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吲达帕胺微孔渗透泵片的制备及质量研究
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摘要
吲达帕胺(Indapamide,简称INDP)为磺胺类利尿药,具有利尿和钙拮抗作用,是一种强效、长效的降压药,临床上还用于充血性心力衰竭时水钠潴留的治疗。目前,国内外市场上只有普通片、缓释片和缓释胶囊三种剂型。渗透泵制剂具有恒速释药的特性,且释放不受介质pH值、胃肠道蠕动等因素的影响,更有利于保持体外释放与体内吸收的相关性。但目前,多应用在水溶性药物的研究上。本文以吲达帕胺为难溶性药物的模型,研究将其制备成微孔渗透泵(Micro-porous osmotic pump,简称Mpop)片剂的方法。
     在处方前研究的基础上,首先对处方和工艺进行了单因素考察。结果表明,促渗剂、致孔剂、增塑剂和包衣膜厚度对药物释放有显著影响。通过正交试验设计,优化筛选出16小时释药的最佳处方。同时,确定了关键的工艺参数。以微晶纤维素(MCC)、可压性淀粉、乳糖、氯化钠、羟丙基甲基纤维素(HPMC)K4M、十二烷基硫酸钠为片芯材料;以醋酸纤维素(CA)、聚乙二醇-400(PEG-400)、邻苯二甲酸二乙酯(DEP)的丙酮溶液为包衣液;喷雾速率为5 ml·min-1,包衣温度30℃,包衣锅转速30 rpm,制备了吲达帕胺微孔渗透泵型控释片。其16小时累积释放率到达90%,线性相关系数达到0.99。
     释药机制的研究证明INDP MPOP片的释药动力主要为衣膜内外的渗透压差。其体外释药行为符合零级释药模型。释放介质的pH值、溶出方法和转速,对药物释放均无显著性的影响。
     查阅文献资料和试验,建立高效液相色谱方法用于测定含量、有关物质和体外释放度,对片剂质量进行评价。稳定性试验结果显示,INDP MPOP片除在高湿条件略有吸潮外,在光照、高温、留样及加速试验中均表现出了良好的稳定性。
     建立高效液相-质谱联用色谱法测定家犬血浆中的药物浓度。采用双周期随机交叉试验设计,以市售吲达帕胺缓释片为参比制剂,测定了INDP MPOP片在家犬体内的相对生物利用度和药代动力学参数。通过血药浓度-时间曲线下面积(AUC)、达峰浓度(Cmax)和达峰时间(Tpeak)等参数的比较,方差分析和双向单侧T检验结果显示,自制微孔渗透泵片和市售缓释片生物等效。自制片的相对生物利用度为106%。对MPOP片的体内吸收分数与体外释放百分率进行线性回归,证明体外释药特性与体内吸收有良好的相关性。
Indapamide (INDP) is a non-thiazide sulphonamide diuretic drug marketed by Servier, generally used in the treatment of hypertension, as well as decompensated cardiac failure. So far there are only conventional tablets,sustained release tablets and capsules in domestic and foreign markets. Osmotic pump tablets have a constant release rate and the release rate is pH-independent and agitation-independent which lead to comparable in vitro/in vivo correlation. But they are usually applieable for soluble drugs. In this study, micro-porous osmotic pump (MPOP) tablets were prepared using INDP as the model of indissoluble drugs.
     Based on the comprehensive pre-formulation research, single-factor tests were carried out to inspect the influence of formulation and manufacture process on the release of indapamide. The results suggested that osmotic pressure promoting agent, pore former, plasticizer and coating weight had marked effect on the drug release. By orthogonal experimental design, optimal formulation modified to release drug over 16h was obtained. Meanwhile, the parameters of coating technique were determined. Microcrystalline cellulose(MCC), amylum pregelatinisatum, lactose, sodium chloride and hypromellose(HPMC) were used to make the tablet core. Cellulose acetate (CA), PEG-400, diethyl phthalate (DEP) and acetone were selected as the coating solution. Tablets were coated by pan-spray method, and the coating process was described as the spray speed of 5 ml·min-1, coating temperature 30℃. Cumulative drug release of the best formulation at 16 h exceeded 90% and the linear correlation coefficient exceeded 0.99.
     Investigation about the drug release mechanism proved that the release kinetics derives from the difference of the osmotic pressure across the membrance. The release behavior in vitro of the INDP MPOP complied with zero order release rule. The type of dissolution medium, dissolution method and rotation speed had less effect. According to literatures, UV spectrophotometer and high-performance liquid chromatography(HPLC) were developed for in vitro assay during the studies of content, related substance and release. The stability test results showed that INDP MPOP is a little wet under high humidity, whereas good stability was found under light, high temperature, the accelerating test and room temperature.
     High-performance liquid chromatography-mass spectrometry (HPLC-MS) method was preformed to detect the concentration of INDP in Plasma of dogs, using sustained release tablets as the reference and by the two Periods cross-over design for determining the pharmacokinetics and bioavailability in six healthy dogs. By comparing the pharmacokinetic parameters of the test and refrence tablets, such as AUC, Cmax, Tpeak and T1/2, the results of analysis of varianee and the two one-sided test showed they were bio-equivalent. The relative bioavailability was 106%. Obvious correlation was observed between absorption percentage in vivo and release rate in vitro.
引文
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