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Abstract

Albendazole, a benzimidazole-class broad-spectrum anthelmintic, is widely used for treating various parasitic infections, including neurocysticercosis, echinococcosis, and soil-transmitted helminths. Despite its therapeutic significance, its clinical efficacy is significantly constrained by poor aqueous solubility and low oral bioavailability, characteristics of Biopharmaceutics Classification System (BCS) Class II drugs. Nanocrystal technology has emerged as a promising formulation strategy to overcome these limitations by enhancing solubility, dissolution rate, and systemic availability. This review comprehensively explores the fabrication techniques of nanocrystalline albendazole, including wet media milling, high-pressure homogenization, antisolvent precipitation, and spray drying, emphasizing the role of stabilizers in preventing aggregation and maintaining nanoscale properties. Spray drying, in particular, is highlighted for its scalability, cost-effectiveness, and potential in improving storage stability. The stability of nanocrystalline formulations is critically discussed, focusing on physical, chemical, and storage parameters. Numerous in vitro and in vivo studies have demonstrated that nanocrystalline albendazole exhibits superior anthelmintic efficacy, reduced dosage frequency, and enhanced pharmacokinetics compared to conventional formulations. Despite promising outcomes, challenges such as formulation scalability, regulatory hurdles, and cost-effectiveness remain. This review underscores the potential of nanocrystal-based delivery systems in optimizing albendazole therapy and outlines future directions to advance its clinical translation.

Keywords

Albendazole, Nanocrystals, Anthelmintic, Bioavailability, Wet Milling, Stability, Spray Drying

Introduction

Albendazole is extensively used in the treatment of various helminthic infections including neurocysticercosis, hydatid disease, and soil-transmitted helminths. Nanocrystal technology has emerged as a novel formulation strategy to enhance the solubility, stability, and bioavailability of poorly water-soluble drugs like Albendazole [1]. Albendazole (ABZ), a benzimidazole-class anthelmintic drug, has been extensively used in clinical practice since its approval in 1982 for the treatment of a broad spectrum of parasitic infections, including echinococcosis. Recognized by the World Health Organization (WHO) as an essential drug, ABZ is the preferred choice for systemic parasitic diseases due to its high efficacy, limited toxicity, and emerging potential in anticancer therapies, particularly against pancreatic, gastric, and colorectal cancer cells. Despite its therapeutic promise, ABZ's clinical application is significantly hindered by its poor aqueous solubility (0.0228 mg/mL in water at 25?°C) and low oral bioavailability (less than 5%), classifying it as a Biopharmaceutics Classification System (BCS) Class II drug [2].

To address these limitations, various formulation strategies have been explored to enhance ABZ’s solubility and bioavailability. These include solid dispersions, nanocrystals, liposomes, cyclodextrin complexes, inclusion complexes, and self-emulsifying drug delivery systems. However, these methods often face challenges such as low drug loading efficiency, use of high surfactant concentrations, complex processing, and stability concerns, limiting their scalability and industrial application [3]. Among newer strategies, salt formation has gained prominence as a straightforward, scalable, and cost-effective approach to improve solubility. Approximately 50% of FDA-approved drugs are formulated as salts. ABZ salts, including hydrochloride, methane sulfonate, and fumarate, have shown promising improvements in solubility and dissolution behavior. Salt formation depends on the ΔpKa rule, wherein acids such as fumaric acid, tartaric acid, and hydrochloric acid are selected based on their ability to form stable salts with ABZ (pKa 9.51). These salts are synthesized using solvent evaporation techniques and characterized using FT-IR, NMR, PXRD, DSC, SEM, and other analytical tools to confirm structure and assess physicochemical stability [4].

In parallel, nanotechnology-based approaches, particularly nanocrystal formulation, have emerged as effective means to enhance the dissolution rate of poorly soluble drugs. Nanocrystals, composed of pure drug particles in the nanometer range, exhibit increased surface area and saturation solubility, leading to improved oral bioavailability. Two primary methods are used for nanocrystal production: the top-down approach (e.g., media milling, high-pressure homogenization) and the bottom-up approach (e.g., antisolvent precipitation). Although top-down techniques are effective, they are energy-intensive and equipment-dependent. Bottom-up techniques are more economical but susceptible to particle agglomeration and growth, necessitating the use of stabilizers [5]. Spray drying has gained traction as a viable drying and stabilization technique for nanocrystals due to its scalability, cost-effectiveness, and continuous processing capabilities. Compared to freeze drying, spray drying offers a simpler route for transforming nanocrystal suspensions into stable dry powders. Recent research demonstrates that spray-dried albendazole nanocrystals significantly improve dissolution rates and pharmacokinetic performance. Furthermore, the use of factorial design in formulation optimization allows for a systematic understanding of how process variables influence drug release and bioavailability [6].

2. NANOCRYSTAL TECHNOLOGY: A BRIEF OVERVIEW

Nanocrystal technology is an innovative strategy to enhance the solubility and bioavailability of poorly water-soluble drugs like albendazole [7]. Drug nanocrystals are pure drug particles reduced to submicron size (typically <500?nm) and stabilized by surfactants or polymers to prevent agglomeration. This approach increases the surface area and saturation solubility, leading to improved dissolution rates and faster drug absorption [8]. Nanocrystals can be produced by top-down techniques such as wet media milling and high-pressure homogenization, where larger drug crystals are broken down mechanically. Alternatively, bottom-up techniques like precipitation and solvent–antisolvent crystallization involve controlled nucleation from drug solutions. Combination methods, which integrate both approaches, offer better control over particle size and stability [9]. The nanosuspension formed can be post-processed into a solid form using carriers (e.g., microcrystalline cellulose) through drying techniques, such as tray drying, to enhance shelf life and convert it into a solid dosage form [10]. Upon reconstitution, the nanocrystals retain their original size, preserving enhanced dissolution characteristics. Solid-state characterization techniques like SEM, AFM, and XRD help confirm size, morphology, and physical state changes. Overall, nanocrystal technology is a versatile platform for overcoming solubility-limited drug delivery challenges [11].

Fig. 1: Nanocrystals can be produced by top-down techniques and bottom-up techniques

3. FABRICATION OF NANOCRYSTALLINE ALBENDAZOLE

Nanocrystal technology has emerged as a transformative strategy to enhance the solubility and therapeutic efficacy of poorly water-soluble benzimidazoles like Albendazole (ABZ). Several formulation techniques have been optimized for ABZ, including wet milling, high-pressure homogenization, antisolvent precipitation, and spray drying. Wet milling, a top-down approach using media mills, is among the most widely used methods for reducing ABZ particle size. Stabilizers such as Poloxamer 188 and Tween 80 are essential to prevent agglomeration and Ostwald ripening. High-pressure homogenization involves shearing ABZ suspensions through narrow valves under high pressure, producing uniform nanocrystals [12]. Antisolvent precipitation, a bottom-up method, rapidly precipitates ABZ from organic solvents into aqueous stabilizer solutions, yielding fine crystals through supersaturation. Spray drying is frequently employed post-nanocrystallization to obtain stable, free-flowing powders suitable for solid dosage forms [13]. A notable advancement includes the development of self-dispersible nanocrystals (SDNCs) of fenbendazole (FBZ) and its derivative Valero-fenbendazole (VAL-FBZ) using media milling and spray drying. These formulations, particularly with a 1:1 FBZ: Poloxamer 188 ratio, exhibited significantly enhanced dissolution (80% in 15 min vs. 14% in controls), suggesting the applicability of this strategy to Albendazole. Such nanocrystalline systems represent a promising direction to combat anthelmintic resistance and improve oral bioavailability [14].

4. STABILITY OF NANOCRYSTALLINE ALBENDAZOLE

Stability remains a critical factor in nanocrystal formulations. Key considerations include:

  • Physical Stability: Prevention of crystal growth and aggregation using stabilizers.
  • Chemical Stability: Albendazole’s susceptibility to oxidation and degradation can be reduced via encapsulation and antioxidant inclusion.
  • Storage Stability: Spray drying and lyophilization enhance the shelf-life of nanocrystalline formulations.

Initial screening of stabilizers for albendazole nanosuspension involved PVPk30, PVA, Tween 80, and HEL-40 at 5% concentration with saturated malic acid as cosolvent. PVPk30 led to stratification, while HEL-40 caused agglomeration and poor mobility. In contrast, PVA and Tween 80 produced a uniform, milky suspension with minimal sedimentation. PVA exhibited excellent stability, maintaining homogeneity even after one week. Consequently, PVA was selected as the optimal stabilizer. Ensuring nanocrystal stability is vital, encompassing physical stability (preventing aggregation), chemical stability (minimizing degradation), and storage stability [15]. Techniques like spray drying and lyophilization significantly improve the long-term preservation and efficacy of albendazole nanocrystals. Stability is a critical parameter in drug formulation, reflecting a compound's capacity to maintain its identity, strength, quality, and purity over time. The stability of pharmaceutical compounds, particularly benzimidazole derivatives like albendazole, is influenced by various factors, including temperature, humidity, light, and pH. These compounds are susceptible to degradation, which can lead to reduced efficacy and potential toxicity. Studies indicate that albendazole and its analogs are more stable under acidic conditions and degrade rapidly under alkaline or oxidative environments. Stability assessments, such as accelerated and long-term testing, help predict shelf-life and optimal storage conditions. Incorporation of stabilizing agents and formulation strategies-like spray drying, solid dispersions, and nanoformulations-has shown promise in enhancing stability. For instance, spray drying can convert albendazole into amorphous forms, improving its stability and solubility. Moreover, proper packaging, such as using moisture-impermeable materials, plays a vital role in preserving drug stability. Regulatory guidelines emphasize the importance of comprehensive stability data for approval of new drug products. Overall, maintaining the stability of albendazole through innovative formulation and stringent storage controls is essential to ensure its therapeutic effectiveness throughout its shelf life [16]. Nanocrystalline albendazole exhibits improved solubility and bioavailability; however, its stability is influenced by factors such as particle size, surface energy, and crystallinity. Due to high surface area, nanocrystals are prone to agglomeration and recrystallization, potentially affecting dissolution and therapeutic efficacy. Stabilizers like Poloxamer 188, PEG6000, and PVP K30 are crucial in maintaining dispersion stability by preventing aggregation and preserving the amorphous state. Storage conditions, particularly humidity and temperature, significantly impact stability. Proper formulation and packaging are essential to ensure prolonged shelf life and consistent performance. Overall, nanocrystalline albendazole remains stable with optimized carrier and environmental control [17].

5. ANTHELMINTIC EFFICACY OF NANOCRYSTALLINE ALBENDAZOLE

Nanocrystalline Albendazole has demonstrated significantly improved pharmacodynamic profiles compared to conventional formulations:

The enhancement of bioavailability and dissolution rate is a pivotal focus in modern pharmaceutical formulation, particularly for poorly water-soluble drugs like Albendazole. Albendazole, a broad-spectrum anthelmintic, suffers from low aqueous solubility, leading to suboptimal absorption and therapeutic efficacy. Recent advancements in formulation strategies have addressed these limitations through innovative techniques such as spray drying, solid dispersion, and nanotechnology. Spray drying has emerged as a promising approach to enhance drug solubility by producing amorphous solid dispersions that improve wettability and surface area. This method transforms Albendazole into a fine, uniform powder with improved physicochemical properties, facilitating rapid dissolution and gastrointestinal absorption. The incorporation of hydrophilic carriers and polymers further promotes drug dispersion and stabilization in the gastrointestinal tract. Numerous in vitro and in vivo studies demonstrate that optimized spray-dried formulations significantly increase the dissolution rate and systemic bioavailability of Albendazole, translating to improved therapeutic outcomes. Such advancements contribute not only to enhanced efficacy but also to reduced dosage requirements and improved patient compliance [18].

Albendazole, a broad-spectrum anthelmintic, suffers from poor aqueous solubility and low oral bioavailability, which limits its therapeutic effectiveness. Recent advancements in nanotechnology, particularly the development of nanocrystalline formulations, have shown promise in overcoming these challenges. Nanocrystals, composed of pure drug particles stabilized by surfactants or polymers, significantly enhance the dissolution rate and absorption of poorly water-soluble drugs like Albendazole. The reviewed studies demonstrate that reducing particle size to the nanometer range improves Albendazole’s surface area, saturation solubility, and permeability. Various techniques such as wet milling, high-pressure homogenization, and antisolvent precipitation have been successfully employed to produce stable Albendazole nanocrystals. These formulations show marked improvements in bioavailability, leading to higher plasma drug concentrations and enhanced therapeutic efficacy against parasitic infections. Furthermore, nanocrystalline Albendazole exhibits improved stability, reduced dosing frequency, and potentially fewer side effects due to better targeting and controlled release. This approach represents a cost-effective and scalable strategy for optimizing Albendazole delivery, especially in regions burdened by parasitic diseases. Overall, nanocrystal technology emerges as a promising platform for enhancing the pharmacokinetic and pharmacodynamic profiles of Albendazole [19]. Albendazole, a poorly water-soluble benzimidazole, exhibits limited oral bioavailability, restricting its therapeutic efficacy. Nanocrystallization enhances solubility and dissolution rate by increasing surface area and saturation solubility, leading to improved absorption and systemic availability. Various studies on nanocrystalline albendazole formulations, including nanoprecipitation, high-pressure homogenization, and media milling, have demonstrated enhanced pharmacokinetic profiles. These nanoformulations show superior anthelmintic activity, reduced dose frequency, and minimized side effects. Overall, nanocrystalline technology represents a promising strategy to overcome biopharmaceutical limitations of albendazole, offering a significant improvement in oral bioavailability and therapeutic outcomes [20].

Nanocrystalline Albendazole, prepared via antisolvent precipitation using varying concentrations of PVP K-30 as a stabilizer, demonstrated significantly enhanced anthelmintic efficacy due to improved dissolution properties. The reduction in particle size and partial amorphization, confirmed by XRD analysis, contributed to increased drug release rates. As PVP K-30 concentration increased, both dissolution and particle stability improved, enhancing Albendazole's bioavailability. These nanocrystals offer a promising formulation strategy to overcome the solubility-limited therapeutic performance of conventional Albendazole. However, further studies are required to assess their physical stability under accelerated storage and confirm sustained anthelmintic activity in vivo [21]. Albendazole, a widely used broad-spectrum anthelmintic, exhibits limited therapeutic efficacy due to its poor aqueous solubility. Recent advancements in nanotechnology, particularly the development of albendazole nanocrystals using tea saponins as natural stabilizers, have demonstrated significant improvements in its pharmacokinetic and pharmacodynamic profiles. The nanosuspension, prepared via wet grinding, yielded particles averaging 180?nm in size and exhibited markedly enhanced solubility (up to 2602-fold) and dissolution in both acidic and neutral pH conditions. The improved permeability across intestinal segments, as shown by increased apparent permeability (Papp) in everted gut sac studies, supports enhanced absorption. Notably, the oral bioavailability of albendazole was substantially increased, with a 4.65-fold rise in plasma AUC of its active metabolite, albendazole sulfoxide. These findings highlight the superior anthelmintic potential of albendazole nanocrystals and underscore the role of tea saponins as effective natural stabilizers for enhancing the oral delivery of poorly soluble antiparasitic agents [22]. Albendazole, a poorly water-soluble anthelmintic, exhibits limited oral bioavailability. To address this, albendazole nanosuspensions (ABZNS) were formulated using surfactants (Polysorbate 80, Poloxamer 188) and Hydroxypropyl Methylcellulose via pre-homogenization followed by high-pressure homogenization. Characterization revealed particle sizes of 385.7±4.3 to 576.2±4.8 nm and zeta potentials of –23.5±1.8 to –40.5±0.8 mV. Pharmacokinetic studies in Wistar rats showed a 2.14–2.96-fold increase in oral bioavailability compared to conventional suspensions. These findings highlight the effectiveness of nanosuspension technology in enhancing the solubility and bioavailability of lipophilic drugs like albendazole, suggesting its promise for improved anthelmintic therapy [23].

Table 1: Overview of Nanocrystalline Albendazole: Fabrication, Stability, and Anthelmintic Efficacy Enhancement

Aspect

Details

Drug

Albendazole (ABZ), a broad-spectrum benzimidazole-class anthelmintic drug used for parasitic infections.

Challenges with ABZ

Poor aqueous solubility (~0.0228 mg/mL), low oral bioavailability (<5%), and BCS Class II characteristics.

Nanocrystal Technology Overview

Nanocrystals are submicron-sized particles stabilized by surfactants or polymers, enhancing solubility and bioavailability.

Fabrication Methods

- Top-down approaches: Wet milling, high-pressure homogenization
- Bottom-up approaches: Antisolvent precipitation, solvent evaporation, and spray drying.

Key Stabilizers

Poloxamer 188, Tween 80, PEG6000, PVP K30.

Spray Drying as a Key Method

Highlights include scalability, cost-effectiveness, and stability improvement by transforming nanocrystal suspensions into stable powders.

Physical Stability Considerations

Preventing crystal growth and aggregation.

Chemical Stability Considerations

Reducing oxidation and degradation using antioxidants and encapsulation.

Storage Stability

Spray drying and lyophilization techniques improve shelf-life and storage stability of nanocrystalline formulations.

In Vitro and In Vivo Studies

Nanocrystalline ABZ demonstrates superior dissolution rate, bioavailability, and pharmacokinetics compared to conventional formulations.

Enhancement in Anthelmintic Efficacy

Nanocrystalline formulations show significantly enhanced therapeutic efficacy and reduced dosage frequency.

Stability Issues

Nanocrystals' high surface area makes them prone to aggregation and recrystallization, requiring stabilizers for dispersion.

Future Research Directions

Focus on scalability, regulatory approvals, cost-effectiveness, and overcoming formulation challenges.

6. CHALLENGES AND FUTURE PERSPECTIVES

Despite the promise, several challenges need addressing:

Toxocariasis remains a significant zoonotic parasitic disease, particularly challenging due to the tissue-dwelling nature of Toxocara larvae and the limited efficacy of existing anthelmintics. Despite the availability of the Toxocara canis draft genome, the scarcity of validated molecular targets and a restricted chemical space explored for drug discovery represent major hurdles [24]. Current therapies rely heavily on decades-old benzimidazole derivatives, such as albendazole, which show limited bioavailability and suboptimal tissue penetration. This necessitates the development of more effective, targeted anthelmintic agents [25]. Recent advances have focused on albendazole analogues, reactive quinone derivatives, natural products, and novel drug delivery systems including nanoparticles. While these innovations offer promising in vitro and in vivo results, several translational challenges must be addressed. Key among them is scalability-many novel formulations are developed at the laboratory scale, and transitioning them to commercial production remains complex and cost-intensive. Regulatory approval also presents a significant barrier, particularly for nanomedicine-based therapies, which require extensive toxicological and pharmacokinetic evaluations to meet stringent global health and safety standards [26].

Table no.2: Summary of Key Findings on Nanocrystalline Albendazole: Fabrication, Stability, and Anthelmintic Efficacy

Key Findings

Fabrication Techniques

Stability Considerations

Anthelmintic Efficacy

Reference

Nanocrystal technology enhances solubility and bioavailability of Albendazole (ABZ)

Wet milling, high-pressure homogenization

Use of stabilizers to prevent aggregation and recrystallization

Nanocrystals show increased absorption and bioavailability, improving therapeutic efficacy

[1]

ABZ is a BCS Class II drug with poor solubility and bioavailability

Nanocrystals improve dissolution rate and systemic availability

Stability influenced by temperature, humidity, and pH

Nanocrystals show enhanced efficacy against parasitic infections

[2]

Nanocrystal formulations have limitations such as low drug loading efficiency and stability concerns

Salt formation also explored as a potential strategy

Use of stabilizers like Poloxamer 188 and Tween 80 for physical stability

Significant improvements in drug dissolution and absorption

[3]

Salt formation enhances solubility and dissolution of ABZ

Use of salts like hydrochloride, methanesulfonate for improved solubility

Physical and chemical stability enhanced by salts

Salt formulations show promising bioavailability improvements

[4]

Nanocrystals are produced via top-down and bottom-up techniques

Top-down (wet milling, high-pressure homogenization), bottom-up (antisolvent precipitation)

Stabilizers like Poloxamer 188 prevent agglomeration

Nanocrystals improve pharmacokinetics and therapeutic outcomes

[5]

Spray drying improves scalability, cost-effectiveness, and storage stability

Spray drying used post-nanocrystallization

Enhanced storage stability with spray drying

Nanocrystals prepared by spray drying show superior dissolution and pharmacokinetics

[6]

Nanocrystals enhance solubility, leading to better dissolution and absorption

Wet milling, high-pressure homogenization, antisolvent precipitation

Stabilizers prevent aggregation, improving physical stability

Nanocrystals enhance efficacy, with improved drug release and absorption

[7]

Nanocrystals increase surface area and saturation solubility, improving absorption

Spray drying, wet milling, high-pressure homogenization

Storage and physical stability optimized with stabilizers

Nanocrystalline formulations show increased bioavailability and therapeutic efficacy

[8]

A promising nanocrystalline formulation enhances solubility and bioavailability

Nanoprecipitation, high-pressure homogenization

Stabilizers prevent recrystallization and maintain stability

Enhanced pharmacokinetic profiles and improved anthelmintic activity

[9]

Spray drying can convert Albendazole into a stable, amorphous powder

Spray drying enhances solubility and bioavailability

Stability improved with stabilizers like PVP and Tween 80

Improved dissolution rate and therapeutic outcomes

[10]

Nanocrystal technology provides an efficient way to improve drug bioavailability

Wet milling, high-pressure homogenization, spray drying

Stability optimized through proper selection of stabilizers

Enhanced solubility and bioavailability improve pharmacodynamic profiles

[11]

Stabilizers are crucial for preventing particle agglomeration in nanocrystals

Wet milling with stabilizers like Poloxamer 188, PVP K30

Physical and chemical stability ensured with stabilizers

Nanocrystals show enhanced solubility, bioavailability, and efficacy

[12]

Spray-dried formulations show superior solubility and dissolution compared to conventional methods

Spray drying improves solubility and bioavailability

Nanocrystal formulations maintain stability with proper storage

Increased dissolution rates and anthelmintic efficacy

[13]

The development of self-dispersible nanocrystals improves dissolution

Media milling and spray drying

Stabilizers like Poloxamer 188 ensure stability

Nanocrystals improve dissolution (80% in 15 min vs. 14% in controls)

[14]

Albendazole nanosuspension stability is enhanced using stabilizers like PVA

PVA and Tween 80 provide stability and uniform suspension

Stability improved with PVA, preventing sedimentation

Nanocrystals exhibit enhanced solubility and bioavailability

[15]

Spray drying enhances solubility and stability of Albendazole

Spray drying improves solubility and stability

Formulation strategies enhance stability and shelf-life

Nanocrystals show improved bioavailability and therapeutic effectiveness

[16]

Storage conditions significantly impact stability; proper packaging crucial

Humidity and temperature affect particle stability

Stabilizers like Poloxamer 188 improve dispersion stability

Nanocrystals show enhanced dissolution, absorption, and bioavailability

[17]

Spray drying enhances the dissolution rate and bioavailability of Albendazole

Spray drying improves solubility and surface area

Stabilizers maintain nanocrystal stability and prevent aggregation

In vivo studies demonstrate improved therapeutic outcomes

[18]

Nanocrystal formulations show significant improvements in bioavailability

Wet milling and high-pressure homogenization used to produce nanocrystals

Stability is maintained with stabilizers like PVP K30 and Poloxamer 188

Nanocrystals show improved therapeutic outcomes in parasitic infections

[19]

Nanocrystals improve the solubility and absorption of Albendazole

Various methods (wet milling, high-pressure homogenization) improve particle size

Storage conditions and stabilizers like PVP K30 crucial for stability

Nanocrystals offer superior anthelmintic efficacy and reduced dosing frequency

[20]

Nanocrystals formulated with PVP K-30 show improved dissolution properties

Antisolvent precipitation improves dissolution rate

PVP K-30 ensures physical stability and enhances bioavailability

Improved pharmacokinetics and enhanced anthelmintic efficacy

[21]

Tea saponins improve solubility and bioavailability of Albendazole nanocrystals

Wet grinding followed by stabilization with tea saponins

Nanocrystals exhibit improved solubility and dissolution

Enhanced oral bioavailability and anthelmintic activity

[22]

Nanosuspensions improve solubility and bioavailability

High-pressure homogenization used to create nanosuspensions

Stabilizers like Polysorbate 80 and Poloxamer 188 ensure stability

Increased bioavailability and improved therapeutic efficacy

[23]

Advances in drug delivery systems for Toxocariasis treatment

Nanocrystals, liposomes, and other delivery systems explored

Nanotechnology-based formulations show promise in overcoming bioavailability issues

Improved therapeutic outcomes and bioavailability

[24]

Development of novel drug delivery systems for Toxocariasis

Nanocrystals and other nanotechnology-based formulations

Challenges include scalability and regulatory hurdles

Promising in vitro and in vivo results for improving treatment efficacy

[25]

Challenges in scalability and regulatory approval for nanomedicines

Complex manufacturing and regulatory barriers in nanomedicine

Improved drug delivery systems with nanocrystals show great potential

Translational challenges must be addressed for clinical success

[26]

Moreover, cost-effectiveness is a pressing concern. The high cost of advanced manufacturing technologies, formulation processes, and quality control significantly impacts the accessibility of such treatments, especially in endemic regions with limited healthcare resources. Future research must focus on identifying new molecular targets, improving tissue-specific drug delivery, and developing scalable, cost-efficient production methods. A multidisciplinary approach combining genomics, medicinal chemistry, and pharmaceutical technology is essential to overcome current limitations and improve therapeutic outcomes for human toxocariasis.

CONCLUSION

Albendazole, a benzimidazole-class anthelmintic, has remained a frontline therapy against a broad spectrum of helminthic infections including neurocysticercosis, echinococcosis, and soil-transmitted helminths. Despite its widespread clinical utility and World Health Organization (WHO) endorsement as an essential medicine, its poor aqueous solubility and low oral bioavailability (less than 5%) significantly hinder therapeutic efficacy. This challenge is characteristic of Biopharmaceutics Classification System (BCS) Class II drugs, which possess high permeability but low solubility. To overcome these biopharmaceutical limitations, various formulation strategies have been investigated. Traditional methods such as solid dispersions, inclusion complexes, and lipid-based systems have demonstrated some success; however, they often suffer from scalability issues, low drug loading, and stability concerns. Among the newer and more promising approaches, nanocrystal technology has emerged as an effective platform. Nanocrystals are composed of pure drug particles reduced to submicron size, typically below 500 nm, which significantly increases surface area and saturation solubility, leading to enhanced dissolution rates and bioavailability. Several fabrication techniques such as wet milling, high-pressure homogenization (top-down) and antisolvent precipitation (bottom-up) have been applied to produce nanocrystalline albendazole. Stabilizers like PVA, Poloxamer 188, and Tween 80 play a critical role in preventing aggregation and improving dispersion stability. Furthermore, spray drying serves as a vital post-processing technique to transform nanosuspensions into stable, dry powders suitable for oral solid dosage forms. Compared to freeze drying, spray drying is cost-effective, scalable, and efficient for maintaining drug stability.

The stability of nanocrystalline albendazole is a crucial determinant of its long-term effectiveness. Factors such as particle size, crystallinity, surface energy, and environmental conditions (temperature, humidity) significantly affect the physical and chemical stability of the formulation. Strategies like incorporating antioxidants, using hydrophilic carriers, and optimizing packaging materials contribute to improved shelf-life and reduced degradation risk. Preclinical studies have validated the enhanced pharmacokinetic and pharmacodynamic profiles of nanocrystalline albendazole. Notable improvements include faster dissolution, higher plasma concentrations of albendazole sulfoxide (the active metabolite), and superior anthelmintic efficacy with reduced dosing frequency. Moreover, natural stabilizers like tea saponins and formulation innovations such as self-dispersible nanocrystals have further amplified therapeutic outcomes.

Despite these advancements, challenges remain. Transitioning lab-scale nanocrystal formulations to industrial production faces hurdles related to process scalability, cost, and regulatory compliance. Additionally, advanced characterization, safety assessments, and quality control are essential for regulatory approvals, especially for nanomedicine-based products. Cost-effectiveness and accessibility in low-resource settings must also be considered to ensure global health impact. In summary, nanocrystal technology, particularly when combined with spray drying, offers a robust and scalable solution to improve the solubility, stability, and therapeutic efficacy of albendazole. With continued research focusing on formulation optimization, stability enhancement, and regulatory translation, nanocrystalline albendazole holds strong potential for revolutionizing anthelmintic therapy and addressing unmet medical needs in parasitic disease management.

ABBREVIATION:

Abbreviation

Meaning

ABZ

Albendazole

BCS

Biopharmaceutics Classification System

FDA

Food and Drug Administration

FT-IR

Fourier Transform Infrared Spectroscopy

NMR

Nuclear Magnetic Resonance

PXRD

Powder X-Ray Diffraction

DSC

Differential Scanning Calorimetry

SEM

Scanning Electron Microscopy

AFM

Atomic Force Microscopy

SDNCs

Self-dispersible nanocrystals

HEL-40

High Energy Labs -40

FBZ

Fenbendazole

VAL-FBZ

Valero-fenbendazole

XRD

X-Ray Diffraction

PVP

Polyvinylpyrrolidone

ABZNS

Albendazole nanosuspensions

WHO

World Health Organization

PVA

Polyvinyl Alcohol

ACKNOWLEDGMENT

We are extremely thankful to the principal and guide, Department of Pharmaceutics, BLDE College Pharmacy & Research Centre for his valuable support on the completion of this work.

CONFLICT OF INTERESTS

The authors declare no conflict of interest.

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  22. Lan S, Chen K, Feng L, Sima P, Ji X, Wu F, Lin Y. Tea Saponins: a Novel Stabilizer for Enhancing the Oral Bioavailability of Albendazole Nanocrystals. AAPS PharmSciTech. 2025 Jan 8;26(1):22.
  23. Pavan Kumar M, Madhusudan Rao Y, Apte S. Improved bioavailability of albendazole following oral administration of nanosuspension in rats. Current Nanoscience. 2007 May 1;3(2):191-4.
  24. Mengarda AC, Silva TC, Silva AS, Roquini DB, Fernandes JP, de Moraes J. Toward anthelmintic drug candidates for toxocariasis: Challenges and recent developments. European Journal of Medicinal Chemistry. 2023 May 5;251:115268
  25. Jahanmahin A, Borji H. Nanotechnology-based Approaches for the Treatment of Toxocariasis: a Prospective Review. Journal of Veterinary Physiology and Pathology. 2023 Jun 25;2(2):12-9
  26. Sadr S, Lotfalizadeh N, Abbasi AM, Soleymani N, Hajjafari A, Roohbaksh Amooli Moghadam E, Borji H. Challenges and prospective of enhancing hydatid cyst chemotherapy by nanotechnology and the future of nanobiosensors for diagnosis. Tropical medicine and infectious disease. 2023 Nov 6;8(11):494
  27. Shete A, Salunkhe A, Yadav A, Sakhare S, Doijad R. Neusilin based liquisolid compacts of albendazole: Design, development, characterization and in vitro anthelmintic activity. J. Res. Pharm. 2019 Jul 1;23(3):441-56.
  28. Guo Y, Patel H, Saraswat A, Mateti KV, Patel K, Squillante E. Screening and optimization of supercritical fluid process for the preparation of albendazole solid dispersion. Journal of Drug Delivery Science and Technology. 2023 Oct 1;88:104852.
  29. Rane DR, Gulve HN, Patil VV, Thakare VM, Patil VR. Formulation and evaluation of fast dissolving tablet of albendazole. International Current Pharmaceutical Journal. 2012 Sep 5;1(10):311-6.
  30. Manogar PG, Hari BV, Devi DR. Emerging liquisolid compact technology for solubility enhancement of BCS class-II drug. Journal of Pharmaceutical Sciences and Research. 2011 Dec 1;3(12):1604.
  31. Azad AK, Jahan K, Sathi TS, Sultana R, Abbas SA, Uddin AB. Improvement of dissolution properties of albendazole from different methods of solid dispersion. Journal of Drug Delivery and Therapeutics. 2018 Sep 1;8(5):475-80.
  32. Ibrahim MA, Al-Anazi FK. Enhancement of the dissolution of albendazole from pellets using MTR technique. Saudi Pharmaceutical Journal. 2013 Apr 1;21(2):215-23.

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  12. Guo Y, Patel H, Saraswat A, Mateti KV, Patel K, Squillante E. Screening and optimization of supercritical fluid process for the preparation of albendazole solid dispersion. Journal of Drug Delivery Science and Technology. 2023 Oct 1; 88:104852.
  13. Behera R, Patel SR. Ultrasound-Assisted liquid antisolvent precipitation for the production of nanoparticles. Materials Today: Proceedings. 2022 Jan 1; 57:2428-34.
  14. Melian ME, Paredes A, Munguía B, Colobbio M, Ramos JC, Teixeira R, Manta E, Palma S, Faccio R, Domínguez L. Nanocrystals of novel valerolactam-fenbendazole hybrid with improved in vitro dissolution performance. AAPS PharmSciTech. 2020 Oct;21:1-5.
  15. Liang Z, Chen M, Yan Y, Chen D, Xie S. Nanocrystal Suspensions for Enhancing the Oral Absorption of Albendazole. Nanomaterials. 2022 Sep 1;12(17):3032.
  16. Yan H, Zhong X, Liu Y. Improving the Solubility, Stability, and Bioavailability of Albendazole through Synthetic Salts. Molecules. 2024 Jul 29;29(15):3571.
  17. Han MJ, Zou ZZ. Enabling a novel solvent method on Albendazole solid dispersion to improve the in vivo bioavailability. European Journal of Pharmaceutical Sciences. 2024 May 1; 196:106751.
  18. Yan H, Zhong X, Liu Y. Improving the Solubility, Stability, and Bioavailability of Albendazole through Synthetic Salts. Molecules. 2024 Jul 29;29(15):3571.
  19. Han MJ, Zou ZZ. Enabling a novel solvent method on Albendazole solid dispersion to improve the in vivo bioavailability. European Journal of Pharmaceutical Sciences. 2024 May 1; 196:106751.
  20. Alanazi FK, El-Badry M, Ahmed MO, Alsarra IA. Improvement of albendazole dissolution by preparing microparticles using spray-drying technique. Scientia Pharmaceutica. 2007 Jun;75(2):63-80.
  21. Koradia DK, Parikh HR. Dissolution enhancement of albendazole through nanocrystal formulation. Journal of Pharmacy and Bioallied Sciences. 2012 Mar 1;4(Suppl 1):S62-3.
  22. Lan S, Chen K, Feng L, Sima P, Ji X, Wu F, Lin Y. Tea Saponins: a Novel Stabilizer for Enhancing the Oral Bioavailability of Albendazole Nanocrystals. AAPS PharmSciTech. 2025 Jan 8;26(1):22.
  23. Pavan Kumar M, Madhusudan Rao Y, Apte S. Improved bioavailability of albendazole following oral administration of nanosuspension in rats. Current Nanoscience. 2007 May 1;3(2):191-4.
  24. Mengarda AC, Silva TC, Silva AS, Roquini DB, Fernandes JP, de Moraes J. Toward anthelmintic drug candidates for toxocariasis: Challenges and recent developments. European Journal of Medicinal Chemistry. 2023 May 5;251:115268
  25. Jahanmahin A, Borji H. Nanotechnology-based Approaches for the Treatment of Toxocariasis: a Prospective Review. Journal of Veterinary Physiology and Pathology. 2023 Jun 25;2(2):12-9
  26. Sadr S, Lotfalizadeh N, Abbasi AM, Soleymani N, Hajjafari A, Roohbaksh Amooli Moghadam E, Borji H. Challenges and prospective of enhancing hydatid cyst chemotherapy by nanotechnology and the future of nanobiosensors for diagnosis. Tropical medicine and infectious disease. 2023 Nov 6;8(11):494
  27. Shete A, Salunkhe A, Yadav A, Sakhare S, Doijad R. Neusilin based liquisolid compacts of albendazole: Design, development, characterization and in vitro anthelmintic activity. J. Res. Pharm. 2019 Jul 1;23(3):441-56.
  28. Guo Y, Patel H, Saraswat A, Mateti KV, Patel K, Squillante E. Screening and optimization of supercritical fluid process for the preparation of albendazole solid dispersion. Journal of Drug Delivery Science and Technology. 2023 Oct 1;88:104852.
  29. Rane DR, Gulve HN, Patil VV, Thakare VM, Patil VR. Formulation and evaluation of fast dissolving tablet of albendazole. International Current Pharmaceutical Journal. 2012 Sep 5;1(10):311-6.
  30. Manogar PG, Hari BV, Devi DR. Emerging liquisolid compact technology for solubility enhancement of BCS class-II drug. Journal of Pharmaceutical Sciences and Research. 2011 Dec 1;3(12):1604.
  31. Azad AK, Jahan K, Sathi TS, Sultana R, Abbas SA, Uddin AB. Improvement of dissolution properties of albendazole from different methods of solid dispersion. Journal of Drug Delivery and Therapeutics. 2018 Sep 1;8(5):475-80.
  32. Ibrahim MA, Al-Anazi FK. Enhancement of the dissolution of albendazole from pellets using MTR technique. Saudi Pharmaceutical Journal. 2013 Apr 1;21(2):215-23.

Photo
Ashwini Inganal
Corresponding author

BLDE Associations Shri. Sanganabasava Mahaswamiji College of Pharmacy and Research Centre, Vijayapur-586103

Photo
Arjun Uppar
Co-author

BLDE Associations Shri. Sanganabasava Mahaswamiji College of Pharmacy and Research Centre, Vijayapur-586103

Photo
Sangamesh Sakri
Co-author

BLDE Associations Shri. Sanganabasava Mahaswamiji College of Pharmacy and Research Centre, Vijayapur-586103

Photo
Megha Patil
Co-author

BLDE Associations Shri. Sanganabasava Mahaswamiji College of Pharmacy and Research Centre, Vijayapur-586103

Photo
Akash Hiremath
Co-author

BLDE Associations Shri. Sanganabasava Mahaswamiji College of Pharmacy and Research Centre, Vijayapur-586103

Ashwini Inganal, Arjun Uppar, Sangamesh Sakri, Megha Patil, Akash Hiremath, Nanocrystalline Albendazole: Fabrication, Stability, and Anthelmintic Efficacy Enhancement through Spray Drying and Nanotechnology, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 7, 2019-2032. https://doi.org/10.5281/zenodo.15913138

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