Numerous studies
have engineered nanoparticles with different physicochemical
properties to enhance the delivery efficiency to solid tumors, yet
the mean and median delivery efficiencies are only 1.48% and 0.70%
of the injected dose (%ID), respectively, according to a study using
a nonphysiologically based modeling approach based on published data
from 2005 to 2015. In this study, we used physiologically based pharmacokinetic
(PBPK) models to analyze 376 data sets covering a wide range of nanomedicines
published from 2005 to 2018 and found mean and median delivery efficiencies
at the last sampling time point of 2.23% and 0.76%ID, respectively.
Also, the mean and median delivery efficiencies were 2.24% and 0.76%ID
at 24 h and were decreased to 1.23% and 0.35%ID at 168 h, respectively,
after intravenous administration. While these delivery efficiencies
appear to be higher than previous findings, they are still quite low
and represent a critical barrier in the clinical translation of nanomedicines.
We explored the potential causes of this poor delivery efficiency
using the more mechanistic PBPK perspective applied to a subset of
gold nanoparticles and found that low delivery efficiency was associated
with low distribution and permeability coefficients at the tumor site
(P < 0.01). We also demonstrate how PBPK modeling
and simulation can be used as an effective tool to investigate tumor
delivery efficiency of nanomedicines.