医学
咖啡因
药物输送
交叉研究
体内
剂型
溃疡性结肠炎
输送系统
药理学
药品
胃肠病学
内科学
安慰剂
化学
病理
生物技术
有机化学
替代医学
疾病
生物
作者
Christiane Bott,M Rudolph,A Schneider,S Schirrmacher,Brigitte Skalsky,Hans-Ulrich Petereit,Peter Langguth,Jennifer Dressman,Jürgen M. Stein
标识
DOI:10.1111/j.1365-2036.2004.02033.x
摘要
Targeted drug delivery to the colon is important for topical treatment of inflammatory bowel diseases. Established targeting systems predominantly focus on either pH- or time-dependent release, or bacterial degradation.To perform a three-phase, crossover design trial evaluating a novel combined pH- and time-based multiunit delivery system.Twelve healthy male volunteers each received 200 mg of caffeine as either uncoated immediate release tablets, coated pellets with pH-dependent rapid release (EUDRAGIT FS 30D), and pellets with pH- and time-based release (inner layer EUDRAGIT RL/RS 30D; outer layer EUDRAGIT FS 30D). Orocecal transit time was measured using lactose-[13C]ureide. Serum concentrations of caffeine were measured by high-performance liquid chromatography.In contrast to the uncoated tablet, both coated systems reached the ileocecal region almost at the same time (3.19 +/- 0.71 and 3.33 +/- 0.81 h). Serum caffeine profiles were significantly prolonged for the pH and time delivery system compared with the pH-only based system (median tmax 12.0 vs. 5.5 h; P < 0.001). This was further reflected by a lower Cmax value and a lower area under the curve within 24 h after application.Compared with the conventional delivery systems, drug release from the new dosage form may offer a new dimension for the oral treatment of mid to distal ulcerative colitis.
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