Abstract

RATIONALE: Regional lung deposition of inhaled particles depends on particle size as well as inspiratory flow rate and other factors. Inhaled particles of aerodynamic size around 2 μm have been found to deposit most efficiently in the alveolar region across a broad range of inspiratory flow rates. In vivo studies of mometasone furoate (MF) delivered by the Twisthaler® showed mean peak inspiratory flow rates (PIFR) at satisfactory levels in adult/adolescent patients aged ≥12 years (69 L/min), children aged 9-12 years (>60 L/min), and children aged 5-8 years (>50 L/min). We report particle size findings from an in vitro study analyzing the mass median aerodynamic diameter (MMAD) of MF.METHODS: Twelve inhalers each of the 110 and 220 μg/inhalation strengths were tested in vitro at the beginning and end of unit lives at a 60 L/min flow rate. Aerosolized MF was collected by cascade impaction for 2 inhalations from the 110 μg/inhalation strength and 1 inhalation from the 220 μg/inhalation strength, thereby providing similar particle masses.RESULTS: The average MMAD of the 110 μg strength for beginning and ending inhalations (n=24) was 2.0 μm (range, 1.9-2.1 μm), while the 220 μg strength for beginning and ending inhalations (n=24) was 2.2 μm (range, 2.0-2.4 μm).CONCLUSION: Average MMAD values of MF for both strengths measured in vitro at a clinically relevant flow rate, together with in vivo particle-size efficiency deposition models, suggest that the particle size of MF is optimal (∼2 μm) for efficient alveolar deposition when administered via the Twisthaler®. RATIONALE: Regional lung deposition of inhaled particles depends on particle size as well as inspiratory flow rate and other factors. Inhaled particles of aerodynamic size around 2 μm have been found to deposit most efficiently in the alveolar region across a broad range of inspiratory flow rates. In vivo studies of mometasone furoate (MF) delivered by the Twisthaler® showed mean peak inspiratory flow rates (PIFR) at satisfactory levels in adult/adolescent patients aged ≥12 years (69 L/min), children aged 9-12 years (>60 L/min), and children aged 5-8 years (>50 L/min). We report particle size findings from an in vitro study analyzing the mass median aerodynamic diameter (MMAD) of MF. METHODS: Twelve inhalers each of the 110 and 220 μg/inhalation strengths were tested in vitro at the beginning and end of unit lives at a 60 L/min flow rate. Aerosolized MF was collected by cascade impaction for 2 inhalations from the 110 μg/inhalation strength and 1 inhalation from the 220 μg/inhalation strength, thereby providing similar particle masses. RESULTS: The average MMAD of the 110 μg strength for beginning and ending inhalations (n=24) was 2.0 μm (range, 1.9-2.1 μm), while the 220 μg strength for beginning and ending inhalations (n=24) was 2.2 μm (range, 2.0-2.4 μm). CONCLUSION: Average MMAD values of MF for both strengths measured in vitro at a clinically relevant flow rate, together with in vivo particle-size efficiency deposition models, suggest that the particle size of MF is optimal (∼2 μm) for efficient alveolar deposition when administered via the Twisthaler®.

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call