4.7 Review

Optimizing Absorption for Intranasal Delivery of Drugs Targeting the Central Nervous System Using Alkylsaccharide Permeation Enhancers

相关参考文献

注意:仅列出部分参考文献,下载原文获取全部文献信息。
Article Clinical Neurology

The nose has it: Opportunities and challenges for intranasal drug administration for neurologic conditions including seizure clusters

Steve Chung et al.

Summary: Nasal administration is a significant advancement in treating neurologic conditions. The nasal cavity's complex anatomy and physiology pose challenges for drug absorption, but also enable direct delivery to the central nervous system. Nasal sprays are easy to use and offer quick and consistent bioavailability, making them suitable for treating seizure clusters.

EPILEPSY & BEHAVIOR REPORTS (2023)

Article Allergy

Pharmacokinetic and pharmacodynamic comparison of epinephrine, administered intranasally and intramuscularly An integrated analysis

Sarina Tanimoto et al.

Summary: This study compared the pharmacokinetic and pharmacodynamic profiles of epinephrine delivered through manual intramuscular injection, autoinjectors, and intranasal spray. The results showed that intranasal delivery of epinephrine using neffy increased systolic blood pressure more efficiently than manual intramuscular injection and epinephrine autoinjectors, despite lower maximum plasma concentrations.

ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY (2023)

Article Instruments & Instrumentation

Intranasal drug delivery: opportunities and toxicologic challenges during drug development

Lea-Adriana Keller et al.

Summary: In the last decade, there has been a growing interest in intranasal drug delivery in pharmaceutical R&D. This review article highlights the advantages of nasal delivery for local and systemic drug delivery, as well as for CNS indications, compared to conventional systemic approaches. However, formulation limitations and toxicological considerations remain areas that need further optimization in this field.

DRUG DELIVERY AND TRANSLATIONAL RESEARCH (2022)

Article Pharmacology & Pharmacy

Effect of Different Absorption Enhancers on the Nasal Absorption of Nalmefene Hydrochloride

Ting Zhang et al.

Summary: The study explored the effects of novel absorption enhancers on the nasal absorption of nalmefene hydrochloride. The results showed that DDM had the strongest enhancement effect and good safety profile, making it a promising nasal absorption enhancer.

AAPS PHARMSCITECH (2022)

Review Clinical Neurology

Using the Intranasal Route to Administer Drugs to Treat Neurological and Psychiatric Illnesses: Rationale, Successes, and Future Needs

Andrew Lofts et al.

Summary: Intranasal drug delivery to the brain shows potential for treating neurological and psychiatric illnesses, but challenges remain. This review discusses the current understanding of this drug delivery pathway and addresses barriers to drug transport. It also explores the development of nanoparticle systems for delivering drugs to the brain.

CNS DRUGS (2022)

Review Respiratory System

Delivery of Dihydroergotamine Mesylate to the Upper Nasal Space for the Acute Treatment of Migraine: Technology in Action

Wade Cooper et al.

Summary: Oral tablets are commonly used to treat migraines, but their effectiveness can be limited by slow absorption. Nasal drug delivery offers a convenient alternative, allowing for rapid absorption into the bloodstream. The traditional lower nasal space is not ideal for drug absorption, but a new technology called Precision Olfactory Delivery (POD) can target drug delivery to the upper nasal space, providing favorable pharmacokinetics and high patient acceptance.

JOURNAL OF AEROSOL MEDICINE AND PULMONARY DRUG DELIVERY (2022)

Article Polymer Science

Intranasal Delivery of Darunavir-Loaded Mucoadhesive In Situ Gel: Experimental Design, In Vitro Evaluation, and Pharmacokinetic Studies

Anroop B. Nair et al.

Summary: This study aimed to develop an in situ mucoadhesive gel loaded with darunavir for targeted treatment of NeuroAIDS. The optimized gel formulation exhibited favorable pharmaceutical characteristics, including sustained drug release and high permeation across the nasal mucosa. In vivo pharmacokinetic studies in rats showed significantly higher drug concentrations in the brain after nasal application compared to the intravenous route, indicating the potential importance of this nasal gel for the treatment of NeuroAIDS.
Article Chemistry, Applied

Nano-lipidic formulation and therapeutic strategies for Alzheimer's disease via intranasal route

Shourya Tripathi et al.

Summary: Lipid nanocarriers have shown promise in targeting the brain, improving drug pharmacokinetic properties, and reducing side effects. The intranasal route is particularly highlighted for its ability to bypass the blood-brain barrier and directly deliver drugs to the brain.

JOURNAL OF MICROENCAPSULATION (2021)

Review Clinical Neurology

Overcoming the challenges of developing an intranasal diazepam rescue therapy for the treatment of seizure clusters

James Cloyd et al.

Summary: Effective treatment of seizure clusters is crucial to prevent progression to prolonged seizures and status epilepticus. Intranasal administration of benzodiazepines, such as diazepam, has shown potential advantages, including consistent bioavailability and less variability compared to rectal gel formulations. Further research is ongoing to develop novel intranasal benzodiazepine formulations to enhance rescue therapy efficacy.

EPILEPSIA (2021)

Article Behavioral Sciences

Lack of observed impact of history or concomitant treatment of seasonal allergies or rhinitis on repeated doses of diazepam nasal spray administered per seizure episode in a day, safety, and tolerability: Interim results from a phase 3, open-label, 12-month repeat-dose safety study

Blanca Vazquez et al.

Summary: This study demonstrates that seasonal allergies do not appear to impact the efficacy of intranasal formulations for treating epilepsy, and there is no significant difference in the use of a second dose between patients with and without seasonal allergies. Diazepam nasal spray shows a similar safety and tolerability profile in patients with and without a history of seasonal allergies.

EPILEPSY & BEHAVIOR (2021)

Article Clinical Neurology

Final results from a Phase 3, long-term, open-label, repeat-dose safety study of diazepam nasal spray for seizure clusters in patients with epilepsy

James W. Wheless et al.

Summary: In this Phase 3 safety study, diazepam nasal spray showed consistent safety profile in patients with epilepsy and frequent seizure clusters. The high retention rate and low use of second doses indicate effectiveness of the treatment. No serious treatment-related adverse events were reported, with nasal discomfort being the most common adverse event associated with treatment.

EPILEPSIA (2021)

Article Behavioral Sciences

Examining the patient and caregiver experience with diazepam nasal spray for seizure clusters: Results from an exit survey of a phase 3, open-label, repeat-dose safety study

Patricia Penovich et al.

Summary: The phase 3 safety study of diazepam nasal spray showed that patients and caregivers were more satisfied with and comfortable using diazepam nasal spray than rectal diazepam, especially in public settings.

EPILEPSY & BEHAVIOR (2021)

Review Pharmacology & Pharmacy

Improvement of Intranasal Drug Delivery with Intravail(R) Alkylsaccharide Excipient as a Mucosal Absorption Enhancer Aiding in the Treatment of Conditions of the Central Nervous System

Adrian L. Rabinowicz et al.

Summary: Intranasal drug administration is a common route for therapeutic formulations, but challenges such as poor absorption and mucosal tissue damage exist. Potential absorption enhancers like alkylsaccharides have been investigated to address these issues, improving absorption of therapeutic agents across mucosal membranes and applicable to a wide range of molecules. Alkylsaccharide excipients, such as dodecyl maltoside, have shown to be nonirritating and effective in enhancing systemic bioavailability, and are used in FDA-approved intranasal formulations for migraine and epilepsy patients.

DRUGS IN R&D (2021)

Article Pharmacology & Pharmacy

Naloxone Administration by Untrained Community Members

William Eggleston et al.

PHARMACOTHERAPY (2020)

Article Pharmacology & Pharmacy

Enhanced Intranasal Absorption of Naltrexone by Dodecyl Maltopyranoside: Implications for the Treatment of Opioid Overdose

Philip Krieter et al.

JOURNAL OF CLINICAL PHARMACOLOGY (2019)

Article Pharmacology & Pharmacy

Fighting Fire with Fire: Development of Intranasal Nalmefene to Treat Synthetic Opioid Overdose

Philip Krieter et al.

JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS (2019)

Review Neurosciences

Evaluation of intranasal delivery route of drug administration for brain targeting

Franciska Erdo et al.

BRAIN RESEARCH BULLETIN (2018)

Article Pharmacology & Pharmacy

Nose-To-Brain Delivery of PLGA-Diazepam Nanoparticles

Deepak Sharma et al.

AAPS PHARMSCITECH (2015)

Review Instruments & Instrumentation

High efficiency intranasal drug delivery using Intravail® alkylsaccharide absorption enhancers

Edward T. Maggio et al.

DRUG DELIVERY AND TRANSLATIONAL RESEARCH (2013)

Article Instruments & Instrumentation

Nasal drug delivery devices: characteristics and performance in a clinical perspective-a review

Per Gisle Djupesland

DRUG DELIVERY AND TRANSLATIONAL RESEARCH (2013)

Review Pharmacology & Pharmacy

Anatomical and Histological Factors Affecting Intranasal Drug and Vaccine Delivery

Sveinbjorn Gizurarson

CURRENT DRUG DELIVERY (2012)

Article Chemistry, Medicinal

Chain length-dependent effects of alkylmaltosides on nasal absorption of enoxaparin

F Mustafa et al.

JOURNAL OF PHARMACEUTICAL SCIENCES (2004)

Article Chemistry, Medicinal

Nasal administration of low molecular weight heparin

J Arnold et al.

JOURNAL OF PHARMACEUTICAL SCIENCES (2002)

Article Chemistry, Multidisciplinary

Effects of pH and dose an nasal absorption of scopolamine hydrobromide in human subjects

S Ahmed et al.

PHARMACEUTICAL RESEARCH (2000)

Article Pharmacology & Pharmacy

Chitosans as nasal absorption enhancers of peptides: comparison between free amine chitosans and soluble salts

P Tengamnuay et al.

INTERNATIONAL JOURNAL OF PHARMACEUTICS (2000)