Unveiling the potential of nano-structured lipid carriers for oral administration of cefepime: Bioavailability and safety investigations

  • Shah Faisal Ghani
  • , Zakir Ali
  • , Kifayat Ullah Shah
  • , Rashna Mirza
  • , Ali H. Alamri
  • , Adel Al Fatease
  • , Ahmed A. Lahiq
  • , Nabil K. Alruwaili
  • , Sung Giu Jin
  • , Fakhar ud Din

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Cefepime (CFPM) is a potent fourth-generation cephalosporin antibiotic primarily employed in the treatment of systemic infections. However, its poor intestinal permeability leads to low oral bioavailability thereby limiting its effectiveness. This study aimed to enhance CFPM oral bioavailability using nanostructured lipid carriers (NLCs). CFPM-loaded NLCs were prepared via the microemulsion technique, with optimization conducted using Design Expert® software to vary concentrations of Tween® 80, oleic acid, Compritol 888 ATO®, and CFPM. Physicochemical characterization through techniques like transmission electron microscopy (TEM), x-ray diffraction (XRD) and Fourier transform infrared (FTIR) were performed followed by in vitro release study, stability analysis, antimicrobial assay and in vivo pharmacokinetic investigations. Optimized NLCs showed size in nanometric range (174 nm), stable zeta potential (- 27 mV), and high entrapment efficiency (86 %). TEM analysis showed round morphology, XRD demonstrated amorphous nature and FTIR exhibited compatibility of the ingredients of CFPM-loaded NLCs. In vitro release studies demonstrated sustained drug release compared to CFPM solution, while antimicrobial efficacy via microbroth dilution method showed a 2-fold increase with CFPM-NLCs. Stability tests as per ICH guidelines revealed no significant changes in particle size, polydispersity index, or zeta potential after six months, indicating the formulation's stability. Pharmacokinetic evaluation exhibited significantly higher plasma concentrations and enhanced oral bioavailability (11-fold) with CFPM-NLCs compared to the drug solution. Acute oral toxicity studies confirmed the safety of CFPM-NLCs. These findings underscore the potential of CFPM-NLCs as an effective drug delivery system, offering sustained release, improved antimicrobial activity, and enhanced oral bioavailability, promising benefits for clinical applications.

Original languageEnglish
Article number136938
JournalColloids and Surfaces A: Physicochemical and Engineering Aspects
Volume718
DOIs
StatePublished - 5 Aug 2025

Keywords

  • Bioavailability
  • Box-Behnken Design
  • Cefepime
  • Improved permeability
  • Nanostructured lipid carriers

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