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1.
Toxicol Appl Pharmacol ; 386: 114833, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31756429

RESUMO

One of the main problems for the development of pulmonary formulations is the low availability of approved excipients. Polyglycerol esters of fatty acids (PGFA) are promising molecules for acting as excipient for formulation development and drug delivery to the lung. However, their biocompatibility in the deep lung has not been studied so far. Main exposed cells include alveolar epithelial cells and alveolar macrophages. Due to the poor water-solubility of PGFAs, the exposure of alveolar macrophages is expected to be much higher than that of epithelial cells. In this study, two PGFAs and their mixture were tested regarding cytotoxicity to epithelial cells and cytotoxicity and functional impairment of macrophages. Cytotoxicity was assessed by dehydrogenase activity and lactate dehydrogenase release. Lysosome function, phospholipid accumulation, phagocytosis, nitric oxide production, and cytokine release were used to evaluate macrophage function. Cytotoxicity was increased with the increased polarity of PGFA molecules. At concentrations above 1 mg/ml accumulation in lysosomes, impairment of phagocytosis, secretion of nitric oxide, and increased release of cytokines were noted. The investigated PGFAs in concentrations up to 1 mg/ml can be considered as uncritical and are promising for advanced pulmonary delivery of high powder doses and drug targeting to alveolar macrophages.


Assuntos
Excipientes/farmacologia , Excipientes/toxicidade , Ácidos Graxos/toxicidade , Glicerol/toxicidade , Polímeros/toxicidade , Células A549 , Administração por Inalação , Proteínas Aviárias/metabolismo , Citocinas/metabolismo , Excipientes/administração & dosagem , Ácidos Graxos/administração & dosagem , Ácidos Graxos/farmacologia , Glicerol/administração & dosagem , Glicerol/farmacologia , Humanos , Macrófagos/efeitos dos fármacos , Óxido Nítrico/biossíntese , Fagocitose/efeitos dos fármacos , Polímeros/administração & dosagem , Polímeros/farmacologia , Alvéolos Pulmonares/efeitos dos fármacos , Mucosa Respiratória/efeitos dos fármacos , Testes de Toxicidade
2.
Cutan Ocul Toxicol ; 38(3): 221-226, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30741035

RESUMO

Purpose: To determine the ocular and systemic toxicity of a novel, topically applied ophthalmic gel preparation of povidone-iodine (PVP-I) and dimethylsulfoxide (DMSO) in Dutch-Belted rabbits. Materials and Methods: Rabbits were administered doses of the test material or control by ocular instillation four times/eye/day, 7 d/week, for a minimum of 14 consecutive days. Dosing consisted of instillation of 50 µl of the appropriate test material solution or control material (saline) into each eye of the rabbit. On the last dose of the day, 250 µl of the appropriate test material solution or control material was applied to the eyelids of each eye. Results: Treatment-related clinical signs observed during the study were limited to mild non-inflammatory changes to the eyelids and eyelashes. There was no associated pathology upon histological examination of ocular or systemic tissues. Body weights and body weight gains were unaffected by treatment. Evaluation of clinical pathology profiles (haematology, coagulation, and clinical chemistry) did not reveal any test article-related toxicity and there were no macroscopic or microscopic findings at the terminal sacrifice. Conclusions: The compositions studied in the present investigation were developed to enable repeat-dosed application to the ocular surface and periocular skin surfaces without ocular, skin or systemic toxicity. The PVP-I/DMSO compositions tested did not cause any toxicity to the ocular surface or the periocular skin. Systemic toxicity from the preparations under study was not observed in any histological or gross pathological examination.


Assuntos
Anti-Infecciosos Locais/administração & dosagem , Dimetil Sulfóxido/administração & dosagem , Excipientes/administração & dosagem , Olho/efeitos dos fármacos , Povidona-Iodo/administração & dosagem , Administração Tópica , Animais , Quimioterapia Combinada , Olho/anatomia & histologia , Feminino , Géis , Masculino , Nível de Efeito Adverso não Observado , Coelhos
3.
AAPS PharmSciTech ; 21(1): 13, 2019 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-31807947

RESUMO

The launched hepatitis B vaccine could induce powerful antibodies, whereas it failed to improve potent cellular immune responses due to that the Th2-type response-induced aluminum adjuvant was adopted. Here, to target antigen-presenting cells under the epidermis and induce potent cellular and humoral immune responses, mannose-modified poly D,L-lactide-co-glycolic acid (PLGA) was synthesized and nanoparticle (MNP)-loaded hepatitis B surface antigen (HBsAg) protein was prepared. HBsAg could be slowly released and highly presented to lymphocytes which facilitated to produce long-lasting immunity based on characters of PLGA. In vitro uptake test results showed that MNPs could enhance internalization in bone marrow-derived dendritic cells (BMDCs) and RAW 264.7 cells. Subcutaneous delivery of MNPs into mice kept humoral immune and strengthened cellular immune responses. Experimental results indicated that MNPs showed significantly modified properties compared with parental PLGA nanoparticles. Thus, the obtained MNPs could be a promising vehicle for hepatitis B vaccine delivery.


Assuntos
Vacinas contra Hepatite B/administração & dosagem , Vírus da Hepatite B/efeitos dos fármacos , Imunização/métodos , Manose/administração & dosagem , Nanopartículas/administração & dosagem , Copolímero de Ácido Poliláctico e Ácido Poliglicólico/administração & dosagem , Animais , Sistemas de Liberação de Medicamentos/métodos , Excipientes/administração & dosagem , Excipientes/química , Feminino , Antígenos de Superfície da Hepatite B/administração & dosagem , Vacinas contra Hepatite B/química , Vírus da Hepatite B/imunologia , Manose/química , Camundongos , Camundongos Endogâmicos BALB C , Nanopartículas/química , Copolímero de Ácido Poliláctico e Ácido Poliglicólico/química , Células RAW 264.7
4.
Fish Shellfish Immunol ; 81: 430-437, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30056210

RESUMO

The efficacy of a Eudragit L30D-55 encapsulated vaccine against Lactococcus garvieae and Streptococcus iniae was investigated in rainbow trout. Fish were divided into four groups and fed the different experimental feeds. Groups were: A) fish immunized by Eudragit-coated pellets containing vaccine, B) fish immunized by vaccine-coated pellets without Eudragit, C) fish fed Eudragit-coated pellets without vaccine and D) fish fed pellets without vaccine orEudragit (control group). In groups A and B, the vaccination was conducted for 14 days. Similar to groups A and B, fish of group C were fed 14 days with pellets coated with Eudragit and afterwards they were fed control diet. Serum samples were taken on day 0, 20, 40 and 60 of the experiment. After 60 days, fish were challenged with L. garvieae and S. iniae. In almost all groups, innate immunity components including alternative complement activity, lysozyme activity, bactericidal activity, IgM and total protein showed no significant changes during the 60 days that the experiment lasted. However, the blood respiratory burst activity and lysozyme activity showed a significant increase on day 20 of experiment in groups B and D respectively (P < 0.05). The relative expression of immune-related genes including IL-6 and IgM genes was higher in vaccinated fish, with the highest expression in those immunized by Eudragit-coated pellets (Group A). In addition, the relative expression of IL-6 and IgM peaked on day 20 but decreased on day 60 in vaccinated groups. The ELISA antibody titer against L. garvieae increased from day 20 and peaked on day 60 of experiment (P < 0.05). Also, the antibody titer against L. garvieae was higher in fish immunized by Eudragit-coated pellets (Group A) compared to fish of group C and control. After bacterial challenge, a survival percentages of % 85 ±â€¯7.07% (challenged with S. iniae) and % 72.21 ±â€¯7.8% (challenged with L. garvieae) were observed respectively in groups immunized with pellets coated with Eudragit L30D-55 (Group A), which were higher than survival percentages obtained in other experimental groups (P < 0.05). The results of the present study demonstrate that the oral administration of Eudragit L30D-55-encapsulated vaccine appropriately protects rainbow trout against Lactococcus garvieae and Streptococcus iniae.


Assuntos
Vacinas Bacterianas/administração & dosagem , Excipientes/administração & dosagem , Metacrilatos/administração & dosagem , Oncorhynchus mykiss/imunologia , Polímeros/administração & dosagem , Vacinas de Produtos Inativados/administração & dosagem , Administração Oral , Animais , Doenças dos Peixes/prevenção & controle , Infecções por Bactérias Gram-Positivas/prevenção & controle , Imunoglobulina M/genética , Interleucina-6/genética , Lactococcus/imunologia , Streptococcus iniae/imunologia
5.
Pharmazie ; 73(1): 16-18, 2018 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-29441945

RESUMO

Aqueous pharmaceutical solutions provide prosperous living conditions for microbiological agents. In order to eliminate these microbes, we use preservatives which can harm human cells as well. Their cytotoxicity is concentration-dependent and the aim of our study was to find how other pharmaceutical excipients modify the cytotoxic attributes of preservatives. We tested the following compounds: methylparaben, benzalkonium chloride, polysorbate 20, Labrasol® and hydroxyethyl cellulose. The MTT tests indicated that surfactants increase the cytotoxicity while polymers may decrease it in some cases.


Assuntos
Excipientes/toxicidade , Polímeros/toxicidade , Conservantes Farmacêuticos/toxicidade , Células CACO-2 , Excipientes/administração & dosagem , Excipientes/química , Humanos , Soluções Farmacêuticas , Polímeros/administração & dosagem , Polímeros/química , Conservantes Farmacêuticos/administração & dosagem , Conservantes Farmacêuticos/química , Testes de Toxicidade
6.
AAPS PharmSciTech ; 19(6): 2646-2657, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29943280

RESUMO

Palatability and patient acceptability are critical attributes of dispersible tablet formulation. Co-processed excipients could provide improved organoleptic profile due to rational choice of excipients and manufacturing techniques. The aim of this study was to identify the most suitable co-processed excipient to use within directly compressible dispersible tablet formulations. Nine excipients, selected based on successful manufacturability, were investigated in a randomised, preference and acceptability testing in 24 healthy adult volunteers. Excipients were classified in order of preference as follows (from most preferred): SmartEx QD100 > F-Melt Type C > F-Melt Type M > MicroceLac > Ludiflash > CombiLac > Pharmaburst 500 > Avicel HFE-102 > Avicel PH-102. Broad differences were identified in terms of acceptability, with SmartEx QD100 being 'very acceptable', F-Melt Type C, F-Melt Type M and MicroceLac being 'acceptable', Ludiflash, CombiLac and Pharmaburst 500 being 'neutral' and Avicel products being 'very unacceptable' based on ratings using five-point hedonic scales. Organoleptic differences were ascribed to different composition and physical properties of excipients, resulting in dissimilar taste and mouth-feel. Excipients with particle size in water larger than 200-250 µm were considered poorly acceptable, which supports the use of this value as a threshold for maximum particle size of dispersible formulation. The most promising co-processed excipients for directly compressible dispersible tablets were successfully identified.


Assuntos
Química Farmacêutica/métodos , Excipientes/administração & dosagem , Excipientes/metabolismo , Satisfação do Paciente , Adulto , Celulose/administração & dosagem , Celulose/metabolismo , Força Compressiva , Composição de Medicamentos/métodos , Humanos , Boca/efeitos dos fármacos , Boca/metabolismo , Tamanho da Partícula , Comprimidos , Paladar/efeitos dos fármacos , Paladar/fisiologia
7.
AAPS PharmSciTech ; 19(6): 2719-2739, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29978290

RESUMO

Curcumin is a naturally occurring constituent of turmeric that is a good substitute for synthetic medicines for the treatment of different diseases, due to its comparatively safer profile. However, there are certain shortcomings that limit its use as an ideal therapeutic agent. In order to overcome these drawbacks, we prepared novel curcumin-loaded mixed polymeric micelles using different biocompatible polymers by the thin-film hydration method. We investigated the critical micelle concentration and temperature, drug loading and encapsulation efficiency, and minimum inhibitory concentration by spectrophotometry. Surface morphology, stability, particle size, drug-polymer interaction, and physical state of the prepared formulations were investigated using scanning electron microscopy, zeta potential, particle size analyzer, Fourier-transform infrared spectroscopy, and X-ray diffraction, respectively. The drug loading and entrapment efficiency were significantly increased (P < 0.01) when curcumin was encapsulated with pluronic-based mixed polymeric micelles as compared to that of pluronic-based micelles alone. In vitro studies exhibited that pluronic-based mixed polymeric micelles significantly increased anticancer (P < 0.01), antimicrobial (P < 0.001), antioxidant (P < 0.001), and α-amylase inhibitory (P < 0.001) activities when compared to pure curcumin and/or pluronic-based micelles alone. These findings suggest that the formation of mixed polymeric micelles increases the stability and solubility of curcumin.


Assuntos
Curcumina/química , Portadores de Fármacos/química , Micelas , Poloxâmero/química , Polímeros/química , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/química , Anti-Inflamatórios não Esteroides/metabolismo , Antineoplásicos/administração & dosagem , Antineoplásicos/química , Antineoplásicos/metabolismo , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Sobrevivência Celular/fisiologia , Curcumina/administração & dosagem , Curcumina/metabolismo , Relação Dose-Resposta a Droga , Portadores de Fármacos/administração & dosagem , Portadores de Fármacos/metabolismo , Excipientes/administração & dosagem , Excipientes/química , Excipientes/metabolismo , Células HeLa , Humanos , Tamanho da Partícula , Poloxâmero/administração & dosagem , Poloxâmero/metabolismo , Polímeros/administração & dosagem , Polímeros/metabolismo , Solubilidade , Difração de Raios X/métodos
8.
Med Res Rev ; 37(1): 52-97, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27502146

RESUMO

Over the last few decades, polymers have been extensively used as pharmaceutical excipients in drug delivery systems. Pharmaceutical polymers evolved from being simply used as gelatin shells comprising capsule to offering great formulation advantages including enabling controlled/slow release and specific targeting of drugs to the site(s) of action (the "magic bullets" concept), hence hold a significant clinical promise. Oral administration of solid dosage forms (e.g., tablets and capsules) is the most common and convenient route of drug administration. When formulating challenging molecules into solid oral dosage forms, polymeric pharmaceutical excipients permit masking undesired physicochemical properties of drugs and consequently, altering their pharmacokinetic profiles to improve the therapeutic effect. As a result, the number of synthetic and natural polymers available commercially as pharmaceutical excipients has increased dramatically, offering potential solutions to various difficulties. For instance, the different polymers may allow increased solubility, swellability, viscosity, biodegradability, advanced coatings, pH dependency, mucodhesion, and inhibition of crystallization. The aim of this article is to provide a wide angle prospect of the different uses of pharmaceutical polymers in solid oral dosage forms. The various types of polymeric excipients are presented, and their distinctive role in oral drug delivery is emphasized. The comprehensive know-how provided in this article may allow scientists to use these polymeric excipients rationally, to fully exploit their different features and potential influence on drug delivery, with the overall aim of making better drug products.


Assuntos
Excipientes/administração & dosagem , Polímeros/administração & dosagem , Administração Oral , Formas de Dosagem , Sistemas de Liberação de Medicamentos , Excipientes/química , Humanos , Polímeros/química
9.
J Pharmacol Exp Ther ; 363(3): 348-357, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28904003

RESUMO

This article describes the preclinical pharmacology and pharmacokinetics (PK) of hexadecyl-treprostinil (C16TR), a prodrug of treprostinil (TRE), formulated in a lipid nanoparticle (LNP) for inhalation as a pulmonary vasodilator. C16TR showed no activity (>10 µM) in receptor binding and enzyme inhibition assays, including binding to prostaglandin E2 receptor 2, prostaglandin D2 receptor 1, prostaglandin I2 receptor, and prostaglandin E2 receptor 4; TRE potently bound to each of these prostanoid receptors. C16TR had no effect (up to 200 nM) on platelet aggregation induced by ADP in rat blood. In hypoxia-challenged rats, inhaled C16TR-LNP produced dose-dependent (0.06-6 µg/kg), sustained pulmonary vasodilation over 3 hours; inhaled TRE (6 µg/kg) was active at earlier times but lost its effect by 3 hours. Single- and multiple-dose PK studies of inhaled C16TR-LNP in rats showed proportionate dose-dependent increases in TRE Cmax and area under the curve (AUC) for both plasma and lung; similar results were observed for dog plasma levels in single-dose PK studies. In both species, inhaled C16TR-LNP yielded prolonged plasma TRE levels and a lower plasma TRE Cmax compared with inhaled TRE. Inhaled C16TR-LNP was well tolerated in rats and dogs; TRE-related side effects included cough, respiratory tract irritation, and emesis and were seen only after high inhaled doses of C16TR-LNP in dogs. In guinea pigs, inhaled TRE (30 µg/ml) consistently produced cough, but C16TR-LNP (30 µg/ml) elicited no effect. These results demonstrate that C16TR-LNP provides long-acting pulmonary vasodilation, is well tolerated in animal studies, and may necessitate less frequent dosing than inhaled TRE with possibly fewer side effects.


Assuntos
Anti-Hipertensivos/uso terapêutico , Sistemas de Liberação de Medicamentos , Epoprostenol/análogos & derivados , Hipertensão Pulmonar/tratamento farmacológico , Pró-Fármacos/administração & dosagem , Vasodilatadores/administração & dosagem , Administração por Inalação , Animais , Anti-Hipertensivos/administração & dosagem , Anti-Hipertensivos/farmacocinética , Anti-Hipertensivos/farmacologia , Cães , Relação Dose-Resposta a Droga , Composição de Medicamentos , Sistemas de Liberação de Medicamentos/efeitos adversos , Avaliação Pré-Clínica de Medicamentos , Epoprostenol/administração & dosagem , Epoprostenol/metabolismo , Epoprostenol/farmacocinética , Epoprostenol/farmacologia , Epoprostenol/uso terapêutico , Excipientes/administração & dosagem , Excipientes/efeitos adversos , Excipientes/química , Feminino , Cobaias , Humanos , Hipertensão Pulmonar/sangue , Pulmão/irrigação sanguínea , Pulmão/efeitos dos fármacos , Pulmão/metabolismo , Masculino , Nanopartículas/administração & dosagem , Nanopartículas/efeitos adversos , Nanopartículas/química , Fosfatidiletanolaminas/administração & dosagem , Fosfatidiletanolaminas/efeitos adversos , Fosfatidiletanolaminas/química , Agregação Plaquetária/efeitos dos fármacos , Polietilenoglicóis/administração & dosagem , Polietilenoglicóis/efeitos adversos , Polietilenoglicóis/química , Pró-Fármacos/farmacocinética , Pró-Fármacos/farmacologia , Pró-Fármacos/uso terapêutico , Ratos Sprague-Dawley , Esqualeno/administração & dosagem , Esqualeno/efeitos adversos , Esqualeno/análogos & derivados , Esqualeno/química , Vasodilatação/efeitos dos fármacos , Vasodilatadores/farmacocinética , Vasodilatadores/farmacologia , Vasodilatadores/uso terapêutico
10.
Regul Toxicol Pharmacol ; 91: 103-108, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29066335

RESUMO

The selection of a suitable vehicle for administration of NCEs in non-clinical studies is always a challenge for poorly soluble compounds. Challenge is increased if the dose formulation is intended for intravenous (i.v.) administration where isotonic, biologically compatible pH and solution form is an absolute requirement. Vehicle toxicity and tolerability data are not readily available for a number of combination vehicles therefore, an i.v. tolerability studies was planned in rats with 5% v/v Pharmasolve (NMP), 45% v/v Propylene glycol (PG) and 50% v/v Polyethylene glycol (PEG) 400 combination, at dose volume of 0.5, 1, 2 and 5 mL/kg body weight for 28 days. The vehicle combination was administered via lateral tail vein and effects on clinical signs, body weights, feed consumption, clinical pathology and histopathology were evaluated. Clinical signs of toxicity like tremors, convulsions and death were noticed at 5 mL/kg during the course of the study. At 2 mL/kg, injection site injury without systemic toxicity was noticed. In conclusion, 1 mL/kg of a combination vehicle of 5% NMP, 45% PG and 55% PEG 400 can be administered intravenously once-a-day up to 28 days without any discomfort or injury to rats.


Assuntos
Polietilenoglicóis/efeitos adversos , Propilenoglicol/efeitos adversos , Pirrolidinonas/efeitos adversos , Administração Intravenosa/métodos , Animais , Química Farmacêutica , Excipientes/administração & dosagem , Excipientes/efeitos adversos , Feminino , Concentração de Íons de Hidrogênio , Masculino , Polietilenoglicóis/administração & dosagem , Propilenoglicol/administração & dosagem , Pirrolidinonas/administração & dosagem , Ratos , Ratos Wistar , Testes de Toxicidade/métodos
11.
Exp Eye Res ; 153: 101-109, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27742547

RESUMO

The purpose of this work was to determine the effect of injection volume, formulation composition, and time on circumferential spread of particles, small molecules, and polymeric formulation excipients in the suprachoroidal space (SCS) after microneedle injection into New Zealand White rabbit eyes ex vivo and in vivo. Microneedle injections of 25-150 µL Hank's Balanced Salt Solution (HBSS) containing 0.2 µm red-fluorescent particles and a model small molecule (fluorescein) were performed in rabbit eyes ex vivo, and visualized via flat mount. Particles with diameters of 0.02-2 µm were co-injected into SCS in vivo with fluorescein or a polymeric formulation excipient: fluorescein isothiocyanate (FITC)-labeled Discovisc or FITC-labeled carboxymethyl cellulose (CMC). Fluorescent fundus images were acquired over time to determine area of particle, fluorescein, and polymeric formulation excipient spread, as well as their co-localization. We found that fluorescein covered a significantly larger area than co-injected particles when suspended in HBSS, and that this difference was present from 3 min post-injection onwards. We further showed that there was no difference in initial area covered by FITC-Discovisc and particles; the transport time (i.e., the time until the FITC-Discovisc and particle area began dissociating) was 2 d. There was also no difference in initial area covered by FITC-CMC and particles; the transport time in FITC-CMC was 4 d. We also found that particle size (20 nm-2 µm) had no effect on spreading area when delivered in HBSS or Discovisc. We conclude that (i) the area of particle spread in SCS during injection generally increased with increasing injection volume, was unaffected by particle size, and was significantly less than the area of fluorescein spread, (ii) particles suspended in low-viscosity HBSS formulation were entrapped in the SCS after injection, whereas fluorescein was not and (iii) particles co-injected with viscous polymeric formulation excipients co-localized near the site of injection in the SCS, continued to co-localize while spreading over larger areas for 2-4 days, and then no longer co-localized as the polymeric formulation excipients were cleared within 1-3 weeks and the particles remained largely in place. These data suggest that particles encounter greater barriers to flow in SCS compared to molecules and that co-localization of particles and polymeric formulation excipients allows spreading over larger areas of the SCS until the particles and excipients dissociate.


Assuntos
Excipientes/administração & dosagem , Fluoresceína/administração & dosagem , Polímeros/administração & dosagem , Segmento Posterior do Olho/metabolismo , Animais , Corioide/metabolismo , Sistemas de Liberação de Medicamentos , Excipientes/farmacologia , Fluoresceína/farmacocinética , Corantes Fluorescentes/administração & dosagem , Corantes Fluorescentes/farmacocinética , Injeções Intraoculares , Modelos Animais , Agulhas , Tamanho da Partícula , Polímeros/farmacocinética , Coelhos , Esclera/metabolismo , Distribuição Tecidual/efeitos dos fármacos
12.
Regul Toxicol Pharmacol ; 82: 39-47, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27825834

RESUMO

Anionic Methacrylate Copolymer (AMC) is a fully polymerized copolymer used in the pharmaceutical industry as an enteric/delayed-release coating to permit the pH-dependent release of active ingredients in the gastrointestinal tract from oral dosage forms. This function is of potential use for food supplements. Oral administration of radiolabeled copolymer to rats resulted in the detection of chemically unchanged copolymer in the feces, with negligible absorption (<0.1%). AMC is therefore determined not to be bioavailable. Within a genotoxicity test battery AMC did not show any evidence of genotoxicity in bacteria and mammalian cells. Furthermore, no genotoxic effects occurred in vivo within a micronucleus test. There would therefore appear to be no safety concerns under intended conditions of oral use for the discussed toxicological endpoints.


Assuntos
Excipientes/toxicidade , Metacrilatos/toxicidade , Ácidos Polimetacrílicos/toxicidade , Administração Oral , Animais , Disponibilidade Biológica , Excipientes/administração & dosagem , Excipientes/química , Excipientes/farmacocinética , Fezes/química , Feminino , Absorção Gastrointestinal , Masculino , Metacrilatos/administração & dosagem , Metacrilatos/química , Metacrilatos/farmacocinética , Camundongos , Micronúcleos com Defeito Cromossômico/induzido quimicamente , Testes para Micronúcleos , Mutagênese , Ácidos Polimetacrílicos/administração & dosagem , Ácidos Polimetacrílicos/química , Ácidos Polimetacrílicos/farmacocinética , Ratos Sprague-Dawley , Medição de Risco , Toxicocinética
13.
Ann Otol Rhinol Laryngol ; 125(2): 105-14, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26296929

RESUMO

OBJECTIVE: This exploratory clinical trial evaluated the safety and clinical activity of a novel, sustained-exposure formulation of ciprofloxacin microparticulates in poloxamer (OTO-201) administered during tympanostomy tube placement in children. METHODS: Double-blind, randomized, prospective, placebo- and sham-controlled, multicenter Phase 1b trial in children (6 months to 12 years) with bilateral middle ear effusion requiring tympanostomy tube placement. Patients were randomized to intraoperative OTO-201 (4 mg or 12 mg), placebo, or sham (2:1:1 ratio). RESULTS: Eighty-three patients (52 male/31 female; mean age, 2.80 years) were followed for safety (otoscopic exams, cultures, audiometry, and tympanometry) and clinical activity, defined as treatment failure (physician-documented otorrhea and/or otic or systemic antibiotic use ≥3 days post surgery). At baseline, 14.3% to 36.8% of children showed positive cultures of middle ear effusion samples in at least 1 ear. Through day 15, treatment failures accounted for 14.3%, 15.8%, 45.5%, and 42.9% of patients (OTO-201 4 mg, OTO-201 12 mg, placebo, and sham, respectively); treatment failure reductions for OTO-201 doses were significant compared to pooled control (P values = .023 and .043, respectively). Observed OTO-201 safety profile was indistinguishable from placebo or sham. CONCLUSIONS: Results of this first clinical trial suggest that OTO-201 was well tolerated and shows preliminary clinical activity in treating tympanostomy tube otorrhea.


Assuntos
Ciprofloxacina , Cuidados Intraoperatórios/métodos , Ventilação da Orelha Média/métodos , Otite Média com Derrame , Poloxâmero , Antibacterianos/administração & dosagem , Antibacterianos/farmacocinética , Criança , Pré-Escolar , Ciprofloxacina/administração & dosagem , Ciprofloxacina/farmacocinética , Preparações de Ação Retardada , Relação Dose-Resposta a Droga , Método Duplo-Cego , Monitoramento de Medicamentos/métodos , Excipientes/administração & dosagem , Excipientes/efeitos adversos , Feminino , Humanos , Lactente , Injeção Intratimpânica , Masculino , Otite Média com Derrame/diagnóstico , Otite Média com Derrame/microbiologia , Otite Média com Derrame/cirurgia , Poloxâmero/administração & dosagem , Poloxâmero/efeitos adversos , Poloxâmero/farmacologia , Resultado do Tratamento
14.
Drug Dev Ind Pharm ; 42(4): 676-684, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26266963

RESUMO

As the essential components in formulations, pharmaceutical excipients directly affect the safety, efficacy, and stability of drugs. Recently, safety incidents of pharmaceutical excipients posing seriously threats to the patients highlight the necessity of controlling the potential risks. Hence, it is indispensable for the industry to establish an effective risk assessment system of supply chain. In this study, an AHP-fuzzy comprehensive evaluation model was developed based on the analytic hierarchy process and fuzzy mathematical theory, which quantitatively assessed the risks of supply chain. Taking polysorbate 80 as the example for model analysis, it was concluded that polysorbate 80 for injection use is a high-risk ingredient in the supply chain compared to that for oral use to achieve safety application in clinic, thus measures should be taken to control and minimize those risks.


Assuntos
Excipientes/efeitos adversos , Polissorbatos/efeitos adversos , Medição de Risco/métodos , Administração Oral , Excipientes/administração & dosagem , Excipientes/toxicidade , Lógica Fuzzy , Humanos , Injeções , Polissorbatos/administração & dosagem , Polissorbatos/toxicidade
15.
Ceska Slov Farm ; 65(1): 15-21, 2016.
Artigo em Tcheco | MEDLINE | ID: mdl-27118500

RESUMO

UNLABELLED: Oral films, namely buccal mucoadhesive films and orodispersible films represent innovative formulations for administration of a wide range of drugs. Oral films show many advantageous properties and are intended for systemic drug delivery or for local treatment of the oral mucosa. In both cases, the film represents a thin layer, which could be intended to adhere to the oral mucosa by means of mucoadhesion; or to rapid dissolution and subsequent swallowing without the need of liquid intake, in the case of orodispersible films. Main constitutive excipients are film-forming polymers, which must in the case of mucoadhesive forms remain on the mucosa within the required time interval. Oral films are currently available on the pharmaceutical market and could compete with conventional oral dosage forms in the future. KEY WORDS: oral cavity oral films buccal mucoadhesive films orodispersible films film-forming polymers.


Assuntos
Formas de Dosagem , Sistemas de Liberação de Medicamentos , Adesividade , Administração Oral , Excipientes/administração & dosagem , Mucosa Bucal/metabolismo , Preparações Farmacêuticas/administração & dosagem , Polímeros/administração & dosagem
16.
J Endovasc Ther ; 22(1): 14-21, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25775674

RESUMO

PURPOSE: To evaluate the safety and efficacy of the novel Passeo-18 Lux paclitaxel-coated balloon compared with the Passeo-18 uncoated balloon in patients with symptomatic de novo or restenotic femoropopliteal lesions. METHODS: Sixty patients (34 men; mean age 70.7 ± 10.1 years) in 5 European centers were enrolled in the BIOLUX P-I trial (ClinicalTrials.gov identifier NCT01056120) and randomized 1:1 to either the paclitaxel-coated balloon or the uncoated balloon. The primary endpoint was late lumen loss at 6 months. Secondary endpoints were binary restenosis at 6 months, clinically driven target lesion revascularization (TLR), change in ankle-brachial index and Rutherford classification, and major adverse events at 6 and 12 months. RESULTS: At 6 months, patients treated with paclitaxel-coated balloons had a significantly lower late lumen loss (0.51 ± 0.72 vs. 1.04 ± 1.00 mm, p = 0.033) and binary restenosis (11.5% vs. 34.6%, p = 0.048) than the control group. Correspondingly, clinically driven TLR was lower in the paclitaxel-coated balloon group at 12 months [15.4% vs. 41.7% (p = 0.064) for the intention-to-treat population and 16.0% vs. 52.9%, (p = 0.020) for the as-treated population]. No death and one minor amputation were observed compared with two deaths and two minor amputations in the control group. No major amputations or thrombosis were reported. CONCLUSION: The Passeo-18 Lux paclitaxel-coated balloon has been proven to be safe and effective in patients with femoropopliteal lesions, with superior performance outcomes compared with treatment with an uncoated balloon.


Assuntos
Angioplastia com Balão , Fármacos Cardiovasculares/administração & dosagem , Artéria Femoral , Paclitaxel/administração & dosagem , Doença Arterial Periférica/terapia , Artéria Poplítea , Idoso , Idoso de 80 Anos ou mais , Índice Tornozelo-Braço , Áustria , Butiratos/administração & dosagem , Materiais Revestidos Biocompatíveis , Excipientes/administração & dosagem , Feminino , Artéria Femoral/diagnóstico por imagem , Seguimentos , Alemanha , Humanos , Salvamento de Membro , Masculino , Pessoa de Meia-Idade , Doença Arterial Periférica/diagnóstico por imagem , Artéria Poplítea/diagnóstico por imagem , Estudos Prospectivos , Radiografia , Resultado do Tratamento
17.
Pharm Res ; 31(8): 1893-906, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24554117

RESUMO

PURPOSE: This study investigates fabrication of clotrimazole (CZ)-composited electrospun Polyvinylpyrrolidone/Hydroxypropyl-ß-cyclodextrin (PVP/HPßCD) blended nanofiber mats for oral candidiasis applications. METHODS: PVP/HPßCD blended nanofiber mats containing clotrimazole were electrospun and characterized using SEM, DSC and XRPD. The solvent system ethanol: water: benzyl alcohol (EtOH:H2O:BzOH) with a 70:20:10 ratio was optimal for the electrospinning process. Various amounts of CZ were loaded into the nanofiber mats. The nanofiber mats was further investigated for drug release, antifungal activity and cytotoxicity. RESULTS: The fiber diameters in the mats were in the nanometer range. The DSC and XRPD revealed a molecular dispersion of amorphous CZ in the nanofiber mats. The loading capacity increased when CZ content was raised. A fast dissolved and released of CZ from the nanofibers mat was achieved. The ability of the CZ-loaded nanofiber mats to kill the Candida depended on the amount of CZ in the mats; moreover, the CZ-loaded nanofibers killed the Candida significantly faster than the CZ powder and lozenges with low cytotoxicity. CONCLUSIONS: CZ-loaded nanofiber mats were successfully electrospun. They exhibited rapid antifungal activity in vitro relative to CZ powder and lozenges. Further in vivo studies are needed to investigate for their application in oral candidiasis.


Assuntos
Candidíase Bucal , Clotrimazol/administração & dosagem , Nanofibras/administração & dosagem , Povidona/administração & dosagem , beta-Ciclodextrinas/administração & dosagem , 2-Hidroxipropil-beta-Ciclodextrina , Candidíase Bucal/tratamento farmacológico , Clotrimazol/química , Excipientes/administração & dosagem , Excipientes/química , Humanos , Nanofibras/química , Povidona/química , Fatores de Tempo , Difração de Raios X , beta-Ciclodextrinas/química
18.
Pharm Res ; 31(7): 1676-88, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24526241

RESUMO

PURPOSE: Nalbuphine (NAL) is a potent opioid analgesic, but can only be administered by injection. The major aim of this study was to develop an oral NAL formulation employing known excipients as UDP-glucuronosyltransferase 2B7 (UGT2B7) inhibitors to improve its oral bioavailability. METHODS: Twenty commonly used pharmaceutical excipients were screened in vitro by using liver microsomes to identify inhibitors of UGT2B7, the major NAL metabolic enzyme. Tween 20 and PEG 400 were potent UGT2B7 inhibitors and both were co-administered (Tween-PEG) with NAL to rats and humans for pharmacokinetic and/or pharmacodynamic analyses. RESULTS: In animal studies, oral Tween-PEG (4 mg/kg of each) significantly increased the area under the plasma NAL concentration-time curve (AUC) and the maximal plasma concentration (Cmax) by 4- and 5-fold, respectively. The results of the pharmacodynamic analysis were in agreement with those of the pharmacokinetic analysis, and showed that Tween-PEG significantly enhanced the analgesic effects of orally administered NAL. In humans, oral Tween-PEG (240 mg of each) also increased NAL Cmax 2.5-fold, and AUC by 1.6-fold. CONCLUSIONS: Tween-PEG successfully improved oral NAL bioavailability and could formulate a useful oral dosage form for patient's convenience.


Assuntos
Analgésicos Opioides/sangue , Excipientes/farmacologia , Glucuronosiltransferase/antagonistas & inibidores , Nalbufina/sangue , Polietilenoglicóis/farmacologia , Polissorbatos/farmacologia , Administração Oral , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/farmacologia , Animais , Disponibilidade Biológica , Excipientes/administração & dosagem , Glucuronosiltransferase/metabolismo , Humanos , Masculino , Microssomos Hepáticos/efeitos dos fármacos , Microssomos Hepáticos/metabolismo , Nalbufina/administração & dosagem , Nalbufina/farmacologia , Polietilenoglicóis/administração & dosagem , Polissorbatos/administração & dosagem , Ratos , Ratos Sprague-Dawley
19.
Skin Pharmacol Physiol ; 27(3): 164-71, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24457536

RESUMO

BACKGROUND/AIMS: Silicone excipients are commonly used ingredients because of their emollient and skin-conditioning effects, and their ability to form uniform, water-resistant, yet permeable films. Based on comparisons with organic materials and conflicting knowledge from silicones used in scar treatment, the misconception still exists that silicone topical excipients are occlusive substances that may block the passive loss of water through the upper skin layers. Therefore, 3 types of common silicone excipients and 3 water-in-(oil-plus-silicone) or W/(O + Si) creams, containing 10% (w/w) of the respective silicones, were investigated as a function of time and compared to petrolatum. METHODS: Transepidermal water loss (TEWL) and skin hydration measurements were carried out after a single topical application on forearm skin of 26 healthy young female volunteers. RESULTS: Both petrolatum and silicones significantly decreased TEWL 15 min after application, but the measurements for the silicones were not significantly different from the untreated control values. The tested silicones did not moisturize the skin. Petrolatum formed an occlusive layer, creating an increase in skin hydration for more than 4 h. The results measured for the W/(O + Si) creams indicated that they moisturized the skin, without any effect on TEWL. CONCLUSION: A clear difference was shown between the skin occlusive properties of petrolatum and the water vapor permeability of the common silicone excipient materials.


Assuntos
Emolientes/química , Excipientes/química , Silicones/química , Pele/efeitos dos fármacos , Administração Cutânea , Adulto , Emolientes/administração & dosagem , Excipientes/administração & dosagem , Feminino , Antebraço , Humanos , Óleos/química , Permeabilidade , Vaselina/administração & dosagem , Vaselina/química , Silicones/administração & dosagem , Pele/metabolismo , Fatores de Tempo , Água , Perda Insensível de Água , Adulto Jovem
20.
Polim Med ; 44(2): 109-18, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24967782

RESUMO

This review deals with the targeting of drugs to the lower gastrointestinal tract i.e. colon. Colonic drug delivery becomes important for localized action as well as for improved systemic availability of peptide and proteins. Drugs which have absorption window in the colonic region have been targeted using different novel technologies. pH sensitive polymers and prodrug based formulation have been used for the delivery of drugs into the colon. Different natural polymers have been used successfully for the delivery of drugs into the colon. Natural polymers are less toxic, biodegradable and easily available with a wide range of molecular weight and varying chemical compositions. One of the supporting properties associated with these polymers is that natural polymers can be used as approved pharmaceutical excipient.


Assuntos
Colo/metabolismo , Portadores de Fármacos/química , Sistemas de Liberação de Medicamentos , Preparações Farmacêuticas/administração & dosagem , Polissacarídeos/química , Implantes Absorvíveis , Administração Oral , Disponibilidade Biológica , Química Farmacêutica , Materiais Revestidos Biocompatíveis , Excipientes/administração & dosagem , Excipientes/química , Excipientes/farmacocinética , Concentração de Íons de Hidrogênio , Peso Molecular , Pró-Fármacos/administração & dosagem , Pró-Fármacos/química , Pró-Fármacos/farmacocinética , Pulsoterapia
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