Vous êtes sur la page 1sur 12

Journal of Controlled Release 86 (2003) 293–304

www.elsevier.com / locate / jconrel

A computational model for particle size influence on drug


absorption during controlled-release colonic delivery
Kenneth C. Waterman*, Steven C. Sutton
Pfizer Global Research and Development, Eastern Point Road, Groton, CT 06340, USA

Received 3 April 2002; accepted 1 November 2002

Abstract

The effect of particle size on the percent drug absorbed is computationally modeled for controlled-release dosage forms
that deliver drug particles to the colon. The relative benefit of reducing particle size is mapped on a diagram of the drug’s
absorption rate constant (estimated from rat intestinal perfusion, CACO-2 or human intubation permeation rates) versus the
drug’s solubility. Some drugs fall into a limit of high percentage absorption even with large particles such that particle size
reduction has little impact. Another group of drugs is solubility limited such that even with small particles, absorption is
negligible. Between the two regions, only drugs with sufficiently high absorption rates are influenced by the drug dissolution
rate and thereby the particle size. The size of this region is a function of dosing rate. Comparisons between calculated
particle size effects on colon absorption as a function of colon volume suggest caution when using animal models to predict
bioavailability from colonic drug delivery. This volume dependence also suggests that the particle size influence will vary as
a function of the digestive cycle.
 2002 Elsevier Science B.V. All rights reserved.

Keywords: Colonic drug absorption; Particle size; Controlled-release drug delivery; Drug solubilization

1. Introduction in the literature between theory and experiment [6].


The majority of studies establishing the role of
The effect of particle size on crystalline drug particle size on drug absorption have involved only
dissolution rates and corresponding drug absorption the upper gastrointestinal (GI) tract. Moreover, most
has been well established both theoretically and of these studies involved providing drug in an
experimentally [1–6]. In many cases, increasing the immediate-release dosage form.
surface area of a crystalline drug can have a dramatic A number of drugs benefit from controlled drug
impact on the drug absorption for low to moderate delivery. Controlled-release systems can provide
solubility drugs. For most cases, there is agreement reduced frequency of dosing and can mitigate ad-
verse events by providing a reduced Cmax . In addi-
*Corresponding author. Fax: 11-860-441-3972. tion, by metering drug into the GI system in a slow
E-mail address: ken waterman@groton.pfizer.com (K.C. Water- manner, controlled-release dosage forms can reduce
]
man). local irritation effects due to high local drug con-

0168-3659 / 02 / $ – see front matter  2002 Elsevier Science B.V. All rights reserved.
PII: S0168-3659( 02 )00418-2
294 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

centrations upon oral bolus administration. Control- form when the drug is delivered in the colon. To
led-release drug delivery over longer periods (de- accomplish this, we developed a computational
pending on fed state) [7] results in a corresponding model for calculating the fraction drug absorbed ( fa )
greater fraction of the drug delivered in the colon. assuming delivery into an environment where the
Colonic drug absorption probably takes place pre- amount of drug present affects the dissolution kinet-
dominantly in the ascending colon where the fluid ics of the next drug particle. Using this model, the
content remains relatively high. Although the surface appropriateness of using particle size reduction for
area within the colon is low compared to the small improving lower GI drug absorption could be de-
intestinal walls, the long residence time of drug in termined a priori, thereby focusing efforts for im-
the ascending colon (8–34 h) [8,9], enables signifi- proving drug absorption appropriately.
cant doses of many drugs to be absorbed.
Osmotic delivery systems are practical oral, con-
trolled-release dosage forms that can deliver poorly
water-soluble drugs [10–12]. Many matrix systems 2. Methods
are diffusion limited (typically for high solubility
drugs), thus particle size is not a major issue. While it The computer algorithm used in these calculations
is possible to design matrix systems for delivery of (the details of which are described in the appendix)
poorly soluble drugs [13,14], matrix dosage forms was written in a modified BASIC using the
for these drugs are often sensitive to the GI environ- Berkeley-Madonna姠 software package [16]. A
ment since they require an erosional component to model was developed using a graphical interface
the drug delivery. Such factors as water content, with some equations imported from another program
mechanical abrasion and pH can have a dramatic [17], and others directly entered. These equations
impact on the drug delivery, leading to poor in involve modifications of previously published pro-
vitro–in vivo correlations. For these reasons, such grams [18], which focus on release of drug in one
matrix controlled-delivery systems are often less compartment (the colon). Drug is delivered as solid
desirable for low water-solubility drugs, especially particles, which dissolve if their concentration in the
when significant drug delivery will occur in the compartment is below the drug’s solubility. This
low-water environment of the colon. For osmotic dissolution process is controlled by the classic
controlled-release systems, drug is delivered essen- Noyes–Whitney equations (as described in Refs.
tially independently of the dosage form position in [4,5]). The following assumptions are made in the
the GI tract. For poorly water-soluble drugs, the calculations: (1) spherically-shaped particles, (2) log
dosage form delivers a stream of particles, often normal distribution of particle size fraction, and (3) a
suspended in a viscous medium. These systems constant diffusion layer thickness (3.5310 24 cm 2 /
therefore tend to show good in vitro–in vivo correla- min) [5]. The Runge-Kutta-4 method is used to
tions (see, for example, Ref. [15]). In the calculations determine numerical solutions [19]. The model step
carried out in this study, we assume drug particles size was halved until the difference in results was
are delivered in a steady stream as they would from less than 1%. Further reduction in step size, while
an osmotic delivery system. improving accuracy of the predictions, unnecessarily
When a low water-solubility drug must be ab- increases the calculation time. Parameter inputs for
sorbed in the colon due to the desired duration of each calculation are: first-order absorption rate con-
drug delivery, there are a limited number of ap- stant (k a , min 21 ), minimum volume in the compart-
proaches available for improving poor drug absorp- ment (V, ml), zero order input rate (k 0 , mg / h), mean
tion. In some cases, increasing the drug dissolution particle diameter (d, mm), drug solubility (S, mg / ml),
rate (decreasing particle size) may help improve drug and total absorption time. The output of each calcu-
absorption. We were interested in estimating the lation is the fraction of the total dose that is absorbed
appropriate drug properties where particle size reduc- from the compartment ( fa ).
tion could be expected to have a significant impact While the assumptions used in these calculations
on drug absorption from a controlled-release dosage involve simplifications, we believe the results should
K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304 295

provide reasonable approximations of real systems. Drug absorption rates for most drugs can be
As a test of the calculational model, computations estimated using CACO-2 cell lines, single-pass
were carried out and shown to correctly estimate fa perfusion of rat intestines or intubation (in vivo)
as a function of particle size (d) for hydrocortisone studies [24–28]. The absorption rate, Ka , for a given
in an immediate release dosage form [5]. compound in the colon may be lower than that in the
small intestine due to active transporters in the small
intestine which are not expressed in the colon. For
3. Results and discussion this reason, it can be important to determine whether
active transport occurs for a given drug.
In calculations of the fraction drug absorbed ( fa ), Solubility for the purpose of the computational
a number of factors affect the results. The computa- model used here refers to equilibrium solubility at
tional model used here assumes drug is delivered at a 37 8C. We assume that particles are wetted. Obvious-
steady rate throughout its delivery time. For these ly, the most relevant liquid to use for the solubility
calculations, we assume that the drug will be de- measurement would be the ascending colonic fluid.
livered in the ascending colon over a period of 6 h. In practical terms, buffers can be used that imitate
We then assume absorption in the colon will con- this fluid. The pH reported in the human ascending
tinue up to an additional 7.5 h. It should be noted colon ranges considerably depending on the subject
that these calculations attempt to determine only the and method of measurement. Averaging a number of
percent of the drug absorbed. In reality, first-pass studies using radiotelemetry methodologies indicate
metabolism can significantly affect the amount of that the ascending colon fluid has a pH of approxi-
drug in the blood stream. mately 6.1 (total of 165 subjects) with a range of
In our calculations, we decided to use two repre- about 5.5 to 7 [29,30].
sentative particle sizes. The nominal large size was In Fig. 1 (data shown in Table 1), a map is shown
chosen to have a diameter of 100 mm, while the which covers a wide range of solubilities and
small size was chosen to have a diameter of 5 mm. absorption rate constants, assuming 7.5 h of drug
The final term that significantly impacts the results
of these calculations is the volume of water into
which the particles are delivered. Whereas in the
small intestine, drug particles are swept along a
cylinder while they dissolve and absorb [20], the rate
of bulk movement in the ascending colon is suffi-
ciently slow that one can consider the system as a
static volume [21]. Water enters the colon and is
absorbed rapidly; however, the water that is effec-
tively available for drug dissolution and eventual
absorption is only the instantaneous water volume
present. In essence, the steady-state water volume
will determine the drug’s ability to dissolve. The
average volume of fluid in the ascending colon after
a meal has been measured to be 170640 ml [22].
The water content of the ascending colon is reported Fig. 1. Particle size effects calculated for controlled release
to be about 90% [21]. The net result is that the delivery of drug to the human ascending colon. Calculations
expected steady-state water volume in the ascending assume 5 mg / h are delivered to the ascending colon for 6 h, with
colon after a meal is 150636 ml. This volume will absorption continuing for an additional 7.5 h. The regions are
defined as follows h fa is defined as the fraction of the total
diminish when there is no food present. Under
delivered drug which is absorbed; If as [ fa (5 mm)2fa (100
fasting conditions, the volume of water present in the mm)] /fa (100 mm): region A, fa (100 mm).80%; region B, fa (5
ascending colon is estimated to be less than 50 ml mm),20%; region C, If ,0.25; 20%,fa ,80%; region D, If .
[23]. 0.25, fa (5 mm).20%j.
296 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

Table 1
Calculated percentage drug absorbed in the human ascending colon (volume of water5150 ml) for controlled release of 5 mg / h for 6 h
ka Solubility % Drug absorbed at 6.5 h total time % Drug absorbed at 13.5 h total time
(min 21 ) (mg / ml)
5 mm particles 100 mm particles If 5 mm particles 100 mm particles If
0.001 0.01 1.9 1.6 0.19 4.0 3.7 0.08
0.001 0.05 8.6 7.8 0.10 19.1 18.2 0.05
0.001 0.1 14.7 13.8 0.07 35.7 34.5 0.03
0.001 0.2 18.5 18.2 0.02 46.5 46.3 0
0.002 0.005 1.6 3.7
0.002 0.05 15.3 36.0
0.002 0.1 26.6 64.7
0.002 0.2 32.5 70.9
0.003 0.005 2.4 5.5
0.003 0.05 22.6 53.1
0.003 0.1 38.1 81.6
0.005 0.002 1.6 3.6
0.005 0.005 4.8 4.0 0.20 10.1 9.1 0.11
0.005 0.02 15.5 35.8
0.005 0.05 42.0 36.1 0.16 88.5 83.1 0.06
0.005 0.1 60.1 56.3 0.07 95.1 94.6 0.01
0.005 0.2 60.1 59.7 0.01 95.1 95.1 0
0.005 1.0 74.7 60.1 0.24 100.0 95.1 0.05
0.01 0.001 1.9 1.5 0.27 4.0 3.5 0.14
0.01 0.005 9.6 7.5 0.28 20.1 17.4 0.16
0.01 0.01 19.0 14.9 0.28 40.0 34.6 0.16
0.01 0.05 78.5 63.5 0.24 99.7 99.3 0
0.02 0.001 3.9 2.8 0.39 8.1 6.6 0.23
0.02 0.003 11.6 8.3 0.40 24.2 19.5 0.24
0.02 0.01 37.9 26.8 0.41 79.8 60.3 0.32
0.02 0.02 72.8 50.7 0.44 100.0 99.4 0.01
0.05 0.001 9.6 5.6 0.71 20.1 13.8 0.46
0.05 0.005 44.0 26.8 0.64 99.1 63.9 0.55
0.05 0.01 92.8 50.2 0.85 100.0 99.6 0
0.05 0.02 98.8 82.8 0.19 100.0 100.0 0
0.1 0.001 19.2 8.5 1.26 40.2 21.7 0.85
0.1 0.003 57.2 24.4 1.34 100.0 59.7 0.68
0.1 0.005 93.7 38.9 1.41 100.0 87.5 0.14
0.1 0.01 99.9 67.8 0.47 100.0 100.0 0

absorption beyond the 6 h of drug delivery in the large, 100-mm diameter particles. In this region, the
ascending colon (total of 13.5 h of drug absorption in absorption is sufficiently high that any benefit
the ascending colon). In describing the drug absorp- achieved by reducing particle size is anticipated to be
tion behavior, we have defined two terms: fa is unmeasurable. This region corresponds to drugs with
defined as the fraction of the total dose delivered that relatively high solubility (in the colonic pH range of
is absorbed, and the improvement factor, If , is 5–7.5) and high permeability. This situation falls
defined as [ fa (5 mm)2fa (100 mm)] /fa (100 mm). In loosely into the biopharmaceutics classification sys-
this map, we have defined four regions corre- tem (BCS) proposed for immediate release dosage
sponding to different behaviors. forms by Amidon and co-workers [31,32] as Class I
(high solubility, high permeability). Since the drug is
3.1. Region A, fa (100 m m).80% delivered over an extended period of time, the
definition of high solubility could be broadened to
The drug absorption is high, fa .80%, with the include an equilibrium solubility of greater than
K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304 297

about 0.1 mg / ml. The map in Fig. 1 shows that this 5 mm diameter). In this region, drug dissolution is
and other regions are not strictly quadrants, but rate limiting. Drugs in this region fall broadly into
rather irregularly shaped areas. Class II of the BCS (low solubility, high permeabili-
ty). This region is where size reduction of particles is
3.2. Region B, fa (5 m m),20% likely to be worthwhile. Every drug is unique,
however, and the ability to predict the benefit by a
The drug absorption is low even with the small, priori methods is limited. Still, the likelihood of
5-mm diameter particles ( fa ,20%). In this region, improving bioavailability for a drug falling in other
even if particle size reduction has a significant regions (A–C) is less than for a drug falling in
relative impact on drug absorption, the absolute region D.
absorption is sufficiently low that improvements with If one assumes absorption occurs over a shorter
particle size reduction will not be significant. Drugs time period, the regions shown in Fig. 1 shift
in this region are solubility, rather than dissolution considerably. Fig. 2 shows a mapping of particle size
rate, limited. In addition, the absorption rate is not effects for absorption as shown in Fig. 1 with the
sufficiently fast to deplete the saturated drug in the absorption assumed to stop 30 min beyond the 6 h of
colon. These drugs fall broadly into Class IV of the delivery. This situation will mimic a long duration
BCS (low solubility, low permeability), though controlled-release dosage form such that the resi-
again, an irregular area is defined. dence time in the ascending colon is comparable to
In the remaining regions, the relative effect of the dosing time. As can be seen, the region of
particle size is evaluated. This effect is classified by maximum particle size impact shifts towards higher
the percentage enhancement seen when going from solubilities. Overall, as one would expect, the ab-
the large to the small particles. For example, if a sorption percentages are reduced. As an example, if
10% absorption with large particles becomes 50% the solubility is assumed to be 0.02 mg / ml and k a to
absorption with the small particles, we would consi- be 0.02 min 21 under the two previously stated
der the impact to be a 400% improvement. conditions, reducing the particle size results in a
significant improvement in f a when absorption oc-
3.3. Region C, If ,0.25; 20%, fa ,80% curs over a time similar to the delivery duration (this
point lies within region D, see Table 1, Fig. 2).
The impact of particle size is negligible to moder- However, if absorption is allowed to continue a
ate on the percentage drug absorbed (,25% relative
improvement in fa as the average particle diameter is
reduced from a 100 to a 5 mm diameter). This region
can be characterized as being absorption rate limited
such that particle size reduction does not affect the
percentage drug absorbed. The drugs in this group
fall broadly into Class III of the BCS (high solu-
bility, low permeability). The definition of high
solubility for a controlled-release dosage form could
be defined to include solubilities considerably lower
than for immediate-release dosage forms, due partial-
ly to the metering of the drug into the colon by
controlling its release from the dosage form.

3.4. Region D, If .0.25, fa (5 m m).20%


Fig. 2. Particle size effects calculated for controlled-release
delivery of drug to the human ascending colon (assuming a
The effect of particle size reduction is predicted to volume of water of 150 ml). Calculations assume 5 mg / h are
be moderate to significant (.25% relative improve- delivered to the colon for 6 h, with absorption continuing for an
ment in fa as particle diameter is reduced from 100 to additional 0.5 h. The regions are defined as in Fig. 1.
298 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

further 7.5 h, absorption of the larger particles of a particle size reduction. In particular, the region
completes such that the benefit of particle size of benefit for particle size reduction (region D)
reduction becomes inconsequential (the point now decreases with the reduced volume of water in the
falls in region A in Fig. 1). dog colon. This situation can be improved by
One consequence of delivering a drug slowly in a reducing the dosing rate for the dog. For example, in
controlled-release dosage form rather than in an Fig. 4 (data in Table 3), a dosing rate of 1 mg / h is
immediate release bolus is that there is effectively used with the dog model (i.e., 50 ml of water in the
more dilution of the drug in the former case. The colon). As can be seen in comparing Figs. 1 and 4,
result is that solubilities that would be considered region D (where particle size reduction is expected to
low for immediate release dosage forms (e.g., 0.1 have a significant impact on bioavailability) now
mg / ml), are effectively high when released slowly in covers a similar space. The drug concentration in the
controlled-release systems. human colon and each of the dog colon models after
It is interesting to compare the colonic absorption 1 h assuming no drug absorption corresponds to
predictions for controlled-release dosage forms in the 0.033 mg / ml (5 mg / 150 ml, for the human), 0.100
human to those in the dog, where many such systems mg / ml (5 mg / 50 ml, for the dog) and 0.020 mg / ml
are tested [33]. The effective volume of water in the (1 mg / 50 ml, for the dog assuming a lower dosing
dog colon is difficult to estimate, and has not been rate). As these concentrations show, delivering drug
reported in the literature, but is probably around 50 to a dog at 1 mg / h more closely mimics dosing a
ml. Using this estimate with the same calculational human at 5 mg / h (0.033 vs. 0.020 mg / ml) than does
procedure as used above (i.e., 5 mg / h dosing for 6-h dosing the dog at the same rate (0.100 mg / ml). In
followed by an additional 7.5 h of absorption), a new summary, a dosing rate in the dog that takes into
plot can be generated as shown in Fig. 3 (data in account the relative colonic water content is expected
Table 2). In comparing Figs. 1 and 3, it becomes to make the dog a better model for solubility
obvious that a straightforward use of a dog for dependent absorption in the lower GI tract.
estimating drug bioavailability for controlled-release Under fasting conditions, the human ascending
dosage forms could grossly underestimate not only colon water volume has been suggested to be less
the extent of absorption, but also the relative benefit than 50 ml [23], about the same as that used in the
calculation for the fed dog. Based on these calcula-
tions, therefore, we would predict that the drug
properties where particle size impacts bioavailability
in the colon will be narrower and somewhat different
from those of a fed person.
If one delivers the drug to the human ascending
colon at a reduced rate, the impact of particle size
reduction is greater and the region of impact (region
D) is greater. This can be seen in Fig. 5 (data in
Table 4). In comparing Figs. 1 and 5, region D for
the lower dosing rate encompasses lower absorption
rate constants and greater drug solubilities. In con-
trast, Fig. 6 (data in Table 5) shows that at a high
dosing rate, there is only a very narrow region where
particle size is predicted to have a significant impact.
It is interesting to see where real drugs fall in
Fig. 3. Particle size effects calculated for controlled-release these categories based on their solubilities and
delivery of drug to the dog colon or the human colon under fasting permeabilities. Towards this end, the values and
conditions (assuming a volume of water of 50 ml). Calculations
assume 5 mg / h are delivered to the colon for 6 h, with absorption predicted behaviors of 10 randomly selected drugs
continuing for an additional 7.5 h. The regions are defined as in are shown in Table 6. As can be seen, there are drugs
Fig. 1. that fall into each category at the low doses. At
K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304 299

Table 2
Calculated percentage drug absorbed in the dog colon or human fasting colon (volume of water550 ml) for controlled release of 5 mg / h for
6h
ka Solubility % Drug absorbed at 6.5 h total time % Drug absorbed at 13.5 h total time
(min 21 ) (mg / ml)
5 mm particles 100 mm particles If 5 mm particles 100 mm particles If
0.001 0.01 0.6 0.6 0 1.3 1.3 0
0.001 0.05 3.1 2.9 0.07 6.6 6.4 0.03
0.001 0.5 18.5 18.3 0.01 46.5 46.3 0
0.001 1.0 18.5 18.5 0 46.5 46.4 0
0.005 0.05 15.6 14.3 0.09 33.1 31.6 0.05
0.005 0.01 3.2 2.9 0.10 6.7 6.4 0.05
0.005 0.1 29.7 27.8 0.07 64.7 62.2 0.04
0.005 0.5 60.1 60.0 0 95.1 95.1 0
0.005 1.0 64.4 60.1 0.07 100.0 95.1 0.05
0.01 0.001 0.7 0.6 0.17 1.4 1.3 0.08
0.01 0.005 3.2 2.9 0.10 6.7 6.3 0.06
0.01 0.01 6.4 5.7 0.12 13.4 12.6 0.06
0.01 0.05 31.1 27.8 0.12 66.1 61.8 0.07
0.01 0.1 58.5 52.8 0.11 98.9 98.2 0.01
0.05 0.001 3.2 2.5 0.28 6.7 5.7 0.18
0.05 0.005 16.1 12.3 0.31 33.6 28.2 0.19
0.05 0.01 32.1 24.3 0.32 67.1 55.3 0.21
0.05 0.05 98.8 93.5 0.06 100.0 100.0 0
0.1 0.001 6.5 4.3 0.51 13.5 10.2 0.32
0.1 0.005 32.2 21.1 0.53 67.2 49.3 0.36
0.1 0.01 64.0 40.6 0.58 100.0 90.0 0.11
0.1 0.05 99.9 99.5 0 100.0 100.0 0

higher doses, one predicts that few drugs will benefit


from particle size reduction.

4. Conclusions

Since drug delivery in controlled-release dosage


forms for longer durations involves drug release into
the colon, determining factors that affect the drug
absorption in the colon can be important in the
design of the dosage form. Colonic drug absorption
is sometimes poor due to limited drug solubility. A
computational model for controlled-release drug
dissolution and absorption was used to examine the
effect of particle size reduction on improving bio-
availability. It was found that particle size will only
have a significant impact on the drug absorption
Fig. 4. Particle size effects calculated for controlled-release (bioavailability) for a limited class of drugs roughly
delivery of drug to the dog colon or the fasting human colon falling into the BCS II classification (low solubility,
(assuming a volume of water of 50 ml). Calculations assume 1
mg / h are delivered to the colon for 6 h, with absorption high permeability). Four regions were defined based
continuing for an additional 7.5 h. The regions are defined as in on the drug solubility, absorption rate constant,
Fig. 1. dosing rate and dosing duration. These regions
300 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

Table 3
Calculated percentage drug absorbed in the dog colon or fasting human colon (volume of water550 ml) for controlled release of 1 mg / h for
6h
ka Solubility % Drug absorbed at 6.5 h total time % Drug absorbed at 13.5 h total time
(min 21 ) (mg / ml)
5 mm particles 100 mm particles If 5 mm particles 100 mm particles If
0.001 0.001 0.3 0.3 0 0.7 0.6 0.17
0.001 0.01 3.1 2.6 0.19 6.6 6.0 0.10
0.001 0.1 18.5 17.3 0.07 46.4 45.5 0.02
0.001 0.5 18.5 18.5 0 46.5 46.4 0
0.001 1.0 18.5 18.5 0 46.5 46.5 0
0.0025 0.025 18.2 15.1 0.21 40.1 36.3 0.10
0.0025 0.05 31.6 27.3 0.16 72.3 67.2 0.08
0.0025 0.1 38.8 37.4 0.04 78.6 78.1 0.01
0.005 0.005 7.9 6.1 0.30 16.7 14.4 0.16
0.005 0.01 15.6 12.0 0.30 33.1 28.6 0.16
0.005 0.05 58.8 49.0 0.20 95.0 93.2 0.02
0.005 1.0 76.8 60.1 0.28 100.0 95.1 0.05
0.01 0.001 3.2 2.3 0.39 6.7 5.5 0.22
0.01 0.005 15.9 11.3 0.41 33.4 27.1 0.23
0.01 0.01 31.0 22.1 0.40 66.0 60.7 0.09
0.01 0.05 80.0 74.6 0.07 99.7 99.6 0
0.01 0.1 80.0 79.1 0.01 99.7 99.7 0
0.01 1.0 100.0 80.0 0.25 100.0 99.7 0
0.025 0.0025 20.0 11.8 0.69 41.8 29.2 0.43
0.025 0.01 76.3 43.6 0.75 100.0 95.6 0.05
0.025 0.025 94.8 83.1 0.14 100.0 100.0 0
0.05 0.001 16.0 7.5 1.13 33.5 19.3 0.74
0.05 0.005 78.0 35.0 1.23 100.0 81.7 0.22
0.05 0.01 98.8 62.2 0.59 100.0 100.0 0
0.075 0.005 99.6 42.0 1.37 100.0 91.8 0.09
0.1 0.001 31.7 10.6 1.99 66.6 27.9 1.39
0.1 0.01 99.9 75.8 0.32 100.0 100.0 0
0.1 0.1 99.9 99.8 0 100.0 100.0 0
0.1 1.0 100.0 99.9 0 100.0 100.0 0
0.5 0.001 100.0 15.9 5.29 100.0 42.3 1.36

correspond to drug absorption being sufficiently high the subject can impact the effectiveness of particle
or low as to not be changed by particle size, a region size reduction on colonic absorption by varying the
where the particles size has little impact since water volume in the colon.
dissolution is not rate limiting, and finally a region
where particle size has a significant impact. These
regions depend heavily on the volume of water
available for drug dissolution; consequently, using Acknowledgements
such animal models as dogs can provide non-predic-
tive bioavailability estimates due to the volume We would like to thank Esther Ladipo for her help
differences. Even the relative benefit of particle size in running the computer simulations used in this
reduction can be completely masked in the reduced project. We would also like to thank Dr. Blair West
volume of the canine colon. It was found that of Bend Research Institute for his assistance in
proportional dose reduction could help make the dog tracking down estimates of the human ascending
a better model for predicting the efficacy of particle colon water volume and colon pH, and Dr. Kevin
size reduction for improving colonic bioavailability Johnson (of Intellipharm, LLC) for help in develop-
in humans. It is also suggested that the fed state of ment of earlier versions of this simulation program.
K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304 301

Fig. 5. Particle size effects calculated for controlled-release Fig. 6. Particle size effects calculated for controlled-release
delivery of drug to the human colon (assuming a volume of water delivery of drug to the human colon (assuming a volume of water
of 150 ml). Calculations assume 1 mg / h are delivered to the colon of 150 ml). Calculations assume 25 mg / h are delivered to the
for 6 h, with absorption continuing for an additional 7.5 h. The colon for 6 h, with absorption continuing for an additional 7.5 h.
regions are defined as in Fig. 1. The regions are defined as in Fig. 1.

Table 4
Calculated percentage drug absorbed in the human ascending colon (volume of water5150 ml) for controlled release of 1 mg / h for 6 h
ka Solubility % Drug absorbed at 6.5 h total time % Drug absorbed at 13.5 h total time
(min 21 ) (mg / ml)
5 mm particles 100 mm particles If 5 mm particles 100 mm particles If
0.001 0.01 8.6 6.0 0.43 19.1 16.2 0.18
0.001 0.05 18.5 17.2 0.08 46.5 45.6 0.02
0.001 0.1 18.5 18.2 0.02 46.5 46.2 0.01
0.001 0.5 18.5 18.5 0 46.5 46.4 0
0.001 1.0 18.5 18.5 0 46.5 46.5 0
0.002 0.01 17.1 11.6 0.47 38.1 31.1 0.23
0.002 0.02 28.6 20.7 0.38 66.9 56.9 0.18
0.002 0.05 32.9 30.9 0.06 71.0 70.2 0.03
0.002 0.1 32.9 32.4 0.02 71.0 70.8 0
0.002 0.2 32.9 32.7 0.01 71.0 71.0 0
0.005 0.002 9.5 5.6 0.70 20.0 14.7 0.36
0.005 0.005 22.8 13.5 0.69 49.0 35.9 0.36
0.005 0.01 41.9 25.5 0.64 88.5 66.9 0.32
0.005 0.02 60.1 43.4 0.38 95.1 91.8 0.04
0.01 0.001 9.5 4.9 0.94 20.0 13.0 0.54
0.01 0.002 18.9 9.6 0.97 39.8 25.7 0.55
0.01 0.005 45.1 23.0 0.96 94.4 59.9 0.58
0.01 0.01 78.1 42.0 0.86 99.7 94.8 0.05
0.01 0.02 80.0 65.6 0.22 99.7 99.5 0
0.02 0.001 19.0 7.7 1.47 39.9 20.9 0.91
0.02 0.002 37.5 15.1 1.48 79.4 40.1 0.98
0.02 0.005 86.7 34.9 1.48 100.0 84.3 0.19
0.02 0.01 92.4 60.1 0.54 100.0 99.9 0
0.1 0.002 99.9 27.1 2.69 100.0 67.4 0.48
0.1 0.003 99.9 38.3 1.61 100.0 86.1 0.16
302 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

Table 5
Calculated percentage drug absorbed in the human ascending colon (volume of water5150 ml) for controlled release of 25 mg / h for 6 h
ka Solubility % Drug absorbed at 6.5 h total time % Drug absorbed at 13.5 h total time
(min 21 ) (mg / ml)
5 mm particles 100 mm particles If 5 mm particles 100 mm particles If
0.001 0.005 0.2 0.2 0 0.4 0.4 0
0.001 0.01 0.4 0.4 0 0.8 0.8 0
0.001 0.05 1.9 1.8 0.06 4.0 3.9 0.03
0.001 0.1 3.7 3.6 0.03 7.9 7.8 0.01
0.001 0.5 14.7 14.5 0.01 35.7 35.5 0.01
0.001 1.0 18.5 18.5 0 46.5 46.4 0
0.005 0.1 18.5 17.6 0.05 39.5 38.4 0.03
0.005 0.5 60.1 58.6 0.03 95.1 95.1 0
0.005 1.0 60.1 60.1 0 95.1 95.1 0
0.01 0.001 0.4 0.4 0 0.8 0.8 0
0.01 0.002 0.8 0.7 0.14 1.6 1.5 0.07
0.01 0.05 19.0 17.5 0.09 40.0 38.3 0.04
0.01 0.1 36.9 34.4 0.07 78.9 75.4 0.05
0.01 0.5 80.0 79.9 0 99.7 99.7 0
0.05 0.005 9.7 8.1 0.20 20.2 18.0 0.12
0.05 0.01 19.4 16.0 0.21 40.4 35.7 0.13
0.05 0.05 93.5 73.5 0.27 100.0 100.0 0
0.05 0.1 98.8 98.2 0.01 100.0 100.0 0
0.1 0.001 3.9 2.9 0.34 8.1 6.7 0.21
0.1 0.002 7.8 5.8 0.34 16.2 13.4 0.21
0.1 0.005 19.4 14.4 0.35 40.4 33.1 0.22
0.1 0.01 38.7 28.4 0.36 80.7 64.4 0.25
0.1 0.05 99.9 98.4 0.02 100.0 100.0 0
0.1 0.1 99.9 99.8 0 100.0 100.0 0

Appendix A (mg) and the duration of the zero order release (t end ).
No lagtime was specified (t start ), hence the drug
The equations and methods utilized in this model release began immediately; that is time, t505t start .
were modified from the work of Johnson and co- The drug release then continued until t5t end (unless
workers [4,5]. Drug delivery was defined as a zero t end ,t e , see below). Drug absorption continued until
order input, k 0 (mg / h), consisting of the total dose the specified user input t e , defined as that time when

Table 6
Predicted particle size effects on drug absorption for 10 randomly selected drugs (from Ref. [24])
Drug ka Solubility Particle size effect prediction
No. (min 21 ) (mg / ml)
5 mg / h 5 mg / h 1 mg / h 1 mg / h 25 mg / h
(150 ml volume) (50 ml volume) (50 ml volume) (150 ml volume) (150 ml volume)
I 0.009 0.100 A A A A C
II 0.041 0.002 D B D D B
III 0.014 0.014 C B C A C
IV 0.003 39 A A A A A
V 0.031 58 A A A A A
VI 0.031 0.055 A A A A C
VII 0.009 0.01 C B B A C
VIII 0.008 0.0006 B B B B B
IX 0.062 0.002 D B D D B
X 0.034 0.004 D B D A C
Letters correspond to regions as described in Fig. 1.
K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304 303

excretion occurred. Although defined in terms of References


excretion, t e can also be defined as that time when
peristalsis carried all drug (undelivered, dissolved [1] J.H. Fincher, Particle size of drugs and its relationship to
and solid) into a region of the colon where there was absorption and activity, J. Pharm. Sci. 57 (1968) 1825–1835.
negligible dissolution and / or absorption. [2] N. Kaneniwa, N. Wataki, Dissolution of slightly soluble
drugs. IV. Effect of particle size of sulfonamides on in vitro
The particle size distribution of delivered drug was
dissolution rate and in vivo absorption rate, and their relation
assumed to be log-normally distributed. The geomet- to solubility, Chem. Pharm. Bull. 26 (1978) 813–826.
ric mean radius ( m ) was calculated from the input [3] N. Kaneniwa, N. Watari, H. Ijima, Dissolution of slightly
mean particle size diameter, while the standard soluble drugs. V. Effect of particle size on gastrointestinal
deviation (s ) was assumed to be 2.4 mm. Eight drug absorption and its relation to solubility, Chem. Pharm.
equal, logarithmically spaced particle size ‘‘bins’’ Bull. 26 (1978) 2603–2614.
[4] R.J. Hintz, K.C. Johnson, The effect of particle size dis-
were calculated between the upper (r min 5 mg s 3g ) and
tribution on dissolution rate and oral absorption, Int. J.
lower radii limits (r max 5 mg /s 3g ). The fraction of Pharm. 51 (1989) 9–17.
total mass distributed into each ‘‘bin’’ was simulated [5] A.T.K. Lu, M.E. Frisella, K.C. Johnson, Dissolution model-
through the use of the log-normal probability density ing: factors affecting the dissolution rates of polydisperse
function [5]: powders, Pharm. Res. 10 (1993) 1308–1314.
[6] A. Scholz, B. Abrahamsson, S.M. Diebold, E. Kostewicz,

f(r 0 ) 5 ]]]
1
ΠS F log r 0 2 log mg
] exp 2 0.5 ]]]]]
log sg 2p log sg GD2 B.I. Polentarutti, A.-L. Ungell, J.B. Dressman, Influence of
hydrodynamics and particle size on the absorption of
felodipine in labradors, Pharm. Res. 19 (2002) 42–96.
[7] W.F. Ganog, in: Review of Medical Physiology, 13th
(A.1) Edition, Appleton and Lange, Norwalk, CT, 1987, p. 424.
[8] M. Bouchoucha, S.R. Thomas, Error analysis of classic
colonic transit time estimates, Am. J. Gastrointest. Liver
This became the initial particle size distribution.
Physiol. 279 (2000) G520–G527.
Dissolution was simulated using a previously [9] J. Hammer, S.F. Phillips, Fluid loading of the human colon:
reported [5] Noyes–Whitney-type equation: effects on segmental transit and stool composition, Gastroen-
terology 105 (1993) 988–998.
dXsi DS
]]
dt
F Xd
5 ] ? Cs 2 ]
h V
G (A.2)
[10] R.K. Verma, D.M. Krishna, S. Garg, Formulation aspects in
the development of osmotically controlled oral drug delivery
systems, J. Control. Release 79 (2002) 7–27.
[11] R.K. Verma, B. Mishra, S. Garg, Osmotically controlled oral
where Xsi is the mass of solid drug at any time, D is drug delivery, Drug Dev. Ind. Pharm. 26 (2000) 695–708.
the drug diffusion coefficient 3.52310 24 cm 2 / mg [12] F. Theeuwes, Elementary osmostic pump, J. Pharm. Sci. 64
[5], Cs is the drug solubility (a user input), h is the (1975) 1987–1991.
diffusion layer thickness (lesser value of the particle [13] P. Colombo, R. Bettini, P. Santi, N.A. Peppas, Swellable
radius and 30 mm), Xd is the mass of dissolved drug matrices for controlled drug delivery: gel-layer behaviour,
mechanism and optimal performance, PSTT 3 (2000) 198–
at any time, and V is the colon volume (a user input).
204.
As described in Ref. [5], the surface area term of the [14] K.V.R. Rao, K.P. Devi, Swelling controlled-release systems:
Noyes–Whitney equation, S, was calculated for recent developments and applications, Int. J. Pharm. 48
spherically-shaped particles. (1988) 1–13.
The mass of drug in the colon at any time, t, was [15] M. Pitsiu, G. Sathyan, S. Gupta, D. Verotta, A sermiparamet-
ric deconvolution model to establish in vivo–vitro correla-
the sum of the amount remaining in the colon at the
tion applied to OROS oxybutynin, J. Pharm. Sci. 90 (2001)
end of the last step, [Xd (t21)1Xs (t21)], and the 702–712.
amount delivered by the hypothetical controlled- [16] R.I. Macey, G.F. Oster (programmed by T. Zahnley),
release formulation, k 0 (t), minus the amount ab- Berkeley Madonna姠 8.0.1, available from www.ber-
sorbed, k *a Xd (t). The amount of drug absorbed, fa , keleymadonna.com, Berkeley, CA, 2001.
was calculated from: [17] Systems Thinking Experiential Learning Laboratory (STEL-
LA), software available from High Performance Systems,
Inc., Lebannon, NH, 2000.
k a Xd
]] (A.3) [18] S.C. Sutton, The use of pharmacokinetic profiles to drive the
k0 formulation development of modified release dosage forms,
304 K.C. Waterman, S.C. Sutton / Journal of Controlled Release 86 (2003) 293–304

in: AAPS Conference on Pharmaceutics and Drug Delivery, [27] H. Bohets, P. Annaert, G. Mannens, L. Van Beijsterveldt, K.
AAPS, Arlington, VA, 2002. Anciaux, P. Verboven, W. Meuldermans, K. Lavrijsen, Strate-
[19] F. Bornemann, Runge-Kutta methods, trees and mathe- gies for absorption screening in drug discovery and develop-
matica, SIAM J. Appl. Math. 2 (2001) 1–13. ment, Curr. Top. Med. Chem. 1 (2001) 367–383.
[20] D.-M. Oh, R.L. Curl, G.L. Amidon, Estimating the fraction [28] H. Lennernas,¨ K. Palm, U. Fagerholm, P. Artursson, Com-
dose absorbed from suspensions of poorly soluble com- parison between active and passive transport in human
pounds in humans: a mathematical model, Pharm. Res. 10 intestinal epithelial (Caco-2) cells in vitro and human
(1993) 264–270. jejunum in vivo, Int. J. Pharm. 127 (1996) 103–107.
[21] J.S. Scolapio, M. Camiller, M.R. von der Ohe, R.B. Hanson, [29] S.G. Nugent, D. Kumar, D.S. Rampton, D.F. Evans, Intesti-
Ascending colon response to feeding: evidence for a 5- nal luminal pH in inflammatory bowel disease: possible
hydroxytryptamine-3 mechanism, Scand. J. Gastroenterol. 30 determinants and implications for therapy with amino-
(1995) 562–567. salicylates and other drugs, Gut 48 (2001) 571–577.
[22] A.D. Badley, M. Camilleri, M.K. O’Connor, Noninvasive [30] P. Gruber, M.A. Longer, J.R. Robinson, Some biological
measurement of human ascending colon volume, Nucl. Med. issues in oral, controlled drug delivery, Adv. Drug Deliv.
Commun. 14 (1993) 485–489. Rev. 1 (1987) 1–18.
[23] C. Wilson, personal communication. [31] G.L. Amidon, H. Lennernas, ¨ V.P. Shah, J.R. Crison, A
[24] S.C. Sutton, M.T.S. Rinaldi, J.M. McCarthy, K.E. Vuk- theoretical basis for a biopharmaceutic drug classification:
ovinsky, A statistical method for the determination of the correlation of in vitro and in vivo bioavailability, Pharm.
absorption rate constant estimated using the single pass Res. 12 (1995) 413–420.
intestinal perfusion model and multiple linear regression, J. [32] E. Lipka, G.L. Amidon, Setting bioequivalence requirements
Pharm. Sci. 91 (2002) 1046–1053. for drug development based on preclinical data: optimizing
[25] H. Lennernas, Animal perfusion studies, Drugs Pharm. Sci. oral drug delivery systems, J. Control. Release 62 (1999)
106 (2000) 73–98. 41–49.
[26] S.C. Sutton, M.T.S. Rinaldi, K.E. Vukovinsky, Comparison [33] S.C. Sutton, Use of the dog colon model and a physiologic–
of the gravimetric, phenol red and 14 C-PEG-3350 methods to pharmacokinetic computer model to simulate controlled
determine water absorption in the rat single pass intestinal release plasma profiles, Proc. Inter. Symp. Control. Release
perfusion model, Pharm. Sci. 3(3) (2001) article 25. Bioactive Mater. 27 (2000) 57–58.

Vous aimerez peut-être aussi