Modified Approaches for Colon Specific Drug Delivery System: A Review

Abstract

The colon is a site where both local and systemic delivery of drugs can take place. Local delivery allows topical treatment of inflammatory bowel disease. However, treatment can be made effective if the drugs can be targeted directly into the colon, thereby reducing the systemic side effects. This review mainly describes the primary approaches for CDDS (Colon Specific Drug Delivery) namely prodrugs, pH and time dependent systems, and microbially triggered systems, which achieved limited success and had limitations as compared with newer CDDS namely pressure controlled colonic delivery capsules. Oral administration of different dosage forms is the most commonly used method due to flexibility in design of dosage form and high patient acceptance, but the gastrointestinal tract presents several formidable barriers to drug delivery. In oral colon-specific drug delivery system, colon has a large amount of lymphoma tissue (facilitates direct absorption in to the blood), negligible brush boarder membrane activity, and much less pancreatic enzymatic activity as compared with the small intestine. Colon-specific drug delivery has gained increased importance not just for the delivery of the drugs for treatment of local diseases associated with the colon but also for its potential for the delivery of proteins and therapeutic peptides. Different approaches are designed based on prodrug formulation, pH-sensitivity, time-dependency (lag time), microbial degradation and osmotic pressure etc to formulate the different dosage forms like tablets, capsules, multiparticulates, microspheres, liposomes for colon targeting. The delivery of drugs to the colon has a number of therapeutic implications in the field of drug delivery. In the recent times, the colon specific delivery systems are also gaining importance not only for local drug delivery of drugs but also for the systemic delivery of protein and peptide drugs. This review updated the research on different approaches formulation and evaluation of colon-specific drug delivery.

Stimuli-Responsive Polymeric Nanosystem for Colon Specific Drug Delivery

“…This type of oligosaccharide is cyclic and has an inner (lipophilic in nature) and outer part (hydrophilic in nature). 46 They are composed of 6-8 glucose units which are linked through 1,4-glycosidic bond. The bond ensures high solubility, bioavailability and stability of the drug which has been utilized in colon TDDS.…”

Advances in Polysaccharide-Based Oral Colon-Targeted Delivery Systems: The Journey So Far and the Road Ahead

“…The release of the drug depends upon the transit time and different pH and microflora present in the GIT [ 5 ]. Moreover, colon targeting offers an opportunity for oral delivery of therapeutic proteins and peptides that otherwise would get degraded in the gastric milieu [ 6 ]. Such delayed processes are believed to improve a drug’s efficacy by concentrating the drug molecules where they are most needed, as well as by lowering the risks of adverse effects and drug toxicity associated with early drug release in the upper GIT.…”

Modelling and Simulation of the Hydrodynamics and Mixing Profiles in the Human Proximal Colon Using Discrete Multiphysics

“…[1]), the colon has received less attention [2]. For colonic delivery, dosage forms generally target the ascending colon due to its less variable transit times (measured with radiotelemetry capsule), and higher volumes of less viscous fluids available compared to the transverse and descending parts of the colon [3], [4], [5].…”