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Monday, February 12, 2018 7:13:51 AM
I do appreciate the advantages of oral delivery. However, I still think that IPIX may have taken on a very daunting task too early. Oral formulation will add at least these additional bioavailability obstacles to be overcome
- the drug needs first dissolve into GI tract - is it soluble in GI fluids?
- the drug needs to survive in GI tract - does it survive enzymatic and non-enzymatic intestinal degradation?
- the drug needs to get out of GI tract into circulation - what is it's permeability across biological membranes?
- all drugs absorbed from the GI tract are first delivered to the liver via portal vein - how much of the drug does survive the first pass hepatic metabolism?
That is a lot of costly work to do.
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