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In Vitro Assessment of Spray Deposition Patterns in a Pediatric (12 Year-Old) Nasal Cavity Model
Namita Sawant1, Maureen D Donovan2
1Division of Pharmaceutics and Translational Therapeutics, College of Pharmacy, University of Iowa, 115 S Grand Avenue, Iowa City, Iowa, 52242, USA.
Insights
Pediatric nasal sprays deposit primarily in the front of the nose, potentially reducing drug effectiveness. This study evaluated nasal spray performance in children, finding limited drug delivery to key nasal regions.
Area of Science:
- Pediatric Pharmacology
- Drug Delivery Systems
- Nasal Anatomy
Background:
- Current nasal sprays use adult formulations for children.
- Pediatric nasal airway dimensions differ significantly from adults.
- The performance of pediatric nasal sprays requires specific evaluation.
Purpose of the Study:
- To evaluate the deposition patterns of nasal sprays in children.
- To compare pediatric nasal spray performance with adult standards.
- To identify potential efficacy differences due to anatomical variations.
Main Methods:
- Utilized a pediatric nasal cast derived from MRI scans of a 12-year-old.
- Tested various nasal spray formulations with differing spray patterns.
- Administered sprays into the cast under controlled laboratory conditions.
Main Results:
- Nasal spray deposition was concentrated in the anterior nasal region in the pediatric cast.
- Limited spray reached the critical turbinate region.
- The primary absorptive and drug effect sites received minimal deposition.
Conclusions:
- Pediatric nasal spray deposition patterns differ from adults.
- Anterior deposition may decrease medication effectiveness in children.
- This can lead to increased drug loss and reduced patient compliance.
Purpose:
Nasal sprays available for the treatment of cold and allergy symptoms currently use identical formulations and devices for adults as well as for children. Due to the obvious differences between the nasal airway dimensions of a child and those of an adult, the performance of nasal sprays in children was evaluated.
Methods:
Deposition patterns of nasal sprays administered to children were tested using a nasal cast based on MRI images obtained from a 12 year old child's nasal cavity. Test formulations emitting a range of spray patterns were investigated by actuating the device into the pediatric nasal cast under controlled conditions.
Results:
The results showed that the nasal sprays impacted in the anterior region of the 12 year old child's nasal cavity, and only limited spray entered the turbinate region - the effect site for most topical drugs and the primary absorptive region for systemically absorbed drugs.
Conclusion:
Differences in deposition patterns following the administration of nasal sprays to adults and children may lead to differences in efficacy between these populations. Greater anterior deposition in children may result in decreased effectiveness, greater anterior dosage form loss, and the increased potential for patient non-compliance.
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