Advancements in Colon-Targeted Drug Delivery: A Comprehensive Review on Recent Techniques with Emphasis on Hot-Melt Extrusion and 3D Printing Technologies

IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Nouf D. Alshammari, Rasha Elkanayati, Sateesh Kumar Vemula, Esraa Al Shawakri, Prateek Uttreja, Mashan Almutairi, Michael A. Repka
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Abstract

This review investigates the progression and effectiveness of colon-targeted drug delivery systems, offering a comprehensive understanding of the colon's anatomy and physiological environment. Recognizing the distinctive features of the colon is crucial for successfully formulating oral dosage forms that precisely target specific areas in the gastrointestinal tract (GIT) while minimizing side effects through mitigating off-target sites. This understanding forms the basis for designing effective targeted drug delivery systems. The article extensively examines diverse approaches to formulating drugs for colonic targeting, highlighting key polymers and excipients in their production. Special emphasis is given to innovative approaches such as hot-melt extrusion (HME) and three-dimensional printing (3D-P), renowned for their accuracy in drug release kinetics and intricate dosage form geometry. However, challenges arise regarding material standardization and the complex network of regulatory clearances required to confirm safety and effectiveness. The review provides insights into each application’s advantages and potential challenges. Furthermore, it sheds light on the local diseases that necessitate colon targeting and the available marketed products, providing an overview of the current state of colon-targeted drug delivery systems. Additionally, the review emphasizes the importance of testing drugs in a controlled in vitro environment during the development phase. It also discusses the future directions for successful development in this field. By integrating knowledge across anatomy, formulation techniques, and assessment methodologies, this review is a valuable resource for researchers navigating the dynamic field of colonic drug delivery.

Graphical Abstract

结肠靶向给药的进展:以热熔挤压和 3D 打印技术为重点的最新技术综述》。
这篇综述研究了结肠靶向给药系统的发展和有效性,全面介绍了结肠的解剖结构和生理环境。认识结肠的独特特征对于成功配制精确靶向胃肠道(GIT)特定区域的口服剂型至关重要,同时还能通过减少脱靶部位将副作用降至最低。这种认识为设计有效的靶向给药系统奠定了基础。文章广泛探讨了配制结肠靶向药物的各种方法,重点介绍了生产过程中的关键聚合物和辅料。文章特别强调了热熔挤出(HME)和三维打印(3D-P)等创新方法,这些方法因其药物释放动力学的准确性和复杂的剂型几何形状而闻名。然而,材料标准化以及确认安全性和有效性所需的复杂监管许可网络也带来了挑战。本综述深入探讨了每种应用的优势和潜在挑战。此外,它还揭示了有必要进行结肠靶向治疗的局部疾病以及现有的上市产品,为结肠靶向给药系统的现状提供了一个概览。此外,该综述还强调了在开发阶段在受控体外环境中测试药物的重要性。它还讨论了这一领域成功开发的未来方向。通过整合解剖学、制剂技术和评估方法等方面的知识,这篇综述为研究人员在动态的结肠给药领域导航提供了宝贵的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AAPS PharmSciTech
AAPS PharmSciTech 医学-药学
CiteScore
6.80
自引率
3.00%
发文量
264
审稿时长
2.4 months
期刊介绍: AAPS PharmSciTech is a peer-reviewed, online-only journal committed to serving those pharmaceutical scientists and engineers interested in the research, development, and evaluation of pharmaceutical dosage forms and delivery systems, including drugs derived from biotechnology and the manufacturing science pertaining to the commercialization of such dosage forms. Because of its electronic nature, AAPS PharmSciTech aspires to utilize evolving electronic technology to enable faster and diverse mechanisms of information delivery to its readership. Submission of uninvited expert reviews and research articles are welcomed.
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