Acta Scientific Pharmaceutical Sciences

Research Article Volume 9 Issue 12

Novel Synergistic Approach: Enhancing the Oral Bioavailability of Nintedanib via Nanocrystal Technology using Naringenin as a Potent UGT Enzyme Inhibitor Identified Through Human Liver Microsome Studies

Parin Chokshi*, Rajashree Mashru, Preeti Jadeja and Apeksha Kadam

Faculty of Pharmacy, The Maharaja Sayajirao University of Baroda, 390001, Vadodara, Gujarat, India

*Corresponding Author: Parin Chokshi, Faculty of Pharmacy, The Maharaja Sayajirao University of Baroda, 390001, Vadodara, Gujarat, India.

Received: November 14, 2025; Published: November 28, 2025

Abstract

The study aimed to improve the oral bioavailability of nintedanib (NTB), a poorly soluble and extensively metabolized drug used for idiopathic pulmonary fibrosis. NTB’s low bioavailability (~4.7%) results from limited solubility (BCS Class IV) and rapid UGT-mediated metabolism. To address both challenges, NTB was formulated as nanocrystals combined with a natural bioenhancer that inhibits UGT. Four candidates-naringenin, piperine, quercetin, and curcumin-were screened using human liver microsomes. Naringenin showed the strongest inhibition, retaining 73% NTB and reducing UGT activity by over 82%. The optimized NTB nanocrystals with naringenin (NTB-NC with NGN) had a particle size of 144.43 nm, a PDI of 0.14, and a zeta potential of −17.3 mV. This formulation achieved a 6.31-fold increase in solubility and more than 93% drug release within 15 minutes. In mice, NTB-NC with NGN produced 1.43-fold higher Cmax than raw NTB, and a 1.3-fold higher AUC than NTB nanocrystals alone, confirming naringenin’s metabolic inhibition. The dual strategy of nanocrystal formulation with UGT enzymes bio-enhancement offers a significant improvement in NTB’s bioavailability, potentially allowing lower doses and reduced side effects for better therapeutic outcomes in IPF patients.

Keywords: Nintedanib; Naringenin; Bioavailability Enhancement; Human Liver Microsomes; UGT enzyme Inhibition; Nanocrystals; Idiopathic Pulmonary Fibrosis; Pharmacokinetics

References

  1. Shangyue Song., et al. “The role of pulmonary rehabilitation in idiopathic pulmonary fibrosis: An overview of systematic reviews”. PLoS ONE (2023): 1-18.
  2. Wind Sven., et al. “Clinical Pharmacokinetics and Pharmacodynamics of Nintedanib”. Clinical Pharmacokinetics 58 (2019): 1131-1147.
  3. Ghadi Rohan and Neha Dand. "BCS Class IV Drugs: Highly Notorious Candidates for Formulation Development". Journal of Controlled Release95 (2017): 71-95.
  4. Henis J Patel., et al. “Nanocrystal Drug Delivery Systems Significantly Enhance the Therapeutic Efficacy of Anticancer Agents”. Biomedical Materials and Devices (2025): 231-265.
  5. Korprasertthaworn P., et al. “Inhibition of Human UDP-glucuronosyltransferase (UGT) Enzymes by Kinase Inhibitors: Effects of Dabrafenib, Ibrutinib, Nintedanib, Trametinib, and BIBF 1202”. Biochemical Pharmacology 169 (2019): 113616.
  6. Wind Sven., et al. “Clinical Pharmacokinetics and Pharmacodynamics of Nintedanib”. Clinical Pharmacokinetics9 (2019): 1131-1147.
  7. Dhaval M., et al. “Drug nanocrystals: a comprehensive review with current regulatory guidelines”. Current drug delivery 6(2020):470-482.
  8. Yun CX., et al. “Construction of the Pulmonary Bio-Adhesive Delivery System of Nintedanib Nanocrystalline for Effective Treatment of Pulmonary Fibrosis”. International Journal of Pharmaceutics (2024): 124302.
  9. Hong X., et al. “In Vitro Glucuronidation of Wushanicaritin by Liver Microsomes, Intestine Microsomes and Expressed Human UDP-glucuronosyltransferase Enzymes”. International Journal of Molecular Sciences9 (2017): 1983.
  10. Yang Y., et al. “Beneficial effects of citrus flavanones naringin and naringenin and their food sources on lipid metabolism: An update on bioavailability, pharmacokinetics, and mechanisms”. The Journal of Nutritional Biochemistry 104(2022):108967.
  11. Bhat BG and N Chandrasekhara. "Studies on the Metabolism of Piperine: Absorption, Tissue Distribution and Excretion of Urinary Conjugates in Rats”. Toxicology 1 (1986): 83–92.
  12. Ulusoy HG and N Sanlier. "A Minireview of Quercetin: From Its Metabolism to Possible Mechanisms of Its Biological Activities”. Critical Reviews in Food Science and Nutrition19 (2020): 3290-303.
  13. Zhong Shujun., et al. “Progress in the Study of Curcumin Metabolism in Vivo”. Journal of Asian Natural Products Research5 (2025): 639-657.
  14. Rowland A., et al. “Binding of inhibitory fatty acids is responsible for the enhancement of UDP-glucuronosyltransferase 2B7 activity by albumin: implications for in vitro-in vivo extrapolation”. Journal of Pharmacology and Experimental Therapeutics1 (2007): 137-147.
  15. Walsky R L., et al. “Optimized Assays for Human UDP-glucuronosyltransferase (UGT) Activities: Altered Alamethicin Concentration and Utility to Screen for UGT Inhibitors”. Drug Metabolism and Disposition5 (2012): 1051-1065.
  16. Jarvis M., et al. “Nanocrystals: A perspective on translational research and clinical studies”. Bioengineering and Translational Medicine1 (2019): 5-16.
  17. Jahangir M A., et al. “Nanocrystals: Characterization Overview, Applications in Drug Delivery, and Their Toxicity Concerns”. Journal of Pharmaceutical Innovation (2020): 1-2.
  18. Wollin L., et al. “Effects of Nintedanib in an Animal Model of Liver Fibrosis”. BioMed Research International1 (2020): 3867198.

Citation

Citation: Parin Chokshi.,et al. “Novel Synergistic Approach: Enhancing the Oral Bioavailability of Nintedanib via Nanocrystal Technology using Naringenin as a Potent UGT Enzyme Inhibitor Identified Through Human Liver Microsome Studies". Acta Scientific Pharmaceutical Sciences 9.12 (2025): 36-47.

Copyright

Copyright: © 2025 Parin Chokshi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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