1. Introduction
Ruminants are a crucial component of global agriculture and ecosystems, serving as an important source of products such as meat, milk, and hides for humans. However, parasitic diseases are one of the most serious problems in ruminant farming [
1,
2]. Liver flukes, lungworms,
Haemonchus contortus (barber’s pole worm), and hookworms are all common parasitic infections in ruminants [
3,
4,
5]. Once parasitized, ruminants gradually become emaciated, and in severe cases, may develop toxemia or secondary diseases. The severe decline in production performance—manifested as weight loss, reduced milk yield, reproductive disorders, deterioration in meat and leather quality, and even acute death—results in significant economic losses [
6,
7,
8,
9]. Fasciolosis, a zoonotic parasitic disease caused by the liver fluke
Fasciola hepatica parasitizing the bile ducts of ruminants, is highly contagious and can often spread rapidly through water sources, infecting other animals and even humans [
10,
11]. Existing antiparasitic drug formulations for ruminants each have their own drawbacks: tablets are costly and inconvenient to administer; powders require mixing with feed, making precise dosing difficult; injectable formulations are inconvenient and require technical skill; and conventional suspensions are prone to sedimentation, leading to uneven drug content. Moreover, these common formulations typically require multiple administrations, which complicates management and use in large-scale farming operations. Therefore, this study aims to identify an ideal antiparasitic drug dosage form that can effectively control parasitic diseases while also offering high economic value and convenience.
Rafoxanide (RFX) is a halogenated salicylanilide anthelmintic that has long been widely used as a highly effective broad-spectrum antiparasitic agent [
12,
13,
14]. In addition to Fasciola hepatica, RFX also exhibits potent efficacy against various gastrointestinal nematodes, such as Haemonchus contortus, Ostertagia spp., Bunostomum spp., and certain tapeworms [
15]. Literature indicates that rafoxanide exhibits a notable propensity for self-association in aqueous media, whereby molecules form aggregates through non-covalent interactions such as π-π stacking and hydrophobic effects. This self-association behavior is one of its important physicochemical properties [
16]. This characteristic is a critical factor influencing its solubility, crystallization, and formulation stability. Unlike other broad-spectrum anthelmintics, RFX directly attacks the final step of energy metabolism—the mitochondrial respiratory chain. Its parasiticidal mechanism lies in its action as an uncoupler on mitochondria, disrupting the proton gradient across the inner mitochondrial membrane. This causes energy to dissipate as heat, preventing the effective generation of ATP, and leading to parasite death due to energy exhaustion [
17,
18,
19]. Resistance to benzimidazoles and macrocyclic lactones often arises from point mutations in the genes encoding the target site proteins or channel subunits, leading to reduced drug-binding affinity. For parasites under RFX pressure, however, it is difficult to alter the entire structure and function of mitochondria through a single gene mutation without affecting their own survival; often, coordinated variations in multiple genes are required to reduce drug-binding affinity. Precisely because of this, RFX exerts potent lethal effects against both adult and juvenile stages of Fasciola hepatica, and can counteract or delay the development of drug resistance, maintaining good therapeutic efficacy.
Commercially available dosage forms of RFX include powders, tablets, and suspensions. Powders are administered by mixing with feed, a method that places extremely high demands on the homogeneity of feed mixing and the accuracy of feed intake control; otherwise, it easily leads to either insufficient or excessive individual drug intake. Tablets are administered via individual oral dosing, primarily used in dogs for treating babesiosis; due to their production costs, they are seldom employed for ruminants. Suspensions are administered via oral drenching. Because conventional suspensions have overly large drug particles, they are highly prone to sedimentation, necessitating thorough shaking and rapid administration before use. This imposes relatively high labor cost demands for large-scale farming operations. However, RFX is a poorly water-soluble drug [
16]. In contrast, a suspension can disperse solid drug particles in an aqueous solution, significantly enhancing its stability and solubility. When combined with emulsification technology, it can be formulated into a dispersed system with particle sizes in the micrometer range, thereby achieving penetrating targeted effects. If further nano-sized, its penetration capability can be significantly enhanced, achieving passive targeting effects, improving absorption, and increasing bioavailability. Studies have indicated that an ideal antiparasitic drug should possess sustained-release and long-acting properties [
20] to combat the prolonged life cycle of parasites. Sustained-release is precisely one of the key characteristics and core advantages of nanosuspensions as an advanced drug delivery system: after nano-sizing, the total surface area of the drug increases exponentially, and the drug release rate is directly proportional to the dissolution surface area [
21].
Currently, literature reports indicate that methods for detecting RFX plasma concentrations primarily rely on high-performance liquid chromatography (HPLC) [
22,
23,
24,
25,
26]. While these methods offer a certain degree of reliability, they still exhibit limitations in terms of sensitivity, selectivity, and analytical throughput. For the nano-sized ionic rafoxanide suspension targeted in this study, it is evident that a more precise detection method is required to meet the demands for accurate quantification of trace drug levels in complex biological matrices. This study has established a Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) detection method with a lower limit of detection and higher sensitivity for quantifying RFX in sheep. This method combines the high separation efficiency and sensitivity of chromatography with the high specificity of mass spectrometry, significantly lowering the detection limit, improving analytical efficiency, and effectively avoiding matrix interference. The establishment of this method provides substantial reference value for promoting in-depth research and future clinical application of this drug.
Based on the theoretical foundations and analytical techniques described above, this study aims to establish a more sensitive and reliable detection method for the quantitative determination of rafoxanide (RFX) in sheep plasma. This method was applied to an 84-day long-term comparative pharmacokinetic trial in sheep, comparing rafoxanide nanosuspension (RFX-NS) with rafoxanide conventional suspension (RFX-S). The study integrated the characterization of the formulations and in vitro dissolution evaluation to comprehensively analyze the pharmacokinetic differences between the nanonized formulation and the conventional formulation in sheep, thereby elucidating the advantages of the nanosuspension dosage form.
2. Materials and Methods
2.1. Animals
Sixteen healthy sheep, aged 6–12 months and weighing 25–35 kg, were enrolled in this study. Exclusion criteria included a history of medication within the previous month or failure to meet the specified weight/age range. Each animal was identified with an ear tag and acclimatized for 7 days in a clean, quiet environment prior to the experiment. During acclimatization, the sheep were provided with a fixed amount of drug-free feed and water ad libitum daily. The animals were then randomly assigned to two groups (n = 8 per group) using a computer-generated randomization sequence produced by statistical software (SPSS 26.0). To control for potential sex-related variations, block randomization was performed with sex as a stratification factor, resulting in balanced groups each containing 4 rams and 4 ewes. The study protocol was reviewed and approved by the Animal Welfare and Ethics Committee of the Lanzhou Institute of Animal Science and Veterinary Medicine, Chinese Academy of Agricultural Sciences (Approval No.: 2026-31).
2.2. Chemicals, Reagents, and Laboratory Materials
RFX (Batch No.: CDAA-580059, purity ≥ 99.2%) was purchased from Shanghai ANPEL Laboratory Technologies Inc. (Shanghai, China). Its corresponding internal standard, Niclosamide (NIC) (Batch No.: G1038693, purity ≥ 99.0%), was provided by Dr. Ehrenstorfer GmbH (Augsburg, Germany). LC-MS grade methanol (Batch No.: 203398, purity: 99.9%) was obtained from Merck KGaA (Darmstadt, Germany). LC-MS grade formic acid and ammonium formate were purchased from Thermo Fisher Scientific (Waltham, MA, USA). Ultrapure water (Batch No.: 120212TS) was supplied by Wahaha Group Co., Ltd. (Hangzhou, China). Heparin sodium solution (Batch No.: 0828A23, concentration: 0.1%) was acquired from Beijing Ruigen Biotechnology Co., Ltd. (Beijing, China). RFX-NS was provided by Shandong Dezhou Shenniu Pharmaceutical Co., Ltd. (Dezhou, China).
Major instruments: Sartorius BSA223S electronic balance (Sartorius AG, Göttingen, Germany); SI Vortex-Genie 2 variable-speed vortex mixer (Scientific Industries, Inc., Bohemia, NY, USA); Eppendorf research® plus single-channel pipettes (Eppendorf AG, Hamburg, Germany); Labconco RapidVap sample evaporation system (Labconco Corporation, Kansas City, MO, USA); AB Sciex 5500 ultra-performance liquid chromatography-tandem mass spectrometry system (SCIEX, Framingham, MA, USA); Malvern Zetasizer Nano ZS ZEN3600 Laser Dynamic Light Scattering Instrument (Malvern Panalytical Ltd., Malvern, UK); Sigma 300 Scanning Electron Microscope (SEM) (Carl Zeiss AG, Jena, Germany); Agilent 1290 Infinity High-Performance Liquid Chromatography System (Agilent Technologies, Inc., Santa Clara, CA, USA); SevenCompact™ S220 pH Meter (Sartorius AG, Göttingen, Germany); Pharma-Test PTWS610 Dissolution Tester (Pharma Test Apparatebau AG, Hainburg, Germany).
Data acquisition and processing software: Analyst 1.7.2 (SCIEX, Framingham, USA) software was used for mass spectrometry data acquisition; SciexOS 2.0.1 (SCIEX, Framingham, MA, USA) software for quantitative analysis; Microsoft Office Excel 2021 for calculating standard deviation (SD), mean, and coefficient of variation (C.V.). Pharmacokinetic parameter analysis and non-compartmental modeling were performed using Phoenix 8.1.0 software. Statistical significance analysis was conducted using SPSS Statistics 26.
2.3. Characterization of Suspensions
2.3.1. Particle Size, PDI and Zeta Potential Measurement
Particle Size and PDI: Measured by laser dynamic scattering. The volume average particle size was recorded, and the uniformity of particle size distribution was evaluated by PDI. A PDI value typically less than 0.3 indicates a relatively narrow distribution and a homogeneous system.
Zeta Potential: Measured by electrophoretic light scattering in a dedicated electrode cell, and the average Zeta potential value was recorded. A higher absolute value (with a common reference threshold greater than ±30 mV) indicates stronger electrostatic repulsion between particles, leading to a more stable system that is less prone to aggregation.
2.3.2. Morphological Analysis
The raw material powder of rafoxanide was directly sprinkled onto conductive adhesive, followed by gold sputtering for observation. In contrast, both RFX-S and RFX-NS were dropped onto silicon wafers, dried, and subsequently coated with gold before examination. A systematic magnification strategy was adopted for image acquisition. For the raw material and the conventional suspension, scanning electron microscopy (SEM) was employed to capture morphological features sequentially at scale bars of 50 μm, 20 μm, 10 μm, and 5 μm. To clearly resolve the nanoparticles, additional high-resolution images at scale bars of 1 μm and 500 nm were acquired for the nanosuspension. All operations were performed under a constant accelerating voltage of 5 kV to ensure the comparability of the results.
2.3.3. In Vitro Dissolution Study
By screening the dissolution media, rotation speed, enzymes, and surfactants for the two types of suspensions, the optimal dissolution medium, rotation speed, enzyme, and surfactant were determined. Under the selected optimal conditions, with a dissolution medium volume of 900 mL and the dissolution temperature set at 37 ± 0.5 °C, RFX-NS and RFX-S were weighed and added to the dissolution vessels, and the timer was started. Samples of 5 mL were taken at 15, 30, 45, and 60 min, with 5 mL of pre-warmed dissolution medium replenished immediately. The collected samples were filtered through a 0.45 μm organic-phase microporous membrane and analyzed using HPLC to determine the content and dissolution rate. Dissolution curves were plotted and evaluated.
2.3.4. Stability Study
RFX-NS and RFX-S were separately dispensed and stored under sealed, light-protected conditions at 4 °C and 25 °C ± 2 °C for three months. At the end of the three months, samples were taken to observe and determine their appearance, particle size, sedimentation volume ratio, redispersibility, PDI, Zeta potential, and drug content. The trends of these indicators over time were analyzed to preliminarily evaluate the stability of the formulation.
2.4. Preparation of Stock Solutions
The drug reference standards were dissolved in methanol to prepare working solutions of RFX and NIC. The working solutions were then added to blank sheep plasma to prepare standard plasma samples and quality control (QC) samples. The calibration range for RFX was 2.5–800 ng/mL. Using sheep plasma as the blank, QC samples were prepared at the lower limit of quantification (LLOQ: 2.5 ng/mL), low QC (LQC: 8 ng/mL), medium QC (MQC: 80 ng/mL), and high QC (HQC: 750 ng/mL) concentrations.
2.5. Sample Preparation
A 500 µL aliquot of sheep plasma was placed into a 10 mL centrifuge tube, followed by the addition of 10 µL of working solution (300 ng/mL NIC) and 500 µL of phosphate-citrate buffer (pH = 6). After vortexing, 5 mL of ethyl ether was added. The mixture was vortexed again, subjected to an ultrasonic water bath (4 °C, 10 min), and then allowed to stand. The upper ether extract was then decanted and transferred to another 10 mL centrifuge tube. The remaining sample in the original tube underwent a second extraction with 5 mL of ethyl ether, repeating the vortexing, sonication, standing, and decanting steps. The two ether extracts were combined. The combined extract was evaporated to dryness. The residue was reconstituted in 500 µL of LC-MS grade methanol by vortexing and sonication. The resulting solution was then filtered through a 0.22 µm membrane prior to concentration analysis.
2.6. LC-MS/MS Instrumentation and Setting
The analysis was performed using an LC-30AD ultra-high performance liquid chromatograph (Shimadzu, Kyoto, Japan) coupled to a QTRAP® 5500 triple quadrupole mass spectrometer (AB Sciex, USA) equipped with an electrospray ionization (ESI) source. Detection was carried out in multiple reaction monitoring (MRM) mode with negative ion detection. The ion source parameters were set as follows: ion spray voltage (IS): +5500 V, ion source temperature (TEM): 550 °C, nebulizer gas pressure (GS1): 50 psi, auxiliary gas pressure (GS2): 55 psi, curtain gas pressure: 35 psi, and dwell time: 150 ms.
Chromatographic separation was achieved on an ACQUITY UPLC BEH C18 column (1.7 µm, 2.1 × 100 mm) maintained at 30 °C. A gradient elution program was employed with a flow rate of 0.3 mL/min and an injection volume of 5 µL. The mobile phase consisted of (A) 0.1% formic acid and 10 mmol/L ammonium formate in water, and (B) methanol. The optimized gradient program was as follows: 30% to 100% B from 0 to 5.0 min, 100% B from 5.0 to 8.0 min, 100% to 30% B from 8.0 to 8.1 min, and 30% B from 8.1 to 10.0 min.
2.7. Method Validation
The method validation was conducted in accordance with the bioanalytical method validation guidelines issued by the European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA). The validated parameters included linearity, matrix effect, accuracy and precision, stability, and dilution integrity.
2.7.1. Selectivity and Specificity
Plasma samples were prepared from healthy experimental sheep: these included blank plasma samples, plasma samples spiked with only the RFX standard, plasma samples spiked with only the internal standard (IS), plasma samples spiked with both the RFX standard (at a concentration of 100 ng/mL) and the internal standard NIC (300 ng/mL), and post-administration plasma samples. This procedure was designed to validate the selective interference of plasma matrix or other co-existing substances on the detection of the target drug, ensuring the specificity of the chromatographic peak for the target drug in the plasma matrix.
2.7.2. Linearity
The standard curve for the sample was prepared according to the method described in
Section 2.3. The concentration of the analyte served as the abscissa (
x-axis), while the ratio of the analyte peak area to the corresponding internal standard peak area served as the ordinate (
y-axis). Weighted least-squares linear regression analysis was performed using SciexOS 2.0.1 software to calculate the regression equation and the correlation coefficient (R
2), and to plot the standard curve.
2.7.3. Accuracy and Precision
Four sets of plasma quality control (QC) samples were prepared with specified concentrations at the lower limit of quantification (LLOQ), low, medium, and high levels, with six replicates at each concentration. A series of standard plasma samples were also prepared. All samples were processed according to the method described in
Section 2.4 and subsequently injected for analysis. The analysis was performed in three independent batches on three separate days. The actual concentrations of RFX in the four QC levels were calculated using the internal standard method. For QC samples, the required accuracy (expressed as percent nominal) for both within-run and between-run assessments was 85–115% (80–120% for LLOQ). To evaluate precision, the relative standard deviation (RSD) of the measured values (RSD = standard deviation/mean × 100%) was used. The RSD for both within-run and between-run precision was required to be ≤15% (≤20% for LLOQ).
2.7.4. Matrix Effect
The matrix effect was determined by the ratio of the analyte peak area in the presence of matrix to the analyte peak area in the absence of matrix. The matrix factor for the analyte, corrected for the matrix factor of the internal standard, yields the internal standard-normalized matrix factor. The coefficient of variation for the normalized matrix factor should be less than 15%.
The matrix effect factor (MF) is defined as the ratio of the analyte response (peak area) in the biological matrix to the analyte response in the pure solution. On this basis, the internal standard-normalized matrix effect factor (MFi) is obtained by dividing the absolute matrix factor of the analyte by the absolute matrix factor of the internal standard. This normalization corrects for the matrix effect inherent to the internal standard itself, thereby adjusting for matrix interference.
2.7.5. Stability
The stability of QC plasma samples at low and high concentrations was evaluated under conditions of room temperature, repeated freeze–thaw cycles, and long-term storage at −80 °C. Two levels of standard plasma samples were prepared. For each concentration level, three independent batches were prepared, with eight replicates per batch. A series of standard plasma samples were also prepared. After the initial analysis, the data were recorded. Subsequently, the three batches of samples were subjected to different treatments: the room-temperature batch was kept at room temperature for 24 h; the repeated freeze–thaw batch was stored at −20 °C and subjected to three complete freeze–thaw cycles; and the −80 °C batch was stored at −80 °C for 7 days. After each treatment, the batches were injected and analyzed, and the data were recorded.
2.7.6. Carryover
High-concentration standard plasma samples, lower limit of quantification (LLOQ) concentration samples, and blank plasma samples were prepared separately. Immediately after the analysis of the high-concentration QC plasma samples, the blank and LLOQ samples were analyzed. The peak area of the residual analyte in the blank sample was calculated and compared to that of the LLOQ sample. The residual amount of the analyte in the blank sample should not exceed 20% of the LLOQ level, and should not exceed 5% of the internal standard.
2.7.7. Dilution Integrity
The sample was diluted 1:20 with blank plasma, and the analyte was spiked into the matrix at a concentration exceeding the upper limit of quantification (ULOQ). This procedure demonstrated dilution integrity. The accuracy and precision of the assay were confirmed to be within ±15%. Furthermore, the reliability of the dilution was verified to cover the concentration range of the test samples.
2.8. Pharmacokinetics
2.8.1. Experimental Design and Sample Collection
The sheep were grouped and managed as described in
Section 2.1. Eight sheep in Group 1 were orally administered a single dose of Rafoxanide Nanosuspension (RFX-NS) at 12 mg/kg, while eight sheep in Group 2 were orally administered a single dose of Rafoxanide conventional suspension (RFX-S) at the same dosage. Before dosing, a 5 mL blank blood sample was collected from the jugular vein and placed in a sodium heparin anticoagulant tube. After administration, 5 mL blood samples were collected at the following time points: 1/12, 1/6, 1/4, 1/3, 1/2, 1, 2, 3, 5, 6, 7, 8, 9, 11, 12, 13, 14, 21, 28, 35, 42, 56, 70, and 84 days. All blood samples were centrifuged at 3000 rpm for 15 min to separate the plasma, and the supernatants were stored at −20 °C until analysis. The plasma concentration–time curve for each sheep was plotted, and both individual and mean plasma concentration–time curves were obtained.
2.8.2. Data Processing and Pharmacokinetic Parameter Analysis
The plasma RFX concentration-time data were analyzed using Phoenix 8.1.0 software. Pharmacokinetic parameters were calculated using a non-compartmental analysis (NCA) method. The elimination rate constant (λz) was determined by log-linear regression of at least the last 3 data points on the terminal phase of the plasma drug concentration-time curve exhibiting a stable mono-exponential decline. The terminal elimination half-life (t1/2) was calculated using the formula: 0.693/λz.
The primary parameters calculated included: time to reach the maximum plasma concentration (Tmax), maximum plasma concentration (Cmax), area under the plasma concentration-time curve from time zero to the last quantifiable concentration (AUC0–t), area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC0–∞), apparent volume of distribution (Vz/F), clearance (CL/F), and mean residence time (MRT). Other standard non-compartmental parameters were also calculated. The percentage of the AUC extrapolated to infinity (%AUCextrap) was calculated using the formula: %AUCextrap = [(AUC0–∞ − AUC0–t)/AUC0–∞] × 100%, to assess the contribution of the extrapolated portion to the total drug exposure. The relative bioavailability (F) of the nanosuspension relative to the conventional suspension was calculated as: F = (AUC0–t of RFX-NS/AUC0–t of RFX-S) × 100%.
2.8.3. Rationale for Selection of Analytical Method
The non-compartmental analysis (NCA) method was selected primarily based on the following two considerations: First, the core objective of this study was to directly compare the key exposure and disposition parameters between the two formulations, RFX-NS and RFX-S, in order to evaluate their sustained-release characteristics and relative bioavailability. The NCA method, which does not rely on assumptions of a specific compartmental model structure, allows for the direct calculation of parameters from experimental data, providing intuitive results that facilitate inter-formulation comparison. Second, the pharmacokinetic processes of RFX in ruminants are complex, and its absorption and elimination may not conform to typical compartmental models. Preliminary analysis revealed issues such as poor goodness-of-fit or inconsistent model selection criteria when attempting to fit the data using compartmental models. To avoid introducing bias by imposing an inappropriate model, and to ensure the robustness and comparability of parameter estimates, the NCA method based on statistical moment theory was ultimately adopted.
2.9. Blinding
To reduce measurement bias, this study implemented a blinding procedure for the analysis of plasma samples. After collection, the samples were uniformly coded by researchers not involved in the grouping to conceal their group assignments. The personnel responsible for LC-MS/MS sample preparation, instrumental analysis, and initial data processing were blinded to the treatment groups of the samples. Pharmacokinetic parameter calculation was performed by another researcher under blinded conditions. Unblinding and statistical comparisons between groups were conducted only after all data analyses were completed.
4. Discussion
4.1. Technical Analysis
Initially, analytes were injected into the mass spectrometer to optimize ionization parameters and detect fragmentation patterns. All analytes were detected in negative ion mode. Optimization of chromatographic conditions included selecting suitable mobile phases and columns. Studies have reported that adding a certain proportion of formic acid to the mobile phase can improve the ionization efficiency of analytes and enhance peak shape [
22,
23,
27]. Building on this, this study also added a certain proportion of ammonium formate as a modification, which resulted in even better peak shapes. Literature commonly reports the use of methanol and acetonitrile as organic phases [
22,
24,
25,
26]. This study found that acetonitrile provided better elution than methanol. Therefore, mobile phase A: 0.1% formic acid—10 mmol/L ammonium formate aqueous solution and B: acetonitrile were selected. The ACQUITY UPLC BEH C18 column (1.7 µm, 2.1 × 100 mm) demonstrated excellent separation and symmetry. Furthermore, to separate the target compounds and achieve clear peaks, gradient elution mode was optimized. The optimal gradient elution program determined was: 30–100% B from 0 to 5.0 min, 100% B from 5.0 to 8.0 min, 100–30% B from 8.0 to 8.1 min, and 30% B from 8.1 to 10.0 min.
4.2. Sample Pretreatment
This study employed diethyl ether to extract rafoxanide (RFX) from sheep plasma. Research indicates that phenolic compounds tend to exist in their molecular form under acidic conditions (pH < pKa) [
28]. RFX, containing a phenolic hydroxyl group, is a weak acidic phenolic compound with a pKa typically between 5–7. The ionization state of its phenolic hydroxyl group depends on the solution pH. Therefore, this study added a phosphate-citrate buffer solution (pH = 6) to create an acidic environment, increasing lipophilicity and facilitating the highest extraction recovery. Diethyl ether, a volatile organic solvent, is commonly used to extract hydrophobic compounds from biological samples. This allowed the RFX compound to be readily extracted from the sample matrix by diethyl ether. Existing methods often use HPLC for detection [
23,
24,
25], which has limited sensitivity, often requiring large amounts of individual samples and multiple extractions with diethyl ether. After establishing the mass spectrometry method in this study, detection sensitivity was significantly improved, allowing a moderate reduction in individual sample amount and diethyl ether volume. This greatly reduced the waste of labor and time costs. Results showed good peak shapes, achieving equivalent extraction efficiency. The reduced usage of diethyl ether enhanced safety and lowered economic costs.
4.3. Formulation Characterization
RFX nanosuspension (RFX-NS) exhibited significantly superior physicochemical properties compared to RFX suspension (RFX-S). Dynamic light scattering and scanning electron microscopy (SEM) results showed that RFX-NS had an average particle size of 484.93 ± 43.11 nm and a polydispersity index (PDI) of 0.06 ± 0.07, indicating a uniform particle size distribution and nano-sized irregular polyhedrons. In contrast, RFX-S had a micron-scale particle size of 2379.67 ± 121.71 nm, a PDI of 0.93 ± 0.10, and was prone to sedimentation. More importantly, RFX-NS possessed a higher absolute Zeta potential value (43.59 ± 0.67 mV) compared to RFX-S (38.10 ± 0.55 mV), indicating stronger negative charges on the particle surfaces and greater interparticle electrostatic repulsion. This is a key factor ensuring the long-term physical stability of the dispersion system. In vitro dissolution experiments and a 3-month stability study further confirmed that RFX-NS outperformed the traditional suspension in terms of dissolution rate, system homogeneity, redispersibility, and drug content maintenance. These superior formulation characteristics provide the material basis for its distinct in vivo pharmacokinetic behavior.
During the 3-month storage period, RFX-NS demonstrated good long-term physical stability, specifically manifested as: after 3 months of storage at 4 °C and 25 °C, the particle size remained at the nano-level with a narrow distribution, no significant aggregation or sedimentation, and good redispersibility. Its absolute Zeta potential value remained high and was consistently higher than that of the traditional suspension. Drug content retention also confirmed the greater stability of RFX-NS. Notably, rafoxanide itself possesses self-association properties [
16], which typically increase the risk of particle aggregation and precipitation in conventional suspensions, posing a challenge to their long-term stability. However, the nanotechnology and formulation process used for RFX-NS likely effectively inhibited further aggregation of drug nanoparticles due to self-association tendency by providing sufficient steric hindrance and the strong electrostatic repulsion conferred by the high Zeta potential. This indicates that the selected process successfully overcame the particle growth and aggregation issues caused by drug self-association, resulting in a stable nano-dispersion system during storage.
4.4. Pharmacokinetics
The 84-day comparative pharmacokinetic study conducted using the established LC-MS/MS method revealed significant differences between the two formulations. Compared to the non-nanomized traditional suspension (RFX-S), the rafoxanide nanosuspension (RFX-NS) exhibited the following characteristics: The apparent volume of distribution during the terminal phase (Vz/F) of RFX-NS was 1.64 times lower than that of RFX-S (856.02 ± 274.00 mL/kg vs. 1404.17 ± 285.1 mL/kg), being highly significantly smaller, indicating that RFX-NS remained more in the bloodstream compared to RFX-S. Rafoxanide itself has a strong affinity for plasma proteins. Combined with the characterization results of the two formulations, the nanoparticle size reduction via the nano-process may have further influenced its distribution pattern, leading to increased plasma concentration while reducing accumulation in non-target tissues. This not only helps enhance efficacy but may also lower potential toxicity risks to the organism.
Contrary to expectations, the elimination half-life (t1/2) of RFX-NS was 1.32 times shorter than that of RFX-S (4.05 ± 1.18 d vs. 5.32 ± 0.94 d), significantly smaller. This may reveal a more complex in vivo disposition process for the nano-formulation. Combining with the in vitro dissolution results of the two formulations, the dissolution rate of RFX-NS was 4.8% higher than that of RFX-S (97.6% vs. 94.8%). The faster dissolution rate of nanoparticles may have altered the characteristics of the terminal phase of the plasma concentration-time curve. The shortened t1/2 of RFX-NS could be attributed to the significant decrease in Vz/F, as t1/2 is proportional to Vz/F, and Vz/F is the numerator in the t1/2 calculation formula (t1/2 = 0.693 × Vz/CL). This conclusion aligns with the inference of reduced peripheral tissue exposure.
In addition, the Cmax in the RFX-NS group demonstrated considerable inter-individual variability, and some parameters did not reach significance, which may suggest that the sample size set in this study was insufficient. Confirmatory studies in the future should perform formal sample size estimation based on the preliminary experiment. Due to the limited sample size of this study (n = 8), formal subgroup or gender difference analyses were not conducted. Nevertheless, the consistent numerical trends observed across the pharmacokinetic parameters still reveal the potential advantages of the nanosuspension. For example, RFX-NS showed a trend towards prolonged Tmax, elevated Cmax, and an approximately 1.29-fold increase in AUC. Most importantly, the apparent volume of distribution (Vz/F), representing drug distribution, was significantly reduced, while the clearance (CL/F) also exhibited a clear downward trend. This pattern of “reduced volume of distribution and decreased clearance” aligns with an improved and more sustained absorption process, which may contribute to prolonging the drug’s residence time in the body.
4.5. Summary
In summary, although some inter-group comparisons did not reach the traditional threshold of statistical significance, multiple pharmacokinetic parameters synergistically presented consistent numerical trends that align with the theoretical mode of action for nano-formulations. These results strongly suggest that nanomization technology significantly altered the in vivo disposition behavior of rafoxanide, demonstrating clear potential in enhancing bioavailability (estimated relative bioavailability increased by 28.98%), achieving more sustained drug exposure, and potentially optimizing tissue distribution. This study provides important preliminary evidence and clear research directions for subsequent larger-scale confirmatory studies and further formulation optimization.