Modelling ocular pharmacokinetics of fluorescein administered as lyophilisate or conventional eye drops.

OBJECTIVE: The objective of this evaluation was to model ocular pharmacokinetics of fluorescein administered as conventional eye drops and as lyophilisate to healthy volunteers in order to assess the relative bioavailability of the lyophilisate formulation. METHODS: A total of 44 healthy subjects re...

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Publicado en:European Journal of Clinical Pharmacology Vol. 64; no. 5; pp. 521 - 530
Autores principales: Abduljalil K, Diestelhorst M, Doroshyenko O, Lux A, Steinfeld A, Dinslage S, Süverkrüp R, Fuhr U
Formato: clinical trial research Journal Article
Publicado: Springer Nature May2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2008
      vid: 64
      iid: 5
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00228-007-0457-3
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        atl: Modelling ocular pharmacokinetics of fluorescein administered as lyophilisate or conventional eye drops.
      aug:
        au:
          Abduljalil K
          Diestelhorst M
          Doroshyenko O
          Lux A
          Steinfeld A
          Dinslage S
          Süverkrüp R
          Fuhr U
        affil: Department of Pharmacology, Clinical Pharmacology Unit, University of Cologne, Gleueler Str. 24, D-50931, Köln, Germany.
      sug:
        subj:
          Fluorescent Dyes Administration and Dosage
          Fluorescent Dyes Pharmacokinetics
          Models, Biological
          Administration, Topical
          Adult
          Anterior Chamber Metabolism
          Biological Availability
          Clinical Trials
          Cornea Metabolism
          Drug Delivery Systems
          Female
          Freeze Drying
          Male
          Middle Age
          Ophthalmic Solutions
          Pharmacokinetics
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: The objective of this evaluation was to model ocular pharmacokinetics of fluorescein administered as conventional eye drops and as lyophilisate to healthy volunteers in order to assess the relative bioavailability of the lyophilisate formulation. METHODS: A total of 44 healthy subjects received equivalent doses of fluorescein as lyophilisate to one eye and as eye drops to the fellow eye in three individual studies. Fluorescein concentrations in the cornea and anterior chamber were measured by fluorophotometry. Data were analyzed by noncompartmental methods (WinNonlin software) and by compartmental population pharmacokinetic methods (NONMEM software). RESULTS: Compared to eye drops, both maximum fluorescein concentrations (C(max)) and the areas under the concentration-time curve (AUC(0-t )) values of fluorescein in the cornea and anterior chamber for lyophilisate were increased in the noncompartmental analysis: mean lyophilisate C(max) in the studies was 6.3- to 14.6-fold higher and mean AUC(0-t ) was 4.7- to 8.9-fold higher for ocular concentrations in the three studies. A three-compartment open model with first-order elimination from the anterior chamber adequately described population data. Estimated fluorescein systemic bioavailability (F) via the ocular route from lyophilisate relative to eye drops was 3.7-fold higher (95% CI 2.6-4.8). CONCLUSION: The data clearly show a considerably superior intraocular bioavailability of fluorescein when given as lyophilisate compared to conventional eye drops. There is a clear pharmacokinetic advantage of the lyophilisate preparation.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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