Centre for Pharmaceutical Nanotechnology, Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research-NIPER, SAS Nagar-Mohali, Phase X, Sector-67, Punjab 160062, India.
J Control Release. 2013 Aug 28;170(1):15-40. doi: 10.1016/j.jconrel.2013.04.020. Epub 2013 May 3.
The present report focuses on the various aspects of oral delivery of anticancer drugs. The significance of oral delivery in cancer therapeutics has been highlighted which principally includes improvement in quality of life of patients and reduced health care costs. Subsequently, the challenges incurred in the oral delivery of anticancer agents have been especially emphasized. Sincere efforts have been made to compile the various physicochemical properties of anticancer drugs from either literature or predicted in silico via GastroPlus™. The later section of the paper reviews various emerging trends to tackle the challenges associated with oral delivery of anticancer drugs. These invariably include efflux transporter based-, functional excipient- and nanocarrier based-approaches. The role of drug nanocrystals and various others such as polymer based- and lipid based-nanocarriers in the bioavailability enhancement along with their clinical outcomes has also been discussed exhaustively. Furthermore, an insight on the various absorption mechanisms of these nanocarriers across the gastrointestinal tract has also been highlighted.
本报告重点介绍了抗癌药物经口腔给药的各个方面。经口腔给药在癌症治疗中的重要性已得到强调,主要包括提高患者的生活质量和降低医疗保健成本。随后,特别强调了抗癌药物经口腔给药所面临的挑战。我们真诚地努力从文献或通过 GastroPlus™ 进行的计算机模拟中收集抗癌药物的各种物理化学性质。本文的后一部分综述了各种新兴趋势,以解决与抗癌药物经口腔给药相关的挑战。这些趋势包括基于外排转运体、功能性赋形剂和纳米载体的方法。还详细讨论了药物纳米晶体和其他各种纳米载体(如聚合物基和脂质基纳米载体)在提高生物利用度及其临床效果方面的作用。此外,还强调了这些纳米载体在胃肠道中的各种吸收机制。