A Practical View on the Use of Phospholipids in Pharmaceutical Formulations chemical, regulatory and application aspects J. Zirkel 16.09.2013 Definition of Lecithin USP: “Lecithin is a complex mixture of acetone-insoluble phosphatides, which consist chiefly of phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine and phosphatidylinositol, combined with various amounts of other substances such as triglycerides, fatty acids and carbohydrates, as separated from the crude vegetable oil source. It contains not less than 50% of “AcetoneInsoluble Matter“. Regulatory and Safety Aspects (I) World Health Organization (WHO) • No limit placed on the oral intake of lecithin • No ADI value (Acceptable Daily Intake) for lecithin as a food additive (WHO, Food Additives Series, 1974, No. 5, p.234) • Soybean and egg lecithin (unsaturated and saturated) are non-toxic even when given parenterally By injection of lipid emulsions up to 12 g of phospholipids are administered per day! Regulatory and Safety Aspects (II) European Commission • Lecithin is a food additive (E322) “generally permitted for use in foodstuffs ...“ Annex I of directive 95/2/EC of 20 February 1995 http://ec.europa.eu/food/fs/sfp/addit_flavor/flav11_en.pdf • No ADI value has been fixed for lecithin in Europe; the material may be used „quantum satis“ http://ec.europa.eu/food/fs/sfp/addit_flavor/flav15_en.pdf Regulatory and Safety Aspects (III) United States Food and Drug Administration (FDA) • GRAS (Generally Recognized As Safe) affirmation for commercial lecithin (21 CFR § 184.1400 revised as of April 1, 2004) • FDA Center for Drug Evaluation and Research lists various approved drug products containing different phospholipids types as inactive ingredients Phospholipids – Production and Quality Aspects Sources for lecithin and phospholipids Vegetable Sources Animal Sources • Soybean • Egg yolk • Rapeseed • Milk • Sunflower • Bovine brain (mainly PS) • Wheat Germ • Krill • Flaxseed Synthesis Phospholipids – Structure and Properties Phosphatidylcholine (PC) Zwitterionic at physiological pH Monoacyl PC (LPC) Zwitterionic at physiological pH Phosphatidylethanolamine (PE) Negatively charged at basic pH Phosphatidylglycerol (PG) Phosphatidylinositol (PI) Phosphatidylserine (PS) Negatively charged at physiological pH Soy Phospholipids – Production and Quality Aspects Phospholipid 70 % PC Purification Crude lecithin 10-15% PC PC Purification Phospholipid ≥ 70% PC Phosphatidylcholine ≥ 90% PC Soy Phospholipids – Production and Quality Aspects TLC chloroform/methanol/water 65/25/4 (v/v/v) and copper sulfate Ref. Std. PC 20% PC 45 % PC 70 % PC 76% PE,PI, LPC PC 94 % PC 98 % Ref. Std. N-Acyl PE, PA Soy Phospholipids – Production and Quality Aspects HPLC (normal phase, ELSD) PC 20 % PC 45 % Soy Phospholipids – Production and Quality Aspects HPLC (normal phase, ELSD) PC 70 % PC 76 % Soy Phospholipids – Production and Quality Aspects HPLC (normal phase, ELSD) PC 94 % PC 98 % Soy Phospholipids – Production and Quality Aspects Phospholipid composition of the lecithin, phospholipid and PC fractions Compound PC LEC PC 20 LEC PC 45 PL PC 70 PE PI PA LPC LPE N-Acyl-PE Glycolipids Triglycerides (TG) Free Fatty Acids (FFA) ( ) ( ) D,L-α-Tocopherol (Toc) Sterols : High, ( ) : Medium, : Low, ( ): Negligible, n.d.: not detectable PL PC 76 PC 94 PC 98 ( ) n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. Soy Phospholipids – Production and Quality Aspects Fatty acid composition of the lecithin, phospholipid and PC fractions Peak Name C14:0 C16:0 C18:0 C18:1 C18:2 C18:3 C20:0 C22:0 Sum Parameter LEC PC 20 LEC PC 45 PL PC 70 PL PC 76 PC 94 PC 98 Area % Area % Area % Area % Area % Area % Area % Area % Area % 0.06 16.05 3.35 9.48 63.26 5.99 0.08 0.12 98.39 0.06 14.88 3.53 10.27 63.51 5.82 0.08 0.10 98.25 0.06 14.66 3.69 11.66 62.72 5.21 0.08 0.09 98.17 0.07 14.61 3.69 12.37 62.59 4.69 0.07 0.07 98.16 0.06 12.36 3.33 9.71 66.45 6.09 0.06 0.06 98.12 0.06 21.12 4.65 9.89 56.69 5.01 0.13 0.41 97.96 Soy PC contains about 40 % DLPC Phase transition temperature < 0 C Soy Phospholipids – Production and Quality Aspects Monographs for Soybean Lecithins Ph. Eur. [60] USP 33 / NF 28 [61] DAB [62] Temp. Pharm. Monogr. Chinese Pharmaco peia [64] IP [65] JPE [66] Soya Lecithin Lecithin (crude veget. oil) Soybean Lecithin [63] Title Soya Lecithin Monograph No. 2316 Country/Region Identification Europe AcetoneInsoluble Matter [%] ≥ 60 Lecithin Oil-Free Soya Lecithin Phospholi pid from Soybeans VFS 423051-98 CAS No. 8002-43-5 USA Germany Russia China India Japan Yellow YellowishWhite Yellow Yellow white Precipitate Precipitate Precipitate Precipitate Precipitate ≥ 50 ≥ 90 ≥ 50 ≥ 60 Soy Phospholipids – Production and Quality Aspects Monographs for Soybean Lecithins Ph. Eur. [60] USP 33 / NF 28 [61] DAB [62] Temp. Pharm. Monogr. Chinese Pharmac opeia [64] IP [65] JPE [66] ≤ 0.3 ≤ 0.3 ≤ 0.3 ≤ 36 ≤ 40 [63] TolueneInsoluble Matter [%] HexaneInsoluble Matter [%] PC content [%] ≤ 0.3 ≤ 0.3 ≤ 0.3 ≤ 0.3 ≥ 20≤31.6 ≥ 75 LPC content [%] ≤ 3.5 LPE content [%] ≤ 0.5 Acid value [mg KOH] or [mg NaOH] ≤ 35 ≤ 36 ≤ 35 ≤ 20 ≤ 30 Soy Phospholipids – Production and Quality Aspects Monographs for Soybean Lecithins Ph. Eur. [60] USP 33 / NF 28 [61] DAB [62] Temp. Pharm. Monogr. Chinese Pharmac opeia [64] IP [65] JPE [66] [63] Iodine value [cg iodine/g sample] Peroxide value Water (KarlFischer or LOD*)[%] Heavy Metals [ppm] Arsenic [ppm] Lead [ppm] ≤ 10 ≤ 2.0 ≤ 10 ≤ 1.5 ≤ 20 76-85 ≥ 75 ≤ 10 ≤ 1.0 ≤ 7.0 ≤5 ≤ 1.5 ≤ 10 ≤ 1.5 ≤ 10 ≤ 2.0 ≤5 ≤ 20 ≤ 20 ≤ 20 ≤2 ≤ 10 ≤2 ≤ 10 Hydrogen. Soy PC – Production and Quality Aspects PC Hydrog. PC H2 / Cat. Phosphatidylcholine Hydrogenated Phosphatidylcholine Hydrogen. Soy PC – Production and Quality Aspects TLC chloroform/methanol/water 65/25/4 (v/v/v) and copper sulfate Hydrogen. Soy PC – Production and Quality Aspects HPLC (normal phase, ELSD) PC SEDEX 85-I I SMP-SPC-3 256375-a2 900 Name 800 700 600 mV 500 400 300 200 100 HPLC einfügen 0 -100 0 2 4 6 8 10 12 14 Minutes 16 18 20 22 24 26 28 HPLC (reversed phase, UV) K-2000 SPC-3 525600-2130483-1-b Name 20 18 DSPC 16 14 10 8 6 PSPC mAU 12 4 2 0 -2 0 1 2 3 4 5 6 7 8 9 10 Minutes 11 12 13 14 15 16 17 18 19 20 Hydrogen. Soy PC – Production and Quality Aspects Phospholipid composition of hydrogenated soy phosphatidylcholine Component HSPC PC n.l.t. 98.0 % L PC n.m.t. 0.5 % PE n.m.t. 0.1 % N-Acyl-PE n.m.t. 0.5 % Hydrogen. Soy PC – Production and Quality Aspects Fatty acid composition of the hydrogenated soy PC Peak Name Parameter HSPC C16:0 Area % 13 C18:0 Area % 86 C18:1 Area % 0,3 C20:0 Area % 0,3 C22:0 Area % 0,1 HSPC contains about 27 % PSPC and 73 % DSPC Phase transition temperature > 50 C Hydrogen. Soy PC– Production and Quality Aspects Monographs for hydrogenated soy PC • None • HSPC is listed in the Inactive Ingredient Guide by the FDA Center for Drug Evaluation • Requirements also described in • Draft Guidance on Doxorubicin Hydrochloride (FDA, Feb. 2010) referring to • Draft guidance for industry: Liposome Drug Products (FDA 2002) • Reflection paper on the data requirements for intravenous liposomal products developed with reference to an innovator liposomal product (EMA, 21. February 2013) Egg Phospholipids – Production and Quality Aspects Egg Yolk Extraction Chromatography Purified Egg Phospholipid PC > 70 % Chromatography Egg Phosphatidylcholine PC Egg Phospholipids – Production and Quality Aspects HPTLC chloroform/methanol/water 65/25/4 (v/v/v) and copper sulfate Ref. Std PC 75 % PC 80 % PC 98 % Ref. Std. PE, PC ESM, LPC Egg Phospholipids – Production and Quality Aspects HPLC (ELSD) PC 75 % E PC PC 80 % Egg Phospholipids – Production and Quality Aspects Phospholipid composition of the lecithin, phospholipid and PC fractions Component PC PE SM L PE L PC PL PC 75 72.0 % 17.0 % 2.0 % 1.0 % 2.0 % PL PC 80 81.0 % 8.5 % 2.0 % 0.3 % 2.0 % PC 98 99.0 % 0.0 % 0.4 % 0.0 % 0.0 % Egg Phospholipids – Production and Quality Aspects Fatty acid composition of the lecithin, phospholipid and PC fractions Peak Parameter PL PC 75 PL PC 80 PC 98 Name C14:0 Area % 0.15 0.14 0.18 C16:0 Area % 30.76 30.9 34.31 C18:0 Area % 15.28 14.02 11.59 C18:1 n9 Area % 24.31 27.85 27.48 C18:2 n6 Area % 16.29 15.29 16.28 C20:4 n6 Area % 5.63 4.83 3.59 C22:4 n6 Area % 0.29 0.30 0.17 C22:5 n3 Area % 0.15 0.15 0.10 C22:6 n3 Area % 2.20 1.81 1.75 Egg PC contains about 40 % POPC, 10 % SOPC, 26 % PLPC and 13 % SLPC Phase transition temperature < 0 C Egg Phospholipids – Production and Quality Aspects Monographs for Egg Phospholipids JPE Ch. Pharm. Stand. USP Purified Yolk Lecithin Egg Yolk Lecithin Egg Phospholipids PC - n.l.t. 72.0 % Report value PE - n.m.t. 18.0 % Report value LPC - < 3.5 % n.m.t. 3.0 % 3.5-4.4 % 3.5-4.1 % - Nitrogen content 1.6-2.0 % 1.75-1.95 % - Acid value n.m.t. 25 - n.m.t. 20 - 195-212 - Title Phosphorus content Saponification value Egg Phospholipids – Production and Quality Aspects Monographs for Egg Phospholipids JPE Ch. Pharm. Stand. USP Iodine value 60-82 65-73 - Limit of fat - - n.m.t. 7 % Peroxide value - n.m.t. 3.0 mEq per n.m.t. 3 mEq per kg kg Water n.m.t. 4.0 % - n.m.t. 6 % Heavy metals n.m.t. 5 ppm - n.m.t. 10 ppm Arsenic n.m.t. 2 ppm - - - - n.m.t. 100 cfu n.m.t. 6 EU/g per g n.m.t. 6 EU/g Microbial limits Endotoxins - Synth. Phospholipids – Production and Quality Aspects Glycerophosphocholine (GPC) Esterification with Fatty Acid Phosphatidylcholine e.g. DMPC Biochemical Modification Phosphatidylglycerol e.g. DMPG Synth. Phospholipids – Production and Quality Aspects TLC chloroform/methanol/water/NH3 65/25/4 (v/v/v) and copper sulfate DPPC Ref. Std. PC FFA LPC LPC Synth. Phospholipids – Production and Quality Aspects HPLC (normal phase, ELSD) PC SEDEX 85-II SMP-DSPC 565256-A-b 450 Name 400 350 300 mV 250 200 150 100 50 0 -50 0 2 4 6 8 10 12 14 Minutes 16 18 20 22 24 26 28 Synth. Phospholipids – Production and Quality Aspects Phospholipid composition of synthetic phospholipids e.g. DPPC Component DPPC PC n.l.t. 99.0 % L PC n.m.t. 0.5 % Unidentified concomittant components n.m.t. 0.5 % Free fatty acids n.m.t. 0.3 % Synth. Phospholipids – Production and Quality Aspects Fatty acid composition of the synthetic phospholipids e.g. DPPC Peak Name Parameter DPPC C16:0 Area % > 98 Phase transition temperature depending on fatty acid composition and polar head Synth. Phospholipids – Production and Quality Aspects Monographs for synthetic phospholipids • None • Various synthetic phospholipids listed in the Inactive Ingredient Guide by the FDA Center for Drug Evaluation • Requirements also described in • Draft Guidance on Doxorubicin Hydrochloride (FDA, Feb. 2010) referring to • Draft guidance for industry: Liposome Drug Products (FDA 2002) • Reflection paper on the data requirements for intravenous liposomal products developed with reference to an innovator liposomal product (EMA, 21. February 2012) Chemical Stability – Phospholipids Storage Oxidation Hydrolysis In vivo Beside chemical degradation, enzymatic degradation: Phospholipases C,D, A1, A2 etc. Phospholipids – Production and Quality Aspects Suitability for Pharmaceutical Administration • Reproducible quality • Composition • Low content of Lyso-PL and FFA • Low peroxide value (POV) • Residual raw material • Residual intermediates • Possible synthetic by-products • Residual solvent • Low microbial burden • Low endotoxin content Phospholipids – Production and Quality Aspects Requirements for the manufacturer of phospholipids • cGMP • Certified according ICH Q7 • ISO 9001 • Drug Master Files • Registration Documents Parenteral Applications Parenteral Drug Delivery Systems Lipid Emulsions for Total Parenteral Nutrition Role of Phospholipids in Parenteral Delivery • Solubilization of poorly soluble drugs • Coating of drug particles (suspensions) • Encapsulation of hydrophilic and lipophilic drugs (liposomes, emulsions) • Modification of drug release (e.g. prolongation of circulation) • Drug targeting (e.g. antibodies grafted on liposomes) • Stabilization of sensitive drugs (prevent chemical, photochemical or oxidative degradation) • Reduction of side effects Most Popular Delivery Vehicles Mixed Micelle 5 – 10 nm Emulsion 150 – 350 nm Lipophilic Drug Hydrophilic Drug Bile Salt Liposome 20 – 10,000 nm Diacyl PL (PC) Fatty Acids Lipid Emulsions Emulsion Mixed Micelle 150 – 350 nm 5 – 10 nm Liposome 20 – 10,000 nm Emulsifier – Lipid Emulsions • Purified egg phospholipids are the state of the art emulsifier for parenteral lipid emulsions • Fat-free egg phospholipid with 80% phosphatidylcholine (PC) Egg phospholipid with 80 % PC Summary and Conclusions – Lipid Emulsions • Egg PLs are the emulsifiers of choice as they are: of natural origin non-irritant non-toxic compatible with the other ingredients They provide a perfect (phospholipid) composition to stabilize the emulsion. They are used worldwide for more than 50 years. Mixed Micelles Emulsion 150 – 350 nm Mixed Micelle 5 – 10 nm Liposome 20 – 10,000 nm Pharmaceutical Use of Mixed Micelles • Technology developed for diazepam solubilization to replace organic solvents in injectables • Approximately equimolar mixture of soybean phosphatidylcholine (SPC) and sodium glycocholate or other bile salts • SPC to overcome the hemolytic effect of the bile salt • Mixed micelles are not hemolytic, low toxicity Parenteral Application – Mixed Micelles • Purified soybean phosphatidylcholine (SPC) with > 94% PC is the state of the art product for parenteral mixed micelles Soy phosphatidylcholine Liposomes Emulsion 150 – 350 nm Mixed Micelle 5 – 10 nm Liposome 20 – 10,000 nm Pharmaceutical Use of Liposomes • Solubilization (iv) • Active targeting (iv) • Passive targeting (iv) • Delaying elimination of drugs (iv) • Slow release (sc/im/it) • Adjuvant (sc/im) Approved Phospholipids – Liposomes • Purified egg phospholipids • Hydrogenated soybean phosphatidylcholine • Synthetic phospholipids as e.g. DMPC, DSPC, DOPC, DSPG, DSPE-PEG 2000 Properties and Benefits of Suspensions • Possible to formulate drugs that are insoluble in water and in oil • Formulation of drugs with high melting points • Drugs in their crystalline state can be applied • Can function as parenteral sustained release system (drug depot formation) • High physical stability Approved Phospholipids – Suspensions • Soybean phospholipids • Various synthetic PLs Summary and Conclusions – Suspensions • Natural soybean PL (n.l.t. 75% PC) or synthetic phospholipids are applied • Non-toxic, safe for i.v. use in humans • Phospholipids stabilize the suspensions • Prevent the particles from agglomeration • Low production costs Pulmonary Applications Metered Dose Inhaler Nebulizer Mouth piece Cap Dry Powder Inhaler Approved Phospholipids for Pulmonary Applications • Soybean Lecithin • DPPC • DSPC Phospholipids either used as active or as excipient Phospholipids as Excipients in Oral Pharmaceutical Applications Application in Oral Formulations • PLs can enhance the water solubility and permeability of APIs leading to improved drug absorption and bioavailability • PLs can stimulate the lymphatic transport of APIs • PLs are able to reduce local side effects of NSAID drugs • PLs can protect APIs in the gastric fluid • PLs can retard the release of APIs in the intestinal fluid • (Active) Soy derived lecithins and phospholipids are more or less exclusively used in oral formulations Phospholipids as Excipients in Dermal Pharmaceutical Applications Outline • Skin Delivery Systems • Penetration / Permeation Enhancer • Improved Drug Retention • Improvement of Drug Stability • Active (Wound Healing) Recommended Topical Phospholipids • Monoacyl plant phosphatidylcholine • Soybean phospholipids • Soybean phosphatidylcholine • Hydrogenated soybean phosphatidylcholine Summary and Conclusions Phospholipids used in the different applications natural phospholipids egg parenteral emulsion liposome mixed micelles suspension pulmonary oral dermal hydrogenated phospholipids soy synthetic phospholipids Summary and Conclusions • Phospholipids are used in a broad range of pharmaceutical formulations for decades. • Phospholipids are considered as excipients by the authorities. • All kind of phospholipids (natural, hydrogenated and synthetic) are used and accepted by authorities worldwide. • In the overall phospholipid market synthetic phospholipids play compared to natural phospholipids a minor role. • Natural phospholipids are based on renewable sources. Summary and Conclusions • All side products are used while producing natural phospholipids. • In purified natural phospholipids used in parenterals all substances present are known including their toxicological aspects. Neither chemicals nor toxic solvents are used for the production. • In natural phospholipids as well as in synthetic phospholipids via the GPC-route the natural configuration is ensured. • Synthetic phospholipids can be possibly replaced by natural phospholipids. Summary and Conclusions • Natural phospholipids are accepted by all authorities worldwide. • Most drugs (including the parenterals) have been produced by using natural phospholipids. • Natural phospholipids are less expensive and available in large volumes. • Phospholipids provide promising solutions in the development of new pharmaceutical formulations not only as they are bodyown and biodegradable.
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