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Published on: July 27, 2022
Study of quality and stability of ursodeoxycholic acid formulations for oral pediatric administration
A Santoveña1, E Sánchez-Negrín1, L Charola1
1Departamento de Ingeniería Química y Tecnología Farmacéutica, Facultad de Farmacia, Universidad de La Laguna, 38200 La Laguna, Tenerife, Spain.
Insights
This study developed a method to test pediatric ursodeoxycholic acid (UDCA) oral suspensions. UDCA proved stable, but glycerol is needed for accurate dosing, and refrigeration increases dose variability.
Area of Science:
- Pharmaceutical Sciences
- Drug Formulation
- Pediatric Pharmacology
Background:
- Ursodeoxycholic acid (UDCA) is crucial for pediatric cholestatic liver diseases.
- No suitable commercial UDCA formulations exist for infants and children, necessitating API development.
- Low solubility and dose (1.5%) of UDCA present formulation challenges.
Purpose of the Study:
- To develop and validate a rational method for characterizing the biopharmaceutical stability and dose uniformity of pediatric UDCA oral suspensions.
- To assess the impact of storage conditions and formulation components on UDCA suspension quality.
- To ensure accurate and reliable dosing for pediatric patients.
Main Methods:
- Preparation of two UDCA oral suspensions using minimal, EMA-recommended excipients.
- Characterization of particle size, stability, and rheological properties following Standard Operating Procedures (SOPs).
- Determination of dose uniformity (mass and content variability) according to European and United States Pharmacopoeia criteria, assessing variations over 30 and 60 days under different storage conditions.
Main Results:
- UDCA suspensions demonstrated acceptable particle size and rheological behavior post-stirring.
- UDCA was found to be stable under all tested conditions.
- Glycerol inclusion was essential for achieving the declared API content after stirring; refrigeration increased dose variability.
Conclusions:
- A validated method for assessing UDCA suspension dose uniformity and stability in pediatrics was established.
- Formulation requires glycerol to ensure accurate dosing, highlighting its critical role.
- Refrigerated storage negatively impacts dose consistency, advising against it for these suspensions.
Abstract:
This paper describes a rational method of characterizing the biopharmaceutical stability of two oral suspensions of ursodeoxycholic acid (UDCA) used in pediatrics. Because there is no commercial presentation of UDCA that can administer appropriate doses for infants and children, an active pharmaceutical ingredient (API) formulation is required. Due to its very low solubility and low dose in the formula (1.5%), two different suspensions with minimal use of excipients were studied, avoiding the use of complex additives and those not recommended by the European Medicines Agency (EMA). Adherence to Standard Operating Procedure (SOP) allows the preparation of formulations with appropriately sized and stable particles, and suitable rheological behavior in withdrawing the dose after stirring. Dose uniformity, expressed as mass and content variability, was determined using the criteria of the European and the United States Pharmacopoeia. Additionally, dose content variation of every mass determined was studied. A rational method was developed for determining the dose uniformity of UDCA in suspensions, whether freshly prepared or after storage under different conditions for 30 and 60 days. This method permits detection of differences between doses taken at different heights in the vessel at various times and storage conditions. UDCA was stable under all conditions studied, requiring the presence of glycerol in the formulation to obtain the declared API value after stirring. Storage of UDCA suspensions in a refrigerator increased variability between doses.
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