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1.
AAPS PharmSciTech ; 25(5): 128, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38844721

ABSTRACT

In this paper, we report two Accelerated Stability Assessment Program (ASAP) studies for a pediatric drug product. Whereas the first study using a generic design failed to establish a predictive model, the second one was successful after troubleshooting the first study and customizing the study conditions. This work highlighted important lessons learned from designing an ASAP study for formulations containing excipients that could undergo phase change at high humidity levels. The stability predictions by the second ASAP model were consistent with available long-term stability data of the drug product under various storage conditions in two different packaging configurations. The ASAP model was part of the justifications accepted by the health authority to submit a stability package with reduced long-term stability data from the primary stability batches for a Supplemental New Drug Application (sNDA).


Subject(s)
Chemistry, Pharmaceutical , Drug Stability , Excipients , Excipients/chemistry , Chemistry, Pharmaceutical/methods , Humidity , Drug Storage , Drug Packaging/methods , Drug Packaging/standards , Drug Compounding/methods , Humans , Child , Pharmaceutical Preparations/chemistry , Pediatrics/methods
2.
AAPS PharmSciTech ; 25(5): 127, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38844724

ABSTRACT

The success of obtaining solid dispersions for solubility improvement invariably depends on the miscibility of the drug and polymeric carriers. This study aimed to categorize and select polymeric carriers via the classical group contribution method using the multivariate analysis of the calculated solubility parameter of RX-HCl. The total, partial, and derivate parameters for RX-HCl were calculated. The data were compared with the results of excipients (N = 36), and a hierarchical clustering analysis was further performed. Solid dispersions of selected polymers in different drug loads were produced using solvent casting and characterized via X-ray diffraction, infrared spectroscopy and scanning electron microscopy. RX-HCl presented a Hansen solubility parameter (HSP) of 23.52 MPa1/2. The exploratory analysis of HSP and relative energy difference (RED) elicited a classification for miscible (n = 11), partially miscible (n = 15), and immiscible (n = 10) combinations. The experimental validation followed by a principal component regression exhibited a significant correlation between the crystallinity reduction and calculated parameters, whereas the spectroscopic evaluation highlighted the hydrogen-bonding contribution towards amorphization. The systematic approach presented a high discrimination ability, contributing to optimal excipient selection for the obtention of solid solutions of RX-HCl.


Subject(s)
Chemistry, Pharmaceutical , Excipients , Polymers , Raloxifene Hydrochloride , Solubility , X-Ray Diffraction , Polymers/chemistry , Excipients/chemistry , Raloxifene Hydrochloride/chemistry , Multivariate Analysis , X-Ray Diffraction/methods , Chemistry, Pharmaceutical/methods , Drug Carriers/chemistry , Drug Compounding/methods , Microscopy, Electron, Scanning/methods , Hydrogen Bonding , Crystallization/methods
3.
AAPS PharmSciTech ; 25(5): 105, 2024 May 09.
Article in English | MEDLINE | ID: mdl-38724807

ABSTRACT

The formulation of microspheres involves a complex manufacturing process with multiple steps. Identifying the appropriate process parameters to achieve the desired quality attributes poses a significant challenge. This study aims to optimize the critical process parameters (CPPs) involved in the preparation of naltrexone microspheres using a Quality by Design (QbD) methodology. Additionally, the research aims to assess the drug release profiles of these microspheres under both in vivo and in vitro conditions. Critical process parameters (CPPs) and critical quality attributes (CQAs) were identified, and a Box-Behnken design was utilized to delineate the design space, ensuring alignment with the desired Quality Target Product Profile (QTPP). The investigated CPPs comprised polymer concentration, aqueous phase ratio to organic phase ratio, and quench volume. The microspheres were fabricated using the oil-in-water emulsion solvent extraction technique. Analysis revealed that increased polymer concentration was correlated with decreased particle size, reduced quench volume resulted in decreased burst release, and a heightened aqueous phase ratio to organic phase ratio improved drug entrapment. Upon analyzing the results, an optimal formulation was determined. In conclusion, the study conducted in vivo drug release testing on both the commercially available innovator product and the optimized test product utilizing an animal model. The integration of in vitro dissolution data with in vivo assessments presents a holistic understanding of drug release dynamics. The QbD approach-based optimization of CPPs furnishes informed guidance for the development of generic pharmaceutical formulations.


Subject(s)
Chemistry, Pharmaceutical , Delayed-Action Preparations , Drug Delivery Systems , Drug Liberation , Microspheres , Naltrexone , Particle Size , Naltrexone/chemistry , Naltrexone/administration & dosage , Naltrexone/pharmacokinetics , Animals , Chemistry, Pharmaceutical/methods , Delayed-Action Preparations/chemistry , Drug Delivery Systems/methods , Polymers/chemistry , Emulsions/chemistry , Drug Compounding/methods , Solubility , Solvents/chemistry
4.
AAPS PharmSciTech ; 25(5): 93, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38693316

ABSTRACT

Tolterodine tartrate (TOTA) is associated with adverse effect, high hepatic access, varied bioavailability, slight aqueous solubility, and short half-life after oral delivery. Hansen solubility parameters (HSP, HSPiP program), experimental solubility (T = 298.2 to 318.2 K and p = 0.1 MPa), computational (van't Hoff and Apelblat models), and thermodynamic models were used to the select solvent(s). HSPiP predicted PEG400 as the most suitable co-solvent based on HSP values (δd = 17.88, δp = 4.0, and δh = 8.8 of PEG400) and comparable to the drug (δd = 17.6, δp = 2.4, and δh = 4.6 of TOTA). The experimental mole fraction solubility of TOTA was maximum (xe = 0.0852) in PEG400 confirming the best fit of the prediction. The observed highest solubility was attributed to the δp and δh interacting forces. The activity coefficient (ϒi) was found to be increased with temperature. The higher values of r2 (linear regression coefficient) and low RMSD (root mean square deviation) indicated a good correlation between the generated "xe" data for crystalline TOTA and the explored models (modified Apelblat and van't Hoff models). TOTA solubility in "PEG400 + water mixture" was endothermic and entropy-driven. IR (immediate release product) formulation can be tailored using 60% PEG400 in buffer solution for 2 mg of TOTA in 0.25 mL (dosing volume). The isotonic binary solution was associated with a pH of 7.2 suitable for sub-Q delivery. The approach would be a promising alternative with ease of delivery to children and aged patients.


Subject(s)
Solubility , Solvents , Thermodynamics , Tolterodine Tartrate , Humans , Tolterodine Tartrate/administration & dosage , Tolterodine Tartrate/chemistry , Tolterodine Tartrate/pharmacokinetics , Solvents/chemistry , Polyethylene Glycols/chemistry , Biological Availability , Chemistry, Pharmaceutical/methods , Injections, Subcutaneous , Drug Delivery Systems/methods
5.
AAPS PharmSciTech ; 25(5): 112, 2024 May 14.
Article in English | MEDLINE | ID: mdl-38744715

ABSTRACT

This study aimed to develop a propellant-free topical spray formulation of Etodolac (BCS-II), a potent NSAID, which could be beneficial in the medical field for the effective treatment of pain and inflammation conditions. The developed novel propellant-free spray formulation is user-friendly, cost-effective, propellant-free, eco-friendly, enhances the penetration of Etodolac through the skin, and has a quick onset of action. Various formulations were developed by adjusting the concentrations of different components, including lecithin, buffering agents, film-forming agents, plasticizers, and permeation enhancers. The prepared propellant-free spray formulations were then extensively characterized and evaluated through various in vitro, ex vivo, and in vivo parameters. The optimized formulation exhibits an average shot weight of 0.24 ± 0.30 ml and an average drug content or content uniformity of 87.3 ± 1.01% per spray. Additionally, the optimized formulation exhibits an evaporation time of 3 ± 0.24 min. The skin permeation study demonstrated that the permeability coefficients of the optimized spray formulation were 21.42 cm/h for rat skin, 13.64 cm/h for mice skin, and 18.97 cm/h for the Strat-M membrane. When assessing its potential for drug deposition using rat skin, mice skin, and the Strat-M membrane, the enhancement ratios for the optimized formulation were 1.88, 2.46, and 1.92, respectively against pure drug solution. The findings from our study suggest that the propellant-free Etodolac spray is a reliable and safe topical formulation. It demonstrates enhanced skin deposition, and improved effectiveness, and is free from any skin irritation concerns.


Subject(s)
Administration, Cutaneous , Etodolac , Skin Absorption , Skin , Animals , Etodolac/administration & dosage , Etodolac/pharmacokinetics , Etodolac/chemistry , Rats , Mice , Skin Absorption/physiology , Skin/metabolism , Skin/drug effects , Male , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/pharmacokinetics , Acute Pain/drug therapy , Chemistry, Pharmaceutical/methods , Permeability , Rats, Sprague-Dawley , Drug Compounding/methods
6.
Pak J Pharm Sci ; 37(1(Special)): 245-255, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38747276

ABSTRACT

Aripiprazole (ARI), an antipsychotic having low solubility and stability. To overcome this, formation of binary and ternary using inclusion complexes of Methyl-ß-cyclodextrin (MßCD) /Hydroxy propyl beta cyclodextrin (HPßCD) and L-Arginine (ARG)/ Lysine (LYS) are analyzed by dissolution testing and phase stability study along with their complexation efficacy and solubility constants made by physical mixing. Inclusion complexes with ARG were better than LYS and prepared by solvent evaporation and lyophilization method as well. They are characterized by Attenuated Total Reflection Fourier Transform Infrared Spectroscopy (AT-FTIR), X-ray powder diffractometry (XRD), Differential Scanning Calorimetry (DSC), Scanning electron microscopy (SEM) and Thermal gravimetric analysis (TGA). The bond shifting in AT-FTIR confirmed the molecular interactions between host and guest molecules. The SEM images also confirmed a complete change of drug morphology in case of ternary inclusion complexes prepared by lyophilization method for both the polymers. ARI: MßCD: ARG when used in the specific molar ratio of 1:1:0.27 by prepared by lyophilization method has 18 times best solubility while ARI:HPßCD:ARG was 7 times best solubility than pure drug making MßCD a better choice than HPßCD. Change in the molar ratio will cause loss of stability or solubility. Solvent evaporation gave significant level of solubility but less stability.


Subject(s)
2-Hydroxypropyl-beta-cyclodextrin , Arginine , Aripiprazole , Calorimetry, Differential Scanning , Lysine , Solubility , beta-Cyclodextrins , Aripiprazole/chemistry , Arginine/chemistry , beta-Cyclodextrins/chemistry , 2-Hydroxypropyl-beta-cyclodextrin/chemistry , Lysine/chemistry , Spectroscopy, Fourier Transform Infrared , X-Ray Diffraction , Freeze Drying , Antipsychotic Agents/chemistry , Drug Stability , Microscopy, Electron, Scanning , Drug Compounding , Chemistry, Pharmaceutical/methods
7.
AAPS PharmSciTech ; 25(5): 111, 2024 May 13.
Article in English | MEDLINE | ID: mdl-38740666

ABSTRACT

This in-depth study looks into how artificial intelligence (AI) could be used to make formulation development easier in fluidized bed processes (FBP). FBP is complex and involves numerous variables, making optimization challenging. Various AI techniques have addressed this challenge, including machine learning, neural networks, genetic algorithms, and fuzzy logic. By integrating AI with experimental design, process modeling, and optimization strategies, intelligent systems for FBP can be developed. The advantages of AI in this context include improved process understanding, reduced time and cost, enhanced product quality, and robust formulation optimization. However, data availability, model interpretability, and regulatory compliance challenges must be addressed. Case studies demonstrate successful applications of AI in decision-making, process outcome prediction, and scale-up. AI can improve efficiency, quality, and cost-effectiveness in significant ways. Still, it is important to think carefully about data quality, how easy it is to understand, and how to follow the rules. Future research should focus on fully harnessing the potential of AI to advance formulation development in FBP.


Subject(s)
Artificial Intelligence , Chemistry, Pharmaceutical , Chemistry, Pharmaceutical/methods , Drug Compounding/methods , Technology, Pharmaceutical/methods , Fuzzy Logic , Neural Networks, Computer , Machine Learning , Algorithms
8.
AAPS PharmSciTech ; 25(5): 115, 2024 May 16.
Article in English | MEDLINE | ID: mdl-38755324

ABSTRACT

More than 1 billion people worldwide suffer from hypertension; therefore, hypertension management has been categorized as a global health priority. Losartan potassium (LP) is an antihypertensive drug with a limited oral bioavailability of about 33% since it undergoes the initial metabolic cycle. Thus, nasal administration is a unique route to overcome first-pass metabolism. The investigation focused on the potential effects of LP-loaded spanlastic vesicles (SNVs) on LP pharmacodynamics and pharmacokinetic parameters, utilizing a thin-film hydration methodology established on a 3122 full factorial design. Entrapment efficiency (EE%) ranged from 39.8 ± 3.87.8 to 83.8 ± 2.92% for LP-SNVs. Vesicle size (VS) varied from 205.5 ± 6.5.10 to 445.1 ± 13.52 nm, and the percentage of LP released after 8 h (Q8h) ranged from 30.8 ± 3.10 to 68.8 ± 1.45%. LP permeated through the nasal mucosa during 24 h and flocculated from 194.1 ± 4.90 to 435.3 ± 13.53 µg/cm2. After twenty-four hours, the optimal LP-SNVs in-situ gel showed 2.35 times more permeation through the nasal mucosa than the LP solution. It also lowered systolic blood pressure, so it is thought to be better than the reference formulation in terms of pharmacodynamics. The pharmacokinetics studies demonstrated that the intranasal LP-SNVs gel boosted its bioavailability approximately 6.36 times compared to the oral LP solution. Our research showed that intranasal LP-SNVs could be a good nanoplatform because they are well-tolerated and have possible pharmacokinetics and pharmacodynamics.


Subject(s)
Antihypertensive Agents , Gels , Hypertension , Losartan , Losartan/pharmacokinetics , Losartan/administration & dosage , Losartan/pharmacology , Antihypertensive Agents/pharmacokinetics , Antihypertensive Agents/administration & dosage , Antihypertensive Agents/pharmacology , Animals , Hypertension/drug therapy , Male , Rats , Biological Availability , Administration, Intranasal , Nanoparticles/chemistry , Nasal Mucosa/metabolism , Nasal Mucosa/drug effects , Particle Size , Angiotensin II/pharmacokinetics , Angiotensin II/administration & dosage , Angiotensin II/pharmacology , Blood Pressure/drug effects , Rats, Wistar , Chemistry, Pharmaceutical/methods
9.
AAPS PharmSciTech ; 25(5): 114, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38750299

ABSTRACT

There is a growing focus on solid-state degradation, especially for its relevance in understanding interactions with excipients. Performing a solid-state degradation of Venetoclax (VEN), we delve into VEN's stability in different solid-state oxidative stress conditions, utilizing Peroxydone™ complex and urea peroxide (UHP). The investigation extends beyond traditional forced degradation scenarios, providing insights into VEN's behavior over 32 h, considering temperature and crystallinity conditions. Distinct behaviors emerge in the cases of Peroxydone™ complex and UHP. The partially crystalline (PC-VEN) form proves more stable with Peroxydone™, while the amorphous form (A-VEN) shows enhanced stability with UHP. N-oxide VEN, a significant degradation product, varies between these cases, reflecting the impact of different oxidative stress conditions. Peroxydone™ complex demonstrates higher reproducibility and stability, making it a promising option for screening impurities in solid-state oxidative stress scenarios. This research not only contributes to the understanding of VEN's stability in solid-state but also aids formulators in anticipating excipient incompatibilities owing to presence of reactive impurities (peroxides) and oxidation in the final dosage form.


Subject(s)
Bridged Bicyclo Compounds, Heterocyclic , Crystallization , Drug Stability , Excipients , Oxidation-Reduction , Sulfonamides , Bridged Bicyclo Compounds, Heterocyclic/chemistry , Crystallization/methods , Sulfonamides/chemistry , Excipients/chemistry , Oxidative Stress , Chemistry, Pharmaceutical/methods , Temperature
10.
Pharm Res ; 41(5): 937-945, 2024 May.
Article in English | MEDLINE | ID: mdl-38698196

ABSTRACT

BACKGROUND: Phosphate buffer is often used as a replacement for the physiological bicarbonate buffer in pharmaceutical dissolution testing, although there are some discrepancies in their properties making it complicated to extrapolate dissolution results in phosphate to the in vivo situation. This study aims to characterize these discrepancies regarding solubility and dissolution behavior of ionizable compounds. METHODS: The dissolution of an ibuprofen powder with a known particle size distribution was simulated in silico and verified experimentally in vitro at two different doses and in two different buffers (5 mM pH 6.8 bicarbonate and phosphate). RESULTS: The results showed that there is a solubility vs. dissolution mismatch in the two buffers. This was accurately predicted by the in-house simulations based on the reversible non-equilibrium (RNE) and the Mooney models. CONCLUSIONS: The results can be explained by the existence of a relatively large gap between the initial surface pH of the drug and the bulk pH at saturation in bicarbonate but not in phosphate, which is caused by not all the interfacial reactions reaching equilibrium in bicarbonate prior to bulk saturation. This means that slurry pH measurements, while providing surface pH estimates for buffers like phosphate, are poor indicators of surface pH in the intestinal bicarbonate buffer. In addition, it showcases the importance of accounting for the H2CO3-CO2 interconversion kinetics to achieve good predictions of intestinal drug dissolution.


Subject(s)
Bicarbonates , Drug Liberation , Ibuprofen , Phosphates , Solubility , Buffers , Bicarbonates/chemistry , Hydrogen-Ion Concentration , Ibuprofen/chemistry , Phosphates/chemistry , Particle Size , Computer Simulation , Powders/chemistry , Kinetics , Chemistry, Pharmaceutical/methods
11.
J Med Chem ; 67(10): 7668-7758, 2024 May 23.
Article in English | MEDLINE | ID: mdl-38711345

ABSTRACT

Covalent inhibitors and other types of covalent modalities have seen a revival in the past two decades, with a variety of new targeted covalent drugs having been approved in recent years. A key feature of such molecules is an intrinsically reactive group, typically a weak electrophile, which enables the irreversible or reversible formation of a covalent bond with a specific amino acid of the target protein. This reactive group, often called the "warhead", is a critical determinant of the ligand's activity, selectivity, and general biological properties. In 2019, we summarized emerging and re-emerging warhead chemistries to target cysteine and other amino acids (Gehringer, M.; Laufer, S. A. J. Med. Chem. 2019, 62, 5673-5724; DOI: 10.1021/acs.jmedchem.8b01153). Since then, the field has rapidly evolved. Here we discuss the progress on covalent warheads made since our last Perspective and their application in medicinal chemistry and chemical biology.


Subject(s)
Cysteine , Chemistry, Pharmaceutical/methods , Cysteine/chemistry , Cysteine/metabolism , Ligands
12.
PLoS One ; 19(5): e0303705, 2024.
Article in English | MEDLINE | ID: mdl-38781151

ABSTRACT

The main goal of the study was to improve the compliance and convenience of patients by designing and development of an immediate release (IR) fixed-dose combination (Clopidogrel bisulphate and Aspirin) tablets. The proposed combination product utilizes Clopidogrel to protect the moisture-sensitive aspirin component, enhancing its stability against atmospheric conditions. Response-surface approach (Design Expert vs. 13) was used to generate this IR tablet by calculating the right composition of independent variables such as Microcrystalline cellulose 102, pregelatinized starch and Hydroxypropyl cellulose. 32 factorial design was used to estimate the effects of these independent variables on the responses of dependent variables (disintegration & friability) and constructed a total of nine (9) formulations. Pre and Post formulation, quality control parameters were investigated as per pharmacopeia. A systematic approach was used for the optimization process and a prototype checkpoint batch (CPB) based on the better contrast of independent variables was prepared. In vitro analysis of formulations was carried out to estimate the responses. Friability was found in the range of 0.088-1.076%w/w, except F1 = 1.076 all are within limits (NMT 1.0%). Disintegration time was recorded 7.3 ± 1.20 as lower and 24.5 ± 1.63 min was the highest. The release of drugs from their dosage form was fast and rapid, for clopidogrel after 15min was 70.42-96.82% with SD ± 8.71 and aspirin was 69.88-91.49% in 15 min with SD ± 6.41, all the tablets were released more than 80% in 20 min. The stability outcomes of CPB tablets after 15 days of stress study (60 ± 2°C and 75 ± 5%) indicated good compatibility and stability of APIs with excipients. It was concluded that the direct compression method can be preferred to prepare a combination product with cost-effectiveness. It was also concluded that the proposed methodology could increase Aspirin's stability and allow for an aqueous coating system to finish the product with a film coating. By using Design Expert software, the best composition of the formulation can be selected and optimized in a short period of time with minimum trial and errors. The results also demonstrated that the use of a fixed-dose combination tablet instead of the individual is expected to be more convenient to patients and thus improves patient compliance and decreases the occurrence of adverse effects and side effects.


Subject(s)
Aspirin , Clopidogrel , Tablets , Clopidogrel/chemistry , Clopidogrel/administration & dosage , Aspirin/chemistry , Aspirin/administration & dosage , Tablets/chemistry , Ticlopidine/analogs & derivatives , Ticlopidine/chemistry , Ticlopidine/administration & dosage , Drug Combinations , Humans , Platelet Aggregation Inhibitors/chemistry , Platelet Aggregation Inhibitors/administration & dosage , Drug Compounding/methods , Chemistry, Pharmaceutical/methods
13.
Pharm Res ; 41(5): 833-837, 2024 May.
Article in English | MEDLINE | ID: mdl-38698195

ABSTRACT

Currently, the lengthy time needed to bring new drugs to market or to implement postapproval changes causes multiple problems, such as delaying patients access to new lifesaving or life-enhancing medications and slowing the response to emergencies that require new treatments. However, new technologies are available that can help solve these problems. The January 2023 NIPTE pathfinding workshop on accelerating drug product development and approval included a session in which participants considered the current state of product formulation and process development, barriers to acceleration of the development timeline, and opportunities for overcoming these barriers using new technologies. The authors participated in this workshop, and in this article have shared their perspective of some of the ways forward, including advanced manufacturing techniques and adaptive development. In addition, there is a need for paradigm shifts in regulatory processes, increased pre-competitive collaboration, and a shared strategy among regulators, industry, and academia.


Subject(s)
Drug Approval , Humans , Drug Development/methods , Drug Industry/methods , Technology, Pharmaceutical/methods , Pharmaceutical Preparations/chemistry , Chemistry, Pharmaceutical/methods , Drug Compounding/methods
14.
Acta Pharm ; 74(2): 289-300, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38815206

ABSTRACT

At present, society has embraced the fact apropos population aging and climate changes, that demand, amongst others, innovative pharmaceutical technologies, emphasising the development of patient-specific delivery systems and thus the provision of efficient and sustainable drugs. Protein drugs for subcutaneous administration, by allowing less frequent application, represent one of the most important parts of the pharmaceutical field, but their development is inevitably faced with obstacles in providing protein stability and suitable formulation viscosity. To gain further knowledge and fill the gaps in the already constructed data platform for the development of monoclonal antibody formulations, we designed a study that examines small model proteins, i.e., bovine serum albumin. The main aim of the presented work is to evaluate the effect of protein concentrations on critical quality attributes of both, pre-lyophilised liquid formulations, and lyophilised products. Through the study, the hypothesis that increasing protein concentration leads to higher viscosity and higher reconstitution time without affecting the stability of the protein was confirmed. The most important finding is that sucrose plays a key role in the lyophilisation of investigated protein, nevertheless, it can be predicted that, to ensure the beneficial effect of mannitol, its amount has to prevail over the amount of sucrose.


Subject(s)
Drug Compounding , Freeze Drying , Serum Albumin, Bovine , Serum Albumin, Bovine/chemistry , Viscosity , Drug Compounding/methods , Humans , Sucrose/chemistry , Drug Stability , Chemistry, Pharmaceutical/methods , Excipients/chemistry , Mannitol/chemistry , Protein Stability
15.
Acta Pharm ; 74(2): 229-248, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38815205

ABSTRACT

Pediatric patients often require individualized dosing of medicine due to their unique pharmacokinetic and developmental characteristics. Current methods for tailoring the dose of pediatric medications, such as tablet splitting or compounding liquid formulations, have limitations in terms of dosing accuracy and palatability. This paper explores the potential of 3D printing as a solution to address the challenges and provide tailored doses of medication for each pediatric patient. The technological overview of 3D printing is discussed, highlighting various 3D printing technologies and their suitability for pharmaceutical applications. Several individualization options with the potential to improve adherence are discussed, such as individualized dosage, custom release kinetics, tablet shape, and palatability. To integrate the preparation of 3D printed medication at the point of care, a decentralized manufacturing model is proposed. In this setup, pharmaceutical companies would routinely provide materials and instructions for 3D printing, while specialized compounding centers or hospital pharmacies perform the printing of medication. In addition, clinical opportunities of 3D printing for dose-finding trials are emphasized. On the other hand, current challenges in adequate dosing, regulatory compliance, adherence to quality standards, and maintenance of intellectual property need to be addressed for 3D printing to close the gap in personalized oral medication.


Subject(s)
Drug Compounding , Printing, Three-Dimensional , Tablets , Technology, Pharmaceutical , Humans , Administration, Oral , Child , Drug Compounding/methods , Technology, Pharmaceutical/methods , Precision Medicine/methods , Dosage Forms , Chemistry, Pharmaceutical/methods , Pharmaceutical Preparations/administration & dosage , Pharmaceutical Preparations/chemistry
16.
Acta Pharm ; 74(2): 177-199, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38815202

ABSTRACT

In the past, the administration of medicines for children mainly involved changes to adult dosage forms, such as crushing tablets or opening capsules. However, these methods often led to inconsistent dosing, resulting in under- or overdosing. To address this problem and promote adherence, numerous initiatives, and regulatory frameworks have been developed to develop more child-friendly dosage forms. In recent years, multiparticulate dosage forms such as mini-tablets, pellets, and granules have gained popularity. However, a major challenge that persists is effectively masking the bitter taste of drugs in such formulations. This review therefore provides a brief overview of the current state of the art in taste masking techniques, with a particular focus on taste masking by film coating. Methods for evaluating the effectiveness of taste masking are also discussed and commented on. Another important issue that arises frequently in this area is achieving sufficient dissolution of poorly water-soluble drugs. Since the simultaneous combination of sufficient dissolution and taste masking is particularly challenging, the second objective of this review is to provide a critical summary of studies dealing with multiparticulate formulations that are tackling both of these issues.


Subject(s)
Drug Compounding , Solubility , Taste , Humans , Drug Compounding/methods , Pharmaceutical Preparations/chemistry , Pharmaceutical Preparations/administration & dosage , Dosage Forms , Chemistry, Pharmaceutical/methods , Tablets , Administration, Oral , Child , Excipients/chemistry , Drug Liberation
17.
Acta Pharm ; 74(2): 201-227, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38815207

ABSTRACT

Lipid-based systems, such as self-microemulsifying systems (SMEDDS) are attracting strong attention as a formulation approach to improve the bioavailability of poorly water-soluble drugs. By applying the "spring and parachute" strategy in designing supersaturable SMEDDS, it is possible to maintain the drug in the supersaturated state long enough to allow absorption of the complete dose, thus improving the drug's bio-availability. As such an approach allows the incorporation of larger amounts of the drug in equal or even lower volumes of SMEDDS, it also enables the production of smaller final dosage forms as well as decreased gastrointestinal irritation, being of particular importance when formulating dosage forms for children or the elderly. In this review, the technological approaches used to prolong the drug supersaturation are discussed regarding the type and concentration of polymers used in liquid and solid SMEDDS formulation. The addition of hypromellose derivatives, vinyl polymers, polyethylene glycol, polyoxyethylene, or polymetacrylate copolymers proved to be effective in inhibiting drug precipitation. Regarding the available literature, hypromellose has been the most commonly used polymeric precipitation inhibitor, added in a concentration of 5 % (m/m). However, the inhibiting ability is mainly governed not only by the physicochemical properties of the polymer but also by the API, therefore the choice of optimal precipitation inhibitor is recommended to be evaluated on an individual basis.


Subject(s)
Biological Availability , Emulsions , Lipids , Solubility , Humans , Lipids/chemistry , Chemical Precipitation , Pharmaceutical Preparations/chemistry , Pharmaceutical Preparations/administration & dosage , Chemistry, Pharmaceutical/methods , Drug Compounding/methods , Polymers/chemistry , Drug Delivery Systems , Excipients/chemistry , Animals
18.
AAPS PharmSciTech ; 25(5): 122, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38816546

ABSTRACT

Prinsepia utilis seed oil (PUSO) is a natural medication obtained from Prinsepia utilis Rogle seed, which has been used for the treatment of skin diseases. The study aims to prepare ethosomes with high drug loading as a water-soluble transdermal vehicle to enhance the transdermal delivery of PUSO. PUSO-loaded ethosomes (PEs) were prepared using a cold method, and optimized by an orthogonal experimental design with entrapment efficiency (EE) as the dependent variable. The PEs prepared with the optimized formulation showed good stability, with a spherical shape under transmission electron microscopy (TEM), average particle size of 39.12 ± 0.85 nm, PDI of 0.270 ± 0.01, zeta potential of -11.3 ± 0.24 mV, and EE of 95.93 ± 0.43%. PEs significantly increased the skin deposition of PUSO compared to the PUSO suspension (P < 0.001). Moreover, the optimum formula showed significant ameliorative effects on ultraviolet B (UVB) irradiation-associated macroscopic and histopathological changes in mice skin. Therefore, PEs represent a promising therapeutic approach for the treatment of UVB-induced skin inflammation, with the potential for industrialization.


Subject(s)
Administration, Cutaneous , Particle Size , Plant Oils , Seeds , Skin , Ultraviolet Rays , Animals , Ultraviolet Rays/adverse effects , Mice , Plant Oils/pharmacology , Plant Oils/administration & dosage , Plant Oils/chemistry , Skin/drug effects , Skin/metabolism , Skin/pathology , Skin Absorption/drug effects , Chemistry, Pharmaceutical/methods , Skin Diseases/drug therapy , Skin Diseases/etiology , Male , Drug Delivery Systems/methods
19.
AAPS PharmSciTech ; 25(5): 120, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38816596

ABSTRACT

Cannabinoids, such as ∆9-tetrahydrocannabinol (THC) and cannabidiol (CBD), are effective bioactive compounds that improve the quality of life of patients with certain chronic conditions. The copolymer poly(lactic-co-glycolic acid) (PLGA) has been used to encapsulate such compounds separately, providing pharmaceutical grade edible products with unique features. In this work, a variety of PLGA based nanoformulations that maintain the natural cannabinoid profile found in the plant (known as full-spectrum) are proposed and evaluated. Three different cannabis sources were used, representing the three most relevant cannabis chemotypes. PLGA nanocapsules loaded with different amounts of cannabinoids were prepared by nanoemulsion, and were then functionalized with three of the most common coating polymers: pectin, alginate and chitosan. In order to evaluate the suitability of the proposed formulations, all the synthesized nanocapsules were characterized, and their cannabinoid content, size, zeta-potential, morphology and in vitro bioaccessibility was determined. Regardless of the employed cannabis source, its load and the functionalization, high cannabinoid content PLGA nanocapsules with suitable particle size and zeta-potential were obtained. Study of nanocapsules' morphology and in vitro release assays in gastro-intestinal media suggested that high cannabis source load may compromise the structure of nanocapsules and their release properties, and hence, the use of lower content of cannabis source is recommended.


Subject(s)
Cannabis , Nanoparticles , Particle Size , Plant Extracts , Polylactic Acid-Polyglycolic Acid Copolymer , Polylactic Acid-Polyglycolic Acid Copolymer/chemistry , Cannabis/chemistry , Nanoparticles/chemistry , Plant Extracts/chemistry , Drug Liberation , Cannabinoids/chemistry , Cannabidiol/chemistry , Nanocapsules/chemistry , Drug Carriers/chemistry , Polyglycolic Acid/chemistry , Lactic Acid/chemistry , Chitosan/chemistry , Chemistry, Pharmaceutical/methods , Alginates/chemistry , Pectins/chemistry , Gastrointestinal Tract/metabolism
20.
AAPS PharmSciTech ; 25(5): 119, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38816667

ABSTRACT

Loteprednol etabonate (LE) is a topical corticosteroid for the symptomatic management of ocular conditions, encompassing both allergic and infectious etiologies. Owing to the dynamic and static barriers of the eye, LE exhibits significantly low bioavailability, necessitating an increase in the frequency of drug administration. The objective of this study is to overcome the limitations by developing niosomal systems loaded with LE. Design of Experiments (DoE) approach was used for the development of optimal niosome formulation. The optimal formulation was characterized using DLS, FT-IR, and DSC analysis. In vitro and ex vivo release studies were performed to demonstrate drug release patterns. After that HET-CAM evaluation was conducted to determine safety profile. Then, in vivo studies were carried out to determine therapeutic activity of niosomes. Zeta potential (ZP), particle size, polydispersity index (PI), and encapsulation efficacy (EE) were -33.8 mV, 89.22 nm, 0.192, and 89.6%, respectively. Medicated niosomes had a broad distribution within rabbit eye tissues and was absorbed by the aqueous humor of the bovine eye for up to 6 h after treatment. Cumulative permeated drug in the bovine eye and rabbit eye were recorded 52.45% and 54.8%, respectively. No irritation or hemorrhagic situation was observed according to the results of HET-CAM study. Thus, novel LE-loaded niosomal formulations could be considered as a promising treatment option for the dry-eye-disease (DED) due to enhanced bioavailability and decreased side effects.


Subject(s)
Delayed-Action Preparations , Dry Eye Syndromes , Liposomes , Loteprednol Etabonate , Animals , Rabbits , Delayed-Action Preparations/administration & dosage , Delayed-Action Preparations/pharmacokinetics , Loteprednol Etabonate/administration & dosage , Loteprednol Etabonate/pharmacokinetics , Dry Eye Syndromes/drug therapy , Cattle , Drug Liberation , Particle Size , Disease Models, Animal , Administration, Ophthalmic , Biological Availability , Drug Delivery Systems/methods , Eye/metabolism , Eye/drug effects , Aqueous Humor/metabolism , Chemistry, Pharmaceutical/methods , Ophthalmic Solutions/administration & dosage , Ophthalmic Solutions/pharmacokinetics
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