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.

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
918
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
395
Oral Drug Delivery Systems: Introduction01:23

Oral Drug Delivery Systems: Introduction

Oral drug delivery is the most common route of administration due to its convenience, cost-effectiveness, and high patient compliance. It enables precise formulation to ensure proper drug dosage and bioavailability. The development of oral dosage forms considers drug properties such as solubility, stability, and absorption to optimize therapeutic efficacy.Tablets, capsules, liquids, and chewable formulations enhance drug stability, mask undesirable tastes, and improve patient experience.
264
Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence01:22

Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence

Generic intravenous (IV) drugs are considered bioequivalent to their branded counterparts due to their 100% bioavailability upon administration. However, variations in stability among different drug products can significantly influence their therapeutic performance, even if they are pharmaceutically equivalent.Cefuroxime, a prophylactic antimicrobial, is often used as a single-dose IV injection for patients undergoing coronary artery bypass grafting surgery. A 3 g dose typically provides...
257
Factors Affecting Dissolution: Drug Permeability, Stability and Stereochemistry01:20

Factors Affecting Dissolution: Drug Permeability, Stability and Stereochemistry

Orally administered drugs primarily enter the systemic circulation via passive diffusion through the intestinal membranes. The drug's absorption is influenced by drug stability in the gastrointestinal GI tract, membrane permeability, the surface area available for absorption, luminal drug concentration, and residence time in the lumen. Drug permeability can be enhanced by adjusting the lipophilicity, polarity, or molecular size of the drug, promoting its passive transport across intestinal...
723
Oral Drug Delivery Systems: Continuous-Release Systems01:26

Oral Drug Delivery Systems: Continuous-Release Systems

Continuous-release drug delivery systems offer a strategic approach to maintaining therapeutic drug levels over extended periods following oral administration. By modulating the release rate of active pharmaceutical ingredients, these systems minimize fluctuations in plasma concentrations, which enhances clinical efficacy and reduces the need for frequent dosing. Such characteristics make them particularly advantageous in managing chronic diseases where patient adherence and stable drug...
285