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February 1, 2019International Journal of NanomedicineOpen Access

Strategic approach to developing a self-microemulsifying drug delivery system to enhance antiplatelet activity and bioavailability of ticagrelor

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Why the study?

Ticagrelor is used to inhibit platelet aggregation in acute coronary syndrome, but poor solubility and low bioavailability limit its in vivo efficacy.

Does a ticagrelor-loaded self-microemulsifying drug delivery system improve oral bioavailability and antiplatelet activity compared to raw ticagrelor suspension in rats?

Population

Caco-2 cells and rats

Comparison

Ticagrelor-loaded self-microemulsifying drug delivery system vs raw ticagrelor suspension or Brilinta

Design

Preclinical formulation and pharmacokinetic study

Key result

An optimized ticagrelor-loaded SMEDDS formulation at 5 mg/kg achieved a similar area under the inhibitory curve for antiplatelet activity as a 10 mg/kg dose of raw ticagrelor suspension in rats.

Authors

YNYoung‐Guk NaJBJin‐Ju ByeonMWMiao Wang

Discussion

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Member takes

Overview

Half-dose ticagrelor-SMEDDS matches suspension antiplatelet effect in rats; leaves open clinical translation and human outcomes.

Structured PICO

Does a ticagrelor-loaded self-microemulsifying drug delivery system improve oral bioavailability and antiplatelet activity compared to raw ticagrelor suspension in rats?

P
Population
Caco-2 cells and rat models
I
Intervention
Ticagrelor-loaded self-microemulsifying drug delivery system (TCG-SM) composed of 10.0% Capmul MCM, 53.8% Cremophor EL, and 36.2% Transcutol P
C
Comparator
Raw ticagrelor suspension and commercial product (Brilinta)
O
Outcome
Oral bioavailability (AUC and Cmax) and antiplatelet activity (inhibition of platelet aggregation)surrogate

Main Result

Absolute Event Rate: 907.8% vs 907%

A novel self-microemulsifying drug delivery system for ticagrelor significantly enhanced its oral bioavailability and antiplatelet efficacy in a preclinical rat model.

Cite This Study

Na et al. (2019) studied Acute coronary syndrome (preclinical model). Ticagrelor-loaded SMEDDS (TCG-SM) vs. Raw ticagrelor suspension (10 mg/kg) was evaluated on Area under the inhibitory curve for antiplatelet activity. An optimized ticagrelor-loaded SMEDDS formulation at 5 mg/kg achieved a similar area under the inhibitory curve for antiplatelet activity as a 10 mg/kg dose of raw ticagrelor suspension in rats.

synapsesocial.com/papers/6a125a4945487b7639a64f85https://doi.org/10.2147/ijn.s190426
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Polymeric Micelles, a Promising Drug Delivery System to Enhance Bioavailability of Poorly Water-Soluble Drugs2013 · 592 citations
  2. 2Statistical Significance and the Dichotomization of Evidence2017 · 173 citations
  3. 3Development and optimization of a self-microemulsifying drug delivery system for atorvastatin calcium by using D-optimal mixture design2015 · 65 citations