Deparment of Biomedical Engineering, The University of Texas at Austin , TX , USA and.
Drug Dev Ind Pharm. 2014 Mar;40(3):289-300. doi: 10.3109/03639045.2013.828217. Epub 2013 Aug 30.
The screening of new active pharmaceutical ingredients (APIs) has become more streamlined and as a result the number of new drugs in the pipeline is steadily increasing. However, a major limiting factor of new API approval and market introduction is the low solubility associated with a large percentage of these new drugs. While many modification strategies have been studied to improve solubility such as salt formation and addition of cosolvents, most provide only marginal success and have severe disadvantages. One of the most successful methods to date is the mechanical reduction of drug particle size, inherently increasing the surface area of the particles and, as described by the Noyes-Whitney equation, the dissolution rate. Drug micronization has been the gold standard to achieve these improvements; however, the extremely low solubility of some new chemical entities is not significantly affected by size reduction in this range. A reduction in size to the nanometric scale is necessary. Bottom-up and top-down techniques are utilized to produce drug crystals in this size range; however, as discussed in this review, top-down approaches have provided greater enhancements in drug usability on the industrial scale. The six FDA approved products that all exploit top-down approaches confirm this. In this review, the advantages and disadvantages of both approaches will be discussed in addition to specific top-down techniques and the improvements they contribute to the pharmaceutical field.
新的活性药物成分 (API) 的筛选变得更加流畅,因此,管道中的新药数量稳步增加。然而,新 API 批准和市场引入的一个主要限制因素是与这些新药很大比例相关的低溶解度。虽然已经研究了许多改进溶解度的改性策略,例如盐形成和共溶剂的添加,但大多数仅提供轻微的成功,并且具有严重的缺点。迄今为止,最成功的方法之一是机械减小药物颗粒尺寸,固有地增加颗粒的表面积,并且如 Noyes-Whitney 方程所描述的,溶解速率。药物微粉化是实现这些改进的金标准;然而,一些新化学实体的极低溶解度不会通过该范围内的尺寸减小而显著受到影响。需要减小到纳米级。使用自下而上和自上而下的技术在该尺寸范围内生产药物晶体;然而,正如本综述中所讨论的,自顶向下方法在工业规模上提高了药物的可用性。所有利用自顶向下方法的六个 FDA 批准产品都证实了这一点。在本综述中,除了专门的自顶向下技术及其对制药领域的贡献外,还将讨论这两种方法的优缺点。