Kollipara Sivacharan, Gandhi Rajesh Kumar
Formulations Department, Pharmaceutical & Analytical Development, Technical R&D, Novartis Healthcare Pvt. Ltd., Hyderabad 500078, Andhra Pradesh, India.
Acta Pharm Sin B. 2014 Oct;4(5):333-49. doi: 10.1016/j.apsb.2014.09.001. Epub 2014 Oct 8.
Lipid-based formulations have been an attractive choice among novel drug delivery systems for enhancing the solubility and bioavailability of poorly soluble drugs due to their ability to keep the drug in solubilized state in the gastrointestinal tract. These formulations offer multiple advantages such as reduction in food effect and inter-individual variability, ease of preparation, and the possibility of manufacturing using common excipients available in the market. Despite these advantages, very few products are available in the present market, perhaps due to limited knowledge in the in vitro tests (for prediction of in vivo fate) and lack of understanding of the mechanisms behind pharmacokinetic and biopharmaceutical aspects of lipid formulations after oral administration. The current review aims to provide a detailed understanding of the in vivo processing steps involved after oral administration of lipid formulations, their pharmacokinetic aspects and in vitro in vivo correlation (IVIVC) perspectives. Various pharmacokinetic and biopharmaceutical aspects such as formulation dispersion and lipid digestion, bioavailability enhancement mechanisms, impact of excipients on efflux transporters, and lymphatic transport are discussed with examples. In addition, various IVIVC approaches towards predicting in vivo data from in vitro dispersion/precipitation, in vitro lipolysis and ex vivo permeation studies are also discussed in detail with help of case studies.
基于脂质的制剂在新型药物递送系统中是一个有吸引力的选择,因其能够使难溶性药物在胃肠道中保持溶解状态,从而提高其溶解度和生物利用度。这些制剂具有多种优势,如减少食物效应和个体间差异、易于制备,以及有可能使用市场上常见的辅料进行生产。尽管有这些优势,但目前市场上的产品却很少,这可能是由于体外试验(用于预测体内命运)方面的知识有限,以及对口服给药后脂质制剂的药代动力学和生物药剂学方面的作用机制缺乏了解。本综述旨在详细阐述口服脂质制剂后体内的加工步骤、其药代动力学方面以及体外-体内相关性(IVIVC)观点。通过实例讨论了各种药代动力学和生物药剂学方面的问题,如制剂分散和脂质消化、生物利用度提高机制、辅料对转运体的影响以及淋巴转运。此外,还借助案例研究详细讨论了从体外分散/沉淀、体外脂解和离体渗透研究预测体内数据的各种IVIVC方法。