Pharmacokinetics and pharmacodynamics of oral heparin solid dosage form in healthy human subjects

J Clin Pharmacol. 2007 Dec;47(12):1508-20. doi: 10.1177/0091270007307242.

Abstract

The present investigation determined the molecular structure and the pharmacokinetic and pharmacodynamic profiles of oral unfractionated heparin containing oral absorption enhancer sodium N-[8-(2-hydroxybenzoyl) amino]caprylate, salcaprozate sodium (SNAC) and assessed the safety and tolerability of the orally dosed heparin solid dosage form versus other routes. Sixteen healthy men were included in this single-dose, 3-way crossover, randomized, open-label study. Disaccharide compositional analysis was performed using capillary high-performance liquid chromatography with electrospray ionization mass spectrometry detection. The pharmacodynamics of heparin were obtained from analysis of plasma anti-factor Xa, anti-factor IIa, activated partial thromboplastin time, and total tissue factor pathway inhibitor data. The molecular weight properties and the disaccharide composition of orally administered unfractionated heparin/SNAC and parenterally administered unfractionated heparin are identical and consistent with the starting pharmaceutical standard heparin. Furthermore, the anti-factor Xa/anti-factor IIa ratio achieved is of approximately 1:1. This is the first true pharmacokinetic study to measure the chemical compositions of heparin administered by different routes.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Caprylates / chemistry*
  • Capsules
  • Chromatography, High Pressure Liquid
  • Cross-Over Studies
  • Gelatin / chemistry
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Heparin, Low-Molecular-Weight / chemistry
  • Heparin, Low-Molecular-Weight / pharmacokinetics*
  • Humans
  • Injections, Intravenous
  • Injections, Subcutaneous
  • Male
  • Middle Aged
  • Spectrometry, Mass, Electrospray Ionization

Substances

  • Caprylates
  • Capsules
  • Heparin, Low-Molecular-Weight
  • N-(8-(2-hydroxybenzoyl)amino)caprylate
  • Gelatin