托法替布口服结肠靶向制剂的药动学和药效学研究

    Pharmacokinetic and Pharmacodynamic Study of Tofacitinib Oral Colon-targeted Formulation

    • 摘要:
      目的 对托法替布(tofacitinib,TOF)口服结肠靶向制剂进行大鼠药动学和药效学研究。
      方法 考察TOF普通制剂和TOF口服结肠靶向制剂在大鼠体内血药浓度变化和结肠组织分布;建立噁唑酮诱导大鼠溃疡性结肠炎(ulcerative colitis,UC)模型,以大鼠疾病活动指数、结肠质量/长度比值、结肠大体形态、结肠病理评分和结肠炎症因子为指标,考察TOF口服结肠靶向制剂对UC的治疗作用。
      结果 与TOF相比,相同日给药剂量下,TOF口服结肠靶向制剂可降低药物血浆暴露,增加药物结肠暴露,同时给药方式从1 d 2次优化为1 d 1次,且对UC大鼠的结肠大体形态、疾病活动指数评分、结肠组织病理学病变和结肠炎症因子的改善作用相当或更优。
      结论 与TOF相比,在相同日给药剂量下,TOF口服结肠靶向制剂大鼠体内药动学呈现明显的结肠靶向特征,对UC大鼠结肠炎改善相当或更优。同时,给药频率从1 d 2次优化为1 d 1次,针对UC长周期治疗特征,极大提高了给药顺应性。

       

      Abstract:
      OBJECTIVE To investigate the pharmacokinetics and pharmacodynamics of oral colon-targeted formulations of tofacitinib(TOF) in rats.
      METHODS Plasma concentration profiles and colonic tissue distribution of TOF between the regular TOF formulation and the TOF oral colon-targeted formulation were compared in rats. An oxazolone-induced rat model of ulcerative colitis(UC) was established. The therapeutic efficacy of the TOF oral colon-targeted formulation was assessed based on disease activity index, colon length-to-weight ratio, gross morphology, histopathological scores, and levels of inflammatory cytokines in colon tissue.
      RESULTS Compared with the regular TOF formulation, the oral colon-targeted formulation reduced systemic plasma exposure while increasing colonic drug concentration at the same daily dose the administration frequency was also optimized from twice a day to once a day. Moreover, the oral colon-targeted formulation demonstrated comparable or superior improvements in colonic gross morphology, disease activity index scores, histopathological lesions, and inflammatory markers in UC rats.
      CONCLUSION Compared with the regular TOF formulation, the TOF oral colon-targeted formulation exhibited significant colonic targeting characteristics in the rat body after the same daily dose administration. The oral colon-targeted formulation was comparable or even superior in improving OXA-induced colitis in rats. Moreover, the administration frequency was optimized from twice a day to once a day, which greatly improved the administration compliance for the long-term treatment of UC.

       

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