Evidence map›Paper›PMID 41078731›Full record

ArticleACS omega2025

Physiologically Based Pharmacokinetic Modeling of Efavirenz Nanoparticles: from Animal Model to Human Extrapolation.

Thalita Martins da Silva, Michelle Alvares Sarcinelli, Marcelo Henrique Cunha Chaves, Alan de Araújo Dias, Beatriz Ferreira de Carvalho Patricio, Livia Deris Prado, Leandro Tasso, Marcelo Dutra Duque, Helvécio V A Rocha

Abstract read
In one paragraph

Article in ACS omega, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thalita Martins da SilvaLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-7685-3120
Michelle Alvares SarcinelliLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-2364-9270
Marcelo Henrique Cunha ChavesLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.
Alan de Araújo DiasLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.
Beatriz Ferreira de Carvalho PatricioLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-2477-9798
Livia Deris PradoPostgraduate Program in Translational Research in Drugs and Medicines, Farmanguinhos, FIOCRUZ, 100 Sizenando Nabuco Street, 21041-000 Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-5691-9900
Leandro TassoLaboratory of Pharmacokinetics, Postgraduate Program in Health Sciences, University of Caxias do Sul, 1130 Francisco Getúlio Vargas Street, 95070-560 Caxias do Sul, Brazil.
Marcelo Dutra DuqueLaboratory of Pharmacotechnic and Cosmetology, Department of Pharmaceutical Sciences, Institute of Environmental, Chemical and Pharmaceutical Sciences, UNIFESP, 210 São Nicolau Street, 09913-030 Diadema, Brazil.
Helvécio V A RochaLaboratory of Micro and Nanotechnology, Center for Technological Development in Health, FIOCRUZ, 4036 Brasil Avenue, 21040-361 Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present work aims to establish a formulation-specific, physiologically based pharmacokinetic (PBPK) model for efavirenz (EFV) nanocrystals that have shown increased dissolution and were produced following a top-down approach based on wet milling and spray drying by integrating solid-state characterization, in vitro performance, and preclinical pharmacokinetics to enable translational predictions in humans. The resulting material was thoroughly characterized using diffraction-based, spectroscopic, thermal, morphological, and particle sizing techniques, along within vitro dissolution testing and an in vivo pharmacokinetic analysis in rats. Then, a fully rat PBPK model was constructed using GastroPlus and incorporating the biopharmaceutical nanoparticle properties through the product particle size distribution (P-PSD) approach. The physiologically based biopharmaceutics model (PBBM) was validated with rat in vivo data and subsequently extrapolated to simulate human physiology. Compared with unprocessed EFV, nanocrystals exhibited superior dissolution efficiency (90.4% vs 52.6%) and a more homogeneous size distribution. Furthermore, the in vivo studies confirmed an increase in EFV exposure. The rat PBPK model accurately reproduced plasma profiles of both formulations, with all predictive error metrics falling within the acceptable 2-fold range. Extrapolation to human physiology revealed that a 350 mg EFV NC dose achieved systemic exposure comparable to that of standard 600 mg immediate-release tablet, but with faster absorption. Sensitivity analyses highlighted the critical influence of particle size and bile salt solubilization capacity on EFV oral absorption. This study pioneers the application of a fully mechanistic PBPK/PBBM model tailored to nanocrystal formulations of EFV. By bridging preclinical and human data through in silico simulation, the proposed approach supports dose optimization strategies and reinforces the role of nanotechnology in advancing nonbiological complex drug development.

Identifiers

PMID41078731
PMCPMC12508957

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.