Small is Powerful: Demonstration of the Impact of Nanoformed Piroxicam in a Controlled Clinical Study

Pharm Res. 2023 Oct;40(10):2317-2327. doi: 10.1007/s11095-023-03624-8. Epub 2023 Nov 1.

Abstract

Purpose: New solutions are needed to enable the efficient use of poorly water-soluble drugs. Therefore, we aimed to demonstrate that decreasing particle size with a solution-to-particle method known as nanoforming can improve dissolution and thus bioavailability.

Methods: Piroxicam, a poorly water-soluble non-steroidal anti-inflammatory drug (NSAID), was used as a model compound. A Quality-by-Design (QbD) approach was used to nanoform piroxicam and a design space was established. The pharmacokinetics of piroxicam nanoparticles were compared to two marketed products in a clinical trial.

Results: Nanoformed tablets showed a 33% increase in exposure during the first hour after dosing (AUC0-1 h) compared with an immediate release tablet and was similar to a fast absorbing tablet incorporating complexation of piroxicam with β-cyclodextrin.

Conclusions: The results show that nanoforming enabled more rapid absorption in comparison to a typical marketed tablet and indicate that nanoforming is an alternative to complex formulation such as cyclodextrins based products. The study outcomes support the potential of nanoforming for producing fast-acting dosage forms of poorly soluble drugs.

Keywords: nanoforming; nanoparticles; piroxicam; poorly water-soluble.

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / pharmacokinetics
  • Cyclodextrins*
  • Piroxicam* / pharmacokinetics
  • Solubility
  • Tablets
  • Water

Substances

  • Piroxicam
  • Anti-Inflammatory Agents, Non-Steroidal
  • Cyclodextrins
  • Tablets
  • Water