Pharmacokinetic evaluation and modeling of formulated levodopa intranasal delivery systems

Eur J Pharm Sci. 2009 Dec 8;38(5):525-32. doi: 10.1016/j.ejps.2009.09.019. Epub 2009 Oct 3.

Abstract

Levodopa (L-dopa), the metabolic precursor of dopamine, has primarily been used for the treatment of Parkinson's disease (PD) in combination with carbidopa (C-dopa). This study aims to investigate the feasibility of L-dopa nasal delivery systems prepared using maleic acid solution containing 2-hydroxypropyl-beta-cyclodextrin, and to develop pharmacokinetic models. Following oral or intravenous administration of L-dopa plus C-dopa and intranasal dosing of L-dopa in the presence and absence of C-dopa to the rat, the concentrations of L-dopa in plasma and brain were determined using HPLC. The pharmacokinetic profiles were analyzed using non-compartmental and compartmental modeling approaches. Simultaneous nonlinear regression was performed to improve the identifiability of model parameters. L-Dopa was rapidly absorbed into blood and brain. The absolute bioavailabilities of oral and nasal preparations containing C-dopa were 17.7 and 45.4%, respectively. C-dopa caused a 1.2-fold decrease in the elimination rate of L-dopa, indicating decreased metabolism. Although the half-life after nasal administration was relatively short (less than 30 min) in both blood and brain regardless of C-dopa addition, the systemic exposure was promising due to rapid absorption. In conclusion, the L-dopa nasal delivery system could be used as a good rescue therapy for PD patients who experience symptom fluctuation with oral L-dopa administration.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Animals
  • Chemistry, Pharmaceutical / methods*
  • Drug Evaluation / methods
  • Levodopa / administration & dosage*
  • Levodopa / pharmacokinetics*
  • Male
  • Models, Biological*
  • Models, Chemical*
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Levodopa