Formulation of rifampicin–cyclodextrin complexes for lung nebulization

Autor: William Couet, Julien Brillault, Frederic Tewes, Jean-Christophe Olivier
Přispěvatelé: Modélisations pharmacocinétiques-pharmacodynamiques pour un meilleur usage des anti-infectieux, Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Poitiers, Université de Poitiers - Faculté de Médecine et de Pharmacie, Université de Poitiers, Tewes, Frederic, Université de Poitiers-Institut National de la Santé et de la Recherche Médicale (INSERM)
Rok vydání: 2008
Předmět:
Acinetobacter baumannii
MESH: Hydrogen-Ion Concentration
Chemistry
Pharmaceutical

Pharmaceutical Science
02 engineering and technology
Pharmacology
rifampicin
030226 pharmacology & pharmacy
chemistry.chemical_compound
0302 clinical medicine
Drug Stability
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
MESH: Respiratory Mucosa
polycyclic compounds
Solubility
Aerosolization
Antibacterial agent
MESH: Technology
Pharmaceutical

chemistry.chemical_classification
Drug Carriers
MESH: Kinetics
Cyclodextrin
Chemistry
MESH: Models
Chemical

beta-Cyclodextrins
MESH: Administration
Inhalation

Hydrogen-Ion Concentration
[SDV.SP]Life Sciences [q-bio]/Pharmaceutical sciences
021001 nanoscience & nanotechnology
2-Hydroxypropyl-beta-cyclodextrin
Anti-Bacterial Agents
3. Good health
[SDV.SP] Life Sciences [q-bio]/Pharmaceutical sciences
MESH: Drug Carriers
MESH: Permeability
Rifampin
0210 nano-technology
Drug carrier
medicine.drug
MESH: beta-Cyclodextrins
Calu-3
Drug Compounding
Respiratory Mucosa
Cell Line
lung
Inclusion compound
MESH: Nebulizers and Vaporizers
MESH: Chemistry
Pharmaceutical

03 medical and health sciences
Pharmacokinetics
MESH: Drug Stability
MESH: Anti-Bacterial Agents
Administration
Inhalation

medicine
Humans
Technology
Pharmaceutical

MESH: Particle Size
Particle Size
MESH: Humans
Chromatography
MESH: Acinetobacter baumannii
Nebulizers and Vaporizers
bacterial infections and mycoses
MESH: Rifampin
MESH: Cell Line
MESH: Solubility
Kinetics
Models
Chemical

cyclodextrin
MESH: Drug Compounding
permeability
Rifampicin
Zdroj: Journal of Controlled Release
Journal of Controlled Release, Elsevier, 2008, 129, pp.93-99. ⟨10.1016/j.jconrel.2008.04.007⟩
Journal of Controlled Release, Elsevier, 2008, 129 (2), pp.93-9. ⟨10.1016/j.jconrel.2008.04.007⟩
ISSN: 0168-3659
Popis: International audience; Lung administration of antibiotics by nebulization is promising for improving treatment efficiency for pulmonary infections, as it increases drug concentration at sites of infection while minimizing systemic side effects. For poorly soluble molecules like rifampicin, cyclodextrins (CD) may improve lung delivery by permitting higher dosing. For this purpose, we investigated rifampicin-CD complexes in terms of rifampicin apparent solubility enhancement, effect on in vitro permeability on Calu-3 broncho-alveolar cells, effect on in vitro antibacterial activity against Acinetobacter baumannii and nebulization characteristics measured by NGI cascade impactor. Complexation efficiency between rifampicin and methylated beta-cyclodextrin (RAMEB) or hydroxypropyl-beta-cyclodextrin (HPbetaCD) was pH-dependent, involving the piperazin group. Rifampicin phase solubility diagrams constructed at pH 9 showed an A(L)-type curve for RAMEB and a B(S)-type for HPbetaCD. Stability constants calculated for a 1:1 molar ratio of CD/rifampicin were 73.4 +/- 8.2 M(-1) for RAMEB and 68.5 +/- 5.2 M(-1) for HPbetaCD. Complexes with RAMEB or HPbetaCD increased 22 times and 7.6 times respectively the apparent solubility of rifampicin and were found to be satisfactorily stable for 2 days when diluted in a solution at physiological pH. The nebulization of the complex solution created droplets in size range compatible with pulmonary deposition. Furthermore, the presence of HPbetaCD decreased the MMAD of the aerosolized droplets. Activity of RAMEB and HPbetaCD complexes measured by the total rifampicin MIC against A. baumannii was similar or lower to free rifampicin MIC respectively. Complexation did not alter the rifampicin permeability in the timescale of 1h as evaluated with a Calu-3 epithelial cell model, but acted as a reservoir for rifampicin. In conclusion, this work reports that CDs can be used as vectors for pulmonary nebulization to increase the amount of active rifampicin and optimize its lung pharmacokinetic profile.
Databáze: OpenAIRE