Overcoming Poor Aqueous Solubility of Drugs for Oral Delivery

It is estimated that 40% of active new chemical entities (NCEs) identified in combinatorial screening programs employed by many pharmaceutical companies are poorly water soluble, i.e., these compounds have an aqueous solubility less than 10 µM (5 µg/mL for a compound with a molecular weight of 500) (Lipinski, 2002, 2004). When these poorly soluble NCEs are further advanced in discovery and ultimately brought into development they are often plagued by incomplete absorption and low, erratic bioavailability. There are a limited number of options available to drug discovery scientists to enhance the solubility of a compound by conventional formulation approaches. These include the identification and selection of stable pharmaceutical salts (Stahl, 2003). However, salt formation requires an ionizable group and, therefore, this is not a viable option for neutral compounds or those with ionization constants that do not fall within the physiological range. Other common approaches are reducing solid particle size by micronization, such as milling or the formation of nanosuspensions (Muller et al., 2001), the use of complexation agents such as cyclodextrins (Rao and Stella, 2003), or the use of solubilizing excipients (Strickley, 2004). While these solubilization techniques often lead to significant improvement in systemic exposure when availability is solubility- or dissolution-rate limited, conventional formulation approaches are not always successful and an alternate strategy is required.

[1]  G. Murphy,et al.  Estracyt (NSC 89199) as a substrate for phosphatases in human serum. , 1974, Investigative urology.

[2]  Y. Kiso,et al.  Effect of the acyl groups on O-->N acyl migration in the water-soluble prodrugs of HIV-1 protease inhibitor. , 2003, Bioorganic & medicinal chemistry letters.

[3]  J. Therrien,et al.  A prodrug approach toward the development of water soluble fluoroquinolones and structure--activity relationships of quinoline-3-carboxylic acids. , 2004, Journal of medicinal chemistry.

[4]  G. Amidon,et al.  Improving intestinal absorption of water-insoluble compounds: a membrane metabolism strategy. , 1980, Journal of pharmaceutical sciences.

[5]  J. Dressman,et al.  Influence of physicochemical properties on dissolution of drugs in the gastrointestinal tract. , 1997, Advanced drug delivery reviews.

[6]  S. Ekins,et al.  Three-dimensional quantitative structure-activity relationships of inhibitors of P-glycoprotein. , 2002, Molecular pharmacology.

[7]  D. E. Duggan,et al.  Sulindac: therapeutic implications of the prodrug/pharmacophore equilibrium. , 1981, Drug metabolism reviews.

[8]  S. Chong,et al.  Prodrugs of BMS-183920: metabolism and permeability considerations. , 1996, Journal of pharmaceutical sciences.

[9]  D. Fleisher,et al.  Regional-dependent intestinal absorption and meal composition effects on systemic availability of LY303366, a lipopeptide antifungal agent, in dogs. , 2001, Journal of pharmaceutical sciences.

[10]  R. Pettit,et al.  Antineoplastic agents. 465. Structural modification of resveratrol: sodium resverastatin phosphate. , 2002, Journal of medicinal chemistry.

[11]  R. Notari Prodrug design. , 1981, Pharmacology & therapeutics.

[12]  Joseph W. Polli,et al.  Role of P-Glycoprotein on the CNS Disposition of Amprenavir (141W94), an HIV Protease Inhibitor , 1999, Pharmaceutical Research.

[13]  W. L. Chiou,et al.  Evaluation of potential causes for the incomplete bioavailability of furosemide: Gastric first-pass metabolism , 1983, Journal of Pharmacokinetics and Biopharmaceutics.

[14]  Richard B Greenwald,et al.  Effective drug delivery by PEGylated drug conjugates. , 2003, Advanced drug delivery reviews.

[15]  J. Leppänen,et al.  Synthesis of a water-soluble prodrug of entacapone. , 2000, Bioorganic & medicinal chemistry letters.

[16]  B. Jo,et al.  Enhanced paclitaxel bioavailability after oral administration of pegylated paclitaxel prodrug for oral delivery in rats. , 2004, International journal of pharmaceutics.

[17]  D. Bolikal,et al.  HIGHLY WATER SOLUBLE TAXOL DERIVATIVES : 7-POLYETHYLENE GLYCOL CARBAMATES AND CARBONATES , 1995 .

[18]  Bernard Testa,et al.  Lessons Learned from Marketed and Investigational Prodrugs. , 2004 .

[19]  V. Stella,et al.  Hydrolysis of pharmaceutically relevant phosphate monoester monoanions: correlation to an established structure-reactivity relationship. , 1993, Journal of pharmaceutical sciences.

[20]  R. Moss,et al.  Propofol Phosphate, a Water-Soluble Propofol Prodrug:In Vivo Evaluation , 2002, Anesthesia and analgesia.

[21]  Y. Kiso,et al.  Controlled drug release: new water-soluble prodrugs of an HIV protease inhibitor. , 2001, Bioorganic & medicinal chemistry letters.

[22]  N R Hunter,et al.  Synthesis and evaluation of water-soluble polyethylene glycol-paclitaxel conjugate as a paclitaxel prodrug , 1996, Anti-cancer drugs.

[23]  F. Schabel,et al.  Biologic activity of 9-β-d-arabinofuranosyl-2-fluoroadenine, a metabolically stable analog of 9-β-d-arabinofuranosyladenine , 1977 .

[24]  G. Flynn,et al.  Absorption Rate Limit Considerations for Oral Phosphate Prodrugs , 2003, Pharmaceutical Research.

[25]  D. Winne Shift of pH-absorption curves , 1977, Journal of Pharmacokinetics and Biopharmaceutics.

[26]  W. Prince,et al.  Pharmacokinetics of GW433908, a Prodrug of Amprenavir, in Healthy Male Volunteers , 2002, Journal of clinical pharmacology.

[27]  H. Stellbrink,et al.  Six-Week Randomized Controlled Trial To Compare the Tolerabilities, Pharmacokinetics, and Antiviral Activities of GW433908 and Amprenavir in Human Immunodeficiency Virus Type 1-Infected Patients , 2004, Antimicrobial Agents and Chemotherapy.

[28]  D. Kerr,et al.  Phase I clinical trial of the flavonoid quercetin: pharmacokinetics and evidence for in vivo tyrosine kinase inhibition. , 1996, Clinical cancer research : an official journal of the American Association for Cancer Research.

[29]  D. Chaplin,et al.  Preclinical evaluation of the antitumour activity of the novel vascular targeting agent Oxi 4503. , 2002, Anticancer research.

[30]  V. Stella,et al.  A novel prodrug approach for tertiary amines. 3. In vivo evaluation of two N-phosphonooxymethyl prodrugs in rats and dogs. , 1999, Journal of pharmaceutical sciences.

[31]  R. Strickley Solubilizing Excipients in Oral and Injectable Formulations , 2004, Pharmaceutical Research.

[32]  H. Maeda,et al.  Tumoritropic and lymphotropic principles of macromolecular drugs. , 1989, Critical reviews in therapeutic drug carrier systems.

[33]  Y. Kiso,et al.  Water-soluble prodrugs of dipeptide HIV protease inhibitors based on O-->N intramolecular acyl migration: Design, synthesis and kinetic study. , 2004, Bioorganic & medicinal chemistry.

[34]  C. Waters,et al.  Entacapone in the management of Parkinson’s disease , 2002, Expert opinion on pharmacotherapy.

[35]  G. Layton,et al.  Pharmacokinetics of fosfluconazole and fluconazole following multiple intravenous administration of fosfluconazole in healthy male volunteers. , 2004, British journal of clinical pharmacology.

[36]  D. Chaplin,et al.  Combretastatin A4 phosphate: background and current clinical status , 2004, Expert opinion on investigational drugs.

[37]  R. Liu Water-insoluble drug formulation , 2000 .

[38]  A. Burstein,et al.  Phenytoin pharmacokinetics following oral administration of phenytoin suspension and fosphenytoin solution to rats , 1999, Epilepsy Research.

[39]  Youn-Chul Kim,et al.  Enhanced paclitaxel bioavailability after oral administration of paclitaxel or prodrug to rats pretreated with quercetin. , 2004, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[40]  G. Amidon,et al.  Improving the intestinal mucosal cell uptake of water insoluble compounds , 1985 .

[41]  R. N. Brogden,et al.  Goserelin. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic efficacy in prostate cancer. , 1995, Drugs & aging.

[42]  N. Rodríguez-Hornedo,et al.  Enzyme-mediated precipitation of parent drugs from their phosphate prodrugs. , 2003, International journal of pharmaceutics.

[43]  E. Suzuki,et al.  Dose-dependent gastrointestinal absorption of 5-fluorouracil in rats in vivo. , 1996, Biological & pharmaceutical bulletin.

[44]  R. Barrett,et al.  XP13512 [(±)-1-([(α-Isobutanoyloxyethoxy)carbonyl] aminomethyl)-1-cyclohexane Acetic Acid], A Novel Gabapentin Prodrug: II. Improved Oral Bioavailability, Dose Proportionality, and Colonic Absorption Compared with Gabapentin in Rats and Monkeys , 2004, Journal of Pharmacology and Experimental Therapeutics.

[45]  P. Neuvonen Bioavailability of Phenytoin: Clinical Pharmacokinetic and Therapeutic Implications , 1979, Clinical pharmacokinetics.

[46]  K. Goa,et al.  Amprenavir: a review of its clinical potential in patients with HIV infection. , 2000, Drugs.

[47]  S. Varia,et al.  Phenytoin prodrugs V: In vivo evaluation of some water-soluble phenytoin prodrugs in dogs. , 1984, Journal of pharmaceutical sciences.

[48]  E. De Clercq,et al.  Increased absorption of the antiviral ester prodrug tenofovir disoproxil in rat ileum by inhibiting its intestinal metabolism. , 2000, Drug metabolism and disposition: the biological fate of chemicals.

[49]  J. Rothbard,et al.  Conjugation of arginine oligomers to cyclosporin A facilitates topical delivery and inhibition of inflammation , 2000, Nature Medicine.

[50]  Edward B. Roche,et al.  Design of biopharmaceutical properties through prodrugs and analogs , 1977 .

[51]  T. Shen,et al.  Chemical and biological studies on indomethacin, sulindac and their analogs. , 1977, Advances in drug research.

[52]  L. Schacter Etoposide phosphate: what, why, where, and how? , 1996, Seminars in oncology.

[53]  M. Grever,et al.  A comprehensive phase I and II clinical investigation of fludarabine phosphate. , 1990, Seminars in oncology.

[54]  P. Heinrich Stahl,et al.  35 – PREPARATION OF WATER-SOLUBLE COMPOUNDS THROUGH SALT FORMATION , 2003 .

[55]  S. Croft,et al.  Synthesis and antileishmanial activity of novel buparvaquone oxime derivatives. , 2004, Bioorganic & medicinal chemistry.

[56]  A. Noyes,et al.  The rate of solution of solid substances in their own solutions , 1897 .

[57]  B. Ruggeri,et al.  A new class of potent vascular endothelial growth factor receptor tyrosine kinase inhibitors: structure-activity relationships for a series of 9-alkoxymethyl-12-(3-hydroxypropyl)indeno[2,1-a]pyrrolo[3,4-c]carbazole-5-ones and the identification of CEP-5214 and its dimethylglycine ester prodrug clini , 2003, Journal of medicinal chemistry.

[58]  A. Kashuba,et al.  Fosamprenavir. Vertex Pharmaceuticals/GlaxoSmithKline. , 2002, Current opinion in investigational drugs.

[59]  M. Bowker,et al.  Preparation of Water-Soluble Compounds Through Salt Formation , 2008 .

[60]  A. Selen Factors influencing bioavailability and bioequivalence , 1991 .

[61]  Yingjin Yuan,et al.  Synthesis and evaluation of water-soluble paclitaxel prodrugs. , 2002, Bioorganic & medicinal chemistry letters.

[62]  M. Mutter,et al.  Cyclosporin A prodrugs: design, synthesis and biophysical properties. , 2008, The journal of peptide research : official journal of the American Peptide Society.

[63]  P. Pentikäinen,et al.  Pharmacokinetics of entacapone, a peripherally acting catechol-O-methyltransferase inhibitor, in man , 2001, European Journal of Clinical Pharmacology.

[64]  Thomas J. Raub,et al.  Characterization of the human colon carcinoma cell line (Caco-2) as a model system for intestinal epithelial permeability. , 1989, Gastroenterology.

[65]  J. Vepsäläinen,et al.  Bisphosphonate prodrugs: synthesis and in vitro evaluation of alkyl and acyloxymethyl esters of etidronic acid as bioreversible prodrugs of etidronate. , 2000, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[66]  P. Wipf,et al.  Synthesis of chemoreversible prodrugs of ara-C with variable time-release profiles. Biological evaluation of their apoptotic activity. , 1996, Bioorganic & medicinal chemistry.

[67]  Anette Müllertz,et al.  Dissolution of Hydrocortisone in Human and Simulated Intestinal Fluids , 2000, Pharmaceutical Research.

[68]  Jiunn H. Lin,et al.  Drug-drug interaction mediated by inhibition and induction of P-glycoprotein. , 2003, Advanced drug delivery reviews.

[69]  V. Stella,et al.  Some relationships between the physical properties of various 3-acyloxymethyl prodrugs of phenytoin to structure: potential in vivo performance implications. , 1998, Journal of pharmaceutical sciences.

[70]  A. Nomeir,et al.  Simultaneous high-performance liquid chromatographic determination of SCH 59884 (phosphate ester prodrug of SCH 56592), SCH 207962 and SCH 56592 in dog plasma. , 2002, Journal of pharmaceutical and biomedical analysis.

[71]  T. Nilsson,et al.  Clinical results with estramustine phosphate (NSC-89199): a comparison of the intravenous and oral preparations. , 1975, Cancer chemotherapy reports.

[72]  Y. Kiso,et al.  New water-soluble prodrugs of HIV protease inhibitors based on O-->N intramolecular acyl migration. , 2002, Bioorganic & medicinal chemistry.

[73]  S. A. Hussain,et al.  Pre-clinical and clinical study of QC12, a water-soluble, pro-drug of quercetin. , 2001, Annals of oncology : official journal of the European Society for Medical Oncology.

[74]  Younggil Kwon,et al.  Handbook of Essential Pharmacokinetics, Pharmacodynamics and Drug Metabolism for Industrial Scientists , 2001, Springer US.

[75]  H. Zhao,et al.  Drug delivery systems employing 1,4- or 1,6-elimination: poly(ethylene glycol) prodrugs of amine-containing compounds. , 1999, Journal of medicinal chemistry.

[76]  B. Brodie,et al.  The gastric secretion of drugs: a pH partition hypothesis. , 1957, The Journal of pharmacology and experimental therapeutics.

[77]  H. Yuasa,et al.  Effects of grinding and tableting on physicochemical stability of an anticancer drug, TAT-59. , 1996, Chemical & pharmaceutical bulletin.

[78]  F. Ververs,et al.  Absolute bioavailability of fluoride from disodium monofluorophosphate and enteric-coated sodium fluoride tablets , 1996, European Journal of Clinical Pharmacology.

[79]  C. Porter,et al.  A physicochemical basis for the effect of food on the absolute oral bioavailability of halofantrine. , 1996, Journal of pharmaceutical sciences.

[80]  M. Skwarczynski,et al.  A novel approach of water-soluble paclitaxel prodrug with no auxiliary and no byproduct: design and synthesis of isotaxel. , 2003, Journal of medicinal chemistry.

[81]  W. Tong,et al.  Preformulation Aspects of Insoluble Compounds , 2018 .

[82]  S. Johansson,et al.  Impairment of estramustine phosphate absorption by concurrent intake of milk and food , 2004, European Journal of Clinical Pharmacology.

[83]  W. Bennett,et al.  Effects of dimethyl sulfoxide on renal function in man. , 1980, JAMA.

[84]  M. Engle,et al.  Regulation of surfactant-like particle secretion by Caco-2 cells. , 2001, Biochimica et biophysica acta.

[85]  M. Cho,et al.  Metronidazole phosphate--a water-soluble prodrug for parenteral solutions of metronidazole. , 1982, Journal of pharmaceutical sciences.

[86]  Antony D'Emanuele,et al.  The use of a dendrimer-propranolol prodrug to bypass efflux transporters and enhance oral bioavailability. , 2004, Journal of controlled release : official journal of the Controlled Release Society.

[87]  R. Oliyai,et al.  Structural Factors affecting the kinetics of O,N-acyl transfer in potential O-peptide prodrugs , 1995 .

[88]  T. Fujiwara,et al.  Development of Anti-Influenza Virus Drugs I: Improvement of Oral Absorption and In Vivo Anti-Influenza Activity of Stachyflin and Its Derivatives , 1999, Pharmaceutical Research.

[89]  V. Stella A case for prodrugs: Fosphenytoin , 1996 .

[90]  T. Lister,et al.  Pharmacokinetic study of single doses of oral fludarabine phosphate in patients with "low-grade" non-Hodgkin's lymphoma and B-cell chronic lymphocytic leukemia. , 1999, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[91]  D. Oscier,et al.  The bioavailability of oral fludarabine phosphate is unaffected by food. , 2001, The hematology journal : the official journal of the European Haematology Association.

[92]  M. Grever,et al.  High-dose combination chemotherapy with thiotepa and autologous hematopoietic stem cell reinfusion in the treatment of patients with relapsed refractory lymphomas. , 1990, Seminars in oncology.

[93]  P. Anderson Pharmacologic Perspectives for Once-Daily Antiretroviral Therapy , 2004, The Annals of pharmacotherapy.

[94]  A. Nácher,et al.  Nonlinear intestinal absorption kinetics of cefuroxime axetil in rats , 1997, Antimicrobial agents and chemotherapy.

[95]  E. D. Barnhart Physicians Desk Reference , 1990 .

[96]  F. Lombardo,et al.  Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. , 2001, Advanced drug delivery reviews.

[97]  W. Rose,et al.  Novel water soluble phosphate prodrugs of taxol® possessing in vivo antitumor activity , 1993 .

[98]  S. Posen,et al.  Clinical Utilization of Alkaline Phosphatase Measurements , 1979 .

[99]  P. Sinko,et al.  Carrier‐mediated intestinal absorption of valacyclovir, the L‐valyl ester prodrug of acyclovir. 1. Interactions with peptides, organic anions and organic cations in rats , 1998, Biopharmaceutics & drug disposition.

[100]  A. Klein-Szanto,et al.  CEP-7055: a novel, orally active pan inhibitor of vascular endothelial growth factor receptor tyrosine kinases with potent antiangiogenic activity and antitumor efficacy in preclinical models. , 2003, Cancer research.

[101]  E. Schacht,et al.  Review: Poly(Ethylene Glycol)s with Reactive Endgroups. II. Practical Consideration for the Preparation of Protein-PEG Conjugates , 1996 .

[102]  G. Jolles,et al.  Drug design : fact or fantasy? , 1984 .

[103]  A. Bergenheim,et al.  Pharmacokinetics and Pharmacodynamics of Estramustine Phosphate , 1998, Clinical pharmacokinetics.

[104]  D. Fleisher,et al.  Improved oral drug delivery: solubility limitations overcome by the use of prodrugs , 1996 .

[105]  M. Bibby,et al.  In vivo and in vitro evaluation of combretastatin A-4 and its sodium phosphate prodrug , 1999, British Journal of Cancer.

[106]  T. Nevalainen,et al.  Synthesis and in vitro/in vivo evaluation of novel oral N-alkyl- and N,N-dialkyl-carbamate esters of entacapone. , 2000, Life sciences.

[107]  T. Heimbach Oral phosphate prodrugs: Absorption rate limit considerations. , 2003 .

[108]  R. Gugler,et al.  Disposition of quercetin in man after single oral and intravenous doses , 1975, European Journal of Clinical Pharmacology.

[109]  A. Mitra,et al.  Pharmacokinetics of Novel Dipeptide Ester Prodrugs of Acyclovir after Oral Administration: Intestinal Absorption and Liver Metabolism , 2004, Journal of Pharmacology and Experimental Therapeutics.

[110]  V. Stella,et al.  When can cyclodextrins be considered for solubilization purposes? , 2003, Journal of pharmaceutical sciences.

[111]  W. Turner,et al.  The synthesis of water soluble prodrugs analogs of echinocandin B. , 1999, Bioorganic & medicinal chemistry letters.

[112]  J. Rossi,et al.  Efficacy and safety of oral fludarabine phosphate in previously untreated patients with chronic lymphocytic leukemia. , 2004, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[113]  J. Guillet,et al.  Drug Delivery Systems , 1995 .

[114]  F. Bosch,et al.  Activity of oral fludarabine phosphate in previously treated chronic lymphocytic leukemia. , 2001, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[115]  Sietsema Wk,et al.  The absolute oral bioavailability of selected drugs , 1989 .

[116]  J. Schellens,et al.  Coadministration of oral cyclosporin A enables oral therapy with paclitaxel. , 1999, Clinical cancer research : an official journal of the American Association for Cancer Research.

[117]  G. Dubowchik,et al.  Cathepsin B-sensitive dipeptide prodrugs. 1. A model study of structural requirements for efficient release of doxorubicin. , 1998, Bioorganic & medicinal chemistry letters.

[118]  A. Rigalli,et al.  Gastric and intestinal absorption of monofluorophosphate and fluoride in the rat. , 1994, Arzneimittel-Forschung.

[119]  S. Tamaki,et al.  KY-109, a new bifunctional pro-drug of a cephalosporin. Chemistry, physico-chemical and biological properties. , 1985, Journal of antibiotics (Tokyo. 1968).

[120]  P. Wipf,et al.  Synthesis of chemoreversible prodrugs of ARA-C , 1991 .

[121]  R. Borchardt,et al.  Kinetics of diketopiperazine formation using model peptides. , 1998, Journal of pharmaceutical sciences.

[122]  P. Vierling,et al.  Transepithelial Transport of Prodrugs of the HIV Protease Inhibitors Saquinavir, Indinavir, and Nelfinavir Across Caco-2 Cell Monolayers , 2002, Pharmaceutical Research.

[123]  S. Croft,et al.  Synthesis, in vitro evaluation, and antileishmanial activity of water-soluble prodrugs of buparvaquone. , 2004, Journal of medicinal chemistry.

[124]  K. Ward,et al.  Development of an in vivo preclinical screen model to estimate absorption and bioavailability of xenobiotics. , 2001, Drug metabolism and disposition: the biological fate of chemicals.

[125]  O. H. Chan,et al.  Evaluation of a Targeted Prodrug Strategy to Enhance Oral Absorption of Poorly Water-Soluble Compounds , 1998, Pharmaceutical Research.

[126]  Jivn R. Chen,et al.  Preformulation Study of Etoposide: Identification of Physicochemical Characteristics Responsible for the Low and Erratic Oral Bioavailability of Etoposide , 1989, Pharmaceutical Research.

[127]  A. Otaka,et al.  Convenient one-pot synthesis of cystine-containing peptides using the trimethylsilyl chloride–dimethyl sulfoxide/trifluoroacetic acid system and its application to the synthesis of bifunctional anti-HIV compounds1 , 1998 .

[128]  R. Müller,et al.  Nanosuspensions as particulate drug formulations in therapy. Rationale for development and what we can expect for the future. , 2001, Advanced drug delivery reviews.

[129]  M. Bodanszky,et al.  Side reactions in peptide synthesis. VII. Sequence dependence in the formation of aminosuccinyl derivatives from beta-benzyl-aspartyl peptides. , 2009, International journal of peptide and protein research.

[130]  K. Beaumont,et al.  Design of ester prodrugs to enhance oral absorption of poorly permeable compounds: challenges to the discovery scientist. , 2003, Current drug metabolism.

[131]  M. Butters,et al.  The Discovery and Process Development of a Commercial Route to the Water Soluble Prodrug, Fosfluconazole , 2002 .

[132]  Lawrence X. Yu An Integrated Model for Determining Causes of Poor Oral Drug Absorption , 1999, Pharmaceutical Research.

[133]  M. Skwarczynski,et al.  O-N intramolecular acyl migration strategy in water-soluble prodrugs of taxoids. , 2003, Bioorganic & medicinal chemistry letters.

[134]  Carlota Saldanha,et al.  Multidisciplinary utilization of dimethyl sulfoxide: pharmacological, cellular, and molecular aspects. , 2003, Biochemical pharmacology.

[135]  Hoon Cho,et al.  Water soluble cyclosporine monomethoxy poly(ethyleneglycol) conjugates as potential prodrugs , 2004, Archives of pharmacal research.

[136]  K. Kobe The properties of gases and liquids , 1959 .

[137]  N. Davies,et al.  Clinical Pharmacokinetics of Sulindac , 1997, Clinical pharmacokinetics.

[138]  K. Järvinen,et al.  Effects of aqueous solubility and dissolution characteristics on oral bioavailability of entacapone , 2000 .

[139]  Ronald T. Borchardt,et al.  Pharmaceutical profiling in drug discovery for lead selection , 2004 .

[140]  E. Furfine,et al.  Preclinical Pharmacology and Pharmacokinetics of GW433908, a Water-Soluble Prodrug of the Human Immunodeficiency Virus Protease Inhibitor Amprenavir , 2004, Antimicrobial Agents and Chemotherapy.

[141]  G. Flynn,et al.  Factors influencing solvolysis of corticosteroid-21-phosphate esters. , 1970, Journal of pharmaceutical sciences.

[142]  C. Lipinski Poor aqueous solubility-an industry wide problem in drug discovery , 2002 .

[143]  J. Leppänen,et al.  Synthesis and in‐vitro/in‐vivo evaluation of orally administered entacapone prodrugs , 2001, The Journal of pharmacy and pharmacology.

[144]  T. Ludden,et al.  Bioavailability and newer methods of delivery of phosphorothioate radioprotectors. , 1988, Pharmacology & therapeutics.

[145]  G. Amidon,et al.  Oral absorption of 21-corticosteroid esters: a function of aqueous stability and intestinal enzyme activity and distribution. , 1986, Journal of pharmaceutical sciences.

[146]  P. Fischer Diketopiperazines in peptide and combinatorial chemistry , 2003, Journal of peptide science : an official publication of the European Peptide Society.

[147]  R. Schowen,et al.  A Mechanistic and Kinetic Study of the E-Ring Hydrolysis and Lactonization of a Novel Phosphoryloxymethyl Prodrug of Camptothecin , 2003, Pharmaceutical Research.

[148]  V. Stella Prodrugs as therapeutics , 2004 .

[149]  G. Amidon,et al.  Utilization of peptide carrier system to improve intestinal absorption: targeting prolidase as a prodrug-converting enzyme. , 1992, Journal of pharmaceutical sciences.

[150]  F. Veronese,et al.  Synthesis, characterization, and preliminary in vivo tests of new poly(ethylene glycol) conjugates of the antitumor agent 10-amino-7-ethylcamptothecin. , 2004, Journal of medicinal chemistry.

[151]  W. Plunkett,et al.  Metabolism and action of fludarabine phosphate. , 1990, Seminars in oncology.

[152]  G. Amidon,et al.  Design of prodrugs for improved gastrointestinal absorption by intestinal enzyme targeting. , 1985, Methods in enzymology.

[153]  Lawrence X. Yu,et al.  In vitro testing of drug absorption for drug 'developability' assessment: forming an interface between in vitro preclinical data and clinical outcome. , 2004, Current opinion in drug discovery & development.

[154]  Fosamprenavir: a review of its use in the management of antiretroviral therapy-naive patients with HIV infection. , 2004, Drugs.

[155]  E. Estey,et al.  Fludarabine: pharmacokinetics, mechanisms of action, and rationales for combination therapies. , 1993, Seminars in oncology.

[156]  S. Neau Prodrugs for Improved Aqueous Solubility , 2008 .

[157]  T. Shiba,et al.  An Inversion of Configuration of Threonine and Allothreonine in the N,O-Acyl Migration Reaction with Concentrated Sulfuric Acid , 1974 .

[158]  V. Stella,et al.  A novel prodrug approach for tertiary amines. 2. Physicochemical and in vitro enzymatic evaluation of selected N-phosphonooxymethyl prodrugs. , 1999, Journal of pharmaceutical sciences.

[159]  T. Wadsten,et al.  Polymorphism of estramustine. , 1989, Journal of pharmaceutical sciences.

[160]  G. Amidon,et al.  Molecular properties of WHO essential drugs and provisional biopharmaceutical classification. , 2004, Molecular pharmaceutics.

[161]  Tomoko Ito,et al.  Development of water-soluble prodrugs of the HIV-1 protease inhibitor KNI-727: importance of the conversion time for higher gastrointestinal absorption of prodrugs based on spontaneous chemical cleavage. , 2003, Journal of medicinal chemistry.

[162]  O. H. Chan,et al.  Phosphate prodrugs of PD154075. , 2000, Bioorganic & medicinal chemistry letters.

[163]  V. Stella,et al.  Prodrugs , 1985, Drugs.

[164]  J. Kopeček,et al.  Targetable polymeric prodrugs , 1987 .

[165]  C. Conover,et al.  Antitumor activity of paclitaxel-2'-glycinate conjugated to poly(ethylene glycol): a water-soluble prodrug. , 1998, Anti-cancer drug design.

[166]  R. Oliyai,et al.  Prodrugs of Phosphonates, Phosphinates, and Phosphates , 2007 .

[167]  V. Stella,et al.  Novel prodrug approach for tertiary amines: synthesis and preliminary evaluation of N-phosphonooxymethyl prodrugs. , 1999, Journal of medicinal chemistry.

[168]  J. Crison,et al.  A Theoretical Basis for a Biopharmaceutic Drug Classification: The Correlation of in Vitro Drug Product Dissolution and in Vivo Bioavailability , 1995, Pharmaceutical Research.

[169]  M. Zamai,et al.  Polymer-bound camptothecin: initial biodistribution and antitumour activity studies. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[170]  T. Fujiwara,et al.  Development of Anti‐influenza Drugs: II. Improvement of Oral and Intranasal Absorption and the Anti‐influenza Activity of Stachyflin Derivatives , 2000, The Journal of pharmacy and pharmacology.

[171]  M. Smiley,et al.  Valacyclovir HCl (Valtrex): an acyclovir prodrug with improved pharmacokinetics and better efficacy for treatment of zoster. , 1996, Advances in experimental medicine and biology.

[172]  R B Greenwald,et al.  Drug delivery systems: water soluble taxol 2'-poly(ethylene glycol) ester prodrugs-design and in vivo effectiveness. , 1996, Journal of medicinal chemistry.

[173]  Y. Sugimoto,et al.  TAT-59, a new triphenylethylene derivative with antitumor activity against hormone-dependent tumors. , 1990, European journal of cancer.

[174]  E. De Clercq,et al.  In vitro, ex vivo, and in situ intestinal absorption characteristics of the antiviral ester prodrug adefovir dipivoxil. , 2000, Journal of pharmaceutical sciences.

[175]  H. Groen,et al.  Randomized comparison of etoposide pharmacokinetics after oral etoposide phosphate and oral etoposide. , 1997, British Journal of Cancer.

[176]  Morton B. Brown,et al.  Role of intestinal P‐glycoprotein (mdr1) in interpatient variation in the oral bioavailability of cyclosporine , 1997, Clinical pharmacology and therapeutics.

[177]  Bernard,et al.  Advances in Drug Research , 1964 .

[178]  C. Perry,et al.  Estramustine Phosphate Sodium , 1995, Drugs & aging.

[179]  S. Becker,et al.  Fosamprenavir: advancing HIV protease inhibitor treatment options , 2004, Expert Opinion on Pharmacotherapy.