Literature DB >> 26824178

Absorption and Clearance of Pharmaceutical Aerosols in the Human Nose: Development of a CFD Model.

Alex Rygg1, P Worth Longest1,2.   

Abstract

PURPOSE: The objective of this study was to develop a computational fluid dynamics (CFD) model to predict the deposition, dissolution, clearance, and absorption of pharmaceutical particles in the human nasal cavity.
METHODS: A three-dimensional nasal cavity geometry was converted to a surface-based model, providing an anatomically-accurate domain for the simulations. Particle deposition data from a commercial nasal spray product was mapped onto the surface model, and a mucus velocity field was calculated and validated with in vivo nasal clearance rates. A submodel for the dissolution of deposited particles was developed and validated based on comparisons to existing in vitro data for multiple pharmaceutical products. A parametric study was then performed to assess sensitivity of epithelial drug uptake to model conditions and assumptions.
RESULTS: The particle displacement distance (depth) in the mucus layer had a modest effect on overall drug absorption, while the mucociliary clearance rate was found to be primarily responsible for drug uptake over the timescale of nasal clearance for the corticosteroid mometasone furoate (MF). The model revealed that drug deposition in the nasal vestibule (NV) could slowly be transported into the main passage (MP) and then absorbed through connection of the liquid layer in the NV and MP regions. As a result, high intersubject variability in cumulative uptake was predicted, depending on the length of time the NV dose was left undisturbed without blowing or wiping the nose.
CONCLUSIONS: This study has developed, for the first time, a complete CFD model of nasal aerosol delivery from the point of spray formation through absorption at the respiratory epithelial surface. For the development and assessment of nasal aerosol products, this CFD-based in silico model provides a new option to complement existing in vitro nasal cast studies of deposition and in vivo imaging experiments of clearance.

Entities:  

Keywords:  dosimetry modeling; drug particle dissolution; microdosimetry; nasal clearance; nasal drug absorption; nasal spray suspensions; post-deposition particle tracking

Year:  2016        PMID: 26824178      PMCID: PMC8662553          DOI: 10.1089/jamp.2015.1252

Source DB:  PubMed          Journal:  J Aerosol Med Pulm Drug Deliv        ISSN: 1941-2711            Impact factor:   2.849


  58 in total

1.  Breath actuated device improves delivery to target sites beyond the nasal valve.

Authors:  Per Gisle Djupesland; Arne Skretting; Mette Winderen; Trond Holand
Journal:  Laryngoscope       Date:  2006-03       Impact factor: 3.325

Review 2.  Intranasal drug delivery: how, why and what for?

Authors:  Anaísa Pires; Ana Fortuna; Gilberto Alves; Amílcar Falcão
Journal:  J Pharm Pharm Sci       Date:  2009       Impact factor: 2.327

3.  A CFD-PBPK hybrid model for simulating gas and vapor uptake in the rat nose.

Authors:  M L Bush; C B Frederick; J S Kimbell; J S Ultman
Journal:  Toxicol Appl Pharmacol       Date:  1998-05       Impact factor: 4.219

4.  Improving the lung delivery of nasally administered aerosols during noninvasive ventilation-an application of enhanced condensational growth (ECG).

Authors:  P Worth Longest; Geng Tian; Michael Hindle
Journal:  J Aerosol Med Pulm Drug Deliv       Date:  2011-03-16       Impact factor: 2.849

Review 5.  Bioequivalence for locally acting nasal spray and nasal aerosol products: standard development and generic approval.

Authors:  Bing V Li; Feiyan Jin; Sau L Lee; Tao Bai; Badrul Chowdhury; Hoainhon T Caramenico; Dale P Conner
Journal:  AAPS J       Date:  2013-05-18       Impact factor: 4.009

6.  Ultrastructure of human nasal mucosa.

Authors:  B W Jafek
Journal:  Laryngoscope       Date:  1983-12       Impact factor: 3.325

Review 7.  Mathematical modeling of molecular diffusion through mucus.

Authors:  Yen Cu; W Mark Saltzman
Journal:  Adv Drug Deliv Rev       Date:  2008-12-16       Impact factor: 15.470

Review 8.  Rationale for hypertonic saline therapy for cystic fibrosis lung disease.

Authors:  Robert Tarran; Scott Donaldson; Richard C Boucher
Journal:  Semin Respir Crit Care Med       Date:  2007-06       Impact factor: 3.119

Review 9.  Micro- and macrorheology of mucus.

Authors:  Samuel K Lai; Ying-Ying Wang; Denis Wirtz; Justin Hanes
Journal:  Adv Drug Deliv Rev       Date:  2009-01-03       Impact factor: 15.470

10.  Nasal drug delivery devices: characteristics and performance in a clinical perspective-a review.

Authors:  Per Gisle Djupesland
Journal:  Drug Deliv Transl Res       Date:  2012-10-18       Impact factor: 4.617

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  17 in total

1.  Absorption and Clearance of Pharmaceutical Aerosols in the Human Nose: Effects of Nasal Spray Suspension Particle Size and Properties.

Authors:  Alex Rygg; Michael Hindle; P Worth Longest
Journal:  Pharm Res       Date:  2015-12-21       Impact factor: 4.200

2.  On computational fluid dynamics models for sinonasal drug transport: Relevance of nozzle subtraction and nasal vestibular dilation.

Authors:  Saikat Basu; Dennis O Frank-Ito; Julia S Kimbell
Journal:  Int J Numer Method Biomed Eng       Date:  2018-01-18       Impact factor: 2.747

3.  Validating Whole-Airway CFD Predictions of DPI Aerosol Deposition at Multiple Flow Rates.

Authors:  P Worth Longest; Geng Tian; Navvab Khajeh-Hosseini-Dalasm; Michael Hindle
Journal:  J Aerosol Med Pulm Drug Deliv       Date:  2016-04-15       Impact factor: 2.849

Review 4.  Use of computational fluid dynamics deposition modeling in respiratory drug delivery.

Authors:  P Worth Longest; Karl Bass; Rabijit Dutta; Vijaya Rani; Morgan L Thomas; Ahmad El-Achwah; Michael Hindle
Journal:  Expert Opin Drug Deliv       Date:  2018-12-10       Impact factor: 6.648

5.  Linking Suspension Nasal Spray Drug Deposition Patterns to Pharmacokinetic Profiles: A Proof-of-Concept Study Using Computational Fluid Dynamics.

Authors:  Alex Rygg; Michael Hindle; P Worth Longest
Journal:  J Pharm Sci       Date:  2016-06       Impact factor: 3.534

6.  Small Airway Absorption and Microdosimetry of Inhaled Corticosteroid Particles after Deposition.

Authors:  P Worth Longest; Michael Hindle
Journal:  Pharm Res       Date:  2017-06-22       Impact factor: 4.200

7.  Recommendations for Simulating Microparticle Deposition at Conditions Similar to the Upper Airways with Two-Equation Turbulence Models.

Authors:  Karl Bass; P Worth Longest
Journal:  J Aerosol Sci       Date:  2018-02-21       Impact factor: 3.433

8.  Pharmacokinetic-based failure of a detergent virucidal for SARS-COV-2 nasal infections.

Authors:  Charles R Esther; Kyle S Kimura; Yu Mikami; Caitlin E Edwards; Suman R Das; Michael H Freeman; Britton A Strickland; Hunter M Brown; Bronson C Wessinger; Veerain C Gupta; Kate Von Wahlde; Quanhu Sheng; Li Ching Huang; Daniel R Bacon; Adam J Kimple; Agathe S Ceppe; Takafumi Kato; Raymond J Pickles; Scott H Randell; Ralph S Baric; Justin H Turner; Richard C Boucher
Journal:  Res Sq       Date:  2021-05-14

9.  Numerical evaluation of spray position for improved nasal drug delivery.

Authors:  Saikat Basu; Landon T Holbrook; Kathryn Kudlaty; Olulade Fasanmade; Jihong Wu; Alyssa Burke; Benjamin W Langworthy; Zainab Farzal; Mohammed Mamdani; William D Bennett; Jason P Fine; Brent A Senior; Adam M Zanation; Charles S Ebert; Adam J Kimple; Brian D Thorp; Dennis O Frank-Ito; Guilherme J M Garcia; Julia S Kimbell
Journal:  Sci Rep       Date:  2020-06-29       Impact factor: 4.379

10.  Pharmacokinetic-based failure of a detergent virucidal for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) nasal infections: A preclinical study and randomized controlled trial.

Authors:  Charles R Esther; Kyle S Kimura; Yu Mikami; Caitlin E Edwards; Suman R Das; Michael H Freeman; Britton A Strickland; Hunter M Brown; Bronson C Wessinger; Veerain C Gupta; Kate Von Wahlde; Quanhu Sheng; Li Ching Huang; Daniel R Bacon; Adam J Kimple; Agathe S Ceppe; Takafumi Kato; Raymond J Pickles; Scott H Randell; Ralph S Baric; Justin H Turner; Richard C Boucher
Journal:  Int Forum Allergy Rhinol       Date:  2022-01-31       Impact factor: 5.426

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