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Pharmaceutical Manufacturing Handbook: Production and

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NASAL DELIVERY OF PEPTIDE AND HIGH-MOLECULAR-WEIGHT DRUGS 619<br />

Anti–factor Xa activity (U/mL)<br />

Anti–Factor Xa activity (U/mL)<br />

0.6<br />

0.5<br />

0.4<br />

0.3<br />

0.2<br />

0.1<br />

0.5% Octanoylsucrose<br />

0.25% Octanoylsucrose<br />

0.125% Octanoylsucrose<br />

Saline<br />

0.0<br />

0 100 200<br />

Time (min)<br />

(a)<br />

300 400<br />

0.6<br />

0.5<br />

0.4<br />

0.3<br />

0.2<br />

0.1<br />

0.5% Dodecanoylsucrose<br />

0.25% Dodecanoylsucrose<br />

0.125% Dodecanoylsucrose<br />

Saline<br />

0.0<br />

0 100 200 300 400<br />

Time (min)<br />

(c)<br />

0.0<br />

0 100 200<br />

Time (min)<br />

(b)<br />

300 400<br />

Time (min)<br />

(d)<br />

FIGURE 16 Changes in anti – factor Xa activity after nasal administration of enoxaparin<br />

formulated in saline or in presence of different concentrations of the following: ( a ) octanoylsucrose;<br />

( b ) decanoylsucrose; ( c ) dodecanoylsucrose; ( d ) sodium glycocholate <strong>and</strong> dodecanoylsucrose<br />

to anesthetized rats (enoxaparin dose, 330 U/kg). Data represent mean ± SEM,<br />

n = 3, 5. ( Reproduced from ref. 84 with permission of <strong>Pharmaceutical</strong> Press. )<br />

Anti–Factor Xa activity (U/mL)<br />

Anti–Factor Xa activity (U/mL)<br />

0.6<br />

0.5<br />

0.4<br />

0.3<br />

0.2<br />

0.1<br />

0.6<br />

0.5<br />

0.4<br />

0.3<br />

0.2<br />

0.1<br />

0.5% Decanoylsucrose<br />

0.25% Decanoylsucrose<br />

0.125% Decanoylsucrose<br />

Saline<br />

1% Sodium glycocholate<br />

0.5% Dodecanoylsucrose<br />

Saline<br />

0.0<br />

0 100 200 300 400<br />

The authors also studied the infl uence of the chain length of alkylmaltosides on<br />

the nasal absorption of enoxaparin. The results indicated that increases in the concentration<br />

of alkylmaltosides increased the AUC for plasma anti – factor Xa; it was<br />

found that the absolute <strong>and</strong> relative bioavailabilities of enoxaparin increased by<br />

twofold with an increase in alkyl chain length from 8 to 14 carbons. Of all the alkylmaltosides,<br />

TDM was found to be the most potent absorption enhancer [85] .<br />

Furthermore, we have also shown the effi cacy of cyclodextrins in enhancing<br />

absorption following the nasal delivery of LMWHs. Three different cyclodextrins<br />

were employed: β - cyclodextrins ( β - CD), hydroxypropyl β - CD (HP β - CD), <strong>and</strong><br />

dimethyl β - CD (DM β - CD). β - CD showed therapeutic levels of anti – factor Xa only<br />

at 2.5 <strong>and</strong> 5% β - CD, but there was no signifi cant difference between the two concentrations,<br />

which was attributed to their solubility limit. In the case of HP β - CD,<br />

neither 1.25 nor 2.5% produced an appreciable increase in anti – factor Xa levels;

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