Issue:March 2024

SPECIAL FEATURE - Improving Bioavailability & Solubility: The Never-Ending Quest

Poor water solubility and bioavailability are long-standing challenges in the drug development process. Around 90% of the drug candidates in the current development pipeline and close to 40% of the marketed pharmacological products are associated with concerns related to solubility and/or permeability.1 Therefore, industry continues on what seems like a never-ending quest to overcome these challenges.

Tamas Solymosi, Lead Scientist at Nanoform, points to several new technologies that have reached preclinical or clinical evalu­ation. These include nanoprecipitation, a bottom-up process to assemble amorphous or crystalline nanoparticles composed of the API and block-copolymers or other stabilizers. Among others, clofazimine and lumefantrin – two difficult-to-formulate APIs – were successfully processed using nanoprecipitation. “KinetiSol™ technology employs a high-energy kneading method to prepare solid dispersions of APIs, which are otherwise difficult to incorporate, into ASDs using standard spray drying or melt extrusion technologies,” says Mr. Solymosi.

Formulators turn to modifying physi­cal and chemical API characteristics to achieve improved solubility and bioavail­ability. One strategy that has recently emerged are drug-drug co-amorphous (CAM) systems. They have gained interest in their ability to improve solubility as well as an alternative to traditional fixed-dose combinations. In CAM systems, low-mol­ecular-weight coformers – sugars, organic acids, amino acids, and surfactants – are used instead of polymers to enhance phys­ical stability. No energy of lattice re­arrangement needs to be overcome during the dissolution process, enabling high drug solubility and rapid dissolution.2

Co-crystals, a class of crystalline ma­terials composed of two or more compo­nents, have gained attention in sustainable and green research due to their potential for enhancing drug delivery systems.3 By utilizing eco-friendly solvent systems and renewable starting materials, researchers are developing environmentally benign synthesis methods for co-crystal produc­tion. These sustainable approaches not only minimize the environmental impact but also promote the development of greener pharmaceuticals with improved solubility and bioavailability.3

There is also rising demand for cy­clodextrins to enhance solubility. Their ability to form inclusion complexes with various drug molecules, improving bioavailability, has led to increased adop­tion in pharma and a possible market value of $579.6 million by 2032.4

Learn more about these, and other, technologies in this exclusive Drug Devel­opment & Delivery annual report.

Adare Pharma Solutions: Value Creation & Differentiation for Customers

High Throughput Screening (HTPS) for lead identification has led to a signifi­cant surge in new compounds exhibiting poor aqueous solubility and/or bioavail­ability (BA). This can be attributed to HTPS’s inherent tendency to identify lipophilic leads, which favor target binding for efficacy. Despite the strides made in pharmaceutical technology, the challenge of addressing solubility and BA issues in these compounds remains a formidable one for formulators.

“Efforts to tackle BA issues necessitate a comprehensive understanding of the un­derlying causes and mastery in the devel­opment of tailored formulation strategies,” says Srinivasan Shanmugam, PhD, Execu­tive Director of Pharmaceutical Sciences, Business Support & New Technologies, Adare Pharma Solutions. Poor bioavail­ability can stem from a variety of factors, including drug-related issues such as in­adequate solubility, slow dissolution rate, limited permeability, and physiological barriers like first-pass metabolism and P-glycoprotein (Pgp)-mediated efflux.

While drug absorption is influenced by drug-related factors classified under the Biopharmaceutical Classification System (BCS), physiological barriers ultimately de­termine the overall BA of a drug. Therefore, devising effective formulation strategies means navigating both drug-re­lated and physiological factors. A grasp of the physicochemical properties of drugs – such as logP, melting point, and ionization – is also crucial for selecting appropriate formulation techniques.

Adare Pharma Solutions utilizes both traditional and innovative technologies to enhance solubility. Dr. Shanmugam ex­plains that on the traditional strategies front, Adare has extensive expertise in cre­ating amorphous solid dispersions to en­hance solubility of poorly water-soluble compounds with the use of spray dryer or hot melt extruder. Two examples include:

  • Diffucaps®: “Our specialized Diffucaps technology creates acidic or basic micro-environments with organic acid or alkaline buffers to augment the sol­ubility of pH-dependent and poorly water-soluble drugs,” he says. Addition­ally, Diffucaps is a fluid bed-based process so it has the ability to create amorphous solid dispersions.
  • Optimum®: This technology platform effectively enhances the solubility and permeability of various BCS class drugs by generating lipid microspheres and amorphous solid dispersions, Dr. Shan­mugam says.

“Our technologies overcome the chal­lenges of solubility issues with simplicity, speed, and efficacy,” he says. “Our solu­bility/BA enhancement capabilities, com­bined with our expertise in developing easy-to-swallow and palatable patient-centric formulations, deliver value creation and differentiation for our customers.”

Ascendia Pharma: A 3-Pronged Formulation Approach

New Chemical Entities (NCEs) have created a bottleneck for improving the bioavailability of drugs for unmet medical needs. Thus, it has fueled the interest to adapt more innovative approaches such as lipid and polymeric nanoparticle tech­nology for parenteral and oral delivery of drugs. Identifying the appropriate ingredi­ents or excipients (lipids/polymers) for improving solubility and bioavailability is challenging, even more so with the novel ingredients due to lack of safety and reg­ulatory guidelines. In spite of these chal­lenges, FDA-approved inactive ingredients compatible with lipid-based self-emulsify­ing delivery systems (SEDDS), amorphous solid dispersions (ASD), co-precipitation, and Kinetisol® among others, have been used to enhance the solubility and bioavailability of molecules.

Ascendia is taking a three-pronged, tailored formulation approach to address these challenges. First, is to find the right excipients, polymers, and solvent by screening molecules for maximum solubil­ity. Second, is employing its platform tech­nologies – LipidSol®, NanoSol®, EmulSol®, and AmorSol® – to identify the right tech­nology for drug loading and stability. Three, is optimizing the formulation by using design of experiments (DOEs) and utilizing intrinsic properties of the com­pounds.

“These steps are relevant to find the most appropriate formulations with en­hanced efficacy and stability of drugs,” says Shaukat Ali, PhD, Senior Director Sci­entific Affairs and Technical Marketing at Ascendia. “Ascendia’s core capabilities in formulation and analytical development, stability and microbial testing, coupled with cGMP manufacturing suites for sterile and non-sterile drugs, offer unparalleled benefits for expediting drug molecules faster to clinic.”

LipidSol, NanoSol, and EmulSol are based on lipids and solubilizers, while AmorSol is ASD-based. “All are designed with FDA-approved ingredients, and have been applied extensively to improve the solubility and bioavailability of molecules across all modalities by oral and injectable route of administrations,” Dr. Ali says.

As more new molecules are discov­ered, a good majority of them are lipophilic, BCS Class I and Class IV (with logP 2-8 and high melting) and require non-conventional approaches to improve their solubility and bioavailability. Conven­tional technologies such as pH modifica­tion or salt formation, complexation, and prodrugs due to their own limitation, may not be well suited for developing medium- to high-dose drugs, says Dr. Ali. Therefore, efforts continue to find the relevant tech­nology to yield the desired solubility, bioavailability, and most importantly, sta­bility, with the understanding of scalability in manufacturing of drug products under sterile or non-sterile conditions. “Ascendia Pharma’s enabling platform technologies are poised to address the growing de­mands for new drug candidates with en­hanced bioavailability, and therefore, primed to take the lead in formulation de­velopment and manufacturing of those in­novative lipophilic medicines,” he says.

Croda Pharma: Specializing in Specific Enhancement Technologies

Croda Pharma specializes in four technologies aimed at improving bioavail­ability and solubility. First, nanoparticle-based delivery systems such as liposomes, nanoemulsions, and inorganic nanoparti­cles, offer large surface area to encapsu­late drugs that further improves their solubility and bioavailability.5 These sys­tems can also protect active pharmaceuti­cal ingredients from degradation and offer a targeted delivery. Additionally, there is reduction in toxicity, greater safety, and biocompatibility.6 A tool that has recently emerged for the development of nano systems like solid lipid nanocarriers, na­noemulsions, liposomes, etc. is microflu­idic technology, which provides enhanced precision, efficiency and functionality7, says Kritika Bajaj, PhD, Research Scientist at Croda Pharma.

Second, self-emulsifying drug delivery systems (SEDDS) and self-microemulsify­ing drug delivery systems (SMEDDS) are formulations consisting of oils, surfactants, solvents, and drug substance. They spon­taneously form oil-in-water emulsions when introduced to aqueous phase. These systems enable improvement in oral bioavailability of a poorly water-soluble drug.8 These systems are easy to make, economical, and scalable, says Dr. Bajaj.

Third, amorphous solid dispersion (ASD) technology involves utilizing excipi­ents to assist in dispersing a poorly soluble drug in a hydrophilic inert carrier matrix (usually a polymer) to enhance its solubility and dissolution rate upon administration. This technology works by increasing sur­face area, improving wettability, tailoring release profiles, and enhancing solubility by dispersing a drug in an amorphous state.

Finally, a permeation enhancer works by improving the transport of poorly ab­sorbed actives across biological barriers such as skin, mucosa, or gastrointestinal tract. They can aid transdermal and oral drug delivery.9,10 Compounds such as sur­factants, dimethyl isosorbide (DMI), and lipid-based excipients can improve drug permeability across biological barriers, leading to increased bioavailability.11

Dr. Bajaj says: “Croda’s portfolio of high purity excipients used as surfactants, permeation enhancers, polymers, lipids, and oils can play a significant role in the above-mentioned technologies to enable improved solubility and bioavailability of drugs.”

CycloLab: Cyclodextrins Are an Inventive Approach to Low Solubility

One of the key activities of CycloLab Cyclodextrin Research & Development Laboratory Ltd. is developing improved formulations with active pharmaceutical ingredients of low aqueous solubility (hence having poor bioavailability) by ap­plying various cyclodextrins. As a result of cyclodextrin complexation, the pharmaco­kinetic parameters of these substances are favorably modified due to the inclusion phenomena. Several other technological properties (wettability, taste masking, phys­ical disintegration) of the complex may be­come significantly more advantageous compared to traditional drug formula­tions, wherein a surfactant and/or a co-solvent is applied for enhancing bioavailability. Using cyclodextrins is still regarded as an inventive approach.

When an innovator applies to get ap­proval for a new cyclodextrin-based com­position of a known drug compound, the question of bioequivalence may be raised by the pharmaceutical authorities, even for injectables. The U.S. Food and Drug Ad­ministration Center for Drug Evaluation and Research (CDER) issued a draft guid­ance document entitled “Sameness Evalu­ations in an ANDA – Active Ingredients” in November 2022 stating that, in general, cyclodextrin complexes do not constitute new chemical forms that are considered in determining active ingredient sameness because they are not intended to furnish pharmacological activity (or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease) asso­ciated with the approved use of the drug product. Since this guideline is a nonbind­ing recommendation, the innovator may be interrogated to demonstrate bioequiv­alence of an already marketed composi­tion compared to the novel complex, cyclodextrin-based formulation. Traditional animal studies to justify bioequivalence are demanding in terms of cost, duration of test, and documentation, including sensi­tive ethical issues. To bypass this difficulty, biowaiver data such as in vitro permeation studies are often found appropriate in the approval process of the cyclodextrin-based composition.

“CycloLab conducts relatively facile comparative in vitro tests for a relevant marketed product (as a reference) and a novel cyclodextrin-based formulation, re­gardless if the new product candidate is developed by CycloLab or previously elab­orated by a third party,” explains Dr. Istvan Puskas, Research Chemist at CycloLab. “By conducting in vitro permeation studies, the study sponsor may get insight into the characteristics of the dissolved drug in sim­ulated biological fluids or in human plasma. The kinetics of the drug perme­ation rates in solution specific to the refer­ence marketed product versus the cyclodextrin-based complex may establish adequate justification of bioequivalence. The test is performed using semi-perme­able membranes of specific pore size dis­tribution and retention capabilities according to molecular weight. This tech­nique enables discrimination of unbound portion of drug substance from that in­cluded into cyclodextrin or associated to protein.”

To further illustrate the strength of drug-cyclodextrin interactions, computer modeling on the noncovalent association, as well as aggregation studies in different dilutions, may be performed. If required, competitive cyclodextrin binding studies may be provided in human serum albumin (HAS) as well as in blood plasma. Cyclo­Lab’s study report on the experimental data is issued ready for submission to rel­evant authorities to support the approval process.

Gattefossé: Lipid-Based Approach Improved Exposure by Two-fold for Poorly Soluble Active

Chemical modification approaches like salt formation, complexation, among others, are a few of the many approaches for improving a molecule’s solubility, but modifications present a new set of chal­lenges to overcome, and they may not out­weigh the benefits, says Masumi Dave, Application Laboratory Manager at Gatte­fossé. “Any change to a drug’s molecular properties can set the development clock back because the modified molecule’s physico-chemical characteristics and phar­macokinetic parameters will then be dif­ferent, which may impact solubility, stability, bioavailability, and safety.”

Modification by formulation design using lipid-based excipients to prepare SEDDS/SMEDDS may enhance bioavail­ability and solubility by utilizing multiple BAE mechanisms, she says. Lipid-based excipients like Labrasol® ALF, Gelucire® 48/16, Gelucire 59/14, etc., can be used to deliver lipophilic molecules that are otherwise difficult to solubilize. Self-emulsifying, microemulsifying or nanoemulsifying drug delivery systems (SMEDDS/SNEDDS/SEDDS) can help im­prove solubilization and absorption of these compounds in vivo.

“We worked with a customer’s API that was subject to first-pass metabolism and had solubility and bioavailability chal­lenges,” Ms. Dave explains. “Following a lipid-based approach, a formulation was developed with a combination of excipi­ents having short chain fatty acid esters like Labrasol ALF and long chain fatty acid esters like Labrafil® M 1944 CS to aid tight junction opening, promote lymphatic up­take, and to generally improve systemic availability of this active. Excipient selec­tion was based on solubility of the active in the excipient, excipient miscibility, and the target drug load. This formulation im­proved the exposure (Cmax) in dogs by two-fold with lower variability compared to the control formulation.”

Hovione: Using ASDs to Turn Candidates into Drugs

Hovione has experienced some very marked trends that have driven the way the CDMO produces drug dosage forms. One of these is the increased prevalence of new chemical entities that are poorly soluble and the establishment of amor­phous solid dispersions (ASDs) as the pre­dominant platform to overcome poor bioavailability – in great part leveraged by spray drying, which has become a reliable industrial-scale platform. Filipe Gaspar, Vice President Technology Intensification at Hovione, says: “This has led to significant advances on the formulation of amor­phous materials, namely in material and analytical sciences, the development of novel (sometimes enabling, like Disper­some®) excipients, and the need for fit-for-purpose dosage forms.”

He explains that Hovione’s R&D port­folio is made up of more than 60 projects in different development phases, compris­ing active ingredients with solubility chal­lenges. “Our approach starts by understanding the most appropriate bioavailability enhancement approach to increase solubility/bioavailability,” he says. “In most cases, converting the active ma­terials into an ASD provides the larger op­portunity to turn these candidates into viable drugs. In these cases, we apply a thorough screening procedure with as little as 5g of active, Hovione’s ASD-HIPROS, to identify the best composition, in terms of performance, physical stability, and manufacturability. Often, a ten-fold in­crease in performance – often more – is observed without compromising other drug attributes.”

Latitude: Drug Substance Nanoparticles Are Often the Only Option

Nanoparticles of drug substances, which are crystalline or non-crystalline in­soluble API milled to about 100-200nm particles, have received a lot of attention recently. This form can provide enhanced dissolution and bioavailability for insoluble APIs while requiring only a very small pro­portion of excipients (about 10% of the total weight of the dosage form); thus a nanoparticle is probably the only feasible technology for an insoluble drug sub­stance that has a relatively high oral dose, e.g., >250mg/dose (a High Dose Insolu­ble API).

In contrast, all other formulations that can enhance solubility/bioavailability re­quire a large proportion of excipients – usually 50% to 90% of the drug dose to solubilize the drug, which inevitably leads to a bulky dosage form (e.g., a large tablet) that is inconvenient or impractical, says Dr. Andrew Chen, President and Founder of Latitude Pharmaceuticals. “A final oral dosage form can only realisti­cally be provided with a limited total weight of about 1.5g for a tablet and 1g for a capsule,” he explains. “Therefore, many other solubility/bioavailability en­hancing formulations such as SEDDS, lipid-based nanoparticles, solid disper­sion, liposomes, and solvent formulations are not suited for a High Dose Insoluble API. An oral formulation (e.g., tablet, cap­sule, granule, or oral suspension) contain­ing nanoparticles of the drug substance is the best and often the only option.”

Two different and innovative ap­proaches were recently deployed to solve a client’s bioavailability and solubility chal­lenges. A client wished to develop an in­travenous (IV) and an oral (PO) formulation for one API, but the API was very insoluble and had a high-dose (>350mg); the API was soluble only in di­methyl sulfoxide (DMSO). “We developed an IV formulation that was an oil/water nanoemulsion, with 150nm average droplet size, using a natural phospholipid and triglyceride oil,” Dr. Chen describes. “The formulation was able to dissolve the dose completely, permitted IV infusion, and was very well tolerated. For the PO formulation, a variation of the nanoemul­sion containing API nanoparticles was de­veloped and achieved unprecedented oral bioavailability in test animals.”

Lonza: Weighing the Risks & Benefits of BAE Technologies

Improving a drug’s solubility, dissolu­tion rate, or permeability can be required to enhance bioavailability. When a drug is limiting oral absorption, a wide variety of bioavailability enhancement (BAE) tech­nologies are available to address these risks. “At Lonza, we balance the risks and benefits of each approach and apply the best fit for a drug’s specific BAE needs,” says Craig Sather, Senior Principal Investigator in Bioavailability Enhancement, Lonza. “The approach we take is dictated by the unique physiochemical properties of each new chemical entity (NCE) and the target product profile, including the in­tended dose and patient population.”

Technologies used at Lonza for in­creasing the solubility of a drug can in­clude forming salts, cocrystals, self-emulsifying drug delivery systems (SEDDS), and amorphous solid dispersion (ASDs). Using an integrated drug develop­ment approach bridging drug substance solid form selection (SFS) with BAE tech­nologies, Lonza offers customers reduced time to clinic utilizing optimized formula­tions and processes, she says. Incorporat­ing risk assessments for formulation and process development drives the identifica­tion of the key rate-limiting steps to ab­sorption and rapid prototyping through clinical scale-up.

“Applying risk assessments, we routinely mitigate issues such as precipitation of a lower solubility form, chemical degra­dation, and physical state change when employing a BAE technology,” says Sather. “Based on our experience, gaining a comprehensive understanding of a molecule’s solid form landscape is es­sential to a successful drug development program, regardless of the final dosage form.”

The selection of a polymorph that will minimize risk prior to a clinical formulation development effort will reduce risk in later stages. When a BAE technology is utilized, the in-going drug substance is often a crystalline form that will require acceptable shelf-life prior to downstream processing. As part of Lonza’s integrated offering, the SFS team works side-by-side with the drug product development team to realize the benefits of an optimized solid-form lead selection.

In parallel with the lead selection of the solid form, Lonza’s drug product de­velopment teams utilize a variety of in sil­ico and in vitro techniques for technology selection. “Our bioperformance toolkit leverages proven methods to assess a drug’s physiochemical properties,” he ex­plains. These properties are fed to predic­tive tools, such as physiologically based pharmacokinetic (PBPK) models, to per­form an adsorption risk assessment. The output of these efforts ensures rapid for­mulation development and confidence that in vivo exposures have been opti­mized. Performing physical form manipu­lations, such as exploring various polymorphs, ASDs, micronization, or nanosuspensions, can be used to address the solubility or dissolution limitations of drugs. Chemical enhancement ap­proaches, such as creating a salt form, can significantly alter the physiochemical prop­erties to overcome absorption rate chal­lenges after the compound lead selection has occurred.

“At Lonza, we have extensive knowl­edge and experience employing BAE tech­nologies on thousands of our customers’ compounds that can be utilized to over­come absorption challenges and ensure sufficient exposure of the drug,” says Sather. “We use a risk-based ap­proach to successfully navigate the multi­tude of options available and align on a design that is needed for the drug, whether that is a simple crystalline form in a cap­sule or a more complex solubility-en­hanced formulation utilizing one or more BAE technologies.”

Lubrizol: Two Novel Excipients May Rescue APIs From Solubility Issues

Solubility and bioavailability chal­lenges are the most pressing needs in the field of small molecules. While there are traditional excipients and techniques avail­able to address these issues, they often have low efficiency and lead to complex manufacturing processes or undesired side effects for patients.

“At Lubrizol, we believe that novel ex­cipient technologies have the potential to overcome solubility and bioavailability-re­lated challenges while producing more patient-friendly dosage forms and creating opportunities for new intellectual prop­erty,” says Nick DiFranco, MEM Global Market Manager, Novel Pharmaceutical Technologies at Lubrizol.

Lubrizol Life Science’s oral- grade Apinovex™ and injectable-grade Apisolex™ polymers were designed to overcome poor solubility using simple, scalable manufacturing techniques. Apinovex and Apisolex are excipient-grade polymers that offer IP-protection and life­cycle management for BCS Class II and IV APIs. Apinovex polymers are GMP-vali­dated, high molecular-weight polyacrylic acid excipients designed to provide both processing and formulation benefits for spray-dried amorphous solid dispersions (ASDs), explains Mr. DiFranco. Apinovex polymers enable formulators to achieve stable, high drug loading (up to 80%) and up to 10x improvement in drug release for crystalline APIs. With Apinovex, formula­tors can develop efficient, IP-protected oral solid dosage forms for a range of poorly soluble APIs.

Recently, Lubrizol and Research Cen­ter for Pharmaceutical Engineering (RCPE) published new data on the Apinovex poly­mer, showcasing its ability to solubilize a broad range of small molecules with dif­ferent properties and glass-forming abili­ties. Mr. DiFranco explains that the data demonstrated that Apinovex polymer could match or improve upon the per­formance of traditional excipients such as HPMC-AS and PVP-VA for several drugs, including challenging beyond-rule-of-5 compounds such as venetoclax, nilotinib, and itraconazole. Apinovex polymer demonstrated good solubilizing properties and supersaturation maintenance in the initial study, and new spray drying trials will be run later this year.

“Given these results, we view the Apinovex polymer as a promising new tool for formulators working on oral amor­phous solid dispersions (both NCEs and 505(b)(2) products),” he says.

The Apisolex polymer is an injectable-grade poly (amino acid)-based co-poly­mer that has been shown to increase the solubility of hydrophobic APIs by up to 50,000-fold where other commonly-used excipients fail (such as surfactants, PEG-based polymers, and cyclodextrins). “Ro­bustly patented, safe, efficient, and scalable, Apisolex formulations can achieve drug loading of up to 40% and dramatically increase the achievable con­centration of API in water,” says Mr. DiFranco.

The Apisolex polymer utilizes straight­forward mixing/homogenization tech­niques coupled with filtration or lyophilization to produce the desired end product – either a powder for reconstitu­tion or a ready-to-inject sterile liquid. He says: “The technology has proven effective with a broad range of small molecule APIs, demonstrating both improved com­patibility and efficiency when compared to traditional surfactants and polymeric sol­ubilizers. The effectiveness of this tool, coupled with its ease of use, led to two for­mulation awards last year, including first place in the Finished Formulation category at the 2023 CPhI Pharma Awards. The Apisolex polymer was recognized as the latest solubility-enhancing excipient to be launched specifically for parenteral use in decades, and we view it as an enabling technology for rescuing new APIs from sol­ubility and bioavailability challenges.”

Nanoform: Proprietary Green Nano Tech Obtains Desired Particle Size

As the complexity and lipophilicity of drug candidates are expected to further in­crease, there is a constant need to evolve druggability-enabling technologies – and to develop new ones. Several new tech­nologies have reached preclinical or clini­cal evaluation. One of the most recent strategies to reduce particle size, and in certain cases alter the crystallinity of com­pounds, is Nanoform’s Controlled Expan­sion of Supercritical Solutions (CESS®) technology, which works by dissolving an API in supercritical carbon dioxide, then controlling precipitation to obtain the de­sired particle size distribution and poly­morphic form. Because it does not require the use of excipients and organic solvents, CESS is a green technology.

“It is powerful in helping formulators decrease the particle size of a pure drug substance to the very lower edge of the nano range, which might offer dose re­duction, elimination of food effect, and lower variability in pharmacokinetic pa­rameters,” says Tamas Solymosi, Lead Sci­entist, Nanoform.

The majority of Nanoform’s partners present drug candidates that are notori­ously difficult to formulate, with dissolution and/or solubility limitations. Mr. Solymosi says that at this point of development, usu­ally after salt and polymorph screening and initial PK and toxicology studies, chemical modification is a last resort and partners prefer size reduction, solubiliza­tion, and solid dispersion strategies. He explains: “In certain projects, nanoforming by CESS technology has enabled an order of magnitude increases in bioavailability, or the complete elimination of food inter­action. Moreover, in general we do ob­serve lower variability in PK parameters compared to reference formulations.”

One partner presented Nanoform with a prototypical poorly soluble drug candidate that was intended to be formu­lated as a hydrogel. Previous solubilization techniques failed, and nanomilling turned out to be suboptimal. Nanoforming proved to be successful and the nanoformed API could be incorporated into high drug load formulations, eliminat­ing a major roadblock to the partner’s in­vestigational new drug (IND) application.

The decrease in inter-individual vari­ability of PK parameters renders nanoformed drugs attractive as erratic dis­solution from conventional drug formula­tions, coupled with inherent differences in gastrointestinal pH, motility, bile salt secre­tion, and other physiological factors that can lead to extreme variabilities. Mr. Soly­mosi says: “For certain drug products, this can result in subgroups of patients neces­sitating dose reduction due to toxicity is­sues or, on the other hand, yields underdosed patients with subtherapeutic drug levels leading to worse outcomes.”


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