FORMULATION AND EVALUATION OF IMMEDIATE RELEASE TABLETS OF ANTI CANCER DRUG BY USING SIMPLEX LATTICE DESIGN M. Pharm Dissertation Protocol Submitted to Rajiv Gandhi University of Health Sciences, Karnataka Bangalore– 560 041 By Mr. Chirag R. Patel, B.Pharm Under the Guidance of Dr. B. Prakash Rao, M.Pharm, Ph.D Professor& Head Department of Industrial Pharmacy P.G. Department of Industrial Pharmacy, Acharya & B.M.Reddy College of Pharmacy, Soldevanahalli, Chikkabanavara (Post) Hesaraghatta Main Road, Bangalore – 560 090 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE. ANNEXURE II PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION 1 Name of the candidate and address Mr. PATEL CHIRAGKUMAR RAMESHBHAI 2,Bahubali society, Radhanpur Road, Mehsana – 384002 Gujarat. 2 Name of the Institution ACHARYA AND B.M. REDDY COLLEGE OF PHARMACY Chikkabanavara Post , Hesaraghatta Main Road, Soldevanahalli, Bangalore-560 090. 3 Course of the study and subject M. Pharmacy (Industrial pharmacy) 4 Date of admission 03/04/ 2009 5 TITLE OF THE PROJECT:FORMULATION AND EVALUATION OF IMMEDIATE RELEASE TABLETS OF ANTI CANCER DRUG BY USING SIMPLEX LATTICE DESIGN 1 6 BRIEF RESUME OF INTENDED WORK:- 6.1 NEED FOR THE STUDY:- Many patients find it difficult to swallow tablets and hard gelatin capsules and thus not comply with prescription that results in high incidence of non-compliance and ineffective therapy. Immediate release tablets are gaining prominence as new drug delivery systems. These dosage forms dissolve or disintegrate in oral cavity within a minute without the need of water or chewing. In this study, an effort has been made to formulate immediate release tablets using different disintegrants. They are also suitable for the mentally ill, the bedridden, and patients who do not have easy access to water. The benefits, in terms of patient compliance, rapid onset of action, increased bioavailability, and good stability make these tablets popular as a dosage form of choice in the current market. Immediate release tablets remain solid till administration and possess dose accuracy and stability during storage which transform into liquid form within few seconds after its administration for easy swallowing. Immediate release tablets have significant advantages of both solid and liquid dosage forms. Advantages of this drug delivery system include administration without water, convenience of administration and accurate dosing as compare to liquids, easy portability, ability to provide advantages of liquid medication in the form of solid preparation, ideal for pediatric and geriatric patients and rapid dissolution/absorption of the drug, which may produce rapid onset of action1. This study aims to increase aqueous solubility of drug by solid dispersion and then to formulate such a tablet that disintegrates rapidly and provides rapid dissolution of the drug. Rapid absorption of a drug requires rapid dissolution, which in turn depends on higher aqueous solubility. 2 Immediate release tablets are those when put on tounge disintegrate instantaneously, releasing the drug which dissolve or disperses in the saliva. Faster the drug in the solution, quicker the absorption and onset of clinical effect. Some drugs are absorbed from the mouth, pharynx and oesophagus as the saliva passes down in to the stomach. In such cases, bioavailability of a drug is significantly greater than those observed from conventional tablet dosage form. The advantages of mouth dissolving dosage form are increasingly being recognized in both, industry and academia. Their growing importance was underline recently when European pharmacopoeia adopted the term “Orodispersible Tablet” as tablet that is to be place in the mouth where it disperses rapidly before swallowing. Mycophenolate mofetil is an ester prodrug of the active immunosuppressant mycophenolic acid. It is a noncompetitive, selective and reversible inhibitor of inosine monophosphate dehydrogenase, an important enzyme in the de novo synthesis of guanosine nucleotides in T and B lymphocytes. Mycophenolate mofetil and/or mycophenolic acid inhibit the proliferation of lymphocytes and the production of antibodies induced by a variety of mitogens and antigens. Use of Mycophenolate mofetil (MMF) at induction and introduction of MMF in the first 3 months post transplantation helps to preserve and restore creatinine levels in patients with worsened kidney function, and aids in keeping them stable, without increasing the risk of rejection while optimizing the anti-calcineurin dosage2. Considering the merits of Mycophenolate mofetil, we are proposing to choose it as an anti-cancer drug for the present study. 3 6.2 REVIEW OF LITERATURE: Effect of disintegrant on the disintegration behavior of the tablet in the oral cavity was evaluated. Wetting time prepared from carboxymethylcellulose (NS-300) having the hardness of 4 kg was 3 s. Tablet containing NS-300 showed fastest disintegration compared to other formulations. Ethenzamide and ascorbic acid were added to the formulation, and their disintegration behavior was evaluated. Ethenzamide did not affect the disintegration property, however, ascorbic acid prolonged disintegration time. It was suggested that the tablet formulation containing NS-300 and glycine was highly applicable to water-insoluble drug, such as ethenzamide.3 Atenolol was chosen as a model drug because of its poor absorption in the lower gastrointestinal tract. Three formulations containing 25 mg atenolol, a floating multiple-unit capsule, a high-density multiple-unit capsule, and an immediaterelease tablet were compared with respect to estimated pharmacokinetic parameters. The two multiple-unit dosage forms were composed of compressed minitablets and had sustained release properties. The bioavailability of the two gastro retentive preparations with sustained release characteristics was significantly decreased when compared to the immediate-release tablet.4 Immediate release direct compression tablet formulations require a strict control of the particle characteristics (i.e. particle size (distribution) and shape) of both the active pharmaceutical ingredient (API) and the excipients. Comparison with static image analysis (SIA) and scanning electron microscopy (SEM) data often shows laser diffraction to generate different size data. However, since laser diffraction (LD) is fast and frequently shows an adequate precision over a wide particle size range, the technique is still considered as a valuable analytical tool in the screening of the particle size distribution of API batches.5 4 Three examples of immediate release products containing phenoxymethylpenicillin potassium, glimepiride, and levofloxacin providing different solubility characteristics are evaluated. The solubility was high in the case of phenoxymethylpenicillin potassium and levofloxacin and low for glimepiride according to the biopharmaceutics classification system. The permeability (10-6 cm/s) of phenoxymethylpenicillin potassium, glimepiride, and levofloxacin was high. Typically, for immediate release formulations, one limit is specified for the dissolution to ensure the release of the active ingredient within the present time period.6 Melt granulation technique is a process by which pharmaceutical powders are efficiently agglomerated by meltable binder. The advantage of this technique compared to conventional granulation is that no water or organic solvents are needed. Because there is no drying step, the process is less time consuming and uses less energy than wet granulation. The granules containing oxcarbazepine were prepared using polyethylene glycol (PEG) 4000 as a melting binder and lactose monohydrate as hydrophilic filler. The potential of the intragranular addition of starch as a dissolution enhancer and disintegrative agent was also evaluated.7 Mycophenolate mofetil significantly inhibited the growth of HepG-2 cells by inducing the apoptosis of cells and this drug also inhibited the adhesion of HepG-2 cells in a dose-dependent manner. Marked morphological changes characterized in cell apoptosis were demonstrated through Hoechst33258 staining. In addition, mycophenolate mofetil decreased the proportion of S phase cells and increased that of G0/G1 phase cells. [3H]-Thymidine uptake assay indicated that the application of mycophenolate mofetil at different concentrations significantly inhibited the cell proliferation.8 5 Solid dispersions were prepared by the solvent evaporation method at different drug:polymer ratios (wt/wt). The physical state and drug:carrier interactions were analyzed by X-ray diffraction, infrared spectroscopy, and scanning electron microscopy. The dissolution rate of prednisone from solid dispersions was markedly enhanced by increasing the polymer concentration. The tablets were prepared from solid dispersion systems using polyethylene glycol (PEG) 6000 as a carrier at low and high concentration.9 Diazepam was formulated with polyethylene glycol (PEG-6000) as a solid dispersion to increase aqueous solubility and dissolution of drug. Croscarmellose sodium and aerolacR were used in tablet formulation to achieve rapid disintegration of tablets prepared respectively by wet granulation and direct compression methods.10 The poor aqueous solubility of the drug leads to variable dissolution rates. In the present investigation an attempt has been made to prepare oro-dispersible tablets of etoricoxib with enhanced dissolution rate. The another purpose of the present investigation was to evaluate effect of superdisintegrants like Crospovidone (Polyplasdone XL), Croscarmellose Sodium (Ac-Di-Sol) and Sodium starch glycolate (Primojel) on dissolution of poorly soluble, selective COX-2 inhibitor in oro-dispersible tablets. It was concluded that oro-dispersible tablets of etoricoxib with enhanced dissolution rate can be made using selected superdisintegrants.11 The biopharmaceutics classification system (BCS) allows biowaiver for rapid dissolving immediate-release (IR) products of Class I drugs (high solubility and high permeability). The possibility of extending biowaivers to Class III high solubility and low permeability drugs is currently under scrutiny. In vivo bioequivalence data of different formulations of Class III drugs would support such an extension.12 6 The drug studied was acetaminophen in the form of immediate release (IR) tablets. The second purpose was to establish a level A in vitro/in vivo correlation that could predict the bioavailability of a drug instead of using difficult, timeconsuming and expensive in vivo bioequivalence studies. The artificial digestive system was used to estimate the availability of acetaminophen IR tablets for absorption in fasted and fed states.13 Melt granulation with a lipophilic binder (hydrogenated castor oil; Cutina HR®) improved the stability of the drug, while still maintaining immediate-release characteristics of the drug product. The drug to binder ratio was shown to impact the degradation behavior of the drug product. With higher binder levels, the sensitivity of the drug to degradation under humidity conditions decreased. It is postulated that the lipophilic binder coated drug particles at the surface protecting them from the influence of moisture.14 6.3 OBJECTIVE OF THE STUDY:Following are the objectives of the present study : 1. To carry out pre-formulation studies for the possible drug/polymer/excipient interactions and micromeritic properties. 2. To prepare solid dispersion of drug. 3. To carry out estimation of drug in the formulations. 4. To evaluate the formulated dosage forms based on physico-chemical characterization and in vitro release studies. 5. To carry out short term stability studies on the most satisfactory formulations as per ICH guidelines at 30 ± 20C (65 ± 5 %RH) and 40 ± 20C (75 ± 5 %RH). 7 7 7.1 MATERIALS & METHODS:SOURCE OF DATA:1) Review of literature from: a) Journal such as i) Indian Journal of Pharmaceutical Sciences ii) European Journal of Pharmaceutical Sciences iii) Journal of Controlled Release iv) International Journal of Pharmaceutics v) AAPS Pharm.Sci.Tech. vi) Acta Poloniae Pharmaceutica and Drug Research vii) Asian Journal of Pharmaceutical Sciences b) World Wide Web. c) I.I.Sc Library, Bangalore. d) J-Gate@Helinet. e) RGUHS Library 8 7.2 METHOD OF COLLECTION OF DATA:-. 1) To carry out preformulation study A. Drug polymer interaction B. Micromeritic study a) Angle of repose b) Bulk density c) Porosity d) Percentage compressibility 2) To develop and formulate immediate release tablets by direct compression/wet granulation methods using various polymers. 3) Evaluation of the various properties of the formulated Immediate release tablets:a) Physical properties: Diameter and Thickness Hardness and Friability Uniformity of Weight and Content 4) In vitro dissolution studies will be carried out in a USP Type-II dissolution apparatus at 50 rpm in Phosphate buffer pH 1.2 as dissolution media. 5) To carry out short term stability studies on the most satisfactory formulation as per ICH guidelines at 30 ± 20C (65 ± 5 %RH) and 40 ± 20C (75 ± 5 %RH) for 2 months 6) Statistical analysis of data will be obtained from the results. 9 7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INVESTIGATION TO BE CONDUCTED ON PATIENT OR OTHER HUMANS OR ANIMALS? “NO” 7.4 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF 7.3? “NOT APPLICABLE” 10 8 REFERENCES:1. Barrera-Pulido L, Marin D, De la Mata M, Lopez-Garrido MA, Gomez-Bravo MA,. Jimenez M et al. Use of Mycophenolate Mofetil in Liver transplantation: Andalusian Liver Registry. Transplant Proc 2009;41:2177–80. 2. Ching-Ling Cheng, Lawrence X Yu, Hwei-Ling Lee, Chyun-Yu Yang , Chang-Sha Lue, Chen-His Chou. Biowaiver extension potential to BCS Class III high solubility-low permeability drugs: bridging evidence for metformin immediate-release tablet. Eur J Pharm Sci 2004;22:297-304. 3. Jinichi Fukami, Etsuo Yonemochi, Yasuo Yoshihashi, Katsuhide Terada. Evaluation of rapidly disintegrating tablets containing glycine carboxymethylcellulose. Int J Pharm 2006;310:101-9. 4. Nathalie Rouge, Eric Alle mann, Marianne Gex-Fabry, Luc Balant, Ewart Cole T, Pierre Buri et al. Comparative pharmacokinetic study of a floating multiple-unit capsule, a highdensity multiple-unit capsule and an immediate-release tablet containing 25 mg atenolol. Pharmaceutica Acta Helvetiae 1998;73:81-7. 5. Tinke AP, Vanhoutte K, Vanhoutte F, Smet De M, Winter De H. Laser diffraction and image analysis as a supportive analytical tool in the pharmaceutical development of immediate release direct compression formulations. Int J Pharm 2005;297:80-8. 6. Annke Frick, Helga Moller, Ehrenfried Wirbitzki. Biopharmaceutical characterization of oral immediate release drug products. In vitro/in vivo comparison of phenoxymethylpenicillin potassium, glimepiride and levofloxacin. Eur J Pharm Biopharm 1998;46:305-11. 7. Patel Nirav V, Chotai Narendra P, Patel Mayur P. Formulation design of oxcarbazepine fast-release tablets prepared by melt granulation technique. Asian J Pharm 2008:22-5. 8. Chu Yankui, Lu Jianguo, Yin Jikai, Cai Liang, Liu Yi. Inhibitory effect of mycophenolate mofetil on human hepatocellular carcinoma cell line HepG-2. Journal of Medical Colleges Of PLA 2009;24:208-14 . 11 9. Darío Leonardi, María Gabriela Barrera, María Celina Lamas,Claudio Javier Salomon. Development of Prednisone:Polyethylene Glycol 6000 Fast-Release Tablets From Solid Dispersions: Solid-State Characterization, Dissolution Behavior, and Formulation Parameters. AAPS Pharm Sci Tech 2007;8(4):E1-8. 10. Tapan Giri K, Parimal Jana, Biswanath Sa. Rapidly disintegrating fast release tablets of diazepam using solid dispersion: devolpment and evaluation. J Sci Ind Res 2008;67:436-9. 11. Shahi SR, Agrawal GR, Shinde NV, Shaikh SA, Shaikh SS, Somani VG et al. Formulation and in vitro evaluation of oro-dispersible tablets of etoricoxib with emphasis on comparative functionality evaluation of three classes of superdisintegrants. Rasayan J Chem 2008;2:292300. 12. Patel Biraju, Patel Dhaval, Parmar Ramesh, Patel Chirag, Serasiya Tejas, Sanja SD. Development and in vitro evaluation of fast dissolving tablets of glipizide. Int J Pharm Pharm Sci 2009;1:145-50. 13. Sabah Souliman, Stephanie Blanquet, Eric Beyssac, Jean-Michel Cardot. A level A in vitro/in vivo correlation in fasted and fed states using different methods: Applied to solid immediate release oral dosage form. Eur J Pharm Sci 2006;27:72-9. 14. James Kowalski, Oskar Kalbb, Joshi Yatindra M, Serajuddin, Abu TM. Application of melt granulation technology to enhance stability of a moisture sensitive immediate-release drug product. Int J Pharm 2009;381:56-61. 15. Aleksandra Dukic-Ott, Jean Paul Remon, Paul Foreman, Chris Vervaet. Immediate release of poorly soluble drugs from starch-based pellets prepared via extrusion/spheronisation. Eur J Pharm Biopharm 2007;67:715-24. 16. Radke RS, Jadhav JK, Chajeed M R. Formulation and evaluation of Orodispersible tablets of baclofen. Int. J ChemTech Res 2009;1(3):517-21. 17. Mario Giorgi, ChemD, Sara Del Carlo, PhD, Micaela Sgorbini, DVM et al. Pharmacokinetics of Tramadol and Its MetabolitesM1, M2, and M5 in Donkeys after Intravenous and Oral Immediate Release Single-Dose Administration J Equine Vet Sci 2009;29(7):569-74. 12 9 10 11 SIGNATURE OF THE CANDIDATE REMARKS OF THE GUIDE NAME AND DESIGNATION OF: 11.1 GUIDE Dr. B. Prakash Rao Professor& Head Dept of Industrial Pharmacy 11.2 SIGNATURE 11.3 CO-GUIDE --- 11.4 SIGNATURE --- 11.5 HEAD OF THE DEPARTMENT Dr. B. Prakash Rao Professor& Head Dept of Industrial Pharmacy 11.6 SIGNATURE 12 12.1 REMARKS OF THE PRINCIPAL 12.2 NAME OF THE PRINCIPAL Dr. DIVAKAR GOLI Principal, Acharya & B.M. Reddy College of Pharmacy Soldevanahalli, Bangalore-90 12.3 SIGNATURE 13
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