Evidence map›Paper›PMID 41205697›Full record

ReviewJournal of pharmaceutical sciences2026

Classification system proposed to guide the design, development, regulatory approval, and scaling of long acting, small- and macro-molecule parenteral products (CS-BLAP).

Simone Perazzolo, Danny D Shen, Rodney J Y Ho

Abstract readReview
In one paragraph

Review in Journal of pharmaceutical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Simone PerazzoloDepartment of Pharmaceutics, School of Pharmacy, University of Washington, Seattle, WA, USA. Electronic address: peraz@uw.edu.
Danny D ShenDepartment of Pharmaceutics, School of Pharmacy, University of Washington, Seattle, WA, USA.
Rodney J Y HoDepartment of Pharmaceutics, School of Pharmacy, University of Washington, Seattle, WA, USA; Department of Bioengineering, University of Washington, Seattle, WA, USA. Electronic address: rodneyho@uw.edu.

Funding

Targeted Long-acting Combination Antiretroviral Therapy (TLC-ART)UM1AI120176 · NIAID · UNIVERSITY OF WASHINGTON · PI COLLIER, ANN CORNWALL, HO, RODNEY J.Y. · 2015 to 2019
$15.0M
Washington Entrepreneurial Research Evaluation and Commercialization HubU01HL152401 · NHLBI · UNIVERSITY OF WASHINGTON · PI HO, RODNEY J.Y. · 2019 to 2022
$5.1M
NextGen Long-acting and targeted combination ART for Children with HIVR33AI149665 · NIAID · UNIVERSITY OF WASHINGTON · PI HO, RODNEY J.Y. · 2022 to 2025
$4.1M
Long-acting Antiviral Treatment for HBVR01AI179309 · NIAID · UNIVERSITY OF WASHINGTON · PI RODNEY J.Y. HO, Hyang Nina Kim · 2024 to 2026
$2.4M
NextGen Long-acting and targeted combination ART for Children with HIVR61AI149665 · NIAID · UNIVERSITY OF WASHINGTON · PI HO, RODNEY J.Y., MELVIN, ANN JORNS · 2020 to 2021
$2.1M
"NextGen Long-acting Platform: Targeted Combination Antiretrovirals"U01AI148055 · NIAID · UNIVERSITY OF WASHINGTON · PI BENDER IGNACIO, RACHEL ANN, HO, RODNEY J.Y. · 2019 to 2022
$1.6M
NHLBI NIH HHS U01 HL152401NIAID NIH HHS R01 AI179309NIAID NIH HHS R33 AI149665NIAID NIH HHS R61 AI149665NIAID NIH HHS U01 AI148055NIAID NIH HHS UM1 AI120176
6 · The paper itself

Abstract

Long acting (LA) drug products extend the effect of a single dose for weeks or months, offering new options for disease prevention and treatment. However, regulatory guidance on LA drug product development and equivalence remains limited. The existing Biopharmaceutics Classification System (BCS) guides the development and approval of small-molecule oral drug substances. There is no such classification system for LA drug products. Most LA drug products are given as subcutaneous (SC) or intramuscular (IM) injectables. We propose a new Classification System for Biopharmaceutics of Long-Acting Parenteral Products, designated as CS-BLAP. This classification system focuses on products instead of drug substances. CS-BLAP covers LA products beyond those based on conventional depot/sustained drug-release strategies and includes small- and macro-molecules (biologics) designed with or without delivery system and engineered to transit through lymph instead of directly penetrating the blood. We found that the molecular or particle size of drugs assembled as LA products is the basis of the classification in determining the route/mechanism of parenteral drug absorption. Depending on the product size, SC or IM injectables may preferentially penetrate blood or lymphatic capillaries. Based on their selectivity in lymph vs blood uptake, retention, and transit, LA products are classified as: Class I: Small molecules, absorption mainly via blood after release from depot products; Class II: Small molecules, absorption of drug-in-carrier via lymph;Class III: Biologics, absorption mainly via blood after release from depot products; Class IV: Biologics, absorption via lymph. The CS-BLAP proposal is supported by a dataset of drugs and endogenous molecules spanning a range of molecular weights and particle sizes. From these datasets, a predictive model estimated the lymph-to-blood absorption fraction as a function of apparent molecular size. The mid-transition point occurs around 35 kDa, where the drug substance (either free or associated with a delivery system) distributes equally between lymph and blood (50:50). Increasing molecular size progressively favor distribution through the lymphatic pathway, estimated to be 70 % at 50 kDa, 80 % at 66 kDa, and >90 % beyond 90 kDa. The time-to-peak plasma concentration (T

Indexed as

Biological ProductsDelayed-Action PreparationsDrug ApprovalDrug DevelopmentBiopharmaceuticsDrug Delivery SystemsDrug DesignHumansParticle SizePharmaceutical PreparationsBiological ProductsDelayed-Action PreparationsPharmaceutical PreparationsAbsorptionADMEBioequivalenceBiologicsClassification systemCS-BLAPInjectablesLong-acting injectablesLong-acting medicineLymphaticPharmacokineticsTransit

Identifiers

PMID41205697
PMCPMC13248642

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.