口服固体制剂的体外溶出试验及体内外相关性研究进展
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摘要
目的:为口服固体制剂的体外溶出试验和体内外相关性(IVIVC)研究的进一步开展提供参考。方法:以"体外溶出试验""体内外相关性""滞后时间""时间校正因子""Dissolution test""IVIVC""Lag time""Time scaling"等为关键词,组合检索中国知网、PubMed、Elsevier、Springer等数据库中收录的1990年1月-2017年12月期间发表的相关研究文献,结合笔者自身的研究经验和认识,进行归纳和总结,重点探讨了不同分级IVIVC尤其是A级IVIVC的建立方法。结果与结论:共获得有效文献39篇。影响口服固体制剂在体内吸收的主要限制因素为药物活性成分的溶出和跨膜吸收性质,当前的IVIVC主要建立在药物体内吸收符合胃排空或溶出限速特征的基本前提下。与口服固体制剂的体内药动学研究相比,其体外溶出研究尚未实现严格的标准化,为使体外溶出试验与体内溶出/吸收过程具有更好的相关性,生物相关介质和仿生溶出系统等将是今后的发展方向。常见的各级IVIVC中,A级IVIVC可以提供最多的信息,优先推荐建立和使用A级IVIVC,此时药物的体外溶出行为往往可以准确反映其体内吸收过程;其次是多重C级以及B级、C级和D级IVIVC。而随着仿生溶出系统和计算机数据拟合技术等的发展,将来的IVIVC研究并不会局限于缓控释制剂或生物药剂学分类属Ⅱ类药物的速释制剂,可能会有更多关于生物药剂学分类属Ⅲ、Ⅳ类药物的IVIVC研究。
        
引文
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