Paper page

Original: publisher page

Na Li, James D. Ormes, Lynne S. Taylor* · Pharmaceutical Research (Pharm Res), online first, published online 29 March 2016; no volume or page numbers printed (2016)

Leaching of Lopinavir Amorphous Solid Dispersions in Acidic Media

Lopinavir dispersions made with enteric polymers, suspended in acidic buffer, leach a few µg/mL of drug to a supersaturated level, and surfactants raise that level about as far as they raise the drug's crystalline solubility.

Abbreviations

ASD amorphous solid dispersion; LPV lopinavir; HPMCAS hydroxypropylmethylcellulose acetate succinate, grades LF, MF and HF; HPMCP hydroxypropylmethylcellulose phthalate (P in figure labels); SDS sodium dodecyl sulfate; STC sodium taurocholate; PVPVA polyvinylpyrrolidone/vinyl acetate (Kollidon VA 64); CMC critical micelle concentration; CAC critical aggregation concentration; C leached LPV concentration; Ceq crystalline LPV solubility in a medium of the same composition; C/Ceq apparent supersaturation ratio; LOD/LOQ limit of detection/quantitation; PLM polarized light microscopy.

Story. Why they did it → how → what they found → how it fits together → what is left. Each part opens with the short version; "More detail" under it gives the full account. Grey ids open the evidence behind a sentence.

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Question

How much drug and polymer leach from enteric-polymer ASD particles suspended in acidic media, and how do the polymer, added surfactants, pH and a suspending agent change this?

Short answer

A little, and mostly through solubilization. At pH 3 about 7 µg/mL LPV leached from HPMCAS dispersions and about 5 µg/mL from HPMCP, between the crystalline (about 1.5–2.7) and amorphous (about 17) solubility, while polymer leaching stayed below 5 µg/mL. Surfactants raised leaching in step with crystalline solubility, so C/Ceq stayed near 3.3–3.9 for HPMCAS-HF and 1.6–1.8 for HPMCP. ·····

Conclusion

For LPV dispersions (33% loading) suspended at pH 3, the extent of LPV leaching "appears to be related" to how strongly the medium solubilizes crystalline LPV, and the ratio of leached concentration to crystalline solubility stayed about the same for a given polymer across four surfactants, so the surfactants changed the apparent solubility but "did not appear to significantly impact" the apparent supersaturation. ··· HPMCAS-HF suspensions gave a higher supersaturation than HPMCP suspensions at the same loading, from which the authors expect a lower crystallization risk with HPMCP ("might be anticipated"). ·· Polymer leaching was low and lower from the dispersions than from the pure polymers, which the authors find "consistent with a miscible solid dispersion". ··· With an ionic surfactant, raising the pH from 3 to 5 "significantly" increased LPV leaching, attributed to slight HPMCAS ionization by a mechanism the authors call "currently unclear", and PVPVA with SDS gave the largest solubilization, read as a complex that "may" form. ···· Three links were proposed but not measured: crystallization itself (LPV was chosen because it does not crystallize on this timescale), the degree of polymer ionization, and the surfactant–polymer complexes. ····

01Why this study

Known 1Enteric ASDs are often dosed as acidic suspensions

Animal, toxicology and early clinical studies use them, with suspending agents and wetting surfactants; the polymer stays largely undissolved.

Byrn 2010, ref 7; Chen 2014, ref 8

Known 2Excipients can promote crystallization

They change both the supersaturation reached and nucleation; surfactants changed crystallization of celecoxib ASD particle suspensions.

Chen 2015, ref 12

Known 3Even a little leached polymer can matter

Very low polymer concentrations can inhibit crystallization of dissolved drug.

Abbou Oucherif 2013, ref 15

Gap → this paperHow do excipients in the suspending medium change how much drug and polymer leach from enteric ASD particles, and so the supersaturation they create?
More detail

What was already known. References are numbered as in the paper.

  • Amorphous formulations supersaturate, then crystallize. Amorphous forms are a common route to solubility enhancement and raise bioavailability through supersaturated solutions, but the amorphous drug tends to crystallize in water; polymers are added to slow this, giving ASDs. (Kawakami 2009, ref 1; Newman 2012, ref 2; Hancock 2000, ref 3; refs 4–6)
  • Enteric ASDs meet acid as suspensions or in the stomach. Suspensions of enteric ASDs are used to dose animals for PK/PD and toxicology and in early clinical trials, with suspending agents for viscosity and surfactants for wetting; an oral dose also meets gastric acid before the intestine. Crystallization must be avoided both in the suspension and from the supersaturated solution it produces. (Byrn 2010, ref 7; Chen 2014, ref 8)
  • Excipients can tip the balance. Excipients can change the supersaturation that develops and the nucleation tendency (refs 9–11); surfactant effects on celecoxib nucleation induction times were linked to crystallization of celecoxib ASD particle suspensions (Chen 2015, ref 12). How excipients in the medium change drug release from the suspended particles was little known.
  • Leaching cuts both ways. More drug leaching means more supersaturation and a higher crystallization tendency; more polymer leaching could slow nucleation. Both should be quantified. Very low polymer concentrations can already inhibit crystallization (Abbou Oucherif 2013, ref 15). ·
  • Supersaturation in solubilizing media is only apparent. A concentration ratio may not represent the thermodynamic driving force in complex media (Raina 2015, ref 13).
  • Mixed amorphous components lower each other's solubility. Used in the discussion: ritonavir and darunavir (Nguyen 2014, ref 21), felodipine and miglyol (Lindfors 2006, ref 22) and ritonavir and lopinavir (Trasi 2015, ref 23) reduce each other's amorphous solubility, as for components of organic liquid mixtures (Banerjee 1984, ref 20).
  • Surfactants and polymers form complexes. Surfactants begin to aggregate on polymers at a critical aggregation concentration well below the CMC (for SDS more than 100-fold lower) and can solubilize solutes below the CMC; the solubilizing power of such complexes can rise or fall depending on the system. (Kwak 1998, ref 24; Goddard 1977, ref 25; Goddard 1976, ref 26; Ammar 1976, ref 30)

What the paper set out to do. Measure how polymer choice, surfactant type, pH and a suspending agent affect drug and polymer leaching from LPV ASD suspensions in acidic media, using LPV because it crystallizes slowly enough for leaching to be followed without crystallization. ····

02How they approached it

LPV crystallizes slowly, so leaching can be followed for 3 h without crystals; each leaching level is divided by the crystalline LPV solubility in a medium of the same composition (C/Ceq), to separate solubilization from supersaturation. ··

LPV–HPMCAS LF, MF, HFenteric ASDs, 33% LPVThree grades that differ in substitution and pKa, HF highest; particles 24.6–40.9 µm; measured. ·
LPV–HPMCPenteric ASD, 33% LPVPhthalate polymer, the least soluble at pH 3; particles 14.2 µm; measured. ·
Pure spray-dried polymerscontrolsThe four polymers without drug, for polymer leaching; measured. ·
SDS and STCanionic surfactantsIn the medium at 0.055% and 0.81% w/v, just above their CMC; measured. ··
Poloxamer 188 and polysorbate 80nonionic surfactantsAt 1.54% and 0.022% w/v; measured. ··
PVPVAsuspending agent0.5% w/v, alone or with SDS, with LPV–HF only; measured. ·
pH 3 and pH 5 citrate buffers50 mM mediapH 5 tested with LPV–HF and every surfactant, and with LPV–LF and SDS; measured. ··

What was done

Experiment

Spray-dry LPV with each polymer from acetone→size the particles.·

Experiment

Crystalline LPV solubility versus surfactant concentration, with and without polymer→CMC; leaching media at 10% above it.···

↓
Experiment

100 mg ASD in 10 mL buffer, 25 °C, 3 h→filtered samples→LPV by HPLC, polymer by colorimetry.··

Experiment

Crystalline LPV solubility in every leaching medium→amorphous LPV solubility in pH 3 buffer.···

↓
Comparison

Plateau leaching against crystalline solubility in the same medium (Fig. 8)→C/Ceq per polymer and surfactant (Fig. 9).··

More detail

What was done

  1. ASD particles. LPV (10 mg/mL) and polymer (20 mg/mL) in acetone were spray dried (outlet 55 ± 5 °C) and dried overnight under vacuum, giving 33.3% LPV in the solids. Particle sizes D[3,2] were 24.6 (HF), 37.0 (MF), 40.9 (LF) and 14.2 µm (HPMCP); the spray-dried pure polymers were 29.2–34.6 µm (HPMCAS) and 24.1 µm (HPMCP). ···
  2. Surfactant levels. The CMC of each surfactant was taken from the break in crystalline LPV solubility versus surfactant concentration in pH 3 buffer (25 °C, 48 h, 0.45 µm filtration): SDS 0.050%, poloxamer 188 1.40%, polysorbate 80 0.020% and STC 0.73% w/v. Leaching media held 10% more: 0.055, 1.54, 0.022 and 0.81%. The same curves with excess HF or HPMCP, and for SDS with PVPVA and HF, showed how the polymers shift the onset. ··
  3. Leaching. 100 mg of ASD (or of pure spray-dried polymer) was stirred in 10 mL of 50 mM citrate buffer at 300 rpm and 25 °C. Samples taken at 5–180 min were filtered (0.45 µm) in triplicate; LPV was measured by HPLC (LOQ 0.17 µg/mL) and polymer by phenol–sulfuric acid colorimetry (LOQ 3.2–5.1 µg/mL). Poloxamer 188, STC and PVPVA interfered with the colorimetry, so polymer leaching was not measured in those media. Polarized light microscopy checked for crystals. Plateau values are averages of 60–180 min. ···
  4. Solubilities. Crystalline LPV solubility was measured in each medium with and without excess polymer (25 °C, 48 h, ultracentrifugation at 35000 rpm); the amorphous solubility came from an amorphous LPV film held in pH 3 buffer for 3 h. ·
  5. Supersaturation. C/Ceq: leached LPV over crystalline solubility in a medium of the same composition.

Key equations

Apparent supersaturation ratio (Methods, stated in words)
supersaturation ratio=CCeq

C is the LPV concentration leached from the dispersion and C_eq the crystalline LPV solubility in a medium holding the same excipients at the same temperature. The authors call it apparent because a concentration ratio may not represent the thermodynamic driving force in micellar media; every bar of Fig. 9 is built from it.·

Terms used on this page
  • Leaching: drug or polymer dissolving out of suspended ASD particles that themselves stay largely undissolved.
  • Crystalline and amorphous solubility: the equilibrium concentration over crystals, and the higher concentration over the amorphous drug; between the two the solution is supersaturated with respect to the crystal but cannot form an amorphous drug phase.
  • CMC: the surfactant concentration above which micelles form; here read as the break where LPV solubility starts to rise.
  • CAC (critical aggregation concentration): a lower concentration at which a surfactant starts to aggregate on a polymer chain.
  • HPMCAS grades: LF, MF and HF are made by substituting HPMC with different amounts of acetate and succinate; the paper states that HF has the highest pKa.
Fig. 1: Structures of the drug, polymers and surfactants
Fig. 1 · p.3 · Structures of the drug, polymers and surfactantsShows. LPV, HPMCAS, HPMCP, SDS, poloxamer 188, polysorbate 80, STC and PVPVA.

03Main findings

1

Little polymer leaches, and less from the dispersions than from the pure polymers

Pure spray-dried polymers released about 15 (LF), 19 (MF), 68 (HF) and under 5 µg/mL (HPMCP) at pH 3; the LPV dispersions released under 5 µg/mL of every polymer. ·

Fig. 2: Drug and polymer leaching at pH 3 for the four polymers
Fig. 2 · p.5 · Drug and polymer leaching at pH 3 for the four polymersShows. (a) pure polymers, HF far above the others; (b) polymer from the dispersions, below 5 µg/mL; (c) LPV about 7 µg/mL for every HPMCAS grade, about 5 for HPMCP.Also supports F2, K4
More detail

At pH 3 less than 100 µg/mL of any pure polymer dissolved, under 1% of the solids. HF was the most soluble (68 ± 11 µg/mL, average 60–180 min), then MF (19 ± 2) and LF (15 ± 2); HPMCP stayed below 5. The authors call the HF result "somewhat counterintuitive", since HF has the highest pKa, and suggest the grades "may" carry different amounts of a small low-pH-soluble fraction left by variable substitution. From the LPV dispersions, polymer leaching fell below 5 µg/mL for all grades (HF about 3–5, LF and MF about 0–1 µg/mL). The authors conclude that incorporating LPV "substantially suppressed" HPMCAS leaching, while noting that the values lie near the detection limit with high errors; for HPMCP the leaching was too low to compare. Such low polymer levels are still not negligible, they argue, since very low polymer concentrations can inhibit crystallization. ········

2

LPV leaches to a supersaturated level set by the polymer type, not the HPMCAS grade

LPV reached about 7 µg/mL from all three HPMCAS grades and about 5 µg/mL from HPMCP, above the crystalline solubility (about 1.5–2.7) and below the amorphous solubility (about 17). ···

See also Fig. 2

More detail

Leaching rose within 15 min and levelled off over 1–3 h. The 60–180 min average was about 7 µg/mL for LF, MF and HF, "not statistically different", even though HF polymer is about four times more soluble; HPMCP gave about 5 µg/mL. Crystalline LPV solubility was 2.5 ± 0.2 µg/mL in buffer, 1.9 ± 0.2 with HF and 2.7 ± 0.3 with HPMCP, and about 1.7 and 1.5 with LF and MF (read from Fig. 8a); the amorphous solubility in pH 3 buffer was about 16.6 µg/mL. Every suspension was therefore supersaturated with respect to the crystal, a risk for solution crystallization, yet below the amorphous solubility. No crystals appeared during the 3 h. The authors read the lower leaching of both LPV and polymer from the dispersions as "consistent with a miscible solid dispersion"; the equal LPV leaching across grades as similar drug–polymer interactions ("would be expected"); and the lower leaching with HPMCP as "more favorable" LPV–HPMCP interactions or more water in the particles ("might suggest"). ··········

3

Surfactants raise leaching about as much as they raise crystalline solubility

With LPV–HF, leaching rose from about 7 to about 10 (poloxamer 188), 13 (SDS), 14.5 (polysorbate 80) and 25.6 µg/mL (STC); with HPMCP only polysorbate 80 (about 7.5) and STC (about 10) raised it. Crystalline solubility in the same media rose in parallel. ·

Fig. 8: Leached LPV against crystalline solubility in the same medium
Fig. 8 · p.10 · Leached LPV against crystalline solubility in the same mediumShows. blue (leaching) and red (crystalline solubility) bars rise together across surfactants; the first blue bar in (a) is the amorphous solubility.Read it as. the blue-to-red ratio is the C/Ceq of Fig. 9.Also supports K1
More detail

With LPV–HF all four surfactants increased LPV leaching: STC most, to about 25 µg/mL, which the authors call a 3.5-fold increase, and poloxamer 188 only "marginally". Crystalline solubility with HF rose from 1.9 to 3.0 (poloxamer 188), 3.3 (SDS), 4.5 (polysorbate 80) and 7.2 µg/mL (STC). With LPV–HPMCP, SDS (about 4.4) and poloxamer 188 (about 4.9) left leaching at the no-surfactant level (about 4.8), while polysorbate 80 and STC raised it; crystalline solubility with HPMCP was 2.7, 3.1, 3.2 and 6.0 µg/mL. Leaching was lower with HPMCP than with HF for every surfactant. Surfactants alone changed crystalline solubility little (2.2–3.3 against 2.5 µg/mL), "consistent with micellar solubilization" just above the CMC; with polymer and STC it doubled or more. The authors conclude that leaching and crystalline solubility "mirror each other very well" and that leaching "appears to be increased based on the solubilization power of surfactant". Polymer leaching changed too: SDS raised HF leaching to about 19–24 µg/mL at 60–180 min and polysorbate 80 did not; with HPMCP both raised polymer leaching, which the authors call marginal although Fig. 3d shows a two- to threefold rise. ··········

Table I: Crystalline LPV solubility in every medium
Table I · p.6 · Crystalline LPV solubility in every mediumShows. solubility with each surfactant, alone and with HF, HPMCP or HF plus PVPVA, at pH 3 and pH 5.Read it as. the Ceq behind every ratio; the STC column and the PVPVA–SDS cell show the largest gains.Also supports K1
Fig. 3: Leaching with four surfactants, HF and HPMCP dispersions
Fig. 3 · p.7 · Leaching with four surfactants, HF and HPMCP dispersionsShows. STC highest, then polysorbate 80 and SDS for HF; with HPMCP only STC and polysorbate 80 lift LPV; SDS raises HF polymer leaching.
4

The polymers change how the surfactants solubilize

HPMCP moved the SDS break from about 0.05% to about 0.1%, so at 0.055% SDS was "probably" below its CMC; HF and HPMCP flattened the poloxamer 188 curve, with no CMC visible. ···

More detail

In pH 3 buffer, LPV solubility began to rise at about 0.05% SDS with or without HF; with HPMCP the break moved to about 0.1%. The authors conclude that SDS, at its leaching level, was "probably" below its CMC with HPMCP because of leached polymer, which accounts for its lack of effect on LPV solubility and leaching there. For poloxamer 188 alone the curve was flat to about 1.4% and rose to about 6.5 µg/mL at 4%; with HF or HPMCP the LPV solubility stayed at about 0.6–3.3 µg/mL with no break. The authors read this as the polymers reducing poloxamer's solubilizing power, which "explains" its small effect on leaching. These titration curves disagree with Table I for the same media (for HF with poloxamer 188, about 1 µg/mL against 3.0 ± 0.1), and Table I shows poloxamer 188 raising the solubility with HF from 1.9 to 3.0. ·······

Fig. 4: LPV solubility against surfactant concentration, with and without polymer
Fig. 4 · p.8 · LPV solubility against surfactant concentration, with and without polymerShows. SDS break near 0.05% (a, b) and near 0.1% with HPMCP (c); poloxamer curve flat with either polymer (e, f).Also supports K7
5

The apparent supersaturation stays about constant for each polymer

At pH 3, C/Ceq was about 3.3–3.9 for LPV–HF and about 1.6–1.8 for LPV–HPMCP, with or without each of the four surfactants.

Fig. 9: Apparent supersaturation ratio for each surfactant
Fig. 9 · p.11 · Apparent supersaturation ratio for each surfactantShows. about 3.3–3.9 for HF systems, about 1.6–1.8 for HPMCP systems.Also supports K2, K3
More detail

Dividing plateau leaching by crystalline solubility in the same medium gave, for HF, about 3.9 (no surfactant), 3.9 (SDS), 3.35 (poloxamer 188), 3.25 (polysorbate 80) and 3.55 (STC); for HPMCP about 1.8, 1.6, 1.55, 1.55 and 1.7. The authors conclude that the ratio "remained the same" for a given polymer, so surfactants changed the apparent solubility and leaching of LPV "without affecting the supersaturation ratio", assuming C/Ceq is a reasonable approximation. HPMCAS-HF therefore produced a higher supersaturation than HPMCP at the same loading. Recomputing the ratios from the paper's own inputs reproduces nine of the ten bars, but the HPMCP–polysorbate 80 bar (about 1.55) comes out near 2.3; the constancy was shown at pH 3 only and without a statistical test. ·····

6

At pH 5 an ionic surfactant raises drug and polymer leaching sharply

Without surfactant pH 5 left LPV leaching unchanged. With SDS, LPV–HF leaching rose from about 13 to about 36 µg/mL of LPV and from about 21 to about 120 µg/mL of polymer; STC raised it less, the nonionic surfactants not at all. ··

Fig. 5: pH 3 against pH 5 for LPV–HF with each surfactant
Fig. 5 · p.9 · pH 3 against pH 5 for LPV–HF with each surfactantShows. with SDS at pH 5 (purple) both drug (a) and polymer (b) jump; STC rises a little (f); nonionic surfactants are unchanged (c, e).Also supports K5
More detail

For LPV–HF, pH 5 left LPV leaching at about 7 µg/mL without surfactant, and polymer leaching was similar within error. With SDS, average LPV rose from about 13 to about 36 µg/mL and HF from about 21 to about 120 µg/mL; crystalline LPV solubility with SDS and HF rose from 3.3 to 6.3 µg/mL. With STC, LPV leaching rose from about 25 to about 30 µg/mL (60–180 min); with polysorbate 80 and poloxamer 188 it did not change, although polymer leaching rose slightly with polysorbate 80 at pH 5. LPV–LF, chosen because LF has a lower pKa and so is more ionized at pH 5, behaved the same way: without SDS more LF leached at pH 5 (about 30–47 against about 10 µg/mL) but LPV did not change; with SDS LPV rose from about 12 to about 23–30 µg/mL and LF to about 290–330 µg/mL. The authors attribute the effect to a "small extent" of polymer ionization, LPV itself not ionizing in this range. Why it helps is "currently unclear", since polymer and SDS carry the same charge; they "can only speculate" that ionized chains uncoil and let their less polar groups bind SDS into solubilizing aggregates. ············

Fig. 6: pH 3 against pH 5 for LPV–LF, with and without SDS
Fig. 6 · p.10 · pH 3 against pH 5 for LPV–LF, with and without SDSShows. LF polymer reaches about 330 µg/mL with SDS at pH 5; LPV roughly doubles.
7

SDS with PVPVA gives the largest leaching

PVPVA alone raised LPV leaching from about 7 to about 9 µg/mL; PVPVA plus SDS raised it to about 50, and crystalline solubility to 11.4 µg/mL. ·

Fig. 7: PVPVA and SDS together
Fig. 7 · p.10 · PVPVA and SDS togetherShows. (a) LPV about 50 µg/mL with PVPVA plus SDS; (b) LPV solubility rising with SDS from very low concentration when PVPVA is present.Also supports K6
More detail

With 0.5% w/v PVPVA in pH 3 buffer, LPV–HF leached about 9 µg/mL against about 7 without; adding SDS lifted it to about 50 µg/mL, more than five-fold. Crystalline LPV solubility with HF, PVPVA and SDS was 11.4 ± 0.8 µg/mL against 3.3 ± 0.2 with HF and SDS. With PVPVA and HF, LPV solubility rose steadily with SDS to about 60 µg/mL at 0.3%; the authors place the onset (a CAC) below 0.01%, against the SDS CMC of 0.05%, although in the figure the first clear rise is at 0.025%. They read this as a PVPVA–SDS complex with a higher solubilizing capacity for LPV than either alone ("may be able to form a complex"), in line with the literature on polymer–surfactant complexes. ··········

04Further observations

  • SDS raised polymer leaching from every dispersion, most for LF at pH 5 (about 330 µg/mL). ··
  • STC with either polymer at least doubled the crystalline solubility given by STC alone.
  • With SDS at pH 5, LPV peaked within 5–15 min and then drifted down. ·
  • No crystals formed in any suspension within 3 h.
More detail
  • SDS raises polymer leaching. HF from LPV–HF reached about 19–24 µg/mL with SDS at pH 3 (60–180 min) against about 4–5 without, and about 105–134 at pH 5; LF reached about 48–55 with SDS at pH 3 and about 286–326 at pH 5; HPMCP about 10–14 with SDS. The authors link this to surfactant–polymer complexation, which "can also enhance" polymer solubility. ····
  • STC pairs with both polymers. Crystalline LPV solubility with STC was 7.2 (HF) and 6.0 µg/mL (HPMCP) against 3.0 for STC alone; the authors count this, with PVPVA–SDS, as enhanced solubilization by surfactant–polymer pairs. ·
  • pH changes the crystalline solubility little without SDS. With HF, solubility at pH 3 and pH 5 was 1.9 and 1.5 ± 0.6 µg/mL without surfactant, 3.0 and 2.7 with poloxamer 188, 4.5 and 4.9 with polysorbate 80, and 7.2 and 8.1 with STC. ·
  • Overshoot with SDS at pH 5. LPV from LPV–HF was about 39 µg/mL at 5 min and about 33 at 180 min; from LPV–LF about 30 at 15 min and 23–25 later. Most other series rose to a plateau within 15–60 min. ·
  • Early time points vary between runs. The LPV–HF pH 3 control levels off at about 7 µg/mL in every figure, but its 15–30 min values differ between Figs. 2 and 3 and Figs. 5 and 7. ··
  • No crystals. Polarized light microscopy found no crystallization during leaching.

05How the authors connect the findings

1Enteric polymers barely dissolve at pH 3–5, so the particles stay suspended while a little drug and polymer leach. ··
↓
2In a miscible dispersion drug and polymer hold each other back: LPV leaches to a level between crystalline and amorphous solubility, set by the polymer. ··
↓
3A surfactant solubilizes LPV in the medium, and leached LPV rises with the crystalline solubility, so C/Ceq stays fixed for a polymer. ·
↓
SDS with HPMCPLeached HPMCP raises the SDS CMC↓SDS sits below its CMC↓no extra solubilization↓no extra leaching.
Poloxamer 188 with a polymerThe polymer weakens poloxamer's solubilizing power↓little extra leaching.
SDS with PVPVAA PVPVA–SDS complex forms below the SDS CMC↓higher solubilizing capacity↓about five-fold more leaching.··
Ionic surfactant at pH 5Slight HPMCAS ionization↓chains uncoil (speculated)↓polymer–SDS solubilizing aggregates↓more drug and polymer leaching.·
What sets the leaching level. How strongly the medium solubilizes crystalline LPV, which depends on the surfactant, the polymer present and the pH; the polymer type sets the ratio (about 3.3–3.9 for HPMCAS-HF, 1.6–1.8 for HPMCP). ··
Conclusion drawn. Leaching follows solubilization ("appears to be related"), and the supersaturation stays "approximately constant for a given lopinavir polymer system". ·
More detail
  1. HPMCAS and HPMCP are nominally insoluble in their unionized form, so at pH 3 less than 1% of the polymer dissolves and the dispersion particles stay suspended; a small but finite amount of drug and polymer still leaches, and the drug becomes supersaturated with respect to its crystal. ··
  2. The authors draw on the rule that components of a mixture lower each other's aqueous solubility. In a miscible LPV–polymer dispersion, LPV leaches to about 7 (HPMCAS) or about 5 µg/mL (HPMCP), well below its amorphous solubility, and the polymer leaches less than when pure. The drug–polymer interactions, similar across HPMCAS grades and possibly stronger with HPMCP, set how far the drug is held back. ····
  3. Surfactants in the medium solubilize LPV. The extent of leaching tracks the increase in crystalline LPV solubility, so the leached concentration divided by the crystalline solubility stays about the same for a polymer: about 3.3–3.9 with HF and 1.6–1.8 with HPMCP. Surfactants change the apparent solubility, not the supersaturation. ··

SDS with HPMCP. HPMCP raises the concentration at which SDS starts to solubilize LPV, from about 0.05% to about 0.1% → at 0.055% SDS is "probably" below its CMC in the leaching medium → neither crystalline solubility nor leaching rises. ·

Poloxamer 188 with HF or HPMCP. In the titration curves the polymers flatten poloxamer's solubilization of LPV and no CMC appears → poloxamer has little effect on leaching ("This observation explains").

SDS with PVPVA. PVPVA and SDS start to aggregate below 0.01% SDS by the authors' reading → the complex solubilizes LPV more than SDS or PVPVA alone (11.4 against 3.3 µg/mL) → leaching rises more than five-fold. ···

Ionic surfactant at pH 5. HPMCAS ionizes slightly (more for LF, which has the lower pKa) → like charges should repel, so the mechanism is "currently unclear" → the authors speculate that ionized chains uncoil and expose less polar, uncharged groups to SDS → solubilizing aggregates raise both drug and polymer in solution. ···

What sets the leaching level. The solubilizing power of the medium for crystalline LPV, which depends on the surfactant, on its interplay with the polymer in solution, and on pH through polymer ionization; the polymer type sets the supersaturation ratio. ··

Conclusion drawn. Conclusions section: the extent of drug leaching "appears to be related to the extent of the solubilization of LPV in a given medium", and the constant ratio suggests that the supersaturation "remained approximately constant for a given lopinavir polymer system". The abstract states it more firmly: leaching "was proportional to the crystalline solubility". ·

06What it means for formulation

Stated by the authors
  • Polymer choice "is likely important" for controlling drug leaching and suspension stability.
  • HPMCP suspensions may carry less crystallization risk than HPMCAS-HF ("might be anticipated").
AI reading, not stated in the paper
  • A surfactant added to an acidic suspension vehicle raises dissolved drug at the same apparent supersaturation; it does not protect against crystallization.
More detail
Stated by the authors
  • Reducing leaching "is likely to be critical" for faster-crystallizing drugs, where supersaturation must be kept low, so the selection of polymer "is likely important" for controlling drug leaching and suspension stability.
  • HPMCP gave a lower supersaturation than HPMCAS-HF, so "it might be anticipated" that HPMCP suspensions crystallize less readily. ·
  • Because supersaturation persists when solubilizing surfactants are present, the effect of each surfactant on crystallization kinetics "would clearly be important" to understand; surfactants can promote or inhibit crystallization.
  • Crystallization was not an issue here only because a slowly crystallizing drug was chosen; this "is unlikely" to hold for many other compounds.
  • The authors expect these insights to "aid in the development" of formulations with adequate stability to crystallization.
AI reading, not stated in the paper
  • A surfactant added to an acidic suspension vehicle for wetting raises the dissolved drug concentration at about the same apparent supersaturation, so it is not a crystallization safeguard; with more drug in solution, any crystals that do form may grow faster.
  • An anionic surfactant (SDS, and to a lesser extent the bile salt STC) combined with a vehicle pH near the start of HPMCAS ionization multiplied both drug and polymer in solution; vehicle pH matters when ionic surfactants are present.
  • A suspending agent is not inert: PVPVA with SDS raised dissolved LPV about seven-fold over the plain vehicle.
  • The polymer, not the HPMCAS grade, set the leaching level of this drug; HPMCP held both concentration and ratio lower.
  • These results come from one slowly crystallizing drug at one loading, at 25 °C over 3 h.

07Open questions

Raised by the authors
  • How does each surfactant change crystallization kinetics at the supersaturation it sustains?
  • How does slight ionization of HPMCAS strengthen its interplay with a like-charged surfactant?
Not covered by this paper (AI reading)
  • Is C/Ceq also constant at pH 5 or with PVPVA? The paper's own data give about 2.7–5.5.
More detail
Raised by the authors
  • How does each surfactant change nucleation and crystallization at the supersaturation it sustains in the suspension?
  • What mechanism lets slight ionization of HPMCAS enhance solubilization by SDS, given that both carry the same charge?
  • Faster-crystallizing drugs, unlike LPV, may crystallize in such suspensions.
Not covered by this paper (AI reading)
  • Is C/Ceq also constant at pH 5 and with PVPVA? An AI calculation from the paper's plot readings gives about 2.7–5.5.
  • The miscibility and interaction readings rest on no solid-state or spectroscopic measurement of the dispersions. ·
  • Polymer ionization and the PVPVA–SDS and HPMCAS–SDS complexes were not measured. ··
  • Leaching was followed for 3 h at 25 °C; dosing suspensions are often held longer and dosed at body temperature.
  • Only one drug at one loading was studied, and amorphous solubility was measured only in plain pH 3 buffer. ·

08How solid

AI assessment, not a statement made in the paper
Moderate

Leaching and crystalline solubility were measured in matched media, and the solubilization reading fits most systems. But the constant-ratio claim rests on pH 3 data without statistics, one ratio does not reproduce, polymer values sit near the detection limit, and the mechanisms are not measured. ·····

More detail
What holds
  • LPV leaching and crystalline solubility were measured in the same media for ten HF and HPMCP systems, and nine of ten C/Ceq bars reproduce from the paper's inputs. ··
  • The large effects (SDS at pH 5, PVPVA with SDS, STC) are far larger than the error bars. ··
  • Leaching above crystalline and below amorphous solubility holds for all four polymers without additives. ··
  • No crystallization occurred, so the concentrations are not lowered by crystal growth.
What weakens it
  • The constant-ratio claim is tested at pH 3 only and without a statistical test; pH 5 and PVPVA data give about 2.7–5.5 by the AI's calculation.
  • The HPMCP–polysorbate 80 ratio does not reproduce (about 1.55 plotted, about 2.3 from its inputs).
  • The surfactant-titration curves disagree with Table I in the same media, and the poloxamer "decrease" rests on them. ·
  • Polymer leaching from the dispersions lies below the detection limit or near the quantitation limit and differs between figures. ·
  • Leached concentration, crystalline solubility and amorphous solubility were separated by three different methods.
  • Polymer ionization, complex formation, miscibility and drug–polymer interactions are interpretations, not measurements. ···
  • One drug, one loading, 25 °C and 3 h. ·

09Figure guide

Every figure and table of the paper, what it is there for, and what to check on the original. Key figures are shown with the story.

FigureWhat it does in the paperSupportsCheck (AI note)
Fig. 1 (p.3)key figureDefines the drug, the two enteric polymers, the four surfactants and PVPVA.0.2A schematic, not data.
Fig. 2 (p.5)key figureBaseline at pH 3: polymer leaching from the pure polymers and from the dispersions, and LPV leaching for each polymer.··F1, F2, K4Dispersion polymer values lie below LOD or near LOQ.
Table I (p.6)key figureCrystalline LPV solubility in every medium, the denominator of C/Ceq.F3, K1The titration curves of Figs. 4 and 7b give lower values for the same media.
Fig. 3 (p.7)key figureSurfactant effects on LPV and polymer leaching for the HF and HPMCP dispersions.···F3The HPMCP polymer rise called marginal is two- to threefold.
Fig. 4 (p.8)key figurePolymer effects on surfactant solubilization: HPMCP moves the SDS break, both polymers flatten poloxamer.·F4, K7Values conflict with Table I; the caption names pH, which is not varied.·
Fig. 5 (p.9)key figurepH 5 against pH 3 for LPV–HF with each surfactant.··F6, K5The control curve differs from Fig. 2c at early times.
Fig. 6 (p.10)key figurepH 5 against pH 3 for LPV–LF with and without SDS.F6, K5LF leaching at pH 3 here (about 6–11 µg/mL) exceeds Fig. 2b (about 0–1).
Fig. 7 (p.10)key figurePVPVA and SDS together, in leaching and in crystalline solubility.·F7, K6The onset in (b) lies between 0.01 and 0.025% SDS, not clearly below 0.01%.
Fig. 8 (p.10)key figureThe central comparison: leaching against crystalline solubility for every system.F3, K1
Fig. 9 (p.11)key figureC/Ceq for the HF and HPMCP systems with each surfactant.F5, K2, K3The HPMCP–polysorbate 80 bar does not reproduce from its inputs.