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Original: publisher page

Hikaru Sugihara, Lynne S. Taylor* · Molecular Pharmaceutics (Just Accepted Manuscript, published on the web 05 Mar 2018) (2018)

Evaluation of Pazopanib Phase Behavior Following pH-induced Supersaturation

For pazopanib, a weakly basic kinase inhibitor given as its HCl salt, a pH-solubility diagram with a crystalline and an amorphous boundary sorted out what happened after a gastric-to-intestinal pH shift: doses above the amorphous solubility formed glassy drug-rich colloids and stopped near that solubility, a dose below it could only crystallize, and HPMC set how long the supersaturation lasted.

Abbreviations

GLPS glass-liquid phase separation; LLPS liquid-liquid phase separation; HPMC hydroxypropylmethyl cellulose (Pharmacoat 606); SGF USP 39 simulated gastric fluid without pepsin; Sc supersaturation ratio C/C* (amorphous over crystalline solubility); HH Henderson-Hasselbalch; DLS dynamic light scattering; NTA nanoparticle tracking analysis; PLM polarized light microscopy; 54×, 5.4×, 0.5× = high, intermediate and low dose, named by the theoretical intestinal concentration relative to the amorphous solubility at pH 6.5; times in Figs. 3-8 are total test times, with the pH shift at 20 min.

Fig. 9: The pH-solubility phase diagram with the three doses
Fig. 9 · p.46 · The pH-solubility phase diagram with the three dosesShows. crystalline (black) and amorphous (red) solubility against pH, dividing region 1 (subsaturated), region 2 (crystallization only) and region 3 (amorphous precipitation); the 54×, 5.4× and 0.5× doses at pH 6.5.Read it as. a dose above the red curve forms amorphous colloids; between the curves it can only crystallize.

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 supersaturation does pazopanib HCl generate when it dissolves at gastric pH and is then shifted to intestinal pH, and does a pH-solubility diagram with crystalline and amorphous boundaries explain the phases that form at different doses?

Short answer

A great deal, and yes for the three doses tested. At pH 6.5 the amorphous solubility (19.8 µg/mL) is about 600 times the crystalline one (0.033 µg/mL). After the shift, the two doses above it stayed near the amorphous solubility and formed amorphous colloids, the dose below it formed none, and HPMC decided how long supersaturation lasted (5 ± 2 min without, about 39 min with 50 µg/mL). ········

Conclusion

In simple buffers at 37 °C the amorphous solubility of pazopanib is about 500–600 times its crystalline free-base solubility near neutral pH (abstract: "approximately 600-fold" at pH 6.5), the highest ratio the authors' group had measured. ·· When the HCl salt was dissolved in simulated gastric fluid and shifted to pH 6.5 with HPMC present, the apparent concentration at the two doses that exceeded the amorphous solubility stayed near that solubility rather than above it, which the authors read as the amorphous solubility setting the maximum free drug concentration ("clearly demonstrate"). ··· These doses formed submicron, non-birefringent drug-rich particles, and the dried precipitate had a Tg of about 83 °C; the authors read this as glass–liquid phase separation (results: "indicate"), while a dose below the amorphous solubility formed no particles. ····· HPMC delayed free-base crystallization, lengthening supersaturation about 8-fold at 50 µg/mL, and gave smaller particles (145 against 496 nm). ···· The authors conclude that the behaviour at each dose "could be readily explained" by the pH-solubility diagram together with crystallization kinetics; the study covers one drug, one polymer and simple buffers. · Three links were not measured: the identity of the new crystals (assumed to be free base), the Tg of the water-saturated drug-rich phase, and absorption or membrane flux, so the statements about absorption are expectations ("is expected", "is unlikely"). ····

01Why this study

Known 1Amorphous solubility caps supersaturation

Above it a solution splits into a drug-rich and a drug-lean phase (LLPS); when the drug-rich phase is a glass this is called GLPS.

Taylor 2016, ref 6

Known 2Phase separation keeps flux at its maximum

Membrane flux rises with concentration only up to the LLPS/GLPS point, and drug-rich colloids can replenish absorbed drug.

Indulkar 2016, ref 7; Raina 2014, ref 9 ·

Known 3Weak bases supersaturate when the pH rises

Dissolved in the stomach, they can exceed their amorphous solubility at intestinal pH; a pH-solubility diagram with both boundaries maps where this happens.

Hsieh 2012, ref 12; Indulkar 2015, ref 14 ·

Known 4Polymers prolong supersaturation

A crystal nucleation or growth inhibitor is needed to keep the drug dissolved.

Ilevbare 2013, refs 17, 18

Known 5Pazopanib is absorbed poorly and variably

Bioavailability is 21%, and food raises exposure up to 3.4-fold.

FDA review, ref 30; Willemsen 2016, ref 31 ·

Gap → this paperHow far does pazopanib HCl supersaturate on gastric-to-intestinal transfer, and which phases form at the clinical dose and at lower doses?
More detail

What was already known. The introduction and the opening of the discussion build on these points:

  • Why supersaturating formulations. Class IIb compounds of the developability classification system may not reach target plasma levels because absorption is solubility-limited (Butler 2010, ref 1). Surfactants and cyclodextrins raise the crystalline solubility, while amorphous solid dispersions, prodrugs, cocrystals and salts generate supersaturated solutions (refs 2–5).
  • The amorphous ceiling. The largest gain in molecularly dissolved drug is set by the amorphous solubility. Above it the solution undergoes liquid–liquid phase separation into a drug-rich and a drug-lean phase; if the drug-rich phase is below the Tg of the water-saturated drug-rich phase, the process is called glass–liquid phase separation (Taylor 2016, ref 6).
  • Spring and plateau. Formulations that supersaturate quickly and then undergo LLPS/GLPS are thought to hold the maximum supersaturation during absorption as long as drug-rich colloids are present and crystallization is avoided, so such "spring and plateau" behaviour "should" give better absorption (ref 6). In vitro, flux across an artificial membrane rises linearly with concentration up to the LLPS/GLPS concentration and not significantly beyond (Indulkar 2016, ref 7; Mosquera-Giraldo 2015, ref 8; Raina 2014, ref 9), and supersaturated solutions "are thought to" raise the rate of passive absorption (refs 10, 11).
  • Weak bases on the way down the gut. Weak bases with pKa 5–8 dissolve fully or partly in the stomach and can convert to their less soluble un-ionized form at intestinal pH; above the amorphous solubility at that pH they undergo LLPS/GLPS (Hsieh 2012, ref 12; Psachoulias 2011, ref 13; Indulkar 2015, ref 14). Small colloidal amorphous species can replenish absorbed drug for maximum permeation, whereas crystal nucleation and growth consume dissolved drug (ref 12). An earlier study showed that pH-solubility diagrams with crystalline and amorphous boundaries capture regions of subsaturation and supersaturation (Indulkar 2015, ref 14).
  • Crystallization inhibitors. An effective crystal growth or nucleation inhibitor in solution is desirable to prolong supersaturation (refs 15, 16), and the hydrophobicity of the polymer relative to the drug "is considered" essential for growth inhibition (Ilevbare 2013, refs 17, 18).
  • Pazopanib. A tyrosine kinase inhibitor whose strongest basic group has a pKa of 6.4; the recommended dose is 800 mg once daily and the commercial product contains the HCl salt (ref 19). Kinase inhibitors generally have low intrinsic solubility and low, variable bioavailability, which can require therapeutic drug monitoring (Herbrink 2016, ref 29). For pazopanib HCl the bioavailability is 21% (ref 30), food raises exposure up to 3.4-fold (Willemsen 2016, ref 31) and crushing the tablets raises it by 46% (ref 19). The authors read these effects as signs that food and presentation change solubility or dissolution ("suggest"). ··

What the paper set out to do. Measure the supersaturation potential of pazopanib by building a pH-solubility phase diagram with crystalline and amorphous boundaries; then dissolve 1, 0.1 and 0.01 times the clinical dose of the HCl salt in simulated gastric fluid, shift to intestinal pH with or without HPMC, and use polarized light microscopy and particle characterization to explain the concentration–time profiles against the diagram.

02How they approached it

One weak base, one salt, one polymer. First both solubility boundaries are measured against pH; then three doses are chosen to land well above, above and below the amorphous solubility at pH 6.5 after a pH shift, each run with and without HPMC. All work is at 37 °C. ···

High dose1× clinical dose3.47 mg/mL pazopanib HCl; only partly dissolves in gastric fluid; theoretical intestinal level 54× the amorphous solubility. Measured with 0 and 50 µg/mL HPMC.
Intermediate dose1/10 clinical dose0.35 mg/mL; dissolves completely; 5.4× the amorphous solubility. Measured with 0, 5, 20 and 50 µg/mL HPMC.
Low dose1/100 clinical dose0.035 mg/mL; dissolves completely; 0.5× the amorphous solubility, above the crystalline one. Measured with 0 and 50 µg/mL HPMC.
Crystalline pazopanib free basemade from the saltThe lower boundary; equilibrium solubility measured from pH about 1.2 to 8.4. ·
Amorphous pazopanibformed in situ from a DMSO stockThe upper boundary; measured from pH 5 to 8.4.
HPMCPharmacoat 606, cellulose etherCrystallization inhibitor; 0–50 µg/mL in the intestinal compartment and 5 µg/mL in the amorphous-solubility media.

What was done

Experiment

Excess crystalline free base in buffers, 37 °C, 72 h→ultracentrifugation→HPLC→crystalline solubility versus pH.··

Experiment

DMSO stock infused into buffer with 5 µg/mL HPMC→onset of 400 nm extinction→amorphous solubility versus pH; pH 8.4 rechecked by ultracentrifugation and HPLC.··

↓
Model

Henderson–Hasselbalch with pKa 6.4→predicted solubility curves→supersaturation ratio C/C* at each pH.···

↓
Experiment

Salt at three doses in gastric fluid with or without HPMC, 20 min→three-fold dilution into pH 6.5 buffer→in situ UV for 180 min.·····

Experiment

Polarized light microscopy, DLS and zeta potential, NTA, DSC of the precipitate→crystalline or amorphous, particle size.···

Experiment

Intermediate dose at 0, 5, 20 and 50 µg/mL HPMC→time the supersaturation is maintained.·

↓
Comparison

Each dose placed on the pH-solubility diagram→subsaturated, crystallization-only or amorphous-precipitation region.···

More detail

What was done

  1. Free base. Pazopanib HCl was dissolved in water and the free base precipitated with excess sodium hydroxide; it was crystalline by X-ray diffraction and was dried under vacuum for 12 h. ·
  2. Crystalline solubility. Excess free base was equilibrated in buffers of different pH (0.1 M citrate at pH 5–6, 0.1 M phosphate at pH 6.4–8.4) at 37 °C for 72 h, the solid was removed by ultracentrifugation at 35,000 rpm and the supernatant assayed by HPLC (UV 270 nm, detection limit about 10 ng/mL). The media for the points at pH about 1.2 and pH 4 are not stated. ··
  3. Amorphous solubility. A DMSO stock of the salt (10 or 20 mg/mL) was pumped at 5–20 µL/min into 15 mL of stirred buffer at 37 °C containing 5 µg/mL HPMC, keeping DMSO at 1.5–7 µL/mL. The concentration at which extinction at 400 nm began to rise was taken as the amorphous solubility. At pH 8.4 the value was checked by adding stock to buffer with 50 µg/mL HPMC, ultracentrifuging at once and assaying the supernatant by HPLC. ··
  4. Predicted curves and ratio. Eq. 1 with pKa 6.4 and the pH 8.4 solubility as the un-ionized solubility gave predicted curves for both forms; the supersaturation ratio is the amorphous over the crystalline solubility at the same pH (Eq. 2). ··
  5. pH-shift test. The salt was added to SGF (pH 1.2) containing 0, 15, 60 or 150 µg/mL HPMC; the gastric compartment was sampled, filtered and assayed by HPLC at 3–20 min. At 20 min, 7 mL was pipetted into 14 mL of concentrated pH 6.5 phosphate buffer (three-fold dilution, so 0, 5, 20 or 50 µg/mL HPMC) and NaOH brought the pH to 6.5 (final 6.47–6.53). A fiber-optic UV probe recorded the apparent concentration for 180 min, at 37 °C and 300 rpm. The doses were the clinical dose (800 mg in 250 mL, scaled) and 1/10 and 1/100 of it.
  6. Precipitates and particles. Aliquots were viewed under crossed polarizers at 20× (2, 10 and 60 min after the shift); colloids were sized by DLS (backscatter at 173°, Z-average and zeta potential) and NTA immediately after the shift; the precipitate was filtered, air-dried and its Tg measured by DSC (settings not stated). ···

Key equations

Henderson–Hasselbalch total solubility (Eq. 1)
CT=(1+XX)CU,X=10pH−pKa

The total solubility of a weak base at a given pH is the solubility of its un-ionized form times a factor that grows about tenfold for each pH unit below the pKa. The authors used the pH 8.4 solubility as C_U and a pKa of 6.4 to draw the predicted curve for each solid form.·

Supersaturation ratio (Eq. 2)
SC=CC*

The amorphous solubility C divided by the crystalline free-base solubility C* at the same pH: the largest supersaturation possible before amorphous phase separation.·

Terms used on this page
  • Amorphous solubility: the highest concentration of molecularly dissolved drug before the solution separates into a drug-rich phase; the ceiling for supersaturation.
  • LLPS and GLPS: liquid–liquid phase separation into drug-rich and drug-lean phases; called glass–liquid phase separation when the drug-rich phase is glassy.
  • Supersaturation ratio (Sc): amorphous over crystalline solubility at the same pH.
  • pH-shift (two-stage) test: the drug is first dissolved in simulated gastric fluid and then transferred into a neutral buffer, mimicking gastric emptying.
  • Supersaturation maintenance: how long the concentration stays near its starting level before crystallization makes it fall; the text also calls it the induction time.
  • Apparent concentration: the in situ UV reading in a medium that may contain colloids.

03Main findings

1

Amorphous pazopanib is 500–600 times more soluble than its crystals near neutral pH

At pH 6.5 the amorphous solubility is 19.8 µg/mL and the crystalline 0.033 µg/mL, a ratio of about 600; the ratio is about 500–530 at pH 6.4, 7.0 and 8.4 and about 100 at pH 5.0. ··

Fig. 1: Crystalline and amorphous solubility against pH
Fig. 1 · p.38 · Crystalline and amorphous solubility against pHShows. both rise as pH falls; dashed Henderson–Hasselbalch curves; the amorphous points fall below their curve at pH 5 and 5.5.Also supports K1
More detail

Both solubilities rise as pH falls. The crystalline free base goes from 18 ng/mL at pH 8.4 to about 0.6 µg/mL at pH 5 and 0.571 mg/mL in gastric fluid (pH about 1.2), following the Henderson–Hasselbalch curve built from the pH 8.4 value. ·· The amorphous solubility goes from 9.2 ± 0.7 µg/mL at pH 8.4 to 60 ± 1 µg/mL at pH 5. It follows its predicted curve from pH 6 upward but falls below it at pH 5 and 5.5 (60 and 40 µg/mL against about 250 and 80 µg/mL on the curve); the authors put this down to crystallization before the amorphous limit was reached ("likely"). ·· At pH 8.4 the HPLC method gave 11.4 ± 0.1 µg/mL against 9.2 ± 0.7 µg/mL by extinction, which they call good agreement. ··

The ratios read from Fig. 2 are about 103 (pH 5.0), 304 (5.5), 379 (6.0), 505 (6.4), 603 (6.5), 528 (7.0) and 501 (8.4). The abstract gives "approximately 600-fold" at pH 6.5 and the conclusions "approximately 500 times"; both refer to these data. · The authors call it the highest ratio they have measured (other compounds 4- to 80-fold), note a high experimental uncertainty because the crystalline solubility is so low, and could not check it theoretically because pazopanib degrades as it melts; a melting point near 300 °C "lends support" to a high ratio. ···· Because the solubility falls by more than four orders of magnitude between pH 1.2 and 6.5, they see a "huge potential" for supersaturation on transfer.

Fig. 2: The supersaturation ratio by pH
Fig. 2 · p.39 · The supersaturation ratio by pHShows. about 100 at pH 5.0, 500–600 from pH 6.4 to 8.4, highest at pH 6.5.Also supports K1
2

After the pH shift, the dissolved concentration stops near the amorphous solubility

At the clinical dose (theoretically 54× the amorphous solubility) the salt only partly dissolved in gastric fluid (2.1 mg/mL). After the shift with HPMC the apparent concentration levelled at about 17 µg/mL, close to the 19.8 µg/mL amorphous solubility, not higher; at the 5.4× dose it held at about 22–30 µg/mL for about 35–40 min. ····

Fig. 3: The clinical dose (54×) with and without HPMC
Fig. 3 · p.40 · The clinical dose (54×) with and without HPMCShows. gastric plateau near 2.1 mg/mL; after the shift at 20 min, a short plateau near the amorphous solubility with HPMC and a crash within minutes without it.Read it as. time is total test time; the shift is at 20 min.Also supports K2
More detail

High dose. The salt reached a gastric plateau of 2.1 mg/mL within the first minute, so a suspension of salt was transferred. · With 50 µg/mL HPMC the first intestinal reading was about 46 µg/mL, then a plateau near 17 µg/mL for about 8 min, followed by a decline through about 1 µg/mL 40 min after the shift to about 0.2 µg/mL at the end, still above the crystalline solubility of 0.033 µg/mL. · Without HPMC the concentration peaked near 16 µg/mL; the last reading, about 0.07 µg/mL, came about 13 min after the shift, and the text puts later values below the detection limit (about 0.05 µg/mL). · A filtered sample assayed by HPLC gave 0.18 ± 0.03 µg/mL, which the authors take as agreeing with the probe. ··

Intermediate dose. The salt dissolved completely (about 300–320 µg/mL in gastric fluid). · With 50 µg/mL HPMC the intestinal trace sat at about 22–23 µg/mL, rose to about 30 µg/mL about 32 min after the shift, then fell sharply to about 4 µg/mL and slowly to about 0.24 µg/mL at the end (text: 0.34 ± 0.03 µg/mL). The text calls the plateau "equivalent to the amorphous solubility" for 40 min. Without HPMC the concentration fell from about 20 to about 0.06 µg/mL within about 7 min. ···

The authors read both plateaus as the amorphous solubility capping the free drug concentration, as the phase diagram predicts ("clearly demonstrate"). ··

Fig. 5: The intermediate dose (5.4×) with and without HPMC
Fig. 5 · p.42 · The intermediate dose (5.4×) with and without HPMCShows. with HPMC a plateau near the amorphous solubility for about 35 min, then a fall; without HPMC a crash within minutes.Also supports K2
3

Exceeding the amorphous solubility gives glassy drug-rich colloids at once; HPMC makes them smaller

At the 5.4× dose the solution turned milky with a bluish tinge at once; DLS found particles of 496 nm without and 145 nm with HPMC, and the dried precipitate had a Tg of about 83 °C. At the 0.5× dose NTA found no particles. ···

Fig. 6: Colloids after the shift, intermediate dose
Fig. 6 · p.43 · Colloids after the shift, intermediate doseShows. DLS without HPMC (495.9 nm, +4.16 mV) and with HPMC (145.4 nm, −0.65 mV); NTA with HPMC.Also supports K3, K5
More detail

Microscopy, high dose. Two minutes after the shift both runs contained a few salt crystals and non-birefringent aggregates, far more of them with HPMC. By 10 min only free-base crystals were labelled without HPMC, while with HPMC a large non-crystalline aggregate persisted; by 60 min free-base crystals dominated in both. The authors attribute the early solids to undissolved salt plus amorphous free base formed by GLPS ("can be attributed") and assume that the new crystals are free base. ··

Particles, intermediate dose. DLS gave a Z-average of 495.9 nm (PDI 0.027, zeta potential +4.16 mV) without HPMC and 145.4 nm (PDI 0.140, −0.65 mV) with HPMC; NTA with HPMC showed particles of about 50–650 nm, mostly 100–400 nm. · With the concentration profiles, the authors take these as showing immediate GLPS into a water-saturated colloidal amorphous drug-rich phase ("indicate"). The dried precipitate had a Tg of about 83 °C, which they say "confirms" that the particles are glassy at 37 °C; this Tg was measured on dried, not water-saturated, material. ·· The positive zeta potential is "not unexpected" for a pKa of 6.4, and its drop with HPMC is read as a "qualitative indicator" that HPMC adsorbs on the particles. · HPMC was "clearly instrumental" in giving smaller particles; both sizes fall in the 100–500 nm range reported for other drugs. ··

Low dose. No scattering species were found, "as expected" below the amorphous solubility. ·

Fig. 4: Polarized light micrographs, high dose
Fig. 4 · p.41 · Polarized light micrographs, high doseShows. non-crystalline aggregates (yellow arrows) and salt crystals (blue) at 2 min; free-base crystals (white) take over, later with HPMC.Also supports K4
4

Below the amorphous solubility the drug can only crystallize, and HPMC slows it

At the 0.5× dose without HPMC the concentration fell from about 13 to about 0.04 µg/mL within 10 min of the shift; with HPMC it stayed near 11 µg/mL for about 15 min and then declined slowly to about 0.8 µg/mL after 180 min. ·

Fig. 7: The low dose (0.5×) with and without HPMC
Fig. 7 · p.44 · The low dose (0.5×) with and without HPMCShows. start below the amorphous solubility; crash without HPMC, slow decline with HPMC.Also supports K6
More detail

The salt dissolved completely (about 33–37 µg/mL in gastric fluid), so the intestinal concentration (about 11 µg/mL) started above the crystalline and below the amorphous solubility. ··· With HPMC the trace reached about 6.6 µg/mL 40 min after the shift, about 2 µg/mL after 80 min and about 0.8 µg/mL after 180 min. The authors place this dose in region 2 of the phase diagram, where crystallization is the only possible transformation, and state that its duration "is highly dependent" on the presence of an inhibitor ("it is clear").

5

HPMC lengthens supersaturation in step with its concentration

At the 5.4× dose supersaturation lasted 5 ± 2 min without HPMC and about 8.5, 12.5 and 39 min with 5, 20 and 50 µg/mL, about an 8-fold gain. ·

Fig. 8: HPMC concentration and supersaturation time
Fig. 8 · p.45 · HPMC concentration and supersaturation timeShows. (a) intermediate-dose traces at 0, 5, 20 and 50 µg/mL HPMC; (b) maintenance time from about 5 to about 39 min.Also supports K4
More detail

Even 5 µg/mL HPMC visibly improved the profile ("notable"). · The traces at 5 and 20 µg/mL fell to about 1 µg/mL about 35 and 51 min after the shift, against about 5 min without polymer; all traces with HPMC ended at about 0.16–0.24 µg/mL. · The authors conclude that HPMC "clearly" extends supersaturation and inhibits crystallization with and without amorphous particles, and that it slows desupersaturation. The end-point criterion, n and error-bar type of the maintenance times are not stated. ·

04Further observations

  • Two methods agree on the amorphous solubility at pH 8.4 (9.2 and 11.4 µg/mL). ··
  • With HPMC, the higher the dose, the sooner supersaturation was lost. ·
  • The zeta potential went from +4.2 to −0.7 mV with HPMC, read as polymer adsorption. ·
  • The authors see the closed, non-sink test as "most likely" the worst case. ·
More detail
  • Two methods for amorphous solubility. UV extinction with 5 µg/mL HPMC gave 9.2 ± 0.7 µg/mL and ultracentrifugation with HPLC, with 50 µg/mL HPMC, gave 11.4 ± 0.1 µg/mL at pH 8.4; the authors call this good agreement. ··
  • Dose and loss of supersaturation. With HPMC the decline started about 12 min after the shift at the high dose and about 35 min after it at the intermediate dose; the low dose never sat at the amorphous solubility and declined slowly over 180 min. The authors state that the desupersaturation rate rose with dose; no rates were calculated, and the steepest single drop is at the intermediate dose. ····
  • Zeta potential. +4.16 mV without and −0.65 mV with HPMC; the authors call the positive value "not unexpected" for a pKa of 6.4 and the change a "qualitative indicator" of HPMC adsorption. ··
  • Gastric dissolution. The high dose only partly dissolved (2.1 mg/mL plateau); the intermediate and low doses dissolved completely. The 2.1 mg/mL plateau is above the 0.571 mg/mL crystalline free-base solubility in gastric fluid; the paper does not discuss the difference. ····
  • Limits of the in vitro test. Intestinal solubilizers raise both boundaries, transfer and dilution in vivo may be slower or larger, and another salt may change gastric solubility and the supersaturation generated, so the test "most likely" represents the worst case; in vivo, absorption removes dissolved drug and "potentially" reduces precipitation. ·

05How the authors connect the findings

1The salt dissolves at gastric pH; on transfer to pH 6.5 the base converts to its un-ionized form, whose solubility is more than four orders of magnitude lower. ·
↓
2The amorphous solubility caps how far the solution can supersaturate.
↓
Region 1, below the crystalline solubilitysubsaturated solution↓no crystallization↓absorption expected to rise with dose; not reachable for pazopanib at 800 mg.
Region 2, between the boundaries (0.5× dose)supersaturated solution↓crystallization the only possible change↓duration set by the inhibitor.
Region 3, above the amorphous solubility (54× and 5.4×)immediate GLPS↓glassy colloids↓concentration held at the amorphous solubility until crystallization depletes it.·
With HPMCcrystallization delayed↓supersaturation held for up to about 39 min↓maximum passive absorption expected while it lasts.··
Without HPMCfree base crystallizes within minutes↓concentration falls toward the crystalline solubility↓absorption expected to drop.··
What sets the region. The concentration after the shift relative to the amorphous solubility at intestinal pH; in vivo this depends on dose, stomach pH and volume, transfer rate and intestinal pH, volume and solubilizing capacity. ·
Conclusion drawn. The outcomes at each dose "could be readily explained" by the phase diagram and crystallization kinetics (abstract: "well predicted").
More detail
  1. Weak bases dissolve in the stomach, where they are ionized; at intestinal pH they convert partly or fully to the un-ionized form. For pazopanib the solubility falls from 0.571 mg/mL at pH 1.2 to about 0.033 µg/mL at pH 6.5, so transfer creates a large driving force for supersaturation. ··
  2. The maximum supersaturation during a pH change is the amorphous solubility; above it there is a thermodynamic driving force to separate into amorphous drug. The ratio of amorphous to crystalline solubility therefore marks both the possible phase changes and the possible gain in passive absorption ("provides an indication"). ·

Region 1. Below the crystalline solubility the solution is subsaturated → no crystallization → passive absorption "would be expected" to rise linearly with dose. With an 800 mg dose and a free base this insoluble, this regime is "not expected" in practice, even allowing for solubilization by intestinal fluids.

Region 2. Between the boundaries the solution is supersaturated → crystallization is the only possible phase change → high passive absorption is "anticipated" for as long as supersaturation lasts. The low dose shows this, and its duration depends on the inhibitor. ·

Region 3. Above the amorphous solubility, unless crystallization comes first, the drug separates into an amorphous drug-rich phase → the solution stays at the amorphous solubility until enough crystallization depletes the supersaturation → maximum passive diffusion is "expected" during that time. The high and intermediate doses fall here, and Figs. 3 and 5 with HPMC show a concentration near the amorphous solubility plus amorphous precipitate. ··

[+] With HPMC. HPMC delays crystallization with or without amorphous particles and slows desupersaturation → supersaturation lasts about 39 min at 50 µg/mL in the intermediate-dose test → the amorphous particles are "expected" to replenish absorbed drug. ··

[-] Without HPMC. The free base crystallizes within minutes at every dose → dissolved drug is consumed → crystallization is "expected" to reduce absorption. ····

What sets the region. In vitro, the dose after three-fold dilution relative to the amorphous solubility at pH 6.5. In vivo, absorption is "unlikely" to be fast enough to prevent phase separation once the boundary is crossed; whether it is crossed depends on dose, stomach pH and volume, transfer rate, and intestinal pH, volume and solubilizing capacity. Intestinal solubilizers raise both boundaries. ·

Conclusion drawn. Conclusions: phase behaviour after pH shifts with different initial doses "could be readily explained" by the pH-solubility phase diagram and the kinetics of crystallization; abstract: it is "well predicted" once dose, supersaturation generated and inhibitor are taken into account.

06What it means for formulation

Stated by the authors
  • A pH-shift test read against a pH-solubility diagram is "likely to be helpful" for formulating poorly soluble weak bases and for understanding absorption variability.
  • A crystallization inhibitor such as HPMC is what keeps the supersaturation.
AI reading, not stated in the paper
  • For pazopanib, dissolving more salt in the stomach cannot raise the free intestinal concentration above about 20 µg/mL at pH 6.5; extra dose adds colloids, so the formulation task is holding that level against crystallization.
More detail
Stated by the authors
  • In vitro pH-shift evaluations interpreted with the phase diagram "are likely to be helpful" in optimizing formulations of poorly soluble weak bases and in tracing origins of absorption variability.
  • HPMC worked as a crystallization inhibitor with and without amorphous particles present.
  • Changing the salt form may change gastric solubility, the supersaturation generated on transfer and the precipitation behaviour.
  • Absorption is expected to be highest while the concentration is held near the amorphous solubility, and crystallization is expected to reduce it. ·
AI reading, not stated in the paper
  • For pazopanib the free concentration at pH 6.5 is capped near 20 µg/mL however much salt dissolves in the stomach; doses above that only add colloids, so formulation effort is better spent on holding the plateau than on raising gastric dissolution.
  • In this test, 5 µg/mL HPMC already doubled the time at supersaturation and 50 µg/mL raised it about 8-fold, so small amounts of a dissolved cellulose ether in the intestine may matter for a fast-crystallizing weak base.
  • A 500–600-fold window between amorphous and crystalline solubility is unusually large; without an inhibitor it was lost within minutes, so crystallization inhibition, not solubilization, is the limiting step here.
  • Both boundaries were measured in simple buffers; biorelevant media with bile salts would raise them, so the numbers should not be used directly for in vivo predictions.

07Open questions

Raised by the authors
  • How do intestinal solubilizers, slower transfer and absorption shift the boundaries and the precipitation in vivo? ·
  • Can the 500–600 ratio be confirmed theoretically, given that pazopanib degrades as it melts?
Not covered by this paper (AI reading)
  • The precipitated crystals were not identified by diffraction.
  • Neither membrane flux nor absorption was measured. ·
More detail
Raised by the authors
  • How far do the amorphous and crystalline boundaries move in intestinal fluids, and how do slower transfer, larger dilution and absorption change precipitation in vivo? ·
  • Would another salt form change gastric solubility and the supersaturation generated?
  • Can the amorphous-to-crystalline ratio be checked from melting enthalpy, melting temperature and the water content of the amorphous drug, given that pazopanib degrades on melting?
Not covered by this paper (AI reading)
  • The identity of the crystals formed after the shift was assumed, not confirmed by diffraction. ·
  • The Tg of the water-saturated drug-rich phase, which defines GLPS, was not measured; only the dried precipitate was.
  • Membrane flux and absorption were not measured, so the absorption statements for each region are expectations. ··
  • The pH-shift traces have no stated replicates, and the boundaries were measured in simple buffers rather than in the pH-shift medium. ·
  • Only one polymer (HPMC) at up to 50 µg/mL was tested.

08How solid

AI assessment, not a statement made in the paper
Moderate

The two solubility boundaries and the ceiling near the amorphous solubility are measured directly and fit together. But each pH-shift condition is a single trace without stated replicates, the crystal identity and the glassy state are inferred, and the absorption statements are not tested. ······

More detail
What holds
  • Two methods for the amorphous solubility agree at pH 8.4, and the crystalline data follow the Henderson–Hasselbalch curve. ··
  • At both doses above the amorphous solubility, with HPMC, the plateau sat near the amorphous solubility, and only these doses produced colloids. ···
  • The HPMC effect rises steadily across four concentrations.
  • The supersaturation ratios reproduce from the tabulated solubilities.
What weakens it
  • Replicates are not stated for the solubilities, pH-shift traces or particle data.
  • The intermediate-dose plateau is up to about 50% above the amorphous solubility, with no scattering correction described.
  • The crystal identity is assumed, and the Tg was measured on dried precipitate. ·
  • Some values are stated differently in different places (ratio of 600 or 500; end value 0.34 or about 0.24 µg/mL). ·
  • Below pH 6 the amorphous boundary of the phase diagram is a model curve, not data.
  • Both boundaries come from simple buffers, not the pH-shift medium.

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.38)key figureDefines the two boundaries: crystalline and amorphous solubility against pH with Henderson–Hasselbalch curves.··F1, K1Below pH 6 the amorphous points lie under their curve.
Fig. 2 (p.39)key figureTurns the boundaries into the supersaturation ratio, about 100 to 600 by pH.F1, K1The text gives 600 and 500 for the same data.
Fig. 3 (p.40)key figureClinical dose: short plateau near the amorphous solubility with HPMC, crash without.·F2, K2Time axis is total time; "after 20 min" is ambiguous.
Fig. 4 (p.41)key figureNon-crystalline precipitate and its replacement by free-base crystals, slower with HPMC.F3, K4Crystal identities assigned by appearance.
Fig. 5 (p.42)key figureIntermediate dose: plateau of about 35–40 min with HPMC, crash without.·F2, K2Plateau above 19.8 µg/mL; end value differs from the text.·
Fig. 6 (p.43)key figureColloids after the shift: 496 against 145 nm, and NTA.·F3, K3, K5Size axis labelled as radius.
Fig. 7 (p.44)key figureLow dose: below the amorphous ceiling, slow decline with HPMC.·F4, K6
Fig. 8 (p.45)key figureHPMC concentration series and maintenance times.·F5, K4End-point criterion and n not stated.
Fig. 9 (p.46)key figureThe three-region phase diagram with the doses placed on it.header, K6Region 3 boundary is the model curve below pH 6.
Table 1 (p.47)Stock concentrations and pump rates for the amorphous-solubility runs.
Table 2 (p.48)Amorphous solubility at seven pH values plus the HPLC check at pH 8.4.F1, K1