ABSTRACT
Purpose
Since the absorption of ceftriaxone (CTO) in the intestine is restricted by its natural physiological characteristics, we developed a series of small synthetic compounds derived from bile acids to promote the absorption of CTO in the gastrointestinal tract.
Methods
Several bile acid derivatives were screened by measuring water solubility and partition coefficient of their complexes with CTO. The pharmacokinetic parameters of the selected CTO/HDCK ionic complex in monkeys were evaluated. The absorption pathway of CTO/HDCK complex was evaluated using Caco-2 cells and MDCK cells transfected with ASBT gene.
Results
HDCK enhanced the apparent membrane permeability of CTO 5.8-fold in the parallel artificial membrane permeability assay model. CTO/HDCK complex permeated Caco-2 cell via transcellular pathway, and interaction of the HDCK complex with ASBT was important to enhance uptake. When CTO/HDCK (equivalent to 50 mg/kg of ceftriaxone) formulated with lactose, poloxamer 407 and Labrasol was orally administered to monkeys, its maximum plasma concentration was 19.5 ± 1.8 μg/ml and oral bioavailability 28.5 ± 3.1%.
Conclusions
The CTO/HDCK formulation could enhance oral bioavailability of CTO in non-human primates. This oral formulation could be an alternative to injectable CTO with enhanced clinical effects.
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Abbreviations
- ASBT:
-
apical sodium bile acid transporter
- AUC:
-
area under the curve
- Cmax :
-
the maximum plasma concentration
- CTO:
-
sodium ceftriaxone
- DAPI:
-
4,6-diamidino-2-phenylindole
- DOCA:
-
deoxycholic acid
- HDCK:
-
an oral drug carrier derived from deoxycholic acid
- HPMCP:
-
hydroxypropyl methylcellulose phthalate
- IVF:
-
in vitro fertilization
- KRICT:
-
Korea Research Institute of Chemical Technology
- MDCK:
-
Madin-Darby canine kidney
- PAMPA:
-
parallel artificial membrane permeability assay
- THF:
-
tetrahydrofuran
- Tmax :
-
the time to reach the peak concentration
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ACKNOWLEDGMENTS AND DISCLOSURES
Ok-Cheol Jeon and Seung Rim Hwang contributed equally to this work. This study was supported by the Converging Research Center Program (grant no. 2012K001398) and the World Class University (WCU) program (grant no. R31-2008-000-10103-0) of the National Research Foundation of Korea (NRF), which is funded by the Ministry of Education, Science and Technology in Korea.
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Jeon, OC., Hwang, S.R., Al-Hilal, T.A. et al. Oral Delivery of Ionic Complex of Ceftriaxone with Bile Acid Derivative in Non-human Primates. Pharm Res 30, 959–967 (2013). https://doi.org/10.1007/s11095-012-0932-0
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DOI: https://doi.org/10.1007/s11095-012-0932-0