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Re-Assessing PK/PD Issues for Oral Protein and Peptide Delivery
Randall J Mrsny1,2, Tahir A Mahmood2
1Department of Pharmacy and Pharmacology, University of Bath, Bath BA2 7AY, UK.
Oral delivery of protein therapeutics is advancing, but outcomes differ from injections. New methods are needed to accurately assess oral drug delivery and its effects, optimizing pharmacokinetic (PK) and pharmacodynamic (PD) outcomes.
Area of Science:
- Pharmaceutical Sciences
- Drug Delivery
- Biotechnology
Background:
- Parenteral administration is the primary route for protein and peptide therapeutics due to challenges in oral delivery.
- Recent technological advancements are enabling clinical validation of oral biopharmaceutical delivery.
- Existing pharmacokinetic (PK) and pharmacodynamic (PD) models derived from parenteral routes may not fully apply to oral delivery.
Purpose of the Study:
- To examine the discrepancies between oral and parenteral administration of protein therapeutics.
- To propose a framework for re-evaluating assessment methods for oral biopharmaceutical delivery.
- To align PK/PD outcomes with the unique characteristics of oral delivery systems.
Main Methods:
- Review of current literature on oral protein and peptide delivery technologies.
- Analysis of pharmacokinetic (PK) and pharmacodynamic (PD) data from oral versus parenteral administration.
- Comparative assessment of existing and proposed models for evaluating oral drug delivery efficacy.
Main Results:
- Oral delivery of biopharmaceuticals presents unique PK/PD profiles distinct from parenteral routes.
- Current success criteria for oral delivery may not adequately capture therapeutic effectiveness.
- Discrepancies necessitate a re-evaluation of how oral delivery performance is measured.
Conclusions:
- Established PK/PD paradigms require adaptation for oral protein and peptide therapeutics.
- Developing new models and success metrics is crucial for optimizing oral biopharmaceutical development.
- A revised approach will enhance the clinical translation and therapeutic success of oral peptide and protein drugs.
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