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Investigation of supersaturation and permeation of a poorly water soluble drug Ezetimibe : Systems approaches to drug discovery, development and clinical usage

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Investigation of supersaturation and permeation of a poorly water soluble drug Ezetimibe

Amani Al-Hayali¹, Mohammed Ali Selo², Carsten Ehrhardt², Sitaram Velaga¹

¹Luleå University of Technology, Luleå, Sweden. ²School of Pharmacy and Pharmaceutical Sciences , Trinity College Dublin , Ireland

• The effect of permeation across Caco-2 cell monolayers on supersaturation of Ezetimibe, a poorly water soluble drug was investigated and compared to the supersaturation in a cell free one compartment setup.

• Polymer effect was also investigated using PVP K-30

Newly developed formulations of the poorly soluble drugs are designed to create supersaturation in vivo. The transport across the intestinal membrane can influence precipitation kinetics of a supersaturated phase. Thus, it is important to understand the interplay among supersaturation-precipitation-permeability.

• The transport of EZ to the BL side was low for all sample solutions under study.

• Higher degrees of supersaturation were associated with high transport levels reaching the highest amounts with DS 40.

• In one compartment setup high degrees of supersaturation was associated with rapid precipitation.

• The polymer PVP K-30 had maintained EZ in the supersaturated state when added to the apical side in two concentrations 0.05% (w/v) and 0.1% (w/v) but only 0.05 % (w/v) showed an improvement in the transport.

• Caco-2 cell monolayers affect supersaturation and precipitation of EZ.

• One compartment setup provides underestimation of supersaturation, precipitation and permeation

• PVP K-30 improved supersaturation and permeation

Figure 1. a) Amount of Ezetimibe (EZ) in FaSSIF on the apical side of Caco-2 cell monolayers as a function of time, after

induction of supersaturation. b) Cumulative amount recovered from the basolateral acceptor medium (i.e. HBSS). (Mean ± SD; n = 3)

Figure 2. a) Amount of (EZ+PVP K-30) in FaSSIF on the apical side as a function of time. b) Cumulative amount

recovered from the BL (i.e. HBSS), after transport across Caco-2 monolayers in the presence of polymer in the apical compartment. (Mean ± SD; n = 3)

Figure 3. Concentrations of (EZ) in FaSSIF without (a) and with (b) PVP K-30 as a function of time, in the one

compartment setup. (Mean ± SD; n = 3)

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Introduction

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Aims

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