Objectives of this study
Multiple factors affect oral delivery of therapeutic peptides such as acidic and enzymatic degradation in the upper gastrointestinal tract and poor intestinal permeability.
Several studies report the benefit of lipidbased formulations (LBF) combined with the formation of hydrophobic ion pairs (HIP) to enhance oral bioavailability of peptides.
Therefore, the objectives of this study were to:
• Develop an LBF of glucagon-like peptide-1 (GLP-1) receptor agonist, exenatide (EXE)
• Manufacture an enteric capsule compatible with EXE formulation
• Demonstrate innovative capacities of formulation and customized functional capsules
Methodology of the study
EXE HIP formation and characterization
EXE HIP formation & characterization
Ability of sodium lauryl sulfate (SLS) and sodium docusate (DOC) to form HIPs with EXE was evaluated by measuring unprecipitated EXE using HPLC.

Customized enteric capsule manufacturing and characterization
Customized size #0 gelatin/HPMC-AS double layer
capsules were manufactured using patent pending
technology.
The ability of the capsule to protect sensitive APIs
from gastric acid and protease degradation were
evaluated by:
- dissolution using uncoated, acid-sensitive esomeprazole pellets in unsealed capsules
- disintegration with lactose-filled capsules using the Ph. Eur. method for gastro-resistant capsules
Formulation development
Solubility of EXE and EXE:DOC HIP in several lipid
excipients, including oils, surfactants and solvents, was
measured by HPLC. The best solvents for native EXE and HIP were selected after ensuring homogeneity at room temperature and upon dispersion in purified water at 37°C. LBF was selected to protect from protease-induced degradation, and permeation enhancer (sodium caprate) was included to boost absorption.
Filled capsule enteric properties
Retention of enteric properties of size #0 gelatin/HPMCAS capsules filled with EXE-loaded LBFs was evaluated using Apparatus B disintegration test: filled capsules placed in 0.1N HCl for 1 hour, followed by 1 hour in buffer pH 6.8.
Results
EXE HIP formation and characterization

- The highest measured precipitation efficiency was for the molar ratio 1:4 (EXE:DOC)—an expected result, given that EXE exhibits 4 cationic function in an acid medium, and each pairing with one anionic function of the selected counter ion
- This ratio was selected for assessing LBF development
- LogP measurement show higher lipophilicity increase with DOC as counter ion

- Labrafac®MC60 and propylene glycol were selected as the best solvents
- A homogeneous formulation with small particle size upon dispersion was selected to favor intestinal absorption
Formulation characteristics
The LBF prototype was defined as:
- 85% Labrafac®MC60 (glycerol monocaprylocaprate)
- 10% Kolliphor®RH40 (Polyoxyl 40 castor oil)
- 5% propylene glycol
- 6 mg/mL EXE (in native form or HIP)
- 20 mg/mL sodium caprate
The presence of LBF protected EXE from α-chymotripsin-induced proteolysis
- There was rapid degradation of EXE in the presence of chymotrypsin
- The designed LBF provided a protective effect
Customized enteric capsule manufacturing and characterization

- The EMT dissolution test confirmed the capsule’s enteric properties
- No release of encapsulated EMT in acid milieu, followed by rapid and complete EMT release at pH 6.8
Filled capsule enteric properties
Customized size #0 gelatin/HPMC-AS double-dipped capsules filled with EXE:DOC HIP showed:
- No dissolution and retention of enteric properties after 1 hour in HCl 0.1N
- Disintegration within 5 minutes at pH 6.8
Conclusion
This study proposes an innovative and scalable solution to increase oral bioavailability of therapeutic peptides using a combination of lipid-based formulations, hydrophobic ion pairing, permeation enhancer and customized enteric capsules.
The results highlight the capacity to support formulation development, and manufacture a functional capsule that is compatible with fill formulation.
This offers biopharmaceutical companies a novel way to maximize the effectiveness of their therapeutic peptide. If you would like to discuss how we can support you with your drug development journey, please speak with our scientists at Innovaform® Accelerator.
See the full technical brochure on Oral GLP-1 here:
(click the picture to download the brochure)
Source: LONZA technical brochure Oral GLP-1
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