4.1. Simulated polar fraction of solvent-accessible surface area successfully predicts experimentally determined nanosuspension stability
Comparisons between our MD simulations and experiments on naproxen, indomethacin, and itraconazole suggest that a higher polar fraction of solvent-accessible surface area results in a more stable nanosuspension. To test this hypothesis, we studied compound GDC-0810, a former breast cancer candidate compound. GDC-0810 was selected as it can be crystalized in a neutral and ionic form (
Figure 5A,B). [
45] As we hypothesized an ionic crystal would be more polar than a neutral one, GDC-0810 offered an opportunity to examine the effect of polarizability on effect nanoparticle stability within different states of the same compound. For each the neutral and the ionic crystal, we performed simulations with the same six excipients used in our training data, plus Tween 80 (
Figure 5C), resulting in 14 new simulations.
We immediately observed that the binding mode of the excipient varies greatly by the crystallization state of the drug. The atomistic contact maps find that SDS adsorbs to different regions of the neutral crystal than those of the ionic crystal (
Figure 5D-F). This trend is seen with all excipient simulations (
Figure S9,S10). Similarly, molecular contacts vary greatly with the charge state of the drug. Most significantly, nearly all excipients molecules remain bound to the neutral crystal throughout the entire simulation, resulting in a very low probability of having 0 drug molecules per excipient. However, in the ionic crystal, a significant number of excipients are in solution, as indicated by a much higher frequency at 0 drug molecules per excipient (
Figure 5G-J). These differences suggest that most excipients have a lower affinity for the ionic crystal than the neutral crystal. Similar trends for the drug molecules per drug (
Figure S11), the drug molecules per excipient (
Figure S12), and the excipient molecules per excipient (
Figure S13) demonstrate that the ionic crystal and neutral crystal have different structural features.
Next, we aimed to connect knowledge of property differences within our training set to the example of GDC-0810. We first calculated the surface properties for both the ionic and neutral crystal (
Figure 6,
Figure S14).
is much higher for the ionic crystal than the neutral crystal, indicating that the ionic crystal is more likely to form stable nanosuspensions. To quantitatively predict nanoparticle stability, we inserted the
into Equation (
1). Our model predicts that the ionic crystal was likely to form stable nanosuspensions under any conditions, while the neutral crystal may form a stable nanosuspension with more polar excipients like SOS or SDS (
Table 1).
Based on our MD simulations with different excipients, we hypothesized that ionic GDC-0810 may form nanosuspensions without excipients. Indeed, predictions of nanoparticle stability using the
of the crystal without excipients (
Figure 6) suggested that the GDC-0810 salt (
=0.871), but not the protonated form (
=0.161) is likely to form a stable nanosuspension. To evaluate this prediction, we utilized flash nano precipitation [
56] to create nanosuspensions of GDC-0810 salt. Even without excipients, we found that the GDC-0810 salt formed nanosuspensions, which we characterized with dynamic light scattering. Our analysis revealed that the nanoparticles were stable, with an average size of 244.6 nm and % PD (percent polydispersity) of 26.8% upon formation. Further, the nanoparticles remained stable and had an average size of 225 nm and % PD of 49.7% after incubation for over 3 years (
Figure 7). These results suggest that the salt nanosuspension would be a good choice of formulation for this poorly soluble compound.
4.2. Leveraging two-dimensional properties to predict nanosuspension stability
The results with GDC-0810 support our previous theory that a higher polar fraction of solvent-accessible surface area results in a more stable nanosuspension. In principle, one could run molecular dynamics simulation and test various combinations to discover the optimal excipient for a given drug. However, such simulations are computationally expensive, which motivated us to find underlying two-dimensional properties of drugs and excipients that can predict the simulated values of .
We then hypothesized that hydrogen bond acceptors, hydrogen bond donors, and charged molecules contribute most to
. Using these properties for both the drug (
Table S6) and excipient (
Table S7), we used the least absolute shrinkage and selection operator (LASSO) to fit a linear regression model for
with all systems we studied (
Figure 4C and
Figure 6). LASSO is a technique that performs both variable selection and regression, improving the accuracy and interpretability of the resulting regression model (
Figure S15). The model that minimizes the mean squared error (n=32) takes the expression
where
is the predicted value of
,
is the molecular weight of the drug molecule,
is the number of hydrogen bond acceptors in the drug molecule,
is the number of hydrogen bond donors in the drug molecule,
is the charge of each drug molecule,
is the molecular weight of the excipient molecule,
is the number of hydrogen bond acceptors in the excipient molecule,
is the number of hydrogen bond donors in the excipient molecule, and
is the charge of each excipient molecule. This model fits the calculated properties from simulations well, resulting in a high correlation between the 2D property-predicted and simulated
(
Figure 8). Further, hydrogen bond acceptors, hydrogen bond donors, and charge all contribute to a higher value of
. Interestingly, we also observe that hydrogen bond donors contribute more than hydrogen bond acceptors, a common trend in drug discovery settings. [
57] This model suggests that excipients with more hydrogen bond donors, hydrogen bond acceptors, and net charge will result in more stable nanosuspensions. Finally, the charge state of drug molecules contributes significantly to
, which suggests that salt forms of drugs are more likely to form stable nanosuspensions.
To test whether our model of two-dimensional properties is capable of predicting nanoparticle stability, we applied the same tests on our
that we applied on
. First, we examined the correlation between
and the min wt% (
Figure 9A). Unlike the simulated values of
, the
shows little correlation with the min wt%. This deviation could originate from a variety of factors, such the binding mode of a given excipient or crystal size and shape.
Despite our modeled
not correlating with min wt%, it does show some success at predicting nanosuspension stability. Following our procedure for
, we labeled a drug-excipient combination as a “success" if it formed a stable nanosuspension upon milling at certain excipient:drug ratios and labeled it as a “failure" if it did not form stable nanosuspensions upon milling at any excipient:drug ratios. For this binary data, we performed a logistic regression to calculate the probability of getting a “success" based on the
, and found
where
is the probability of not successfully forming a nanosuspension, and
is the probability of successfully forming a nanosuspension (
Figure 9B, n=16). Like our previous regression model in Equation (
1), we recomputed this updated model using 100 independent rounds of 4-fold cross validation and found a nearly-identical classification accuracy of
, indicating that our model should be applicable to data beyond the training set. The expression itself is also similar to that found in Equation (
1), and suggests that a higher values of
result in more stable nanosuspensions. Finally, we apply Equation (
3) to predict the probability of “success" for GDC-0810 nanoparticles (
Table 2). Our model predicts that any excipient would be able to form a stable nanosuspension with the salt form of GDC-0810, which aligns with our experimental observation that the salt of GDC-0810 can form a nanosuspension without excipient.
Overall, our model suggests that drug-excipient combinations with a higher polar fraction of solvent-accessible surface area will form the best nanosuspensions. This property can be maximized by increasing the charge and hydrogen bonding properties of excipients or by using salt forms of drug molecules. However, this simplified model should be used with some amount of caution. First, to test the ability of excipients to adsorb to stable nanoparticles, we placed restraints on the position of drug atoms. These extra potentials prevent crystal rearrangements, which would be overestimated in unrestrained simulations, because computational feasibility required using smaller nanoparticles than those predicted experimentally. As such, effects arising from crystal deformation may not be fully captured by our model. Further, it is possible that a sufficiently polar drug-excipient combination will be soluble in solution, and not form a stable nanosuspension. We begin to observe such trends with the ionic form of GDC-0810, where less excipients adsorb to the drug crystal in our simulations. These effects may also manifest themselves in drug solubility, where potentially soluble salt isoforms may prevent the formation of stable nanosuspensions. Such considerations are not taken into account in our model, which may mean predictions from Equation (
1) and Equation (
3) might overestimate the stability of some nanosuspensions. As our work here primarily addressed explored hydrophobic drug-excipient combinations in which aggregation and Ostwald ripening are the primary concerns, future studies may want to employ similar methods to test increasingly polar excipients and elucidate the balance between stable nanosuspensions and solubility.