Randomized trial investigates enhanced fenofibrate delivery in hyperlipidemia, suggesting improved treatment options.
Hyperlipidemia, characterized by elevated lipid levels carries an increased risk of cardiovascular disease, which requires rapid and effective lipid-lowering therapy. Fenofibrate (BCS class II) is a potent anti-lipemic agent, but its poor water solubility hinders its efficacy due to reduced bioavailability. This study investigates a rational docking-guided formulation strategy to develop immediate-release fenofibrate tablets using a solid lipid dispersion to enhance its dissolution rate and oral bioavailability. Molecular docking was employed to understand the intermolecular affinity between fenofibrate and lipidic excipients, Acconon C-44 and Acconon MC8-2 – were identified as optimal carriers due to their strong hydrophobic interactions with the drug, suggesting enhanced molecular stabilization and solubility enhancement. The binary lipid mixture exhibited a synergistic solubilization effect, enabling partial amorphization of the drug via hot-melt granulation, as confirmed by XRD and DSC analyses. Factorial design analysis showed a direct relationship between lipid–adsorbent ratio and dissolution enhancement, achieving 97.98 ± 0.263% release within 60 minutes, nearly 2-fold faster than marketed fenofibrate tablets. The improved compressibility and flow properties further verified suitability for industrial-scale tablet manufacture. This study establishes a predictive and translational biopharmaceutics platform that integrates in-silico excipient selection with amorphous lipid dispersion engineering to deliver fast-onset therapy for hyperlipidemia and other BCS class II/IV drugs.
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Shah et al. (2026) studied this question.
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