Oral modified-release formulations in motion: The relationship between gastrointestinal transit and drug absorption

被引:76
作者
Varum, Felipe J. O. [1 ]
Merchant, Hamid A. [1 ]
Basit, Abdul W. [1 ]
机构
[1] Univ London, Sch Pharm, London WC1N 1AX, England
关键词
Controlled release; Delayed release; Colonic delivery; Enteric coatings; Multiparticulates; Multiple-units; Single-units; Gamma scintigraphy; Gastrointestinal transit; Biopharmaceutics; Bioavailability; Pharmacokinetics; PHARMACEUTICAL DOSAGE FORMS; SMALL-INTESTINAL TRANSIT; POLYETHYLENE-GLYCOL; 400; IN-VIVO PERFORMANCE; GAMMA-SCINTIGRAPHY; CROHNS-DISEASE; COLONIC DELIVERY; HEALTHY-SUBJECTS; MULTIPLE-UNITS; SINGLE-UNIT;
D O I
10.1016/j.ijpharm.2010.04.046
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Oral modified-release dosage forms can be designed with the aim of achieving specific pharmacokinetic profiles, delivering to specific gut localities or reducing the number of drug administrations. Multipleunit systems, such as pellets, beads or granules, often claim superiority to single-unit modified-release formulations in terms of predictability and reproducibility of behaviour in the gastrointestinal tract. This is an oversimplification and in this review we discuss the effect of the highly variable gastrointestinal transit on the bioperformance of multiple-unit dosage forms, relative to their single-unit counterparts. We examine the sometimes contradictory literature in this area and highlight specific case studies which demonstrate the effect of intestinal transit on dosage form performance and drug absorption. (C) 2010 Published by Elsevier B.V.
引用
收藏
页码:26 / 36
页数:11
相关论文
共 94 条
[1]   Gastro-intestinal transit of a multiple-unit formulation (metoprolol CR/ZOK) and a non-disintegrating tablet with the emphasis on colon [J].
Abrahamsson, B ;
Alpsten, M ;
Jonsson, UE ;
Lundberg, PJ ;
Sandberg, A ;
Sundgren, M ;
Svenheden, A ;
Tolli, J .
INTERNATIONAL JOURNAL OF PHARMACEUTICS, 1996, 140 (02) :229-235
[2]   THE EFFECTS OF PHARMACEUTICAL EXCIPIENTS ON SMALL-INTESTINAL TRANSIT [J].
ADKIN, DA ;
DAVIS, SS ;
SPARROW, RA ;
HUCKLE, PD ;
PHILLIPS, AJ ;
WILDING, IR .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1995, 39 (04) :381-387
[3]   Polyethylene glycol 400 enhances the bioavailability of a BCS class III drug (ranitidine) in male subjects but not females [J].
Ashiru, Diane A. I. ;
Patel, Rajesh ;
Basit, Abdul W. .
PHARMACEUTICAL RESEARCH, 2008, 25 (10) :2327-2333
[4]  
Basit AW, 2009, J DRUG TARGET, V17, P64, DOI [10.1080/10611860802455805, 10.1080/10611860802455805 ]
[5]   The use of formulation technology to assess regional gastrointestinal drug absorption in humans [J].
Basit, AW ;
Podczeck, F ;
Newton, JM ;
Waddington, WA ;
Ell, PJ ;
Lacey, LF .
EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES, 2004, 21 (2-3) :179-189
[6]   The effect of polyethylene glycol 400 on gastrointestinal transit: Implications for the formulation of poorly-water soluble drugs [J].
Basit, AW ;
Newton, JM ;
Short, MD ;
Waddington, WA ;
Ell, PJ ;
Lacey, LF .
PHARMACEUTICAL RESEARCH, 2001, 18 (08) :1146-1150
[7]   BIOAVAILABILITY OF INDOMETHACIN FROM 2 MULTIPLE-UNITS CONTROLLED-RELEASE FORMULATIONS [J].
BECHGAARD, H ;
BRODIE, RR ;
CHASSEAUD, LF ;
HOUMOLLER, P ;
HUNTER, JO ;
SIKLOS, P ;
TAYLOR, T .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1982, 21 (06) :511-515
[8]   CONTROLLED-RELEASE MULTIPLE-UNITS AND SINGLE-UNIT DOSES - LITERATURE-REVIEW [J].
BECHGAARD, H ;
NIELSEN, GH .
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY, 1978, 4 (01) :53-67
[9]   Gastrointestinal transit, release and plasma pharmacokinetics of a new oral budesonide formulation [J].
Brunner, M ;
Ziegler, S ;
Di Stefano, AFD ;
Dehghanyar, P ;
Kletter, K ;
Tschurlovits, M ;
Villa, R ;
Bozzella, R ;
Celasco, G ;
Moro, L ;
Rusca, A ;
Dudczak, R ;
Müller, M .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2006, 61 (01) :31-38
[10]   The effect of pH change on the gastric emptying of liquids measured by electrical impedance tomography and pH-sensitive radiotelemetry capsule [J].
Chaw, CS ;
Yazaki, E ;
Evans, DF .
INTERNATIONAL JOURNAL OF PHARMACEUTICS, 2001, 227 (1-2) :167-175