Gastrointestinal Variables and Drug Absorption: Experimental, Computational and In Vitro Predictive Approaches, Volume II

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Biopharmaceutics".

Deadline for manuscript submissions: closed (20 March 2024) | Viewed by 6707

Special Issue Editors


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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
Special Issues, Collections and Topics in MDPI journals
Drug Product Design, Pfizer UK, Ramsgate Road, Sandwich, Kent CT13 9NJ, UK
Interests: PBPK modeling; in vitro dissolution testing; mechanistic oral absorption modeling; formulation design; bioequivalence; bioavailability

Special Issue Information

Dear Colleagues,

As more and more poorly soluble compounds (i.e., Biopharmaceutics Classification System (BCS) class 2 and 4 compounds) populate the pharmaceutical pipeline, developing a drug formulation that shows sufficient bioavailability (BA) after oral administration of the drug product is becoming tremendously challenging. Nevertheless, enabling formulations are gaining a lot of momentum as these strategies focus on increasing luminal concentrations along the human gastrointestinal (GI) tract in order to gain higher driving forces for intestinal absorption. Increasing luminal concentrations can be established by increasing the solubilization of the drug or by creating supersaturated concentrations. As GI physiology is extremely dynamic at the time of administration, predicting luminal behaviour for these drug compounds is challenging when formulated as an enabling formulation. Indeed, GI variables such as residual volumes, emptying and transit times may positively or negatively impact the luminal concentrations of drugs. What is even more challenging is demonstrating bioequivalence (BE) for generic drug candidates formulated as enabling formulations. From that perspective, significant attention is directed toward in silico modelling where virtual BE populations can be applied to study interindividual variability and to design a so-called safe space for dissolution in order to achieve the new candidate formulation. As these simulations are supported by the input of data derived from in vitro studies (e.g., solubility, dissolution and permeability), this is a promising strategy for establishing biowaivers for these formulations.

In this Special Issue, we will focus on studies that were performed to explore how in vivo, in vitro and in silico approaches can serve as a solid basis for predicting in vivo performances of enabling formulations in different populations (e.g., paediatrics, elderly and patients). This Special Issue is open for in vivo, in vitro and in silico investigations that were conducted to predict oral BA or BE for these formulations.

Prof. Dr. Marival Bermejo
Prof. Dr. Isabel Gonzalez-Alvarez
Dr. Bart Hens
Guest Editors

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Keywords

  • oral bioavailability
  • in vitro dissolution testing
  • in silico modeling
  • in vivo techniques
  • gastrointestinal
  • PopPK
  • PBPK modeling
  • virtual bioequivalence
  • oral drug absorption
  • enabling formulations
  • solid dispersions
  • lipid-based formulations
  • nanoparticles and microparticles
  • in vivo dissolution
  • human intubation studies
  • MRI
  • Manometry
  • computational fluid dynamics
  • oral absorption
  • bioequivalence
  • gastrointestinal motility
  • human intestinal fluids
  • BCS
  • intestinal permeability
  • in vitro dissolution methods

Published Papers (2 papers)

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Research

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17 pages, 2240 KiB  
Article
The Role of Paracellular Transport in the Intestinal Absorption and Biopharmaceutical Characterization of Minoxidil
by Milica Markovic, Moran Zur, Sapir Garsiani, Daniel Porat, Sandra Cvijić, Gordon L. Amidon and Arik Dahan
Pharmaceutics 2022, 14(7), 1360; https://doi.org/10.3390/pharmaceutics14071360 - 27 Jun 2022
Cited by 3 | Viewed by 2368
Abstract
The purpose of this study was to evaluate mechanisms behind the intestinal permeability of minoxidil, with special emphasis on paracellular transport, and elucidate the suitability of minoxidil to be a reference drug for Biopharmaceutics Classification System (BCS). The permeability of minoxidil (vs. metoprolol) [...] Read more.
The purpose of this study was to evaluate mechanisms behind the intestinal permeability of minoxidil, with special emphasis on paracellular transport, and elucidate the suitability of minoxidil to be a reference drug for Biopharmaceutics Classification System (BCS). The permeability of minoxidil (vs. metoprolol) was evaluated in-silico, in-vitro using both the PAMPA assay and across Caco-2 cell monolayers, as well as in-vivo in rats throughout the entire intestine. The permeability was studied in conditions that represent the different segments of the small intestine: upper jejunum (pH 6.5), mid small intestine (pH 7.0), distal ileum (pH 7.5), and colon (pH 6.5). Since we aimed to investigate the paracellular transport of minoxidil, we have also examined its permeability in the presence of quercetin (250 µM), which closes the tight junctions, and sodium decanoate (10 mM), which opens the tight junctions. While metoprolol demonstrated segmental-dependent rat and PAMPA permeability, with higher permeability in higher pH regions, the permeability of minoxidil was pH-independent. Minoxidil PAMPA permeability was significantly lower than its rat permeability, indicating a potential significant role of the paracellular route. In rat intestinal perfusion studies, and across Caco-2 monolayers, tight junction modifiers significantly affected minoxidil permeability; while the presence of quercetin caused decreased permeability, the presence of sodium decanoate caused an increase in minoxidil permeability. In accordance with these in-vitro and in-vivo results, in-silico simulations indicated that approximatelly 15% of minoxidil dose is absorbed paracellularly, mainly in the proximal parts of the intestine. The results of this study indicate that paracellular transport plays a significant role in the intestinal permeability of minoxidil following oral administration. Since this permeation route may lead to higher variability in comparison to transcellular, these findings diminish the suitability of minoxidil to serve as the low/high BSC permeability class benchmark. Full article
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36 pages, 4898 KiB  
Review
Application of In Vivo Imaging Techniques and Diagnostic Tools in Oral Drug Delivery Research
by Stefan Senekowitsch, Philipp Schick, Bertil Abrahamsson, Patrick Augustijns, Thomas Gießmann, Hans Lennernäs, Christophe Matthys, Luca Marciani, Xavier Pepin, Alan Perkins, Maximilian Feldmüller, Sarah Sulaiman, Werner Weitschies, Clive G. Wilson, Maura Corsetti and Mirko Koziolek
Pharmaceutics 2022, 14(4), 801; https://doi.org/10.3390/pharmaceutics14040801 - 06 Apr 2022
Cited by 5 | Viewed by 3020
Abstract
Drug absorption following oral administration is determined by complex and dynamic interactions between gastrointestinal (GI) physiology, the drug, and its formulation. Since many of these interactions are not fully understood, the COST action on “Understanding Gastrointestinal Absorption-related Processes (UNGAP)” was initiated in 2017, [...] Read more.
Drug absorption following oral administration is determined by complex and dynamic interactions between gastrointestinal (GI) physiology, the drug, and its formulation. Since many of these interactions are not fully understood, the COST action on “Understanding Gastrointestinal Absorption-related Processes (UNGAP)” was initiated in 2017, with the aim to improve the current comprehension of intestinal drug absorption and foster future developments in this field. In this regard, in vivo techniques used for the characterization of human GI physiology and the intraluminal behavior of orally administered dosage forms in the GI tract are fundamental to gaining deeper mechanistic understanding of the interplay between human GI physiology and drug product performance. In this review, the potential applications, advantages, and limitations of the most important in vivo techniques relevant to oral biopharmaceutics are presented from the perspectives of different research fields. Full article
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