Cyclodextrins (CDs) complex hydrophobic drugs: increasing their aqueou
s solubility and stability. CD complexation enables the creation of fo
rmulations for water-insoluble drugs that are difficult to deliver wit
h more traditional formulations. Currently, 10 pharmaceutical cal prod
ucts are marketed as CD formulations. A CD-based formulation, like any
other, is evaluated for quality and safety. The 6 CDs currently avail
able for use in pharmaceutical products are alpha-, beta-, gamma-CD an
d the methyl (M), hydroxypropyl (HP), and sulfobutylether (SEE) deriva
tives of beta-CD. The structural features of these CDs are evaluated f
or their affect on complexation performance. Optimal specifications, q
uality production, and safety of each CD is presented. The current and
future regulatory process facing excipients is summarized, and the cu
rrent regulatory status of the CDs in Japan, the United States, and Eu
rope is presented.