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  4. Improved Bioavailability of Montelukast through a Novel Oral Mucoadhesive Film in Humans and Mice

Improved Bioavailability of Montelukast through a Novel Oral Mucoadhesive Film in Humans and Mice

Pharmaceutics, 2021 · DOI: 10.3390/pharmaceutics13010012 · Published: December 23, 2020

PharmacologyNeurology

Simple Explanation

Montelukast (MTK) is a drug used for asthma and allergies, but it doesn't always absorb well in the body. This study aimed to create a new way to take MTK, using a film that sticks to the inside of the mouth, to see if it could improve how much of the drug gets into the bloodstream and brain. The researchers tested the film in healthy people and in mice with a disease similar to Alzheimer's. They compared the film to the regular tablet form of MTK. They measured how much MTK was in the blood and spinal fluid to see how well it was absorbed. The MTK film showed better absorption compared to the tablet, and MTK was found in the spinal fluid of both humans and mice. This suggests the film could be a better way to deliver MTK, especially for people who have trouble swallowing or for treating brain-related conditions.

Study Duration
13 weeks (mice chronic exposure)
Participants
8 healthy human volunteers, C57BL6 female mice (n = 10), 5xFAD mice (n = 44)
Evidence Level
Level 1: Phase 1 clinical study in humans and preclinical study in mice

Key Findings

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    The novel MTK film demonstrated significantly improved bioavailability compared to the marketed tablet in the clinical Phase 1a study.
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    Measurable amounts of MTK present in the cerebrospinal fluid (CSF) in humans after administration of the mucoadhesive film.
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    In mice, MTK was detected in serum and CSF after acute and chronic exposure in a dose-dependent manner, demonstrating Blood-Brain-Barrier (BBB) penetrance.

Research Summary

The study aimed to improve the bioavailability of Montelukast (MTK) by reformulating it into a mucoadhesive film for oral administration, addressing the limitations of existing tablet forms. A Phase 1 clinical study in humans showed that the MTK film had significantly improved bioavailability compared to the marketed tablet, with measurable amounts of MTK detected in the cerebrospinal fluid (CSF). Preclinical studies in mice, including a model of Alzheimer's disease, confirmed the presence of MTK in serum and CSF after both acute and chronic exposure, suggesting the potential of the film for repurposing MTK in neurodegenerative diseases.

Practical Implications

Improved Drug Delivery

The mucoadhesive film offers a promising alternative for delivering MTK, particularly for patients with dysphagia or those seeking improved bioavailability.

Potential for Repurposing

The ability of the MTK film to deliver the drug to the brain suggests its potential use in treating neurodegenerative diseases like Alzheimer's disease, dementia, and stroke.

New Treatment Options

The faster drug release and earlier Tmax of the film compared to tablets may open new indications for MTK, such as treating acute allergic symptoms.

Study Limitations

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