Dose justification refers to the scientific rationale behind
selecting a specific dose of a drug for human use. With the emergence of
nanotechnology in pharmaceuticals, particularly nanoparticle formulations, this
concept has evolved significantly. This study aims to shed light on the
different approaches to justifying the dose of nanoparticles, using ibrutinib
nanoparticles as an example. It also examines the relation between the dose and
bioavailability, alongside considering relevant pharmacokinetic (PK) and
pharmacodynamic (PD) parameters. The biopharmaceutical factors like Cmax, Tmax,
and AUC are also considered for dose justification. The comparison of the
radiation dose and nanoparticle dose taken internally or externally, and their
relation, is highlighted. The NOAEL (No Observed Adverse Effect Level) and its
limitations are discussed. The human equivalent dose and inhumane studies were
listed along with the equivalent dose of nanoparticles. The Equivalent Dose
Model, used in nanotoxicology, is presented as it calculates dose based on
nanoparticle surface area rather than mass alone. Comprehensive data support
the approval of the 50 mg nanoparticle dose, providing patients with a more
effective and safer treatment option. Project Optimus by the FDA, which aims to
refine and simplify oncology dose selection, is also considered. Key
nanoparticle-specific factors like surface area and zeta potential are
explained with the regulatory approvals. Nano drug formulations offer
significant improvements in solubility and bioavailability. Incorporating PK/PD
data, toxicity thresholds, nanoparticle-specific models, and regulatory
guidelines ensures that the new dose maintains safety and efficacy. Finally,
the integration of in silico modelling, Quantitative Structure-Activity
Relationship model, and machine learning is proposed to enhance dose
predictions, with standardised weighting factors suggested to improve risk
assessment.
Author(s) Details
AVS Rajeswari
Department of Pharmaceutics, Arya College of Pharmacy, Kandi, Hyderabad,
India.
B. Navya
Arya College of Pharmacy, Kandi, Hyderabad, India.
N. Sowmya
Arya College of Pharmacy, Kandi, Hyderabad, India.
P. Sailaja
Andhra University College of Pharmaceutical Sciences, Visakhapatnam, AP,
India.
Please see the book here:- https://doi.org/10.9734/bpi/psnid/v8/6145
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