47h和3.20±0.38h;多剂量1000mg·d^-1时AUC_ss分别为15.04±3.01μg·h^-1·ml^-1和14.51±2.69μg·h^-1·ml^-1;C_max分别为1.68±0.25μg·ml^-1和1.60±0.26μg·ml^-1;C_min分别为0.15±0.03μg·ml^-1和0.12±0.04μg·ml^-1;Cav分别为0.62±0.13μg·ml^-1和0.61±0.11μg·ml^-1;T_max分别为3.61±0.60h和1.88±0.38h;AUC_0-24和AUC_ss经对数转换后方差分析和双单侧t检验，显示两制剂吸收程度生物等效。结论受试制剂和参比制剂吸收程度生物等效，但具有缓释特性。盐酸二甲双胍缓释片的相对生物利用度单剂量时为（111.5±8.3）%，多剂量时为（103.6±9.2）%。     

硫酸沙丁胺醇缓释胶囊人体药代动力学和生物利用度

目的　研究健康受试者单剂量和多剂量口服硫酸沙丁胺醇缓释胶囊的人体生物利用度和药代动力学。方法　以英国Glaxo公司生产的硫酸沙丁胺醇控释片为参比制剂,HPLC-UV法测定20名健康男性志愿受试者按交叉试验单剂量和多剂量口服硫酸沙丁胺醇缓释胶囊和控释片后血浆中沙丁胺醇的浓度。结果　单剂量服用硫酸沙丁胺醇缓释胶囊和控释片后,二者的C_max,T_max和T_1/2均无显著性差异,缓释胶囊的相对生物利用度为99.68%±10.27%。多剂量给药达稳态时,缓释胶囊和控释片的C^ss_max,C^ss_min,波动度(DF),均无显著性差异。结论　两种制剂具有生物等效性,缓释胶囊有与控释片相似的缓释特征。     

多剂量口服5-单硝酸异山梨酯缓释片及普通片的药代动力学和生物利用度研究

对10名健康男性受试者连续6d多剂量交叉poIS-5-MN缓释片和普通片的药代动力学性质和相对生物利用度进行了研究。结果表明:IS-5-MN缓释片和普通片的T_max分别为5.0h和1.4h(P<0.05),前者的缓释效果十分明显;AUC经对数转换后的多种统计分析表明,IS-5-MN缓释片(40mg)与IS-5-MN普通片(20mg×2)生物等效;IS-5-MN缓释片的相对生物利用度为108.95%;IS-5-MN缓释片和普通片的C_min分别为74.20ng·ml^-1和134.42ng·ml^-1(P<0.05),而两种制剂的其他药代动力学参数如C_max,AUC²⁴₀,AUC^∞₀,Ke,T_1/2以及波动系数(FI)等均无显著性差异(P<0.05)。多次给药后两种制剂都无明显的蓄积。     

复方丹参pH依赖型延迟释药微丸在家犬体内的药效动力学

目的制备复方丹参pH依赖型延迟释药微丸填充胶囊并进行家犬体内药效动力学研究。方法分别用HPMC，Eudragit L-30D-55，Eudragit L100/S100 (1∶6)包衣制备pH依赖型延迟释药微丸，测定体外释放曲线，并用血清药理学方法进行家犬体内的药效动力学研究。结果制备了复方丹参pH依赖型延迟释药微丸，体外溶出曲线呈pH依赖特征。单剂量给药后自制速释片R的药效动力学参数T_max为0.58 h，E_max为34.63%，延迟释药胶囊T1和T2的T_max分别延长至2.42和3.17 h，E_max分别降低至13.57%和14.52%，相对生物利用度分别为99.3%和133.6%。多剂量给药后自制速释片R波动度DF 7.32，延迟释药胶囊T1和T2的波动度DF 3.40和3.03。结论复方丹参pH依赖型延迟释药胶囊体外释放具有pH依赖特征，体内具有明显的延迟释药作用，多剂量达到稳态时，药效动力学波动系数低于普通片。     

硫酸沙丁胺醇渗透泵控释片的人体药代动力学与生物利用度

目的:研究自制硫酸沙丁胺醇渗透泵控释片与进口控释片的人体药代动力学与生物利用度。方法:利用高效液相色谱荧光检测法,采用交叉实验设计对本品和进口硫酸沙丁胺醇控释片进行人体生物利用度对照研究。结果:硫酸沙丁胺醇控释片与进口硫酸沙丁胺醇控释片的血药浓度曲线下面积AUC 分别为(63.67 ±10.37)ng·h·mL^-1和(60.21 ±11.95) ng·h·mL^-1,最大血药浓度C_max 分别为(8.60 ±1.93) ng·mL^-1 和(8.20 ±1.40)ng·mL^-1,达峰时间T_max 分别为(6.3 ±1.0) h 和(6.8 ±1.3) h,多剂量给药达稳态时血药浓度波动系数FD 分别为1.09 ±0.23 和1.14±0.25。结论:经方差分析和双单侧检验,两种制剂生物等效。     

伊伐布雷定及其代谢物的血药浓度测定及人体药动学研究

目的：建立伊伐布雷定（IVA）及其活性代谢产物N-去甲基伊伐布雷定（M1）人体血药浓度的HPLC-MS/MS同时测定方法,研究盐酸伊伐布雷定片经健康受试者口服后IVA及M1的人体药代动力学特征。方法：12名健康受试者单次口服盐酸伊伐布雷定片2.5 mg、5 mg和7.5 mg,多次口服5 mg后,采用HPLC-MS/MS测定不同时间点血浆中IVA和M1浓度,并计算其主要药动学参数。结果：IVA和M1血药浓度标准曲线线性范围分别为0.03~80 ng·mL^-1和0.03~10 ng·mL^-1。单次给药2.5、5、7.5 mg后IVA的C_max分别为（9.661±3.832）、（20.63±9.31）、（34.95±19.46） ng·mL^-1,AUC0-48分别为（42.16±19.53）、（85.86±44.85）、（133.6±65.7） μg·h·L^-1;M1的C_max分别为（1.007±0.189）、（2.683±0.675）、（4.064±1.172） ng·mL^-1,AUC_0-48分别为（10.78±1.35）、（26.02±4.91）、（36.24±7.90） μg·h·L^-1。多次给药5 mg后IVA的稳态平均血药浓度Cav为（6.494±2.385） ng·mL^-1,稳态血药浓度波动度DF为（3.3±0.7）,累积常数R_AUC为（1.1±0.2）;M1的C_av为（1.959±0.186） ng·mL^-1,DF为（1.4±0.3）,R_AUC为（1.5±0.2）。结论：建立的人血浆中IVA和M1的LC-MS/MS同时测定方法适用于人体药代动力学研究。单次给药后,在2.5~7.5 mg范围内IVA和M1均呈线性药动学特征;多次给药5 mg后,IVA人体内的暴露量约增加10%,M1人体内的暴露量约增加50%。     

普卢利沙星片的健康人体药动学

目的 健康志愿受试者口服普卢利沙星片后,测定血浆中其活性代谢物(UFX)并作药动学研究。方法 10名受试者分别单剂量和多剂量稳态时服用普卢利沙星片(相当于200 mg UFX),采集血浆和尿液样品,液相色谱分离荧光检测UFX浓度,3P97软件计算药动学参数。结果 单剂量时测得UFX的主要药动学参数分别为c_max(1.64±0.29)μg·ml^-1,t_max(0.7±0.2)h,AUC_0-36(6.87±1.78)h·μg·ml^-1,AUC_0-∞(7.14±1.79)h·μg·ml^-1,t_1/2(7.54±0.59)h,MRT(8.76±0.65)h;0～36 h尿液累积排泄量为(56.85±9.12)%。稳态时测得UFX的主要药动学参数分别为c_max(1.26±0.41)μg·ml^-1,t_max(0.8±0.3)h,AUC_0-36(7.77±2.73)h·μg·ml^-1,AUC_0-∞(8.10±2.70)h·μg·ml^-1,t_1/2(7.71±1.13)h,MRT(9.85±1.40)h。结论 健康志愿受试者口服普卢利沙星片后,在体内转化为活性代谢物(UFX)发挥作用,主要经尿液排泄。每日2次,每次2片(相当于200mg UFX),在体内无积蓄。男女健康受试者的主要药动学参数无显著性差异。     

IN VIVO/IN VITRO CORRELATIONS FOR FOUR DIFFERENTLY DISSOLVING KETOROLAC TABLETS

This study assesses whether in vitro immediate release ketorolac tablet dissolution profiles (utilizing the recently proposed USP dissolution test for ketorolac tablets) can be correlated with in vivo plasma pharmacokinetic parameters. Four batches of ketorolac tablets were utilized: a ketorolac tablet batch that demonstrated a rapid dissolution rate during USP in vitro dissolution testing, two tablet batches that were manufactured such that they dissolved at moderate rates, and a tablet batch that was manufactured such that it dissolved at a distinctly slow rate. The single-dose mean pharmacokinetic characteristics and relative bioavailability of the four different 10 mg ketorolac tromethamine tablets were evaluated in 12 healthy volunteers in a randomized study of Latin square design. The amount dissolved of the various tablets at 10, 20, and 30 min was in the order of fast-dissolving tablets > medium-1-dissolving tablets=medium-2-dissolving tablets > slow-dissolving tablets. In general, the profiles of the average plasma concentrations for ketorolac were similar for the fast- and the two medium-dissolving tablet batches (even though a statistically significant difference was found between the t_max of the fast-dissolving tablet and one of the medium-dissolving tablet batches). The mean plasma concentrations for the slow-dissolving tablet, however, reached peak levels much later, with the peak also being significantly smaller. There were no statistically significant differences in the total AUC or in the mean plasma half-lives among the four formulations. Good correlations were obtained for mean t_max versus the percentage dissolved at 20, 30, and 45 min. Correlations were generally weaker for percentage dissolved versus C_max or percentage bioavailability. This indicates that in vitro dissolution testing for immediate release ketorolac tablets can be a useful indicator of in vivo time to maximum plasma concentration when comparing similarly formulated tablets. Further, the proposed USP dissolution test and specification would have appropriately failed the slow-dissolving tablet batch, which demonstrated a significantly slower rate of absorption as per t_max and C_max.     

固体分散无环鸟苷胶囊剂溶出度及人体内生物利用度

目的：用固体分散技术制得无环鸟苷胶囊剂以提高无环鸟苷体外溶出度和体内生物利用度。方法：8名HBsAg阳性受试者分别单次口服400 mg两种剂型后,用HPLC方法测定血清中无环鸟苷浓度,进行固体分散无环鸟苷胶囊剂与市售片剂的药代动力学和生物利用度研究。结果：两剂型血清药物浓度有显著差异,曲线下面积(AUC)固体分散无环鸟苷胶囊剂为6271.33 h.ng.mL^-1,市售片为4101.00 h.ng.mL^-1。固体分散无环鸟苷胶囊剂相对市售片剂的相对生物利用度为152.92%。30 min溶出度在不同的溶出介质中固体分散无环鸟苷胶囊剂也明显快于市售片剂。结论：经固体分散的无环鸟苷胶囊剂能显著地提高无环鸟苷的生物利用度。     

Food and a sustained release theophylline tablet on chronic dosing: bioavailability,peak-trough and trough-trough differences

The bioavailability of theophylline and the serum concentration fluctuations after administration of a sustained release tablet (Theograd^® 250 mg, one tablet twice daily) were studied in the steady state in six volunteers. On postprandial administration of the 250 mg tablets the bioavailability was 89±16%. Good sustained release properties were obtained provided that the tablets were taken after a meal; C_max was 7.9±2.0 mg.l^?1,t _max was 5.3±1.6 h, the peak-trough difference was 2.3±0.6 mg.l^?1 and the serum concentration fluctuation was accounted for 42.8±11.2%. It was shown that on postprandial administration the mean serum concentration-time profile could be successfully calculated by means of multiple dose projection from single dose data. However, when the a.m. dose was given on an empty stomach and the p.m. dose 3 h after a meal, it appeared not to be possible to use the single diurnal dose data for calculation of the steady state serum concentration-time profile: the experimentally observed a.m. trough levels were significantly higher than the p.m. trough values and also the observed mean serum concentration was significantly higher than the calculated level. The possible causes for this discrepancy are extensively discussed.     

硫酸沙丁胺醇微球缓释片的制备及初步药动学研究

目的 探讨硫酸沙丁胺醇微球缓释片的制备方法,并对微球缓释片在家犬体内的药动学进行初步研究。方法 运用喷雾干燥法制备硫酸沙丁胺醇缓释微球,直接压片得到硫酸沙丁胺醇微球缓释片。对微球缓释片和市售普通片进行家犬体内单剂量给药实验,建立了血药浓度测定的高效液相色谱法。结果 普通片和微球缓释片的药动学参数Cmax分别为（155.1±3.4）和（126.7±1.9）ng·mL^-1;Tmax分别为（1.5±0.6）和（4.1±0.8）h;t1/2分别为（4.12±0.93）和（5.73±0.64）h,相对生物利用度为109.7%。结论 硫酸沙丁胺醇微球缓释片具有缓释效果。     

RELATIVE BIOAVAILABILITY OF FOUR CLOMIPRAMINE HYDROCHLORIDE TABLET PRODUCTS

The relative bioavailability of clomipramine was determined in two single-blind, single-dose, randomized, crossover studies. In the first study, the relative bioavailability of the test product, 2×25 mg clomipramine hydrochloride tablets (Noristan Ltd.), with respect to the reference product, Anafranil^® 2×25 mg tablets (clomipramine HCl; Ciba—Geigy (Pty) Ltd.) was determined. In the second study, the relative bioavailability of the test product, 5×10 mg clomipramine hydrochloride tablets (Noristan Ltd.), with respect to the reference product, Anafranil^® 5×10 mg tablets (clomipramine HCl; Ciba—Geigy (Pty) Ltd.), was determined. The geometric mean values for the variable C_max were 31·.3 ng mL⁻¹ for the reference and 31·.6 ng mL⁻¹ for the test product in study 1. The geometric mean values for the variable AUC were 736 ng h mL⁻¹ and 753 ng h mL⁻¹ for the reference and test, respectively. In study 2, the geometric mean C_max values were 25·.8 ng mL⁻¹ and 23·.9 ng mL⁻¹ for the reference and test respectively; the geometric mean AUC values were 569 ng h mL⁻¹ and 547 ng h mL⁻¹. The 90% confidence intervals for the ‘test/reference’ mean ratios of the plasma clomipramine pharmacokinetic variables C_max and AUC_(0–∞) (as measures of the rate and extent of absorption of clomipramine, respectively) fall within the conventional bioequivalence range of 80–125% for both studies. The test products (clomipramine HCl) are therefore bioequivalent to the reference products (Anafranil^®) with respect to the rate and the extent of absorption of clomipramine in both 10 mg and 25 mg strengths.     

盐酸尼卡地平定时释放片研究

目的：以盐酸尼卡地平为模型药对定时释放片的体内外定时释放效果进行研究。方法：用干压包衣技术制备盐酸尼卡地平定时释放片。用时间参数t_0.1和t_0.8对各因素(PEG6000用量、乙基纤维素粘度、衣层厚度、片硬度等)对药物释放的影响进行评价。通过溶蚀试验确定药物释放机理。用HPLC法对5名志愿者进行了人体药代动力学研究。结果：在体外,药物在(6.5±0.3) h开始释放,在(8.0±0.3) h药物释放完全;在人体内,定时释放片和普通片的t_max分别为(8.3±0.4) h和(1.3±0.4) h,t_lag分别为(6.4±0.3) h和(0.4±0.04) h, 定时释放片的相对生物利用度为93.6%±8.8%。结论：盐酸尼卡地平定时释放片在体内外具有显著的定时释放作用。     

Mucoadhesive bilayer buccal tablet of carvedilol-loaded chitosan microspheres: in vitro,pharmacokinetic and pharmacodynamic investigations

A multiple-unit system comprising mucoadhesive bilayer buccal tablets of carvedilol-loaded chitosan microspheres (CMs) was developed to improve bioavailability and therapeutic efficacy of carvedilol. Drug-loaded CMs were prepared by spray drying, evaluated for powder and particle characteristics, and optimized batch of CMs was compressed into bilayer buccal tablets using Carbopol. Tablets were evaluated for physicochemical parameters, in vitro drug release, in vivo pharmacokinetic and pharmacodynamic studies. Optimized formulation, CMT1 (CMT, chitosan microsphere tablet) showed maximum mucoadhesive force (50?±?1.84?dyne/cm²), exhibited 73.08?±?3.05% drug release and demonstrated zero-order kinetics with non-Fickian release mechanism. Pharmacokinetic studies in rabbits showed significantly higher C_max (71.26?±?6.45?ng/mL), AUC_0–10 (AUC, area under the curve 390.75?±?5.23?ng/mL/h) and AUC_0–∞ (664.72?ng/mL/h) than carvedilol oral tablet. Pharmacodynamic studies confirmed reduction in mean arterial pressure, heart rate, body weight and triglyceride on administration of bilayer buccal tablet compared to oral carvedilol tablet. Multiple-unit system exhibited enhanced bioavailability and sustained release of carvedilol, indicating its improved therapeutic potential for the treatment of hypertension.