Jankovsky Corinne, Tsinman Oksana, Thakral Naveen K
Boehringer Ingelheim Pharmaceuticals, Inc., 900 Ridgebury Road, Ridgefield, Connecticut 06877, United States.
Pion Inc., 10 Cook St. Billerica, Massachusetts 01821, United States.
ADMET DMPK. 2022 Oct 7;10(4):299-314. doi: 10.5599/admet.1476. eCollection 2022.
The intake of food and meal type can strongly impact the bioavailability of orally administered drugs and can consequently impact drug efficacy and safety. During the early stages of drug development, only a small amount of drug substance is available, and the solubility difference between fasted state simulated intestinal fluid and fed state simulated intestinal fluid may provide an early indication about the probable food effect. But higher drug solubility in fed state simulated intestinal fluid may not always results in an increased oral absorption. In the present research, we demonstrated using 11 model compounds that in addition to the drug dissolution in biorelevant media, the evaluation of the diffusion flux of a drug in solution, across artificial lipid coated membrane, where only the unbound drug crosses the membrane, is a reliable way to predict the food effect. Although, the combination of dissolution and diffusion flux may not reliably predict the food effect in case of drugs undergoing intestinal metabolism or when transporters are involved in the drug absorption, the technique generally provides good information about the food effect at very early stages of drug development that may help in designing a clinical plan by adjusting the drug dose in the fed state.
食物摄入量和膳食类型会对口服药物的生物利用度产生强烈影响,进而可能影响药物疗效和安全性。在药物研发的早期阶段,仅有少量原料药可用,禁食状态模拟肠液和进食状态模拟肠液之间的溶解度差异可能会为潜在的食物效应提供早期指示。但是,药物在进食状态模拟肠液中的较高溶解度并不总是会导致口服吸收增加。在本研究中,我们使用11种模型化合物证明,除了评估药物在生物相关介质中的溶解情况外,评估药物在溶液中穿过人工脂质包被膜的扩散通量也是预测食物效应的可靠方法,只有未结合的药物才能穿过该膜。尽管在药物经历肠道代谢或转运体参与药物吸收的情况下,溶解和扩散通量的组合可能无法可靠地预测食物效应,但该技术通常能在药物研发的非常早期阶段提供有关食物效应的良好信息,这可能有助于通过调整进食状态下的药物剂量来设计临床方案。