In vitro gastrointestinal model (TIM) with predictive power, even for infants and children?

被引:59
作者
Havenaar, Robert [1 ]
Anneveld, Bart [1 ]
Hanff, Lidwien M. [2 ,3 ]
de Wildt, Saskia N. [2 ,3 ]
de Koning, Barbara A. E. [2 ,3 ]
Mooij, Miriam G. [2 ,3 ]
Lelieveld, Jan P. A. [1 ]
Minekus, Mans [1 ]
机构
[1] TNO, NL-3700 AJ Zeist, Netherlands
[2] Erasmus MC, Sophia Childrens Hosp, Dept Clin Pharm, NL-3000 CB Rotterdam, Netherlands
[3] Dept Pediat Surg & Intens Care, NL-3000 CB Rotterdam, Netherlands
关键词
Pediatric drug; Drug handling; Bioaccessibility; In vitro gastrointestinal model; DRUG-DELIVERY; PHARMACOKINETICS; ABSORPTION; SYSTEM; FORMULATIONS; PARACETAMOL; INTESTINE; STATES;
D O I
10.1016/j.ijpharm.2013.07.053
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
There is a need for information on the bioavailability in pediatric patients of drugs from manipulated dosage forms when applied in combination with food and/or co-medication under realistic daily practice circumstances. We describe the development, validation and application of a dynamic, computer-controlled in vitro system mimicking the conditions in the upper gastrointestinal tract of neonates, infants and toddlers: TIMpediatric. Paracetamol and diclofenac in age-related food matrices and with esomeprazole co-medication were tested. The experiments showed relevant results on the impact of drug manipulation and co-medication on the availability for absorption of active compounds. Without ethical constraints, alternative approaches for oral dosing and new pediatric formulations can be studied in TIMpediatric with a high predictive value. (C) 2013 Elsevier B. V. All rights reserved.
引用
收藏
页码:327 / 332
页数:6
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