Access to Advanced Health Institute, Seattle, WA, USA.
Department of Mechanical Engineering, University of Alberta, Edmonton, Alberta, Canada.
Expert Opin Drug Deliv. 2024 Apr;21(4):537-551. doi: 10.1080/17425247.2024.2336494. Epub 2024 Apr 3.
The nose has been receiving increased attention as a route for drug delivery. As the site of deposition constitutes the first point of contact of the body with the drug, characterization of the regional deposition of intranasally delivered droplets or particles is paramount to formulation and device design of new products.
This review article summarizes the recent literature on intranasal regional drug deposition evaluated in vivo, in vitro and in silico, with the aim of correlating parameters measured in vitro with formulation and device performance. We also highlight the relevance of regional deposition to two emerging applications: nose-to-brain drug delivery and intranasal vaccines.
As in vivo studies of deposition can be costly and time-consuming, researchers have often turned to predictive in vitro and in silico models. Variability in deposition is high due in part to individual differences in nasal geometry, and a complete predictive model of deposition based on spray characteristics remains elusive. Carefully selected or idealized geometries capturing population average deposition can be useful surrogates to in vivo measurements. Continued development of in vitro and in silico models may pave the way for development of less variable and more effective intranasal drug products.
鼻子作为一种给药途径越来越受到关注。由于沉积部位是药物与人体接触的第一点,因此对鼻腔内输送的液滴或颗粒的局部沉积进行特征描述对于新产品的配方和器械设计至关重要。
本文综述了鼻腔局部药物沉积的最新文献,包括体内、体外和计算研究,旨在将体外测量的参数与制剂和器械性能相关联。我们还强调了局部沉积与两种新兴应用的相关性:鼻内递药和鼻腔疫苗。
由于体内沉积研究可能既昂贵又耗时,因此研究人员经常转向预测性的体外和计算模型。由于鼻腔几何形状的个体差异,沉积的变异性很大,并且基于喷雾特性的完整预测沉积模型仍然难以捉摸。基于人群平均沉积的精心选择或理想化的几何形状可以作为体内测量的有用替代物。体外和计算模型的不断发展可能为开发更具可变性和更有效的鼻腔药物产品铺平道路。