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Published on: April 6, 2017
Novel theophylline oral drops for pediatric use and biological evaluation
Ernestina Hernández García1, David Calderón Guzmán2, Norma Osnaya Brizuela2
1Laboratory of Pharmacology, National Institute of Pediatrics, Mexico.
Insights
A new oral theophylline formulation was developed for children with asthma. This theophylline drops formulation effectively reduced airway inflammation and oxidative stress in an asthma model.
Area of Science:
- Pharmacology
- Pediatric Medicine
- Respiratory Diseases
Background:
- Asthma significantly impacts children's quality of life globally.
- Theophylline, a phosphodiesterase inhibitor, is used for respiratory diseases but lacks a pediatric formulation.
- Existing treatments do not cater to the specific needs of pediatric asthma management.
Purpose of the Study:
- To develop and pharmacologically evaluate a novel oral theophylline formulation for pediatric use.
- To investigate the protective effects of this theophylline formulation on airway inflammation and oxidative stress in a mouse asthma model.
- To assess the formulation's stability, pharmacokinetics, and therapeutic potential in managing childhood asthma.
Main Methods:
- Development and characterization of an oral theophylline formulation (dose, rheology, pH, stability, pharmacokinetics).
- Evaluation in an ovalbumin-induced asthma model in Balb/c mice.
- Assessment of mucus production, inflammatory markers, reactive oxygen species generation, and lung histology.
Main Results:
- The theophylline formulation met all quality and pharmacokinetic specifications.
- Theophylline significantly inhibited ovalbumin-induced mucus production and airway inflammation.
- The formulation reduced reactive oxygen species generation and mitigated lung cell damage in the asthma model.
Conclusions:
- The novel oral theophylline formulation is stable, well-characterized, and effective in preclinical asthma models.
- Theophylline demonstrates potential in relieving asthmatic airway inflammation and oxidative stress in children.
- This formulation represents a promising therapeutic option for managing childhood asthma.
Abstract:
Asthma, a global public health issue, seriously affects the quality of the children´s life. Theophylline, a phosphodiesterase inhibitor, is a drug that has been employed in treating respiratory diseases. In fact, pediatric formulation of theophylline for this purpose does not exist. Purpose: For this reason, we embarked, as an objective, the development and pharmacological evaluation of a new oral theophylline formulation, and studied the protective effects of this novel theophylline formulation on asthma, particularly its action on airway inflammation and on the modulation of oxidative stress biomarkers in a standard experimental asthma model, using ovalbumin sensitized Balb/c mice. The new oral theophylline drops not only met the parameters of exact dose, rheology, compatibility, viscosity, pH, taste and stability: but also fulfills the specifications of the pharmacokinetic parameters validated by HPLC-UV and Mass Spectroscopy. In Vivo the results showed that theophylline significantly inhibited OVA-induced mucus production and inflammatory response, and considerably impaired OVA-induced generation of reactive oxygen species. The results suggest that the theophylline formulation relieves asthmatic airway inflammation. Besides, histological changes revealed lesions of lung cells in experimental animals treated with ovalbumin. We believe that this involves oxidative stress-responsive lipid peroxidation pathway; thus, highlighting its potential as a useful therapeutic agent in the management of asthmatic children.
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