A. Bernkop-schnurch et al., Synthesis, development and in vitro evaluation of drug delivery systems with protective effect against degradation by pepsin, J DRUG TAR, 7(1), 1999, pp. 55-63
A (poly)peptide drug delivery system providing a protective effect against
degradation by pepsin has been generated. A simplified pepstatin analogue w
as thereby synthesised displaying a terminally located primary amino group
allowing an easy covalent attachment to anionogenic mucoadhesive polymers b
y the formation of amide bonds. The IC50 of this novel inhibitor was determ
ined to be 6.65 +/- 1.05 x 10(-6) M. Mediated by a carbodiimide it was cova
lently bound to polycarbophil and sodium carboxymethyl cellulose (NaCMC). I
n contrast to polycarbophil-inhibitor conjugates, NaCMC-inhibitor conjugate
s displayed a high inhibitory effect towards pepsin. The protective effect
of tablets containing a NaCMC-pepsin inhibitor conjugate (10%), NaCMC (56.7
%), insulin(3.3%), and mannitol (30%) was evaluated in vitro. Tablets were
therefore incubated for 2 h at 37 degrees C with simulated gastric fluid ac
cording to the Pharmacopoeia Europea. Following analysis demonstrated that
50.8 +/- 8.6% (mean +/- SD; n = 3) of insulin were degraded within the swol
len carrier matrix, whereas insulin was completely metabolised in tablets w
ithout the NaCMC-pepsin inhibitor conjugate. This protective effect against
degradation by pepsin might make such dosage forms useful tools for a targ
eted (poly)peptide delivery to the stomach.