Effects of Excipients in Oral Drug Absorption

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Physical Pharmacy and Formulation".

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 7317

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Guest Editor
Department Engineering Pharmacy Section, Miguel Hernandez University, San Juan de Alicante, 03550 Alicante, Spain
Interests: oral absorption; intestinal permeability methods; in vitro–in vivo correlations; PK modelling
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Guest Editor
UCB Pharma SA, 1420 Braine l’Alleud, Belgium
Interests: biopharmaceutics; biowaivers; oral absorption; dissolution; PBBM

Special Issue Information

Dear Colleagues,

Excipients have been considered in the past as inactive and inert substances, but over the years numerous studies have contradicted this belief. Excipients may affect oral bioavailability of a drug product through their effects on drug release, membrane permeability, gastrointestinal (GI) physiology (motility and volumes) and drug first pass metabolism. The relevance and clinical impact of excipient effects differ according to the properties of the drug and formulation – while excipient changes for BCS Class 1 drugs are generally considered to be lower risk, additional mechanistic insight is needed to assess the potential impact of an excipient for other BCS classes. The observed effects of excipients in the oral absorption process have been characterized in the past, mainly in vitro (i.e., in dissolution studies, in vitro cell culture methods, or in situ animal studies). Nevertheless, the development and validation of all these in vitro and preclinical models is still ongoing and a clear predictive link to the clinical performance of drug products (i.e., their impact on Cmax or AUC), is still missing. Furthermore, some of the clinical BE study failures which are widely cited as examples of excipient effects lack mechanistic insight into how the excipient could perpetrate the effect observed. On the other hand, the mentioned in vitro and preclinical methods cover only partially some of the proposed mechanisms, and excipient effects in humans continue to be explored using modern techniques, e.g., exploration of effects on motility and water fluxes using human intubation studies coupled with image methodologies (as MRI) and computational fluid dynamic models. The aim of this Special Issue is to cover the latest insights in excipient effects on oral absorption from a mechanistic perspective, including the new in vitro predictive models and the computational and database approaches to get risk-based assessment tools to help in formulation selection.

Prof. Dr. Isabel Gonzalez-Alvarez
Prof. Dr. Marival Bermejo
Dr. Talia Flanagan
Guest Editors

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Keywords

  • excipient effect
  • oral dosage forms
  • solubilization
  • drug carriers
  • oral bioavailability
  • biowaiver risks
  • gastrointestinal Image methods
  • in vivo predictive dissolution IPD
  • permeability enhancers
  • GI motility

Published Papers (2 papers)

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Research

18 pages, 2113 KiB  
Article
Exploitation of Design-of-Experiment Approach for Design and Optimization of Fast-Disintegrating Tablets for Sublingual Delivery of Sildenafil Citrate with Enhanced Bioavailability Using Fluid-Bed Granulation Technique
by Amer S. AlAli, Mohammed F. Aldawsari, Ahmed Alalaiwe, Bjad K. Almutairy, Ramadan Al-Shdefat, Ismail A. Walbi and Mohamed H. Fayed
Pharmaceutics 2021, 13(6), 870; https://doi.org/10.3390/pharmaceutics13060870 - 12 Jun 2021
Cited by 11 | Viewed by 3035
Abstract
Sildenafil citrate undergoes first-pass metabolism, resulting in poor oral bioavailability at 25–41% of the administered dose. This study aimed to design and optimize fast-disintegrating tablets for the sublingual delivery of sildenafil citrate to improve bioavailability and facilitate rapid onset of action. The design-of-experiment [...] Read more.
Sildenafil citrate undergoes first-pass metabolism, resulting in poor oral bioavailability at 25–41% of the administered dose. This study aimed to design and optimize fast-disintegrating tablets for the sublingual delivery of sildenafil citrate to improve bioavailability and facilitate rapid onset of action. The design-of-experiment (DoE) approach using 32 full factorial design was conducted to develop a new formulation of sildenafil fast-disintegrating sublingual tablets (FDSTs) using the fluid-bed granulation technique. The levels of partially pre-gelatinized starch (5–15%) and microcrystalline cellulose (10–60%) were selected as independent formulation variables. The prepared FDSTs were investigated for physical properties. Further, the optimum formulation was chosen for in vivo study in rabbits. Regression analysis showed that independent variables have a significant (p < 0.05) influence on critical attributes of FDSTs. The optimized formulation showed acceptable mechanical strength (friability < 1.0%) with very fast disintegration (14.561 ± 0.84 s) and dissolution (94.734 ± 2.76% after 15 min). Further, the optimized formulation demonstrated a significant increase (p < 0.01) in Cmax and AUC0–∞ with short tmax compared to the market product (Viagra®). Based on these results, using the DoE approach, a high level of assurance was achieved for FDSTs’ product quality and performance. Full article
(This article belongs to the Special Issue Effects of Excipients in Oral Drug Absorption)
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12 pages, 4274 KiB  
Article
An In Vivo Predictive Dissolution Methodology (iPD Methodology) with a BCS Class IIb Drug Can Predict the In Vivo Bioequivalence Results: Etoricoxib Products
by Isabel Gonzalez-Alvarez, Marival Bermejo, Yasuhiro Tsume, Alejandro Ruiz-Picazo, Marta Gonzalez-Alvarez, Bart Hens, Alfredo Garcia-Arieta, Greg E. Amidon and Gordon L. Amidon
Pharmaceutics 2021, 13(4), 507; https://doi.org/10.3390/pharmaceutics13040507 - 07 Apr 2021
Cited by 7 | Viewed by 3055
Abstract
The purpose of this study was to predict in vivo performance of three oral products of Etoricoxib (Arcoxia® as reference and two generic formulations in development) by conducting in vivo predictive dissolution with GIS (Gastro Intestinal Simulator) and computational analysis. Those [...] Read more.
The purpose of this study was to predict in vivo performance of three oral products of Etoricoxib (Arcoxia® as reference and two generic formulations in development) by conducting in vivo predictive dissolution with GIS (Gastro Intestinal Simulator) and computational analysis. Those predictions were compared with the results from previous bioequivalence (BE) human studies. Product dissolution studies were performed using a computer-controlled multicompartmental dissolution device (GIS) equipped with three dissolution chambers, representing stomach, duodenum, and jejunum, with integrated transit times and secretion rates. The measured dissolved amounts were modelled in each compartment with a set of differential equations representing transit, dissolution, and precipitation processes. The observed drug concentration by in vitro dissolution studies were directly convoluted with permeability and disposition parameters from literature to generate the predicted plasma concentrations. The GIS was able to detect the dissolution differences among reference and generic formulations in the gastric chamber where the drug solubility is high (pH 2) while the USP 2 standard dissolution test at pH 2 did not show any difference. Therefore, the current study confirms the importance of multicompartmental dissolution testing for weak bases as observed for other case examples but also the impact of excipients on duodenal and jejunal in vivo behavior. Full article
(This article belongs to the Special Issue Effects of Excipients in Oral Drug Absorption)
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