Shah Saurabh, Famta Paras, Vambhurkar Ganesh, Sharma Abhishek, Mourya Atul, Srinivasarao Dadi A, Shinde Akshay, Prasad Sajja Bhanu, Pandey Giriraj, Madan Jitender, Srivastava Saurabh
Pharmaceutical Innovation and Translational Research Lab (PITRL), Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research (NIPER), Balanagar, Hyderabad, Telangana, 500037, India.
Drug Deliv Transl Res. 2025 Mar;15(3):1074-1091. doi: 10.1007/s13346-024-01657-z. Epub 2024 Jul 12.
Abiraterone acetate (ABA), a biopharmaceutical class IV drug suffers from solubility and permeability pitfalls resulting in limited oral bioavailability and positive food effect, i.e. multi-fold enhancement in drug absorption in the presence of food. This poses difficulties to physicians towards the estimation of dose and dosage regimen required for efficacious therapy of prostate cancer (PCa). Nanostructured lipid carriers (NLC) have demonstrated tremendous outcomes in enhancing the oral bioavailability of various entities along with food effect attenuation. In this study, Quality by design and multivariate analysis was employed for optimization of ABA loaded NLC (ABA NLC). The optimal size, PDI and zeta potential obtained using QbD were 134.6 nm, 0.163 and -15.7 mV respectively. Ex vivo qualitative and quantitative intestinal permeability studies demonstrated improved traversion of NLC through the intestinal segments. In vitro dissolution profile in biorelevant fast and fed gastric and intestinal media revealed minimal differences for ABA NLC compared to ABA. In vivo pharmacokinetics was performed to decipher the efficacy of ABA NLC in mitigating the food effect of ABA. The studies demonstrated 14.51-fold and 1.94-fold improvement in oral bioavailability during fasted and fed state respectively as compared to free ABA. The absorption mechanism of ABA NLC using chylomicron flow blocking approach conveyed lymphatic uptake as the major mechanism. Cmax fast/fed ratio was 0.9758 whereas, AUC fast/fed ratio was 0.9386, which being nearly equivalent, confirmed the food effect attenuation. Therefore, the results of the study demonstrate optimal pharmacokinetics of ABA NLC and its utility in circumventing the fast fed variability.
醋酸阿比特龙(ABA)是一种IV类生物制药,存在溶解度和渗透性问题,导致口服生物利用度有限且有明显的食物效应,即在进食情况下药物吸收可提高数倍。这给医生估计前列腺癌(PCa)有效治疗所需的剂量和给药方案带来了困难。纳米结构脂质载体(NLC)在提高各种药物的口服生物利用度以及减弱食物效应方面已显示出显著效果。在本研究中,采用质量源于设计和多变量分析来优化载ABA的NLC(ABA NLC)。使用质量源于设计获得的最佳粒径、多分散指数(PDI)和zeta电位分别为134.6 nm、0.163和 -15.7 mV。体外定性和定量肠道通透性研究表明,NLC通过肠段的转运有所改善。在生物相关的快速和进食状态下的胃和肠道介质中的体外溶出曲线显示,与ABA相比,ABA NLC的差异最小。进行体内药代动力学研究以阐明ABA NLC减轻ABA食物效应的效果。研究表明,与游离ABA相比,禁食和进食状态下口服生物利用度分别提高了14.51倍和1.94倍。采用乳糜微粒流阻断方法对ABA NLC的吸收机制研究表明,淋巴吸收是主要机制。Cmax的禁食/进食比值为0.9758,而AUC的禁食/进食比值为0.9386,两者几乎相等,证实了食物效应的减弱。因此,该研究结果证明了ABA NLC的最佳药代动力学及其在规避禁食/进食变异性方面的效用。