Skip to main content
Log in

Quantifying In Vivo Luminal Drug Solubilization -Supersaturation-Precipitation Profiles to Explain the Performance of Lipid Based Formulations

  • Research Paper
  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the role of supersaturation in the in vivo absorption of fenofibrate (FFB), after oral administration in a medium-chain lipid-based formulation (MCLBF).

Methods

FFB was loaded at 90% and 20% w/w of saturated solubility in MCLBF. The two formulations were pre-dispersed in purified water at 5% w/w (ME90% and 20%, respectively) and orally administered to rats to measure in vivo luminal drug concentrations.

Results

FFB precipitated in the stomach due to lipid digestion by gastric lipases and loss of solubilization capacity. This was most significant for ME90%. For ME90%, a high degree of supersaturation was also observed in the duodenum, however, precipitated FFB crystals rapidly re-dissolved. The combination of supersaturation and rapid re-dissolution appeared to drive effective absorption in the upper intestine. For ME20%, FFB precipitated in the stomach but not in the crystalline form and rapidly re-dissolved. Supersaturation in the duodenum again appeared to be the major driver of oral absorption.

Conclusions

The data provide one of the first studies of in vivo luminal drug concentration, supersaturation and absorption from lipid based formulations and suggests that for FFB, whilst very high supersaturation may drive in vitro and in vivo precipitation, re-dissolution and drug absorption is rapid and efficient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

Abbreviations

AP:

Aqueous phase

4-BPB:

4-bromophenylboronic acid

CPLM:

Cross polarized light microscopy

DMSO:

Dimethyl sulfoxide

FFB:

Fenofibrate

FFA:

Fenofibric acid

FD-4:

Fluorescein isothiocyanate dextran 4000

GI:

Gastrointestinal

HPLC:

High performance liquid chromatography

IS:

Internal standard

LBF:

Lipid based formulation

MCLBF:

Medium-chain lipid based formulation

ME:

Microemulsion

OP:

Oil phase

PP:

Pellet phase

PWSD:

Poorly water soluble drugs

NaTC:

Sodium taurocholate

AUC0-1440min :

The area under the plasma concentration–time curve from 0 to 1440 min

References

  1. Feeney OM, Crum MF, McEvoy CL, Trevaskis NL, Williams HD, Pouton CW, et al. 50years of oral lipid-based formulations: provenance, progress and future perspectives. Adv Drug Deliv Rev. 2016;101:167–94.

    Article  CAS  Google Scholar 

  2. Rezhdo O, Speciner L, Carrier R. Lipid-associated oral delivery: mechanisms and analysis of oral absorption enhancement. J Control Release. 2016;240:544–60.

    Article  CAS  Google Scholar 

  3. Pandey V, Kohli S. Lipids and surfactants: the inside story of lipid-based drug delivery systems. Crit Rev Ther Drug Carrier Syst. 2018;35:99–155.

    Article  Google Scholar 

  4. Zaichik S, Steinbring C, Caliskan C, Bernkop-Schnürch A. Development and in vitro evaluation of a self-emulsifying drug delivery system (SEDDS) for oral vancomycin administration. Int J Pharm. 2019;554:125–33.

    Article  CAS  Google Scholar 

  5. Yeap YY, Trevaskis NL, Quach T, Tso P, Charman WN, Porter CJH. Intestinal bile secretion promotes drug absorption from lipid colloidal phases via induction of supersaturation. Mol Pharm. 2013;10:1874–89.

  6. Yeap YY, Trevaskis NL, Porter CJH. The potential for drug supersaturation during intestinal processing of lipid-based formulations may be enhanced for basic drugs. Mol Pharm. 2013;10:2601–15.

  7. Yeap YY, Trevaskis NL, Porter CJH. Lipid absorption triggers drug supersaturation at the intestinal unstirred water layer and promotes drug absorption from mixed micelles. Pharm Res. 2013;30:3045–58.

  8. Williams HD, Trevaskis NL, Yeap YY, Anby MU, Pouton CW, Porter CJH. Lipid-based formulations and drug supersaturation: harnessing the unique benefits of the lipid digestion/absorption pathway. Pharm Res. 2013;30:2976–92.

    Article  CAS  Google Scholar 

  9. Anby MU, Williams HD, McIntosh M, Benameur H, Edwards GA, Pouton CW, et al. Lipid digestion as a trigger for supersaturation: evaluation of the impact of Supersaturation stabilization on the in vitro and in vivo performance of self-emulsifying drug delivery systems. Mol Pharm. 2012;9:2063–79.

    Article  CAS  Google Scholar 

  10. Stillhart C, Imanidis G, Griffin BT, Kuentz M. Biopharmaceutical modeling of drug supersaturation during lipid-based formulation digestion considering an absorption sink. Pharm Res. 2014;31:3426–44.

    Article  CAS  Google Scholar 

  11. Bevernage J, Forier T, Brouwers J, Tack J, Annaert P, Augustijns P. Excipient-mediated supersaturation stabilization in human intestinal fluids. Mol Pharm. 2011;8:564–70.

    Article  CAS  Google Scholar 

  12. Gao P, Shi Y. Characterization of supersaturatable formulations for improved absorption of poorly soluble drugs. AAPS J. 2012;14:703–13.

    Article  CAS  Google Scholar 

  13. Gao P, Akrami A, Alvarez F, Hu J, Li L, Ma C, et al. Characterization and optimization of AMG 517 supersaturatable self-emulsifying drug delivery system (S-SEDDS) for improved oral absorption. J Pharm Sci. 2009;98:516–28.

    Article  CAS  Google Scholar 

  14. Koyama H, Ito M, Terada K, Sugano K. Effect of seed particles on precipitation of weak base drugs in physiological intestinal conditions. Mol Pharm. 2016;13:2711–7.

    Article  CAS  Google Scholar 

  15. Sugita M, Kataoka M, Sugihara M, Takeuchi S, Yamashita S. Effect of excipients on the particle size of precipitated pioglitazone in the gastrointestinal tract: impact on bioequivalence. AAPS J. 2014;16:1119–27.

    Article  CAS  Google Scholar 

  16. Thomas N, Holm R, Garmer M, Karlsson JJ, Müllertz A, Rades T. Supersaturated self-nanoemulsifying drug delivery systems (super-SNEDDS) enhance the bioavailability of the poorly water-soluble drug simvastatin in dogs. AAPS J. 2013;15:219–27.

    Article  CAS  Google Scholar 

  17. Koziolek M, Carrière F, Porter CJH. Lipids in the stomach - implications for the evaluation of food effects on oral drug absorption. Pharm Res. 2018;35:55.

    Article  Google Scholar 

  18. Pedersen PB, Vilmann P, Bar-Shalom D, Müllertz A, Baldursdottir S. Characterization of fasted human gastric fluid for relevant rheological parameters and gastric lipase activities. Eur J Pharm Biopharm. 2013;85:958–65.

    Article  CAS  Google Scholar 

  19. Williams HD, Sassene P, Kleberg K, Bakala-N'Goma JC, Calderone M, Jannin V, et al. Toward the establishment of standardized in vitro tests for lipid-based formulations, part 1: method parameterization and comparison of in vitro digestion profiles across a range of representative formulations. J Pharm Sci. 2012;101:3360–80.

    Article  CAS  Google Scholar 

  20. Crum MF, Trevaskis NL, Williams HD, Pouton CW, Porter CJH. A new in vitro lipid digestion - in vivo absorption model to evaluate the mechanisms of drug absorption from lipid-based formulations. Pharm Res. 2016;33:970–82.

  21. Suys EJA, Chalmers DK, Pouton CW, Porter CJH. Polymeric precipitation inhibitors promote Fenofibrate Supersaturation and enhance drug absorption from a type IV lipid-based formulation. Mol Pharm. 2018;15:2355–71.

    Article  CAS  Google Scholar 

  22. Keemink J, Mårtensson E, Bergström CAS. Lipolysis-permeation setup for simultaneous study of digestion and absorption in vitro. Mol Pharm. 2019;16:921–30.

    Article  CAS  Google Scholar 

  23. Khan J, Rades T, Boyd BJ. Lipid-based formulations can enable the model poorly water-soluble weakly basic drug Cinnarizine to precipitate in an amorphous-salt form during in vitro digestion. Mol Pharm. 2016;13:3783–93.

    Article  CAS  Google Scholar 

  24. Tanaka Y, Hara T, Waki R, Nagata S. Regional differences in the components of luminal water from rat gastrointestinal tract and comparison with other species. J Pharm Pharm Sci. 2012;15:510–8.

    Article  CAS  Google Scholar 

  25. Sahbaz Y, Williams HD, Nguyen TH, Saunders J, Ford L, Charman SA, et al. Transformation of poorly water-soluble drugs into lipophilic ionic liquids enhances oral drug exposure from lipid based formulations. Mol Pharm. 2015;12:1980–91.

    Article  CAS  Google Scholar 

  26. Weil A, Caldwell J, Strolin-Benedetti M. The metabolism and disposition of fenofibrate in rat, Guinea pig, and dog. Drug Metab Dispos. 1988;16:302–9.

    CAS  PubMed  Google Scholar 

  27. Weil A, Caldwell J, Strolin-Benedetti M. The metabolism and disposition of 14C-fenofibrate in human volunteers. Drug Metab Dispos. 1990;18:115–20.

    CAS  PubMed  Google Scholar 

  28. Williams HD, Sassene P, Kleberg K, Calderone M, Igonin A, Jule E, et al. LFCS consortium. Toward the establishment of standardized in vitro tests for lipid-based formulations, part 3: understanding supersaturation versus precipitation potential during the in vitro digestion of type I, II, IIIA, IIIB and IV lipid-based formulations. Pharm Res. 2013;30:3059–76.

    Article  CAS  Google Scholar 

  29. Devraj R, Williams HD, Warren DB, Porter CJH, Pouton CW. Choice of nonionic surfactant used to formulate type IIIA self-emulsifying drug delivery systems and the physicochemical properties of the drug have a pronounced influence on the degree of drug supersaturation that develops during in vitro digestion. J Pharm Sci. 2014;103:1050–63.

  30. Dupont-Leclercq L, Giroux S, Henry B, Rubini P. Solubilization of amphiphilic carboxylic acids in nonionic micelles: determination of partition coefficients from pKa measurements and NMR experiments. Langmuir. 2007;23:10463–70.

    Article  CAS  Google Scholar 

  31. Tanaka Y, Goto T, Kataoka M, Sakuma S, Yamashita S. Impact of luminal fluid volume on the drug absorption after oral administration: analysis based on in vivo drug concentration-time profile in the gastrointestinal tract. J Pharm Sci. 2015;104:3120–7.

    Article  CAS  Google Scholar 

  32. Tanaka Y, Sugihara M, Kawakami A, Imai S, Itou T, Murase H, et al. In vivo analysis of supersaturation/precipitation/absorption behavior after oral administration of pioglitazone hydrochloride salt; determinant site of oral absorption. Eur J Pharm Sci. 2017;106:431–8.

    Article  CAS  Google Scholar 

  33. Tanaka Y, Kawakami A, Nanimatsu A, Horio M, Matsuoka J, Wada T, et al. In vivo evaluation of supersaturation/precipitation/re-dissolution behavior of cinnarizine, a lipophilic weak base, in the gastrointestinal tract: the key process of oral absorption. Eur J Pharm Sci. 2017;96:464–71.

    Article  CAS  Google Scholar 

  34. Kadono K, Yokoe J, Ogawara K, Higaki K, Kimura T. Analysis and prediction of absorption behavior for theophylline orally administered as powders based on gastrointestinal-transit-absorption (Gita) model. Drug Metab Pharmacokinet. 2002;17:307–15.

    Article  CAS  Google Scholar 

  35. Takano R, Furumoto K, Shiraki K, Takata N, Hayashi Y, Aso Y, et al. Rate-limiting steps of oral absorption for poorly water-soluble drugs in dogs; prediction from a miniscale dissolution test and a physiologically-based computer simulation. Pharm Res. 2008;25:2334–44.

    Article  CAS  Google Scholar 

  36. Bevernage J, Brouwers J, Annaert P, Augustijns P. Drug precipitation-permeation interplay: supersaturation in an absorptive environment. Eur J Pharm Biopharm. 2012;82:424–8.

    Article  CAS  Google Scholar 

  37. Sassene PJ, Michaelsen MH, Mosgaard MD, Jensen MK, Van Den Broek E, Wasan KM, et al. In vivo precipitation of poorly soluble drugs from lipid-based drug delivery systems. Mol Pharm. 2016;13:3417–26.

    Article  CAS  Google Scholar 

  38. Bakala-N'Goma JC, Williams HD, Sassene PJ, Kleberg K, Calderone M, Jannin V, et al. Toward the establishment of standardized in vitro tests for lipid-based formulations. 5. Lipolysis of representative formulations by gastric lipase. Pharm Res. 2015;32:1279–87.

    Article  CAS  Google Scholar 

  39. Pouton CW. Formulation of poorly water-soluble drugs for oral administration: physicochemical and physiological issues and the lipid formulation classification system. Eur J Pharm Sci. 2006;29:278–87.

    Article  CAS  Google Scholar 

  40. Pouton CW. Lipid formulations for oral administration of drugs: non-emulsifying, self-emulsifying and 'self-microemulsifying' drug delivery systems. Eur J Pharm Sci. 2000;11:S93–8.

    Article  CAS  Google Scholar 

  41. Han SF, Yao TT, Zhang XX, Gan L, Zhu C, Yu HZ, et al. Lipid-based formulations to enhance oral bioavailability of the poorly water-soluble drug anethol trithione: effects of lipid composition and formulation. Int J Pharm. 2009;379:18–24.

    Article  CAS  Google Scholar 

  42. Devraj R, Williams HD, Warren DB, Mohsin K, Porter CJH, Pouton CW. In vitro assessment of drug-free and fenofibrate-containing lipid formulations using dispersion and digestion testing gives detailed insights into the likely fate of formulations in the intestine. Eur J Pharm Sci. 2013;49:748–60.

  43. Khan J, Hawley A, Rades T, Boyd BJ. In situ lipolysis and synchrotron small-angle X-ray scattering for the direct determination of the precipitation and solid-state form of a poorly WaterSoluble drug during digestion of a lipid-based formulation. J Pharm Sci. 2016;105:2631–9.

    Article  CAS  Google Scholar 

  44. Sassene PJ, Knopp MM, Hesselkilde JZ, Koradia V, Larsen A, Rades T, et al. Precipitation of a poorly soluble model drug during in vitro lipolysis: characterization and dissolution of the precipitate. J Pharm Sci. 2010;99:4982–91.

    Article  CAS  Google Scholar 

  45. Stillhart C, Imanidis G, Kuentz M. Insights into drug precipitation kinetics during in vitro digestion of a lipid-based drug delivery system using in-line raman spectroscopy and mathematical modeling. Pharm Res. 2013;30:3114–30.

    Article  CAS  Google Scholar 

  46. Sassene PJ, Mosgaard MD, Löbmann K, Mu H, Larsen FH, Rades T, et al. Elucidating the molecular interactions occurring during drug precipitation of weak bases from lipid-based formulations: a case study with cinnarizine and a long chain self-nanoemulsifying drug delivery system. Mol Pharm. 2015;12:4067–76.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This research was partially supported by the Nagai Foundation Tokyo research grant 2018.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christopher J. H. Porter.

Additional information

Guest Editor: Sheng Qi

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(DOCX 769 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tanaka, Y., Tay, E., Nguyen, TH. et al. Quantifying In Vivo Luminal Drug Solubilization -Supersaturation-Precipitation Profiles to Explain the Performance of Lipid Based Formulations. Pharm Res 37, 47 (2020). https://doi.org/10.1007/s11095-020-2762-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11095-020-2762-9

Key words

Navigation