Corinne Jankovsky Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut 06877, United States https://orcid.org/0000-0001-5352-5327 Oksana Tsinman Pion Inc., 10 Cook St. Billerica, Massachusetts 01821, United States Naveen Thakral Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut 06877, United States https://orcid.org/0000-0002-1558-7145 Abstract

The intake of food and meal type can strongly impact the bioavailability of orally administered drugs and can consequently impact drug efficacy and safety. During the early stages of drug development, only a small amount of drug substance is available, and the solubility difference between fasted state simulated intestinal fluid and fed state simulated intestinal fluid may provide an early indication about the probable food effect. But higher drug solubility in fed state simulated intestinal fluid may not always results in an increased oral absorption. In the present research, we demonstrated using 11 model compounds that in addition to the drug dissolution in biorelevant media, the evaluation of the diffusion flux of a drug in solution, across artificial lipid coated membrane, where only the unbound drug crosses the membrane, is a reliable way to predict the food effect. Although, the combination of dissolution and diffusion flux may not reliably predict the food effect in case of drugs undergoing intestinal metabolism or when transporters are involved in the drug absorption, the technique generally provides good information about the food effect at very early stages of drug development that may help in designing a clinical plan by adjusting the drug dose in the fed state.

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