Department of Biomedical and Pharmaceutical Sciences, University of Rhode Island, Kingston, RI 02881, USA; School of Pharmacy, Fujian Medical University, Fuzhou 350122, China.
Department of Biomedical and Pharmaceutical Sciences, University of Rhode Island, Kingston, RI 02881, USA; College of Pharmacy, Zhejiang University of Technology, Hangzhou 310014, China.
Int J Pharm. 2021 Mar 1;596:120206. doi: 10.1016/j.ijpharm.2021.120206. Epub 2021 Jan 22.
Despite a collaborative effort towards developing suitable oral drug products for pediatrics over the past decade, appropriate pediatric dosage forms have remained lacking due to special considerations in dose flexibility, swallowability, palatability, and safety of excipients for pediatrics. The present research aims to develop a nanoparticle-based orodispersible pediatric drug delivery platform to improve oral bioavailability and taste of poorly water-soluble and unpalatable therapeutics. Two Biopharmaceutics Classification System II/IV compounds lopinavir (LPV) and ritonavir (RTV) with unpleasant taste were chosen as the model compounds. LPV and RTV Eudragit® E PO nanoparticles (NP) were prepared using a nanoprecipitation method and their key quality attributes and taste-masking effect were evaluated. Moreover, in vitro dissolution testing was conducted at simulated gastrointestinal pH conditions. The in vivo bioavailability of the developed NP formulations was assessed using a rat model. Following the formulation optimization, over 98% encapsulation efficiency was obtained for both LPV and RTV NP and both drugs remained amorphous in its respective NP. LPV/RTV NP combination (4/1, w/w) showed comparable in vitro dissolution to that of the commercial LPV/RTV tablet (Kaletra®). In addition, the taste-masking effect of the developed NP formulations was confirmed by an E-tongue study. The lyophilized LPV and RTV NP were completely dispersible in water within 7 sec and remained stable at 4 ± 2 °C over three months. Lastly, the pharmacokinetic study demonstrated that the LPV/RTV NP combination (4/1, w/w) had improved oral bioavailability compared to Kaletra® and their corresponding raw drug powders. The results demonstrated a novel nanoparticle-based orodispersible platform that is capable of improving oral bioavailability and taste of poorly water-soluble and unpalatable therapeutics for pediatric use.
尽管在过去十年中,人们一直在努力合作开发适合儿科的口服药物产品,但由于儿科用药在剂量灵活性、可吞咽性、口感和辅料安全性方面的特殊考虑,适当的儿科剂型仍然缺乏。本研究旨在开发基于纳米粒子的口腔分散型儿科药物传递平台,以提高水难溶性和口感不佳的治疗剂的口服生物利用度和口感。选择两种生物药剂学分类系统 II/IV 化合物洛匹那韦(LPV)和利托那韦(RTV)作为模型化合物,它们具有不良口感。采用纳米沉淀法制备 LPV 和 RTV Eudragit® E PO 纳米颗粒(NP),并对其关键质量属性和掩味效果进行评价。此外,在模拟胃肠道 pH 条件下进行体外溶出度试验。采用大鼠模型评估开发的 NP 制剂的体内生物利用度。在制剂优化后,LPV 和 RTV NP 的包封效率均超过 98%,且两种药物在各自的 NP 中均保持无定形状态。LPV/RTV NP 组合(4/1,w/w)的体外溶出度与市售 LPV/RTV 片剂(Kaletra®)相当。此外,通过电子舌研究证实了开发的 NP 制剂的掩味效果。LPV 和 RTV NP 的冻干品在水中可在 7 秒内完全分散,在 4±2°C 下稳定三个月以上。最后,药代动力学研究表明,与 Kaletra®及其相应原料药相比,LPV/RTV NP 组合(4/1,w/w)可提高口服生物利用度。结果表明,该新型基于纳米粒子的口腔分散平台能够改善水难溶性和口感不佳的儿科治疗药物的口服生物利用度和口感。