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研究生: 李展榮
Li, Chan-Lung
論文名稱: 納布啡(Nalbuphine)前趨藥物Dinalbuphine Sebacate之長效針劑劑型於體內與體外釋放速率研究 : 配方中油脂比值對藥物釋放之影響
In vitro and in vivo release of dinalbuphine sebacate extended release formulation: Effect of the oil ratio on drug release
指導教授: 黃金鼎
Huang, Jin-ding
學位類別: 博士
Doctor
系所名稱: 醫學院 - 臨床藥學與藥物科技研究所
Institute of Clinical Pharmacy and Pharmaceutical sciences
論文出版年: 2017
畢業學年度: 106
語文別: 中文
論文頁數: 53
中文關鍵詞: 緩慢釋放肌肉注射前驅藥物體外體內相關性
外文關鍵詞: Extended release, Intramuscular, prodrug, IVIVC
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  • 納布啡(Nalbuphine)為一個半合成的鴉片類(opioids)藥物,用於緩解疼痛。而其優點包含呼吸抑制的副作用較嗎啡(Morphine)輕微、不會產生欣快感也沒有成癮的問題。然而Nalbuphine的口服生體可用率(Bioavailability, BA)偏低,以及在人體中的半衰期約5小時,使用上必須要頻繁得給藥,增加使用上的不便。若能設計Nalbuphine長效藥物,可以改善使用上的問題。
    Dinalbuphine sebacate (DNS)是Nalbuphine的前驅藥物,藉由兩個Nalbuphine與sebacic acid以共價鍵相連接而成。相較於Nalbuphine,DNS的水溶性下降,適合用來設計為油針注射液(Oily injection)。
    本論文主要在研究DNS油針注射液 的配方與藥物釋放速率間的相關性。在進行配方開發的過程中,一個能夠預測體內釋放的體外溶離方法是很重要的。經過文獻尋找與初步的測試,現階段已知的體外釋放模型並不適合用於我們的研究。在本論文中,我們試著建立新的體外釋放模型,並選擇三種配方進行比格犬之藥物動力學實驗(Pharmacokinetics, PK)。實驗結果證明,我們建立的體外釋放模型的結果與藥物體內釋放速率有所關聯。此模型應能夠使用於油針注射液配方開發時的篩選並加速配方開發過程。

    Nalbuphine is a semi-synthetic opioid indicated for the relief of moderate to severe pain. Dinalbuphine sebacate (DNS) is a prodrug of nalbuphine for which we have developed long-acting lipophilic formulations in a benzyl benzoate/sesame oil mixture for intramuscular (IM) injection. In this study, we found that the in vitro release profile of DNS could be affected by adjusting the weight ratio of benzyl benzoate to sesame oil (the solvent/oil ratio). A longer release period could be attained by increasing the solvent/oil ratio in the formulation.
    A pharmacokinetic study was conducted in beagle dogs to verify the relationship between the in vitro release and the drug release from the formulations in vivo. The pharmacokinetic study confirmed that the formulation with a higher benzyl benzoate to oil ratio exhibits a longer drug release profile with a lower maximum concentration (Cmax) and a longer time to peak blood concentration level (Tmax) than the formulation with a lower benzyl benzoate to oil ratio.

    1. 摘要與介紹 1 1.1 研究目的 1 1.2 止痛藥物之簡介 1 1.3 劑型選擇之簡介 4 1.4 油性針劑之主要特性 6 1.5 油針注射液之體外釋放模型簡介 8 1.6 油針注射液在體內釋放的主要影響因子 10 1.7 現階段DNS油針注射液臨床結果 11 2. 實驗方法 12 2.1 實驗藥品 12 2.2 高效能液相層析(UPLC)之分析方法 12 2.3 DNS溶解度實驗 13 2.4 DNS溶離液過濾實驗 13 2.5 DNS溶離液安定性實驗 14 2.6 DNS體外釋放實驗 14 2.7 比格犬之藥物動力學實驗 15 2.8 樣品處理與液相層析串聯質譜(LC/MS-MS)之分析方法 16 2.9 比格犬藥物動力學數據分析 17 3. 實驗結果與討論 19 3.1 DNS溶解度數據與配方設計說明 19 3.2 醇類添加對DNS溶解度之影響 20 3.3 DNS體外釋放實驗 21 3.3.1 DNS體外釋放模型之建立 21 3.3.2 Benzyl benzoate / Sesame oil比值對體外釋放速率之影響 25 3.3.3 添加10%醇類對體外釋放速率之影響之一 26 3.3.4 添加10%醇類對體外釋放速率之影響之二 26 3.3.5 使用不同植物油對體外釋放速率之影響 27 3.4 DNS於比格犬中的藥物動力學實驗結果 27 4. 結論 29 5. 圖與表 31 6. 參考文獻 49 7. 學術著作與專利 53

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