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Predicting oral performance of lipid-based formulations using in vitro methods
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.ORCID iD: 0000-0002-8196-608x
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Oral administration of drugs is widely considered preferable to other methods by end-users and healthcare providers alike; however, not all drug compounds are inherently suited for it because some molecules are not well-absorbed by the intestine. Good absorption requires both dissolution and permeation. For instance, highly lipophilic compounds (which have good permeability over intestinal mucosa) are prone to poor absorption following oral administration due to their poor solubility in water. Contemporary drug discovery methods tend to produce many such compounds. Thus, there is a need for enabling formulations that can increase solubility and by extension the absorption of lipophilic compounds from the intestinal tract. Lipid-based formulations (LBFs) have been proven to improve oral absorption and bioavailability for poorly water-soluble but highly permeable drug compounds. However, lipid excipients are not strictly inert, as they are also digested in and absorbed from the gastro-intestinal tract, and there is a complex interplay between physiological and physical processes that makes it difficult to rationally select an optimal composition of lipid excipients for any given drug. Empirical selection is also difficult because of the difficulty of capturing these processes in vitro. Animal studies are useful, but carry a heavy burden of high expense and ethical considerations. For these reasons, LBF development would be improved by the availability of better predictive tools.

This thesis aims to improve in vitro methodology for understanding drug release and absorption processes for LBFs, focusing on self-emulsifying drug delivery systems (SEDDS), with the goal of helping better drug products reach the market. The general approach was to investigate a lipolysis-permeation method by which different LBF compositions can be assayed, hopefully in a manner more predictive of the in vivo situation than currently offered by current lipolysis assays, which do not incorporate simultaneous absorption. Special focus was put on artificial membranes, but cell monolayers were also investigated as absorptive membranes. Many parameters were discovered to significantly impact the assay outcomes, such as lipase product, lipase activity, buffer composition, stirring and fluid flow and absorptive membrane properties. The issue of predicting oral performance of LBFs is not yet solved, and much work remains. However, this thesis has identified both an artificial membrane (LiDo) that is suitable for lipolysis-permeation assays and important considerations for further development of this assay model.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2021. , p. 78
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 303
Keywords [en]
lipid-based formulation(s), SEDDS, artificial membrane(s), cell monolayer(s), oral drug delivery, lipolysis, permeation
National Category
Pharmaceutical Sciences
Research subject
Pharmaceutical Science
Identifiers
URN: urn:nbn:se:uu:diva-452586ISBN: 978-91-513-1312-2 (print)OAI: oai:DiVA.org:uu-452586DiVA, id: diva2:1601626
Public defence
2021-11-26, BMC, A1:107a, Husargatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2021-11-03 Created: 2021-10-08 Last updated: 2021-11-12
List of papers
1. Suitability of Artificial Membranes in Lipolysis-Permeation Assays of Oral Lipid-Based Formulations
Open this publication in new window or tab >>Suitability of Artificial Membranes in Lipolysis-Permeation Assays of Oral Lipid-Based Formulations
2020 (English)In: Pharmaceutical research, ISSN 0724-8741, E-ISSN 1573-904X, Vol. 37, no 6, article id 99Article in journal (Refereed) Published
Abstract [en]

Purpose

To evaluate the performance of artificial membranes in in vitro lipolysis-permeation assays useful for absorption studies of drugs loaded in lipid-based formulations (LBFs).

Methods

Polycarbonate as well as PVDF filters were treated with hexadecane, or lecithin in n-dodecane solution (LiDo) to form artificial membranes. They were thereafter used as absorption membranes separating two compartments mimicking the luminal and serosal side of the intestine in vitro. Membranes were subjected to dispersions of an LBF that had been digested by porcine pancreatin and spiked with the membrane integrity marker Lucifer Yellow (LY). Three fenofibrate-loaded LBFs were used to explore the in vivo relevance of the assay.

Results

Of the explored artificial membranes, only LiDo applied to PVDF was compatible with lipolysis by porcine pancreatin. Formulation ranking based on mass transfer in the LiDo model exposed was the same as drug release in single-compartment lipolysis. Ranking based on observed apparent permeability coefficients of fenofibrate with different LBFs were the same as those obtained in a cell-based model.

Conclusions

The LiDo membrane was able to withstand lipolysis for a sufficient assay period. However, the assay with porcine pancreatin as digestive agent did not predict the in vivo ranking of the assayed formulations better than existing methods. Comparison with a Caco-2 based assay method nonetheless indicates that the in vitro in vivo relationship of this cell-free model could be improved with alternative digestive agents.

Keywords
artificial membrane, digestion, lipid-based formulation, permeation, self-emulsifying oral drug-delivery systems
National Category
Pharmaceutical Sciences
Research subject
Pharmaceutical Science
Identifiers
urn:nbn:se:uu:diva-410933 (URN)10.1007/s11095-020-02833-9 (DOI)000537031200001 ()32435855 (PubMedID)
Funder
EU, European Research Council, 638965
Available from: 2020-05-25 Created: 2020-05-25 Last updated: 2021-10-08Bibliographically approved
2. Investigation of Self-Emulsifying Drug-Delivery System Interaction with a Biomimetic Membrane under Conditions Relevant to the Small Intestine
Open this publication in new window or tab >>Investigation of Self-Emulsifying Drug-Delivery System Interaction with a Biomimetic Membrane under Conditions Relevant to the Small Intestine
2021 (English)In: Langmuir, ISSN 0743-7463, E-ISSN 1520-5827, Vol. 37, no 33, p. 10200-10213Article in journal (Refereed) Published
Abstract [en]

Self-emulsifying drug-delivery systems (SEDDS) have been extensively shown to increase oral absorption of solvation-limited compounds. However, there has been little clinical and commercial use of these formulations, in large part because the demonstrated advantages of SEDDS have been outweighed by our inability to precisely predict drug absorption from SEDDS using current in vitro assays. To overcome this limitation and increase the biological relevancy of in vitro assays, an absorption function can be incorporated using biomimetic membranes. However, the effects that SEDDS have on the integrity of a biomimetic membrane are not known. In this study, a quartz crystal microbalance with dissipation monitoring and total internal reflection fluorescence microscopy were employed as complementary methods to in vitro lipolysis-permeation assays to characterize the interaction of various actively digested SEDDS with a liquescent artificial membrane comprising lecithin in dodecane (LiDo). Observations from surface analysis showed that interactions between the digesting SEDDS and LiDo membrane coincided with inflection points in the digestion profiles. Importantly, no indications of membrane damage could be observed, which was supported by flux profiles of the lipophilic model drug felodipine (FEL) and impermeable marker Lucifer yellow on the basal side of the membrane. There was a correlation between the digestion kinetics of the SEDDS and the flux of FEL, but no clear correlation between solubilization and absorption profiles. Membrane interactions were dependent on the composition of lipids within each SEDDS, with the more digestible lipids leading to more pronounced interactions, but in all cases, the integrity of the membrane was maintained. These insights demonstrate that LiDo membranes are compatible with in vitro lipolysis assays for improving predictions of drug absorption from lipid-based formulations.

Place, publisher, year, edition, pages
American Chemical Society (ACS), 2021
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-452582 (URN)10.1021/acs.langmuir.1c01689 (DOI)000691384800028 ()34379976 (PubMedID)
Funder
EU, European Research Council, 638965NordForsk, 85352ÅForsk (Ångpanneföreningen's Foundation for Research and Development), 16-463
Available from: 2021-09-08 Created: 2021-09-08 Last updated: 2023-07-14Bibliographically approved
3. Comparison of cellular monolayers and an artificial membrane as absorptive membranes in the in vitro lipolysis-permeation assay
Open this publication in new window or tab >>Comparison of cellular monolayers and an artificial membrane as absorptive membranes in the in vitro lipolysis-permeation assay
Show others...
2022 (English)In: Journal of Pharmaceutical Sciences, ISSN 0022-3549, E-ISSN 1520-6017, Vol. 111, no 1, p. 175-184Article in journal (Refereed) Accepted
Abstract [en]

Permeation across Caco-2 cells in lipolysis-permeation setups can predict the rank order of in vivo drug exposure obtained with lipid-based formulations (LBFs). However, Caco-2 cells require a long differentiation period and do not capture all characteristics of the human small intestine. We therefore evaluated two in vitro assays with artificial lecithin-in-dodecane (LiDo) membranes and MDCK cells as absorptive membranes in the lipolysis-permeation setup. Fenofibrate-loaded LBFs were used and the results from the two assays compared to literature plasma concentrations in landrace pigs administered orally with the same formulations. Aqueous drug concentrations, supersaturation, and precipitation were determined in the digestion chamber and drug permeation in the receiver chamber. Auxiliary in vitro parameters were assessed, such as permeation of the taurocholate, present in the simulated intestinal fluid used in the assay, and size of colloidal structures in the digestion medium over time. The LiDo membrane gave a similar drug distribution as the Caco-2 cells and accurately reproduced the equivalent rank-order of fenofibrate exposure in plasma. Permeation of fenofibrate across MDCK monolayers did not, however, reflect the in vivo exposure rankings. Taurocholate flux was negligible through either membrane. This process was therefore not considered to significantly affect the in vitro distribution of fenofibrate. We conclude that the artificial LiDo membrane is a promising tool for lipolysis–permeation assays to evaluate LBF performance.

Place, publisher, year, edition, pages
Elsevier BV, 2022
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-452584 (URN)10.1016/j.xphs.2021.09.009 (DOI)000756192800020 ()
Available from: 2021-09-08 Created: 2021-09-08 Last updated: 2022-03-16Bibliographically approved
4. Influence of lipase products and lipolysis-permeation assay formats on drug absorption from lipid-based formulations
Open this publication in new window or tab >>Influence of lipase products and lipolysis-permeation assay formats on drug absorption from lipid-based formulations
(English)Manuscript (preprint) (Other academic)
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-452585 (URN)
Available from: 2021-10-05 Created: 2021-10-05 Last updated: 2021-10-08

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