A melatonin preparation with a pulsatile liberation pattern: a new form of melatonin in replacement therapy.

A Hoffmann, K Farker, M Dittgen, H Hoffmann
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引用次数: 12

Abstract

Using melatonin (MLT) as a circadian synchroniser in humans to treat rhythm disorders, it is desirable to have controlled-release dosage forms. Following in vitro liberation tests, one fast-release form containing 5 mg MLT (capsule A) and two oral pulsatile-dosage forms containing 10 mg MLT each (capsules B and C) were studied in a randomised, single-dose, threefold cross-over study in 15 healthy male volunteers after investigation of capsule B in dogs. Mean peak concentrations of MLT in serum (pmol/ml) were reached between 0.5 h and 0.75 h: Cmax1 20.7 (A), 16.4 (B), 9.7 (C). Capsules B and C released a second MLT pulse after about 3.5 h with Cmax2 of 13.0 and 17.5 pmol/ml, respectively. The time course of the renally excreted main metabolite 6-sulphatoxymelatonin (aMT6s) correlates with that of changes in MLT serum concentrations. The kinetic profile of the delivery system is adjusted to the pattern of sleep maintenance disturbances.

一种具有搏动释放模式的褪黑素制剂:一种替代疗法中的新形式褪黑素。
使用褪黑激素(MLT)作为人类的昼夜节律同步器来治疗节律障碍,希望有控释剂型。在体外释放试验之后,在15名健康男性志愿者中进行了一项随机、单剂量、三倍交叉研究,研究了一种含有5mg MLT的快速释放形式(胶囊A)和两种各含有10mg MLT的口服脉冲剂型(胶囊B和C)。血清中MLT的平均峰值浓度(pmol/ml)在0.5 ~ 0.75 h之间达到:Cmax1为20.7 (A), 16.4 (B), 9.7 (C)。胶囊B和C在约3.5 h后释放第二次MLT脉冲,Cmax2分别为13.0和17.5 pmol/ml。肾脏排泄的主要代谢物6-硫氧褪黑素(aMT6s)的时间过程与MLT血清浓度的变化相关。输送系统的动力学剖面被调整到睡眠维持障碍的模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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