, 2005, Sutton, 2009 and Tannergren et al., 2009). This assumption is supported by the observed decrease in fa when switching from IR to CR formulations ( Fig. 3, Fig. 4 and Fig. 5). Interestingly

the decrease in fa was observed for all the scenarios evaluated irrespectively of BCS class, CYP3A4 clearance, and/or P-gp efflux. These results are Osimertinib in line with the work by Tannergren et al. (2009), where they investigated the colonic absorption and bioavailability of several compounds, compared to that in upper regions of the GI tract. For BCS class 1 compounds, the relative colonic bioavailability was considered good compared to that in the upper regions of the intestine. In this study the Frel between the IR and CR formulations for low CYP3A4 affinity BCS class 1 compounds, varied between 49% and 80% (mean: 66%) in agreement with the value reported by Tannergren et al. (2009) (Frel ⩾ 70%). On the other hand, the simulated relative absorption, fa,rel, for the same compounds varied between 66% and 88% (mean: 72%). Where Tannergren, and co-workers, reported values between 39% and 127% with a mean of 82% ( Tannergren et al., 2009). For BCS classes 3 and 4, however, Tannergren found a low Frel in the colon (Frel < 50%). PF-01367338 supplier In the current simulation study, Frel varied between

42% and 68% for BCS class 3 compounds, and 23% and 53% for BCS class 4 compounds, whereas fa,rel varied between 58–76% and 34–61% for BCS classes 3 and 4 compounds, respectively. The latter might indicate an overestimation of the absorption for BCS classes during 3 and 4 compounds in our simulations. This could be due to an overestimation of colonic permeability, in our study we employed a constant Peff value throughout all intestinal segments within the ADAM model, however this might not be necessarily the case. It has been suggested that the reduced surface area

and increased number of tight junction in the colon could limit the permeability of passively absorbed compounds ( Lennernas, 2014a), thus permeability could vary along the GI tract, in particular for the colon. This was not taken into account in the simulations, and could lead to this possible overestimation of fa,rel. Nevertheless, more data has been sort in order to support the existence of a differential permeability along the GI tract ( Lennernas, 2014b). Another possible source of error that might explain those differences was the use of Eq. (3) to correlate Papp,Caco-2 with Peff (and vice versa). This equation is associated with large prediction intervals and therefore this can affect the Peff predictions ( Sun et al., 2002). However this is unlikely to affect the overall outcome of this study as the values Papp values were subsequently back-transformed into Peff using the same equation by the ADAM model.