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Published on: January 5, 2017
A novel dissolution method relevant to intestinal release behaviour and its application in the evaluation of modified
R C A Schellekens1, F E Stuurman, F H J van der Weert
1Department of Clinical Pharmacy, University Medical Center Groningen, University of Groningen, The Netherlands. R.C.A.Schellekens@apoth.umcg.nl
Abstract:
Mesalazine (5-ASA) is a compound being used in the therapy of inflammatory bowel disease (IBD). Considering the fact that 5-ASA is locally active and that the location of inflammation in IBD may vary, it is recognized that the release profile of 5-ASA drugs is the dominant factor for adequate local bioavailability. Furthermore, it is hypothesized that systemic absorption of 5-ASA (mainly in the upper intestinal segments) increases the risk of side effects. These facts relate to the conclusion that a method determining the dissolution profile under biorelevant conditions is a valuable tool for evaluation and comparison of 5-ASA-products. We tested several commercially available products (Salofalk tablets, Salofalk granules, Asacol tablets, Pentasa tablets and granules) in a gastro-intestinal simulation system (GISS). The GISS is based on the pharmacopeial dissolution test. The release profiles of all products are in agreement with their technological concepts. The percentage of the dose released in the simulated colon is small in all products. The GISS is a robust system able to discriminate between products which apply different modified-release technologies. Colon-selectivity of modified-release 5-ASA products might further be improved. The commercially available 5-ASA containing oral dosage forms exhibit different release profiles, which suggests that the optimal product may differ per patient.
Insights
Mesalazine (5-ASA) drug release profiles are crucial for inflammatory bowel disease (IBD) treatment efficacy. Biorelevant dissolution testing helps evaluate and compare 5-ASA products, guiding personalized patient therapy.
Area of Science:
- Pharmacology
- Gastroenterology
- Drug Delivery Systems
Background:
- Mesalazine (5-ASA) is a key therapeutic agent for inflammatory bowel disease (IBD).
- The efficacy of 5-ASA relies on its local activity and targeted drug release at the inflammation site.
- Variability in IBD inflammation location necessitates precise control over 5-ASA release profiles for optimal bioavailability and reduced systemic absorption, minimizing side effects.
Purpose of the Study:
- To evaluate the dissolution profiles of various commercially available mesalazine (5-ASA) products under biorelevant conditions.
- To assess the utility of a gastro-intestinal simulation system (GISS) in discriminating between different modified-release technologies for 5-ASA formulations.
- To determine if current modified-release 5-ASA products achieve sufficient colon-selectivity and to explore potential improvements.
Main Methods:
- Utilized a gastro-intestinal simulation system (GISS), based on pharmacopeial dissolution testing, to analyze drug release.
- Tested several commercial 5-ASA products including Salofalk tablets and granules, Asacol tablets, and Pentasa tablets and granules.
- Monitored the release profiles of these products to assess their performance under simulated physiological conditions.
Main Results:
- All tested 5-ASA products demonstrated release profiles consistent with their intended modified-release technologies.
- The gastro-intestinal simulation system (GISS) effectively differentiated between products employing various release mechanisms.
- A minimal percentage of the total dose was released in the simulated colon for all evaluated products, suggesting room for improvement in colon-selectivity.
Conclusions:
- The gastro-intestinal simulation system (GISS) is a robust tool for evaluating and comparing mesalazine (5-ASA) drug products based on their release characteristics.
- Commercially available oral 5-ASA dosage forms exhibit diverse release profiles, indicating that patient-specific product selection may be necessary.
- Further enhancements in colon-selectivity for modified-release 5-ASA products could potentially optimize therapeutic outcomes in inflammatory bowel disease management.
Related Concept Videos
In Vitro Drug Dissolution: Alternative Methods
Oral Drug Delivery Systems: Delayed-Release Systems
Factors Affecting Dissolution: Drug Permeability, Stability and Stereochemistry
In Vitro Drug Dissolution: Compendial Testing Models II
Modified-Release Drug Delivery Systems: Bioavailability
Drug Dissolution: Requirements and Profile Comparison

