1. The use of formulation technology to assess regional gastrointestinal drug absorption in humans.
- Author
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Basit AW, Podczeck F, Newton JM, Waddington WA, Ell PJ, and Lacey LF
- Subjects
- Administration, Oral, Adult, Amylose, Biological Availability, Chemistry, Pharmaceutical, Cross-Over Studies, Drug Compounding, Excipients, Gastrointestinal Transit drug effects, Histamine H2 Antagonists blood, Histamine H2 Antagonists chemistry, Humans, Male, Middle Aged, Ranitidine blood, Tablets, Enteric-Coated, Time Factors, Cellulose analogs & derivatives, Colon metabolism, Histamine H2 Antagonists pharmacokinetics, Intestinal Absorption drug effects, Intestine, Small metabolism, Ranitidine pharmacokinetics
- Abstract
The aim of this study was to assess the feasibility of using oral modified-release formulations for the purposes of site-specific targeting and regional drug absorption assessment in man. An immediate release pellet formulation containing ranitidine as the model drug of choice for the study was fabricated by extrusion-spheronisation, and then film coated with either the enteric polymer polyvinyl acetate phthalate or the bacteria-degradable polymer amylose, in combination with ethylcellulose, to effect drug release within the small intestine and colon, respectively. Optimised formulations were evaluated in vivo in ten healthy volunteers, who each received, on four separate occasions, the immediate release, small intestinal release and colonic release formulations (each equivalent to 150mg ranitidine), and an intravenous injection of ranitidine (equivalent to 50mg ranitidine). Blood samples were collected and assessed for ranitidine concentration, and radiolabelled placebo pellets were co-administered with the coated ranitidine pellets to monitor their gastrointestinal transit using a gamma camera. Ranitidine was rapidly released and absorbed from the immediate release formulation, whereas the enteric formulation (10% coat weight gain) delayed drug release until some or all of the pellets had emptied into the small intestine. The amylose-ethylcellulose coated formulation (coat ratio 1:3, coat weight gain 25%) retarded ranitidine release until the pellets had reached the colon. The mean absolute bioavailability of ranitidine from the immediate release, small intestinal release and colonic release formulations were 50.6, 46.1 and 5.5%, respectively. These data are in general agreement to those obtained from a previous regional intubation study. The present study therefore demonstrates the practical potential of utilising a non-invasive, formulation-based approach to assess drug absorption from different regions of the human gastrointestinal tract.
- Published
- 2004
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