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More Than a Gut Feeling─A Combination of Physiologically Driven Dissolution and Pharmacokinetic Modeling as a Tool for Understanding Human Gastric Motility.


ABSTRACT: In vivo studies of formulation performance with in vitro and/or in silico simulations are often limited by significant gaps in our knowledge of the interaction between administered dosage forms and the human gastrointestinal tract. This work presents a novel approach for the investigation of gastric motility influence on dosage form performance, by combining biopredictive dissolution tests in an innovative PhysioCell apparatus with mechanistic physiology-based pharmacokinetic modeling. The methodology was based on the pharmacokinetic data from a large (n = 118) cohort of healthy volunteers who ingested a capsule containing a highly soluble and rapidly absorbed drug under fasted conditions. The developed dissolution tests included biorelevant media, varied fluid flows, and mechanical stress events of physiological timing and intensity. The dissolution results were used as inputs for pharmacokinetic modeling that led to the deduction of five patterns of gastric motility and their prevalence in the studied population. As these patterns significantly influenced the observed pharmacokinetic profiles, the proposed methodology is potentially useful to other in vitro-in vivo predictions involving immediate-release oral dosage forms.

SUBMITTER: Romanski M 

PROVIDER: S-EPMC11345944 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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More Than a Gut Feeling─A Combination of Physiologically Driven Dissolution and Pharmacokinetic Modeling as a Tool for Understanding Human Gastric Motility.

Romański Michał M   Staniszewska Marcela M   Dobosz Justyna J   Myslitska Daria D   Paszkowska Jadwiga J   Kołodziej Bartosz B   Romanova Svitlana S   Banach Grzegorz G   Garbacz Grzegorz G   Sarcevica Inese I   Huh Yeamin Y   Purohit Vivek V   McAllister Mark M   Wong Suet M SM   Danielak Dorota D  

Molecular pharmaceutics 20240703 8


<i>In vivo</i> studies of formulation performance with <i>in vitro</i> and/or <i>in silico</i> simulations are often limited by significant gaps in our knowledge of the interaction between administered dosage forms and the human gastrointestinal tract. This work presents a novel approach for the investigation of gastric motility influence on dosage form performance, by combining biopredictive dissolution tests in an innovative <i>PhysioCell</i> apparatus with mechanistic physiology-based pharmac  ...[more]

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