Evidence map›Paper›PMID 42654143›Full record

ReviewPharmaceutics2026

Artificial Intelligence-Based Optimization of Pulmonary Drug Delivery Performance in Smart Inhaler Drug-Device Combination Systems.

Harshada B Pawar, Pawan Ganesh Nayak, Amatha Sreedevi, Ramya Ravi, Pradeep M Muragundi

Abstract readReview
In one paragraph

Review in Pharmaceutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Harshada B PawarDepartment of Pharmaceutical Regulatory Affairs and Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Pawan Ganesh NayakDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.ORCID 0000-0001-5525-9982
Amatha SreedeviDepartment of Pharmaceutical Regulatory Affairs and Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Ramya RaviDepartment of Pharmaceutical Regulatory Affairs and Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Pradeep M MuragundiDepartment of Pharmaceutical Regulatory Affairs and Management, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.ORCID 0000-0003-4897-6187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advancements in pulmonary drug delivery have enabled effective treatment approaches for more severe disease conditions, such as chronic obstructive pulmonary diseases, asthma, cystic fibrosis, and other pulmonary disorders, via targeted, sustained, and immediate drug delivery routes with minimal systemic side effects. However, conventional delivery systems have many limitations, such as poor drug targeting, adherence, and deposition, which ultimately cause variations in drug profiles and therapeutic efficacy. Recent advances in artificial intelligence (AI) and machine learning (ML) have enabled the development of smart inhaler drug-device combination systems for personalized therapy using predictive formulation parameters, design variables, device performance, and inhalation pattern monitoring. Advanced AI techniques, such as artificial neural networks, deep learning, random forests, support vector machines, deep learning algorithms, and computational modeling, predict the mass median aerodynamic diameter (MMAD), fine-particle fraction (FPF), emitted dose, and regional lung deposition. Smart inhalation devices coupled with digital sensors and computing systems enable the real-time monitoring of inhalation profiles and adherence. Moreover, AI- and ML-enabled Quality by Design (QbD) and digital twin framework technologies enhance the optimization of manufacturing process parameters, consistency, robustness, and scale-up performance. Although several developments have been reported, there is still room for improvement in terms of data heterogeneity, algorithm transparency, interpretability, cybersecurity, regulations, and long-term clinical standardization. This review emphasizes the use of AI to improve the performance of pulmonary drug delivery through smart inhaler drug-device combination therapies, focusing on technological advancements, formulation optimizations, smart inhalers, regulatory issues, current limitations, and future perspectives of AI-based pulmonary drug delivery.

Indexed as

artificial intelligencecybersecuritydata securityinhalation systemsmachine learning

Identifiers

PMID42654143
PMCPMC13516981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.