Qian Kaijie, Stella Lorenzo, Jones David S, Andrews Gavin P, Du Huachuan, Tian Yiwei
Pharmaceutical Engineering Group, School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK.
Atomistic Simulation Centre, School of Mathematics and Physics, Queen's University Belfast, 7-9 College Park E, Belfast BT7 1PS, UK.
Pharmaceutics. 2021 Jun 15;13(6):889. doi: 10.3390/pharmaceutics13060889.
Among many methods to mitigate the solubility limitations of drug compounds, amorphous solid dispersion (ASD) is considered to be one of the most promising strategies to enhance the dissolution and bioavailability of poorly water-soluble drugs. The enhancement of ASD in the oral absorption of drugs has been mainly attributed to the high apparent drug solubility during the dissolution. In the last decade, with the implementations of new knowledge and advanced analytical techniques, a drug-rich transient metastable phase was frequently highlighted within the supersaturation stage of the ASD dissolution. The extended drug absorption and bioavailability enhancement may be attributed to the metastability of such drug-rich phases. In this paper, we have reviewed (i) the possible theory behind the formation and stabilization of such metastable drug-rich phases, with a focus on non-classical nucleation; (ii) the additional benefits of the ASD-induced drug-rich phases for bioavailability enhancements. It is envisaged that a greater understanding of the non-classical nucleation theory and its application on the ASD design might accelerate the drug product development process in the future.
在众多减轻药物化合物溶解度限制的方法中,无定形固体分散体(ASD)被认为是提高难溶性药物溶出度和生物利用度最具前景的策略之一。ASD对药物口服吸收的增强作用主要归因于溶解过程中药物的高表观溶解度。在过去十年中,随着新知识的应用和先进分析技术的发展,在ASD溶解的过饱和阶段,富含药物的瞬态亚稳相频繁受到关注。药物吸收的延长和生物利用度的提高可能归因于这种富含药物相的亚稳性。在本文中,我们综述了(i)这种富含药物的亚稳相形成和稳定背后的可能理论,重点是非经典成核;(ii)ASD诱导的富含药物相在提高生物利用度方面的额外益处。预计对非经典成核理论及其在ASD设计中的应用有更深入的了解,可能会加速未来药物产品的开发进程。