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BIOPHARMACEUTICAL &
PHARMACOKINETIC CONSIDERATIONS IN
DEVELOPMENT OF CONTROLLED RELEASE
DRUG PRODUCT
LARAIB JAMIL
REGISTERED M-PHILL SCHOLAR
DEPARTMENT OF PHARMACEUTICS
UNIVERSITY OF BALOCHISTAN
BIOPHARMACEUTICS
ī‚ĸ Biopharmaceutics is the study of the interrelationship of
the physical/chemical properties of the drug, the dosage
form (drug product) in which the drug is given, and the
route of administration on the rate and extent of systemic
drug absorption.
[accesspharmacy.mhmedical.com]
PHARMACOKINETICS
ī‚ĸ Pharmacokinetics, sometimes described as what
the body does to a drug, refers to the movement of
drug into, through, and out of the body—the time
course of its
absorption, bioavailability, distribution, metabolis
m, and excretion.
[www.msdmanuals.com/professional/clinical-]
DRUG PRODUCT
ī‚ĸ (1) A dosage form that contains an active drug ingredien
t or placebo.
(2) A finished dosage form of a therapeutic gent as
described in regulations.
[medical-dictionary.thefreedictionary.com]
CONTROLLED RELEASE DRUG DELIVERY
It is
ī‚ĸ Controlled rate
ī‚ĸ Localized drug action
ī‚ĸ Target drug action.
WHY WE GO TOWARDS CONTROLLED
RELEASE DRUG DELIVERY ?
ADVANTAGES
ī‚ĸ Improves patient convenience
ī‚ĸ Reduction in fluctuation in steady state level.
ī‚ĸ Increse the safety margin of high potency drug
ī‚ĸ Reduction in total health care cost
DISADVANTAGES
ī‚ĸ Decreases systemic availability
ī‚ĸ Poor invitro invivo corelation
ī‚ĸ Increased risk of toxicity
ī‚ĸ Retrieval of drug is difficult in toxicity, poisoning or
hyper senstivity reaction.
MECHANISM/PHARMACEUTICAL ASPECTS OF
CONTROLLED RELEASE DELIVERY (ORAL)
ī‚ĸ Dissolution:
1. Matrix
2. Encapsulation
ī‚ĸ Diffusion :
1. Matrix
2. Reservoir
ī‚ĸ Combination of both dissolution and diffusion
â€ĸ OSMOTIC PRESSURE CONTROLLED SYSTEM
DISSOLUTION
ī‚ĸ Dissolution is when solid substance dissolves in a
solvent
ī‚ĸ Mass transfer from solid to liquid
ī‚ĸ Rate determining step : Diffusion from solid to liquid
[biopharmaceutics and pharmacokinetics D.M Brahmankar,
Sunil.Jeswal]
DIFFUSION
ī‚ĸ Diffusion occurs when particles spread. They move
from a region where they are in high concentration to a
region where they are in low concentration. Diffusion
happens when the particles are free to move
[ BBC-GCSE Bitesize Difffusion]
MATRIX DIFFUSION TYPE
ī‚ĸ Rigid matrix diffusion:
Materials used are insoluble plastics such as PVP
and fattyacids
ī‚ĸ Swellable matrix diffusion:
1. Also called galaxy hydrogels popular for
sustaining the release of highly water soluble
drugs .
2. Materials used are hydrophilic gums.
SWELLABLE MATRIX DIFFUSION
RESERVOIR SYSTEM
ī‚ĸ Also called laminated matrix device.
ī‚ĸ Hollow system contaning
an inner core surrounded
in water insoluble
membrane.
ī‚ĸ Polymer can be applied
by coating or
microencapsulation.
ī‚ĸ Rate controlling mechanism-
partitioning into membrane with
subsequent release into surrounding
fluid by diffusion.
RESORVOIR SYSTEM
ī‚ĸ Commonly used polymers : ethyl cellulose polyvinyl
acetate
ī‚ĸ Example: transdermal patch
[the eastern pharmacist, november 1993
Sustained release drug V.R Gudsoorkar & D.Rmbhau]
COMBINATION OF DISSOLUTION & DIFFUSION
OSMOTIC PRESSURE CONTROLLED SYSTEM
ī‚ĸ Osmosis: movement of particles/solvent from lower
to high concentration.
ī‚ĸ The passage of solvent from in the solution through
semipermeable membrane
ī‚ĸ Osmotic pressure: it is hydrostatic pressure
produced by a solution in a space devided by a
semipermeable membrane due to difference in
conc of solutes.
OSMOTIC PRESSURE CONTROLLED SYSTEM
ī‚ĸ Provides zero order release
ī‚ĸ Drug may be osmotically active or combined may
be osmotically salt (e.g NaCl)
ī‚ĸ Semipermeable membranes usually made up of
cellulose acetate
ī‚ĸ More suitable for hydrophilic drugs
ī‚ĸ Procardia XL (ca channel blocker)
[novel drug delivery system vol-50 W.Y Chien]
OPCS
1. 2 compartments separated by moveable partition
2. Osmotically active compartment absorbs water
from GIT
3. Create osmotic pressure
4. Partition move upword and drug releases
PARENTERAL CONTROLLED RELEASE DRUG
DELIVERY SYSTEM
ī‚ĸ The Parenteral administration route is the
most common and efficient for delivery of
active drug substances with poor bio-
availability and the drugs with a narrow
therapeutic index.
ī‚ĸ Drug delivery technology that can reduce
the total number of injection throughout the
drug therapy period will be truly
advantageous not only in terms of
compliance, but also to improve the quality
of the therapy and also may reduce the
dosage frequency.
[A Review on Parenteral Controlled Drug Delivery System
Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
MAJOR ROUTES OF PARENTERAL ADMINISTRATION
ī‚ĸ īŋŊ Intravenous (into a vein).E.g., Total parenteral
nutrition (TPN)
ī‚ĸ īŋŊ Intra-arterial (into an artery).E.g. Vasodilator drugs in
the treatment of vasospasm and thrombolytic drugs for
treatment of embolism.
ī‚ĸ īŋŊ Intramuscular (into a muscle).E.g. Many vaccines,
Antibiotics and Long-acting Psychoactive Agents
ī‚ĸ īŋŊ Intracardiac (into the heart).E.g. Adrenalin during
cardiopulmonary resuscitation (not commonly performed
anymore).
MAJOR ROUTES OF PARENTERAL ADMINISTRATION
ī‚ĸ SUBCUTANEOUS
Adipose and connective tissues are poorly perfused
with blood. This route is generally limited to non-
irritating, water-soluble drugs that are well
absorded, e.g., insulin. The volume of
subcutaneous injection is usually restricted to 0.5-
1.5 ml.
ī‚ĸ INTRA PERITONEAL
(Within peritoneum) Lymphatic channel are
frequently the route by which tumor metastasize
micro molecules administer intraperitoneally can
gain access to the lymphatic system and return
slowly to the vascular compartment. Thus, a
macromolecule may be used as a carrier to
target Antineoplastic agents into the lymphatic
ADVANTAGES
ī‚ĸ Improved patient convenience and compliance.
ī‚ĸ īŋŊ Reduction in fluctuation in steady-state levels.
ī‚ĸ īŋŊ Increased safety margin of high potency drugs.
ī‚ĸ īŋŊ Maximum utilization of drug.
ī‚ĸ Reduction in health care costs through improved
therapy, shorter treatment period, less frequency of
dosing
DISADVANTAGES
ī‚ĸ Danger of device failure
ī‚ĸ īŋŊ Limited to potent drug
ī‚ĸ īŋŊ Decreased systemic availability
ī‚ĸ īŋŊ Possibility of dose dumping.
ī‚ĸ īŋŊ Retrieval of drug is difficult in case of toxicity,
poisoning or hypersensitivity reactions.
ī‚ĸ īŋŊ Higher cost of formulations.
PARENTERAL NOVEL DRUG DELIVERY SYSTEM
ī‚ĸ INJECTABLES
ī‚ĸ Both aqueous as well as oil solutions may be used
for parenteral controlled drug release. With
aqueous solutions (given i.m.), the drug release
may be controlled by increasing the viscosity of
vehicle by use of MC, CMC, or PVP and thus,
decreasing molecular diffusion and localizing the
injected drug.
INJECTABLES
ī‚ĸ Oil solutions control the release by partitioning the
drug out of the oil in the surrounding aqueous
biofluids. Vegetable oils like arachis oil, cottonseed
oil, etc are used for such a purpose. The method is
applicable only to those drugs which are oil-soluble
and have optimum partition coefficient.
COLLOIDAL DISPERSION
ī‚ĸ Liposomes :
ī‚ĸ Liposomes are formed by the self-assembly of
phospholipids molecules in an aqueous
environment. The amphiphilic phospholipid
molecules form a closed bilayer sphere in an
attempt to protect their hydrophobic groups from
the aqueous environment while still maintaining
contact with the aqueous phase via the hydrophilic
head group.
LIPOSOMES
LIPOSOMES
ī‚ĸ Liposomes interact with cell membrane by-
1. Fusion-the lipid portion of the vesicle-fuses with
cell membrane and contents of the vesicle are
released into the cell.
2. Endocytosis-cell engulfs the vesicle and lyses, it
releasing the contents.
3. Adsorption-vesicle is adsorbed on the surface of
cell membrane and its content diffuses into the cell.
ACCEPTANCE OF LIPOSOMES BY CELL
APPLICATION OF LIPOSOMES
ī‚ĸ Liposomal Anti-Cancer Agent: Liposomal
doxorubicin is now licensed as Caelyx for the
treatment of Kaposi's sarcoma.
ī‚ĸ īŋŊ Liposomal Anti-Infective Agents: Liposomal
amphotericin B (Ambisome) is used for the
treatment of systemic fungal infection.
ī‚ĸ īŋŊ Liposomes as Vaccine Adjuvants: Liposomal
vaccines can be made by associating microbes,
soluble antigens, cytokines, or DNA with liposomes,
the latter stimulating an immune response on
expression of the antigenic protein
. [ A Review on Parenteral Controlled Drug Delivery System
Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
NIOSOMES
ī‚ĸ Niosome are non-ionic
surfactant vesicles
obtained on hydration of
synthetic nonionic
surfactants, with or
without incorporation of
cholesterol or their lipids.
APPLICATIONS OF NIOSOMES
ī‚ĸ Anticancer Niosomes: It accumulates within tumors.
For example, niosomal encapsulation of
doxorubicin and methotrexate increases drug
delivery to the tumor and tumoricidal activity.
ī‚ĸ īŋŊ Niosomes at Targeted Site: Uptake by the spleen
and liver make niosomes ideal for targeting
diseases. For example leishmaniasis and the
niosomal formulations of sodium stibogluconate
improve parasite suppression in the spleen, bone
marrow. and liver.
ī‚ĸ īŋŊ It is also used in depot systems for short-acting
peptide drugs on intramuscular administration.
ī‚ĸ īŋŊ Niosomes used in Ophthalmic drug delivery
NANOPARTICLES
ī‚ĸ Nanosuspension
ī‚ĸ Nanosuspensions of drugs are submicron colloidal
produced by suitable methods and stabilized by
surfactants. A pharmaceutical nanosuspension can
be defined as the Nano-sized drug particle which is
finely dispersed in an aqueous vehicle for either
oral and topical use or parenteral and pulmonary
administration. In general, the particle size in
nanosuspension is always (usually lies between
200nm to 600nm)
NANOPARTICLES
ī‚ĸ Application of nanosuspension :
ī‚ĸ Nanosuspension can be delivered either
intravenous route or intra-articular. But in case of
parenteral administration, solute should be
remained in solubilized form or particle or globule
size below 5mm to avoid capillary blockage.
ī‚ĸ Some current approaches have come resolve the
drawbacks of poorly soluble drug for parenteral
delivery. These are salt formation, Solubilization
using co-solvent, complexation with cyclodextrin
and vesicular system (liposome and
transferosome).
ī‚ĸ for example, paclitaxel nanosuspension has been
found better responses in treating tumour than
taxol.
NANOEMULSION/MICROEMULSION
Nanoemulsion / Microemulsion are liquid dispersions
of water and oil that are made homogenous,
transparent (or translucent) and thermodynamically
stable by the addition of relatively large amounts of
a surfactant and a co-surfactant and having
diameter of the droplets in the range of 100 īŋŊ 1000
A (10 īŋŊ- 100 nm)
[ A Review on Parenteral Controlled Drug Delivery System
Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh
Thengal1 ]
APPLICATIONS OF MICROEMULSION
ī‚ĸ Microemulsions used as intravenous delivery
systems for the fat soluble vitamins and lipids in
parenteral nutrition.
ī‚ĸ īŋŊ O/W Microemulsions were characterized by their
small particle size and their wide range of
temperature stability, typically from about 200īŋŊ-
500C.
ī‚ĸ They could be administered by intravenous,
intraocular, intraarticular, intraperitoneal and
intramuscular.
MICROPARTICLES
ī‚ĸ Microsphere : Microspheres are small spherical
particles, with diameters in the micrometer range
(typically 1 mm to 1000 mm). Microspheres can be
manufactured from various synthetic and natural
materials. Polymer microspheres, ceramic
microspheres and Glass microspheres are
commercially available.
ī‚ĸ Solid microspheres have numerous applications
depending on what material they are constructed of
and what size they are. Hollow microspheres are
typically used to lower the density of a material.
RELEASED ERYTHROCYTES
ī‚ĸ Drug loading can be done by immersing the cell in
buffered hypotonic solution of drug which causes
them to rupture and release hemoglobin and trap
the medicament. On restoration of isotonicity and
incubation at 370C, the cells reseal and are ready
for use upon reinjection; the drug loaded
erythrocytes serve as slow circulating depots.
RELEASED ERYTHROCYTES
ī‚ĸ Advantages :
ī‚ĸ Fully biodegradable, biocompatible, and non
immunogenic.
ī‚ĸ īŋŊ Longer life span in circulation.
ī‚ĸ īŋŊ Protection of the drug from enzymatic
inactivation.
RELEASED ERYTHROCYTES
ī‚ĸ Applications:
ī‚ĸ Damaged erythrocytes are rapidly cleared from
circulation of phagocytic Kupffur cells in liver and
spleen.
ī‚ĸ īŋŊ Treatment of parasitic diseases: Antimalarial,
antileishmanial and antiamoebic drugs
(METRONIDAZOLE, TINIDAZOLE) can be
delivered.
IMPLANTS
ī‚ĸ Lafarge first introduced the concept of implantable
therapeutic system for long term, continuous drug
administration in 1861 with the development of a
subcutaneous implantable drug pellet.
ī‚ĸ The technique was used to administered crystalline
hormone in form of solids steroids pellets. Implant
represents novel approach in the use of solid
dosage forms as parenteral product.
IMPLANTS
ī‚ĸ Implants are insert under the skin by cutting and
stitching it alter insertion of' the sterile tablet which
is cylindrical, rod and ovoid shaped and more than
8 mm in length. The sterile tablets consisting of the
highly purified drug, compressed without excipients.
If, intended for subcutaneous implantation in the
body.
[ A Review on Parenteral Controlled Drug Delivery
System
Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1,
Yogesh Thengal1 ]
IMPLANT
CLASSIFICATION OF INJECTABLE IN SITU FORMING
IMPLANTS:
ī‚ĸ THERMOPLASTIC PASTES :
ī‚ĸ Semi-solid polymers can be injected when melted
and form a depot upon cooling to body
temperature.
ī‚ĸ The requirements for such In Situ Forming Devices
(ISFD) include low melting or glass transition
temperatures in the range of 250C to 658īŋŊC and
an intrinsic viscosity in the range of 0.05 to 0.8 dl/g.
ī‚ĸ Thermoplastic pastes allow local drug delivery at
sites of surgical interventions for the delivery of
antibiotic or cytotoxic agents. Alternatively, they can
be used to generate a subcutaneous drug reservoir
from which diffusion occurs into the systemic
2-) THERMALLY INDUCED GELLING SYSTEMS:
ī‚ĸ Numerous polymers show abrupt changes in
solubility as a function of environmental
temperature.
ī‚ĸ MacroMed distributes OncoGelw, which contains
paclitaxel at a concentration of 6 mg/g ReGelw for
intratumoral injection, followed by a continuous
drug release over a period of 6 weeks.
ī‚ĸ The clear advantage is the ability to solubilize the
water-insoluble drug substances, such as
paclitaxel, which allows a prolonged release for
more than 50 days.
SOLID IMPLANTS
ī‚ĸ Implants are cylindrical, monolithic devices of mm
or cm dimensions, implanted by a minor surgical
incision or injected through a large bore needle into
the S.C or I.M tissue.
ī‚ĸ Subcutaneous tissue is an ideal location because
of its easy access to implantation, poor perfusion,
slow drug absorption and low reactivity towards
foreign materials.
ī‚ĸ The drug in implant may be dissolved, dispersed or
embedded in a matrix of polymer or waxes/lipids
that control release by dissolution and/or diffusion,
bioerosion, biodegradation or an activation process
such as osmosis or hydrolysis.
INFUSION DEVICES
ī‚ĸThese are also implantable devices but are
versatile in the sense that they are
intrinsically powered to release the
medicament at a zero-order rate and the
drug reservoir can be replenished from
time to time. Depending upon the
mechanism by which these implantable
pumps are powered to release the contents
EXAMPLE INCLUDE:
ī‚ĸ An infusion pump is a
medical device that delivers fluids,
such as nutrients and medications,
into a patient's body in controlled
amounts. Infusion pumpsare in
widespread use in clinical settings
such as hospitals, nursing homes,
and in the home.
INFUSION DEVICES
ī‚ĸThey are classified into following
types:
1. Osmotic pressure activated drug
delivery systems
2. Vapour pressure activated drug
delivery systems
3. Battery powered drug delivery
systems
OSMOTIC PRESSURE ACTIVATED DRUG DELIVERY
SYSTEM
ī‚ĸ Alzet Osmotic Pump 10/pk. ALZET pumps are
miniature(small) delivery systems designed to
provide constant, accurate administration of test
agents.
[www.braintreesci.com]
ALZET OSMOTIC PUMP
ī‚ĸ The ALZET pumps are capsuler in shape and made
in variety of sizes and provide zero order delivery of
drug.
ī‚ĸ The pump is made of three layers as shown in
figure.
ī‚ĸ 1) The innermost drug reservoir contained in a
collapsible impermeable polyester bag (which is
often to the exterior via a single portal).
ALZET OSMOTIC PUMP
2) An intermediate sleeve of dry osmotic energy
source (sodium chloride).
3) The outermost rigid, rate controlling from
substituted cellulosic polymers.
ALZET OSMOTIC PUMP
1. An additional component that flow modulator,
comprising of a cap and a tube made of stainless steel
is inserted into the body of osmotic pump after filling.
2. After implantation, water from the surrounding tissue
fluids is imbibed at a controlled rate that dissolves the
osmagent creating an osmotic pressure differential
across the membrane.
3. The osmotic sleeve thus expands and since the outer
wall is rigid, it squeezes the inner flexible drug
reservoir and the drug solution is expelled in a
constant volume per unit time fashion.
4. The drug delivery continues until the reservoir is
completely collapsed. Ionized drugs, macromolecules,
steroids and peptides (insulin) can be delivered by
such a device.
DUROS INFUSION IMPLANT
ī‚ĸ The DUROS osmotic implant is a non-
biodegradable, miniature titanium
cylinder intended to enable systemic or
tissue specific therapy for small molecule
drugs, peptides, proteins, DNA and other
bioactive macromolecules.
ī‚ĸ The implant, which is inserted
subcutaneously and retrieved at the end
of the treatment duration, is designed to
precisely and continuously deliver drugs
for periods ranging from one month to
more than a year e.g. leuprolide acetate
implant (for prostate cancer).
DUROS INFUSION IMPLANT
ī‚ĸ The outer titanium alloy cylinder is capped by a
semipermeable membrane at one end and by an
exit port at the other end. Within the cylinder are an
osmotic engine, a piston and the drug reservoir.
When the DUROS system is implanted in the body,
water from surrounding tissue enters one end of the
cylinder and the osmotic engine to swell which
leads to release of the drug.
VAPOUR PRESSURE POWDERED PUMP
ī‚ĸ This device on the principle that at a given
temperature, a liquid in equilibrium with its vapour
phase exerts a constant pressure that is
independent of enclosing volume. The disc shaped
device consists of two chambers an infusate
chambers containing the drug solution, which is
separated by a freely movable flexible bellow from
the chamber containing inexhaustible vaporizable
fluid such as fluorocarbons.
VAPOUR PRESSURE POWDERED PUMP
ī‚ĸ After implantation the volatile liquid vaporizes at the
body temperature and creates a vapour pressure
that compresses the bellows and expels the
infusate through a series of flow regulators at a
constant rate. Morphine for terminally ill cancer
patients and Insulin for diabetics have been
successfully delivered by such a device.
[ A Review on Parenteral Controlled Drug Delivery System
Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh
Thengal1 ]
BATTERY POWERED PUMPS:
ī‚ĸ Two types of battery powered
implantable ,programmable pumps
used successfully to deliver insulin
are peristaltic pumps and solenoid
driven reciprocating pumps both
are with electronic controls. Design
is such that the drug moves
towards the exit and there is no
backflow of the infusate.
CONTACT LENSES AS DRUG CONTROLLED RELEASE
SYSTEMS
ī‚ĸ Topically applied therapy is the most common way to
treat ocular diseases, however given the anatomical and
physiological constraints of the eye, frequent dosing is
required with possible repercussions in terms of patient
compliance.
ī‚ĸ Beyond refractive error correction, contact lenses (CLs)
have, in the last few decades emerged as a potential
ophthalmic drug controlled release system (DCRS).
ī‚ĸ Extensive research is underway to understand how to
best modify CLs to increase residence time and
bioavailability of drugs within therapeutic levels on the
ocular surface.
[a narrative review: Rev. bras.oftalmol. vol.75 no.3 Rio de
Janeiro May/June 2016 ]
CONTACT LENSES AS DRUG CONTROLLED RELEASE
SYSTEM
ī‚ĸ These devices may simultaneously correct ametropia
(an abnormal refractive condition of the eye in which
images fail to focus upon the retina) and have a role in
managing ophthalmic disorders that can hinder CL wear
such as dry eye, glaucoma, ocular allergy and cornea
infection and injury.
ī‚ĸ In this narrative review the authors explain how the
ocular surface structures determine drug diffusion in the
eye and summarize the strategies to enhance drug
residence time and bioavailability.
ī‚ĸ They synthesize findings and clinical applications of
drug soaked CLs as DCRS combined with delivery
diffusion barriers, incorporation of functional monomers,
ion related controlled release, molecular imprinting,
nanoparticles and layering.
CONTACT LENSES AS DRUG CONTROLLED RELEASE
SYSTEM
ī‚ĸ these novel ophthalmic agents
delivery systems in improving
drug transport in the target
tissue and patient compliance,
in reducing systemic absorption
and undesired side effects, and
discuss future perspectives.
FACTORS CONSIDERATIONS IN CRDD
FACTORS CONSIDERATION IN CRDD
ī‚§ Selection of drug candidate
ī‚§ Medical rationale
ī‚§ Biological factors
ī‚§ Physico-chemical properties
ī‚§ In vitro analysis
ī‚§ Formulation optimization
ī‚§ In vivo data generation
[chein Y.W Novel drug delivery system edition: 2009]
1-SELECTION OF DRUG CANDIDATE
ī‚ĸ Neither very short nor very long half life
ī‚ĸ No significant first pass metabolism
ī‚ĸ Good absorption through GIT tract
ī‚ĸ Highly soluble
ī‚ĸ Minimize large no. doses
ī‚ĸ Wide therapeutic window
2-MEDICAL RATIONLE
ī‚ĸ Frequency of dosing
ī‚ĸ Patient complience
ī‚ĸ Drug intake
ī‚ĸ Fluctuation in serum conc
ī‚ĸ Reduced side effects
ī‚ĸ Sustained efficacy
3-BIOLOGICAL RATIONALE
ī‚ĸ Absorption
ī‚ĸ Distribution
ī‚ĸ Elimination
ī‚ĸ Dose dependent bioavailability
ī‚ĸ Drug protein-binding
ī‚ĸ Half life (duration of action)
ī‚ĸ Margin of safety
ī‚ĸ Disease condition
4- PHARMACO-KINETIC/DYNAMIC CONSIDERATIONS
ī‚ĸ Dose dumping
ī‚ĸ First pass metabolism
ī‚ĸ Enzyme induction/inhibition upon multiple dosing
ī‚ĸ Prolonged drug absorption
ī‚ĸ Variability in GI emptying & motility
5-PHYSICO CHEMICAL CONSIDERATIONS
ī‚ĸ Solubilty & pKa
ī‚ĸ Partition coefficient
ī‚ĸ Molecular size & diffusivity
ī‚ĸ Dose size
ī‚ĸ Complexation
ī‚ĸ Ionization constant
ī‚ĸ Drug stability
ī‚ĸ Protein binding
PHYSICO CHEMICAL FACTORS EFFECTING
CRDD
SOLUBILITY & PKA
ī‚ĸ The solubilty of solid substance is defined as
‘’the conc at which solution phase in equilibrium
with a given solid phase at a steady state , temp &
pressure ‘’
ī‚ĸ To improve solubilty we go towards
ī‚ĸ Solvation
ī‚ĸ Hydration
ī‚ĸ Complexation
ī‚ĸ Recrystalization
ī‚ĸ Co-solvation
ī‚ĸ surfactants
SOLUBILTY & PKA
ī‚ĸ Absorption of poorly soluble drugs is often
dissolution rate limited.
ī‚ĸ Such drugs don’t require any further control & thus
may not seen as good candidate for oral controlled
release formulation
PARTITION COEFFICIENT
PARTITION COEFFICIENT
ī‚ĸ The partition coefficient is defined as ‘’the conc ratio
of unionized drug distributed b/w 2 phases at
equilibrium
ī‚ĸ The apparent partition coefficient can be
1. Acidic
2. Basic
ī‚ĸ Drugs that are very lipid soluble or very water
soluble, will be extreme in p.coeffecient
PARTITION COEFFICIENT
ī‚ĸ Low (acidic/basic) slow flux into the tissues
ī‚ĸ High(acidic/basic) rapid flux followed by
accumulation in tissue
Both cases are undesireable for CRDD
MOLECULAR SIZE & DIFFUSIVITY
MOL SIZE & DIFFUSIVITY
ī‚ĸ In addition to diffusion through a variety of
molecular membranes, drugs in CRDD must diffuse
through a rate cantrolling membrane/matrix
ī‚ĸ An important influence of difusivity in polymers is
the mol size of diffusing species
ī‚ĸ Mol.size can be determined by MS (mass
spectroscopy) or FTIR (fourier transform IR)
ī‚ĸ Diffusion (MATRIX/ENCAPSULATION) is rate
determining step in CRDD
DOSE SIZE
DOSE SIZE
ī‚ĸ Size of drug play a major role in determining the
size of final finished product
ī‚ĸ In case, the dose already high , then formulating
same in CRDD will further increase the overall
dosage size & there by reduce patient complience
NOTE: for drugs with an elimination half life of less
than 2 hours as well those which are administerd in
large dose are prohibited in CRDD
COMPLEX FORMATION
COMPLEXATION
ī‚ĸ A method to entrap within a complexing agent like
cyclodextrin complex
ī‚ĸ These complex could be helpful in entrapping drugs
of very high molecular weight which have low
diffusivity through the membrane
ī‚ĸ This property facilitates increasing the solubility of
drug in required solvents.
IONIZATION CONSTANT
IONIZATION CONSTANT
ī‚ĸ An ionization constant (using the symbol K) is a
constant that depends upon the equilibrium
between ions and molecules that are not ionized in
a solution or liquid. It is the ratio between the
product of concentration and reactant. Any
imbalance in the equation can lead to corrosion.
ī‚ĸ An ionization constant is also known as a
dissociation constant.
[www.corrosionpedia.com]
IONIZATION CONSTANT
ī‚ĸ From the site of release of drug its absorption
depends upon its ionization constant
ī‚ĸ And it has been stated that drugs in unionized form
are absorbed faster than ionized species.
DRUG STABILITY
DRUG STABILITY
ī‚ĸ Most oral controlled release system are designed to
release their contents over much of the length of GI
tract
ī‚ĸ For drugs those are
1. Unstable in intestinal environment
2. Unstable in stomach environment
Might be difficult in formulate prolong release systm
to counteract such problems several modified
release methods are available that restrict the
release at GI site.
PROTEIN BINDING
ī‚ĸ It refers the formation of complexes with the blood
protein (albumin) with the absorbed drug.
ī‚ĸ This complex leads to
1. Inhibition of therapeutic effects of such amount
2. Half life is increased (compared to invitro studies)
3. Toxicity profile elevated
4. Mostly drugs (95%) are protein binding.
So this property is undesireable in CRDD
[overview of controlled release mechanism 2012
Siegel R A & Rathbone M]
INVITRO ANALYSIS
ī‚ĸ The aim of this in-vitro experimental study was to
design a novel drug delivery system that may
permit controlled release of N-acetylcysteine (NAC)
following intratympanic administration(hearing
organs in animals).
ī‚ĸ The system was composed of two different
solutions that attained a hydrogel form within
seconds after getting into contact with each other.
ī‚ĸ The authors performed swelling, pH and
temperature tests and analysis of controlled release
of NAC from this novel controlled release system.
[a preliminar report: Ciftci Z1, Deniz M2, Yilmaz I3, Ciftci HG4, Sirin
DY5, Gultekin E2 2015 nov ]
FORMULATION OPTIMIZATION
ī‚ĸ To formulate and optimize the formulation on the basis
of in vitroperformance of microsphere. A full factorial
design was employed to study the effect of independent
variables, polymer-to-drug ratio and stirring speed ,on
dependent variables, encapsulation efficiency, particle
size, and time to 80% drug release.
ī‚ĸ Suppose the best batch exhibited a high entrapment
efficiency of 70% and mean particle size 290 Îŧm. The
drug release was also prolonged for more than 12
hours. The study helped in finding the optimum
formulation with excellent prolong drug release.
[Sanjay Dey,1 Soumen Pramanik,1 and Ananya
Malgope2 research article volume 2011 ]
Crdp ( biopharmaceutics )

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Crdp ( biopharmaceutics )

  • 1.
  • 2. BIOPHARMACEUTICAL & PHARMACOKINETIC CONSIDERATIONS IN DEVELOPMENT OF CONTROLLED RELEASE DRUG PRODUCT
  • 3. LARAIB JAMIL REGISTERED M-PHILL SCHOLAR DEPARTMENT OF PHARMACEUTICS UNIVERSITY OF BALOCHISTAN
  • 4.
  • 5. BIOPHARMACEUTICS ī‚ĸ Biopharmaceutics is the study of the interrelationship of the physical/chemical properties of the drug, the dosage form (drug product) in which the drug is given, and the route of administration on the rate and extent of systemic drug absorption. [accesspharmacy.mhmedical.com]
  • 6. PHARMACOKINETICS ī‚ĸ Pharmacokinetics, sometimes described as what the body does to a drug, refers to the movement of drug into, through, and out of the body—the time course of its absorption, bioavailability, distribution, metabolis m, and excretion. [www.msdmanuals.com/professional/clinical-]
  • 7.
  • 8. DRUG PRODUCT ī‚ĸ (1) A dosage form that contains an active drug ingredien t or placebo. (2) A finished dosage form of a therapeutic gent as described in regulations. [medical-dictionary.thefreedictionary.com]
  • 9. CONTROLLED RELEASE DRUG DELIVERY It is ī‚ĸ Controlled rate ī‚ĸ Localized drug action ī‚ĸ Target drug action.
  • 10. WHY WE GO TOWARDS CONTROLLED RELEASE DRUG DELIVERY ?
  • 11. ADVANTAGES ī‚ĸ Improves patient convenience ī‚ĸ Reduction in fluctuation in steady state level. ī‚ĸ Increse the safety margin of high potency drug ī‚ĸ Reduction in total health care cost
  • 12. DISADVANTAGES ī‚ĸ Decreases systemic availability ī‚ĸ Poor invitro invivo corelation ī‚ĸ Increased risk of toxicity ī‚ĸ Retrieval of drug is difficult in toxicity, poisoning or hyper senstivity reaction.
  • 13. MECHANISM/PHARMACEUTICAL ASPECTS OF CONTROLLED RELEASE DELIVERY (ORAL) ī‚ĸ Dissolution: 1. Matrix 2. Encapsulation ī‚ĸ Diffusion : 1. Matrix 2. Reservoir ī‚ĸ Combination of both dissolution and diffusion
  • 14. â€ĸ OSMOTIC PRESSURE CONTROLLED SYSTEM
  • 15. DISSOLUTION ī‚ĸ Dissolution is when solid substance dissolves in a solvent ī‚ĸ Mass transfer from solid to liquid ī‚ĸ Rate determining step : Diffusion from solid to liquid [biopharmaceutics and pharmacokinetics D.M Brahmankar, Sunil.Jeswal]
  • 16. DIFFUSION ī‚ĸ Diffusion occurs when particles spread. They move from a region where they are in high concentration to a region where they are in low concentration. Diffusion happens when the particles are free to move [ BBC-GCSE Bitesize Difffusion]
  • 17.
  • 18. MATRIX DIFFUSION TYPE ī‚ĸ Rigid matrix diffusion: Materials used are insoluble plastics such as PVP and fattyacids ī‚ĸ Swellable matrix diffusion: 1. Also called galaxy hydrogels popular for sustaining the release of highly water soluble drugs . 2. Materials used are hydrophilic gums.
  • 20. RESERVOIR SYSTEM ī‚ĸ Also called laminated matrix device. ī‚ĸ Hollow system contaning an inner core surrounded in water insoluble membrane. ī‚ĸ Polymer can be applied by coating or microencapsulation. ī‚ĸ Rate controlling mechanism- partitioning into membrane with subsequent release into surrounding fluid by diffusion.
  • 21. RESORVOIR SYSTEM ī‚ĸ Commonly used polymers : ethyl cellulose polyvinyl acetate ī‚ĸ Example: transdermal patch [the eastern pharmacist, november 1993 Sustained release drug V.R Gudsoorkar & D.Rmbhau]
  • 22.
  • 24. OSMOTIC PRESSURE CONTROLLED SYSTEM ī‚ĸ Osmosis: movement of particles/solvent from lower to high concentration. ī‚ĸ The passage of solvent from in the solution through semipermeable membrane ī‚ĸ Osmotic pressure: it is hydrostatic pressure produced by a solution in a space devided by a semipermeable membrane due to difference in conc of solutes.
  • 25. OSMOTIC PRESSURE CONTROLLED SYSTEM ī‚ĸ Provides zero order release ī‚ĸ Drug may be osmotically active or combined may be osmotically salt (e.g NaCl) ī‚ĸ Semipermeable membranes usually made up of cellulose acetate ī‚ĸ More suitable for hydrophilic drugs ī‚ĸ Procardia XL (ca channel blocker) [novel drug delivery system vol-50 W.Y Chien]
  • 26. OPCS 1. 2 compartments separated by moveable partition 2. Osmotically active compartment absorbs water from GIT 3. Create osmotic pressure 4. Partition move upword and drug releases
  • 27.
  • 28. PARENTERAL CONTROLLED RELEASE DRUG DELIVERY SYSTEM ī‚ĸ The Parenteral administration route is the most common and efficient for delivery of active drug substances with poor bio- availability and the drugs with a narrow therapeutic index. ī‚ĸ Drug delivery technology that can reduce the total number of injection throughout the drug therapy period will be truly advantageous not only in terms of compliance, but also to improve the quality of the therapy and also may reduce the dosage frequency. [A Review on Parenteral Controlled Drug Delivery System Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
  • 29. MAJOR ROUTES OF PARENTERAL ADMINISTRATION ī‚ĸ īŋŊ Intravenous (into a vein).E.g., Total parenteral nutrition (TPN) ī‚ĸ īŋŊ Intra-arterial (into an artery).E.g. Vasodilator drugs in the treatment of vasospasm and thrombolytic drugs for treatment of embolism. ī‚ĸ īŋŊ Intramuscular (into a muscle).E.g. Many vaccines, Antibiotics and Long-acting Psychoactive Agents ī‚ĸ īŋŊ Intracardiac (into the heart).E.g. Adrenalin during cardiopulmonary resuscitation (not commonly performed anymore).
  • 30. MAJOR ROUTES OF PARENTERAL ADMINISTRATION ī‚ĸ SUBCUTANEOUS Adipose and connective tissues are poorly perfused with blood. This route is generally limited to non- irritating, water-soluble drugs that are well absorded, e.g., insulin. The volume of subcutaneous injection is usually restricted to 0.5- 1.5 ml. ī‚ĸ INTRA PERITONEAL (Within peritoneum) Lymphatic channel are frequently the route by which tumor metastasize micro molecules administer intraperitoneally can gain access to the lymphatic system and return slowly to the vascular compartment. Thus, a macromolecule may be used as a carrier to target Antineoplastic agents into the lymphatic
  • 31. ADVANTAGES ī‚ĸ Improved patient convenience and compliance. ī‚ĸ īŋŊ Reduction in fluctuation in steady-state levels. ī‚ĸ īŋŊ Increased safety margin of high potency drugs. ī‚ĸ īŋŊ Maximum utilization of drug. ī‚ĸ Reduction in health care costs through improved therapy, shorter treatment period, less frequency of dosing
  • 32. DISADVANTAGES ī‚ĸ Danger of device failure ī‚ĸ īŋŊ Limited to potent drug ī‚ĸ īŋŊ Decreased systemic availability ī‚ĸ īŋŊ Possibility of dose dumping. ī‚ĸ īŋŊ Retrieval of drug is difficult in case of toxicity, poisoning or hypersensitivity reactions. ī‚ĸ īŋŊ Higher cost of formulations.
  • 33. PARENTERAL NOVEL DRUG DELIVERY SYSTEM ī‚ĸ INJECTABLES ī‚ĸ Both aqueous as well as oil solutions may be used for parenteral controlled drug release. With aqueous solutions (given i.m.), the drug release may be controlled by increasing the viscosity of vehicle by use of MC, CMC, or PVP and thus, decreasing molecular diffusion and localizing the injected drug.
  • 34. INJECTABLES ī‚ĸ Oil solutions control the release by partitioning the drug out of the oil in the surrounding aqueous biofluids. Vegetable oils like arachis oil, cottonseed oil, etc are used for such a purpose. The method is applicable only to those drugs which are oil-soluble and have optimum partition coefficient.
  • 35. COLLOIDAL DISPERSION ī‚ĸ Liposomes : ī‚ĸ Liposomes are formed by the self-assembly of phospholipids molecules in an aqueous environment. The amphiphilic phospholipid molecules form a closed bilayer sphere in an attempt to protect their hydrophobic groups from the aqueous environment while still maintaining contact with the aqueous phase via the hydrophilic head group.
  • 37. LIPOSOMES ī‚ĸ Liposomes interact with cell membrane by- 1. Fusion-the lipid portion of the vesicle-fuses with cell membrane and contents of the vesicle are released into the cell. 2. Endocytosis-cell engulfs the vesicle and lyses, it releasing the contents. 3. Adsorption-vesicle is adsorbed on the surface of cell membrane and its content diffuses into the cell.
  • 39. APPLICATION OF LIPOSOMES ī‚ĸ Liposomal Anti-Cancer Agent: Liposomal doxorubicin is now licensed as Caelyx for the treatment of Kaposi's sarcoma. ī‚ĸ īŋŊ Liposomal Anti-Infective Agents: Liposomal amphotericin B (Ambisome) is used for the treatment of systemic fungal infection. ī‚ĸ īŋŊ Liposomes as Vaccine Adjuvants: Liposomal vaccines can be made by associating microbes, soluble antigens, cytokines, or DNA with liposomes, the latter stimulating an immune response on expression of the antigenic protein . [ A Review on Parenteral Controlled Drug Delivery System Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
  • 40. NIOSOMES ī‚ĸ Niosome are non-ionic surfactant vesicles obtained on hydration of synthetic nonionic surfactants, with or without incorporation of cholesterol or their lipids.
  • 41. APPLICATIONS OF NIOSOMES ī‚ĸ Anticancer Niosomes: It accumulates within tumors. For example, niosomal encapsulation of doxorubicin and methotrexate increases drug delivery to the tumor and tumoricidal activity. ī‚ĸ īŋŊ Niosomes at Targeted Site: Uptake by the spleen and liver make niosomes ideal for targeting diseases. For example leishmaniasis and the niosomal formulations of sodium stibogluconate improve parasite suppression in the spleen, bone marrow. and liver. ī‚ĸ īŋŊ It is also used in depot systems for short-acting peptide drugs on intramuscular administration. ī‚ĸ īŋŊ Niosomes used in Ophthalmic drug delivery
  • 42. NANOPARTICLES ī‚ĸ Nanosuspension ī‚ĸ Nanosuspensions of drugs are submicron colloidal produced by suitable methods and stabilized by surfactants. A pharmaceutical nanosuspension can be defined as the Nano-sized drug particle which is finely dispersed in an aqueous vehicle for either oral and topical use or parenteral and pulmonary administration. In general, the particle size in nanosuspension is always (usually lies between 200nm to 600nm)
  • 43. NANOPARTICLES ī‚ĸ Application of nanosuspension : ī‚ĸ Nanosuspension can be delivered either intravenous route or intra-articular. But in case of parenteral administration, solute should be remained in solubilized form or particle or globule size below 5mm to avoid capillary blockage. ī‚ĸ Some current approaches have come resolve the drawbacks of poorly soluble drug for parenteral delivery. These are salt formation, Solubilization using co-solvent, complexation with cyclodextrin and vesicular system (liposome and transferosome). ī‚ĸ for example, paclitaxel nanosuspension has been found better responses in treating tumour than taxol.
  • 44. NANOEMULSION/MICROEMULSION Nanoemulsion / Microemulsion are liquid dispersions of water and oil that are made homogenous, transparent (or translucent) and thermodynamically stable by the addition of relatively large amounts of a surfactant and a co-surfactant and having diameter of the droplets in the range of 100 īŋŊ 1000 A (10 īŋŊ- 100 nm) [ A Review on Parenteral Controlled Drug Delivery System Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
  • 45. APPLICATIONS OF MICROEMULSION ī‚ĸ Microemulsions used as intravenous delivery systems for the fat soluble vitamins and lipids in parenteral nutrition. ī‚ĸ īŋŊ O/W Microemulsions were characterized by their small particle size and their wide range of temperature stability, typically from about 200īŋŊ- 500C. ī‚ĸ They could be administered by intravenous, intraocular, intraarticular, intraperitoneal and intramuscular.
  • 46. MICROPARTICLES ī‚ĸ Microsphere : Microspheres are small spherical particles, with diameters in the micrometer range (typically 1 mm to 1000 mm). Microspheres can be manufactured from various synthetic and natural materials. Polymer microspheres, ceramic microspheres and Glass microspheres are commercially available. ī‚ĸ Solid microspheres have numerous applications depending on what material they are constructed of and what size they are. Hollow microspheres are typically used to lower the density of a material.
  • 47. RELEASED ERYTHROCYTES ī‚ĸ Drug loading can be done by immersing the cell in buffered hypotonic solution of drug which causes them to rupture and release hemoglobin and trap the medicament. On restoration of isotonicity and incubation at 370C, the cells reseal and are ready for use upon reinjection; the drug loaded erythrocytes serve as slow circulating depots.
  • 48. RELEASED ERYTHROCYTES ī‚ĸ Advantages : ī‚ĸ Fully biodegradable, biocompatible, and non immunogenic. ī‚ĸ īŋŊ Longer life span in circulation. ī‚ĸ īŋŊ Protection of the drug from enzymatic inactivation.
  • 49. RELEASED ERYTHROCYTES ī‚ĸ Applications: ī‚ĸ Damaged erythrocytes are rapidly cleared from circulation of phagocytic Kupffur cells in liver and spleen. ī‚ĸ īŋŊ Treatment of parasitic diseases: Antimalarial, antileishmanial and antiamoebic drugs (METRONIDAZOLE, TINIDAZOLE) can be delivered.
  • 50. IMPLANTS ī‚ĸ Lafarge first introduced the concept of implantable therapeutic system for long term, continuous drug administration in 1861 with the development of a subcutaneous implantable drug pellet. ī‚ĸ The technique was used to administered crystalline hormone in form of solids steroids pellets. Implant represents novel approach in the use of solid dosage forms as parenteral product.
  • 51. IMPLANTS ī‚ĸ Implants are insert under the skin by cutting and stitching it alter insertion of' the sterile tablet which is cylindrical, rod and ovoid shaped and more than 8 mm in length. The sterile tablets consisting of the highly purified drug, compressed without excipients. If, intended for subcutaneous implantation in the body. [ A Review on Parenteral Controlled Drug Delivery System Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
  • 53. CLASSIFICATION OF INJECTABLE IN SITU FORMING IMPLANTS: ī‚ĸ THERMOPLASTIC PASTES : ī‚ĸ Semi-solid polymers can be injected when melted and form a depot upon cooling to body temperature. ī‚ĸ The requirements for such In Situ Forming Devices (ISFD) include low melting or glass transition temperatures in the range of 250C to 658īŋŊC and an intrinsic viscosity in the range of 0.05 to 0.8 dl/g. ī‚ĸ Thermoplastic pastes allow local drug delivery at sites of surgical interventions for the delivery of antibiotic or cytotoxic agents. Alternatively, they can be used to generate a subcutaneous drug reservoir from which diffusion occurs into the systemic
  • 54. 2-) THERMALLY INDUCED GELLING SYSTEMS: ī‚ĸ Numerous polymers show abrupt changes in solubility as a function of environmental temperature. ī‚ĸ MacroMed distributes OncoGelw, which contains paclitaxel at a concentration of 6 mg/g ReGelw for intratumoral injection, followed by a continuous drug release over a period of 6 weeks. ī‚ĸ The clear advantage is the ability to solubilize the water-insoluble drug substances, such as paclitaxel, which allows a prolonged release for more than 50 days.
  • 55.
  • 56. SOLID IMPLANTS ī‚ĸ Implants are cylindrical, monolithic devices of mm or cm dimensions, implanted by a minor surgical incision or injected through a large bore needle into the S.C or I.M tissue. ī‚ĸ Subcutaneous tissue is an ideal location because of its easy access to implantation, poor perfusion, slow drug absorption and low reactivity towards foreign materials. ī‚ĸ The drug in implant may be dissolved, dispersed or embedded in a matrix of polymer or waxes/lipids that control release by dissolution and/or diffusion, bioerosion, biodegradation or an activation process such as osmosis or hydrolysis.
  • 57. INFUSION DEVICES ī‚ĸThese are also implantable devices but are versatile in the sense that they are intrinsically powered to release the medicament at a zero-order rate and the drug reservoir can be replenished from time to time. Depending upon the mechanism by which these implantable pumps are powered to release the contents
  • 58. EXAMPLE INCLUDE: ī‚ĸ An infusion pump is a medical device that delivers fluids, such as nutrients and medications, into a patient's body in controlled amounts. Infusion pumpsare in widespread use in clinical settings such as hospitals, nursing homes, and in the home.
  • 59. INFUSION DEVICES ī‚ĸThey are classified into following types: 1. Osmotic pressure activated drug delivery systems 2. Vapour pressure activated drug delivery systems 3. Battery powered drug delivery systems
  • 60. OSMOTIC PRESSURE ACTIVATED DRUG DELIVERY SYSTEM ī‚ĸ Alzet Osmotic Pump 10/pk. ALZET pumps are miniature(small) delivery systems designed to provide constant, accurate administration of test agents. [www.braintreesci.com]
  • 61.
  • 62. ALZET OSMOTIC PUMP ī‚ĸ The ALZET pumps are capsuler in shape and made in variety of sizes and provide zero order delivery of drug. ī‚ĸ The pump is made of three layers as shown in figure. ī‚ĸ 1) The innermost drug reservoir contained in a collapsible impermeable polyester bag (which is often to the exterior via a single portal).
  • 63. ALZET OSMOTIC PUMP 2) An intermediate sleeve of dry osmotic energy source (sodium chloride). 3) The outermost rigid, rate controlling from substituted cellulosic polymers.
  • 64. ALZET OSMOTIC PUMP 1. An additional component that flow modulator, comprising of a cap and a tube made of stainless steel is inserted into the body of osmotic pump after filling. 2. After implantation, water from the surrounding tissue fluids is imbibed at a controlled rate that dissolves the osmagent creating an osmotic pressure differential across the membrane. 3. The osmotic sleeve thus expands and since the outer wall is rigid, it squeezes the inner flexible drug reservoir and the drug solution is expelled in a constant volume per unit time fashion. 4. The drug delivery continues until the reservoir is completely collapsed. Ionized drugs, macromolecules, steroids and peptides (insulin) can be delivered by such a device.
  • 65. DUROS INFUSION IMPLANT ī‚ĸ The DUROS osmotic implant is a non- biodegradable, miniature titanium cylinder intended to enable systemic or tissue specific therapy for small molecule drugs, peptides, proteins, DNA and other bioactive macromolecules. ī‚ĸ The implant, which is inserted subcutaneously and retrieved at the end of the treatment duration, is designed to precisely and continuously deliver drugs for periods ranging from one month to more than a year e.g. leuprolide acetate implant (for prostate cancer).
  • 66. DUROS INFUSION IMPLANT ī‚ĸ The outer titanium alloy cylinder is capped by a semipermeable membrane at one end and by an exit port at the other end. Within the cylinder are an osmotic engine, a piston and the drug reservoir. When the DUROS system is implanted in the body, water from surrounding tissue enters one end of the cylinder and the osmotic engine to swell which leads to release of the drug.
  • 67.
  • 68. VAPOUR PRESSURE POWDERED PUMP ī‚ĸ This device on the principle that at a given temperature, a liquid in equilibrium with its vapour phase exerts a constant pressure that is independent of enclosing volume. The disc shaped device consists of two chambers an infusate chambers containing the drug solution, which is separated by a freely movable flexible bellow from the chamber containing inexhaustible vaporizable fluid such as fluorocarbons.
  • 69. VAPOUR PRESSURE POWDERED PUMP ī‚ĸ After implantation the volatile liquid vaporizes at the body temperature and creates a vapour pressure that compresses the bellows and expels the infusate through a series of flow regulators at a constant rate. Morphine for terminally ill cancer patients and Insulin for diabetics have been successfully delivered by such a device. [ A Review on Parenteral Controlled Drug Delivery System Pravin Ghagare*1, Vandana Patel1, Rohit Gosavi1, Yogesh Thengal1 ]
  • 70.
  • 71. BATTERY POWERED PUMPS: ī‚ĸ Two types of battery powered implantable ,programmable pumps used successfully to deliver insulin are peristaltic pumps and solenoid driven reciprocating pumps both are with electronic controls. Design is such that the drug moves towards the exit and there is no backflow of the infusate.
  • 72.
  • 73. CONTACT LENSES AS DRUG CONTROLLED RELEASE SYSTEMS ī‚ĸ Topically applied therapy is the most common way to treat ocular diseases, however given the anatomical and physiological constraints of the eye, frequent dosing is required with possible repercussions in terms of patient compliance. ī‚ĸ Beyond refractive error correction, contact lenses (CLs) have, in the last few decades emerged as a potential ophthalmic drug controlled release system (DCRS). ī‚ĸ Extensive research is underway to understand how to best modify CLs to increase residence time and bioavailability of drugs within therapeutic levels on the ocular surface. [a narrative review: Rev. bras.oftalmol. vol.75 no.3 Rio de Janeiro May/June 2016 ]
  • 74. CONTACT LENSES AS DRUG CONTROLLED RELEASE SYSTEM ī‚ĸ These devices may simultaneously correct ametropia (an abnormal refractive condition of the eye in which images fail to focus upon the retina) and have a role in managing ophthalmic disorders that can hinder CL wear such as dry eye, glaucoma, ocular allergy and cornea infection and injury. ī‚ĸ In this narrative review the authors explain how the ocular surface structures determine drug diffusion in the eye and summarize the strategies to enhance drug residence time and bioavailability. ī‚ĸ They synthesize findings and clinical applications of drug soaked CLs as DCRS combined with delivery diffusion barriers, incorporation of functional monomers, ion related controlled release, molecular imprinting, nanoparticles and layering.
  • 75. CONTACT LENSES AS DRUG CONTROLLED RELEASE SYSTEM ī‚ĸ these novel ophthalmic agents delivery systems in improving drug transport in the target tissue and patient compliance, in reducing systemic absorption and undesired side effects, and discuss future perspectives.
  • 77. FACTORS CONSIDERATION IN CRDD ī‚§ Selection of drug candidate ī‚§ Medical rationale ī‚§ Biological factors ī‚§ Physico-chemical properties ī‚§ In vitro analysis ī‚§ Formulation optimization ī‚§ In vivo data generation [chein Y.W Novel drug delivery system edition: 2009]
  • 78. 1-SELECTION OF DRUG CANDIDATE ī‚ĸ Neither very short nor very long half life ī‚ĸ No significant first pass metabolism ī‚ĸ Good absorption through GIT tract ī‚ĸ Highly soluble ī‚ĸ Minimize large no. doses ī‚ĸ Wide therapeutic window
  • 79. 2-MEDICAL RATIONLE ī‚ĸ Frequency of dosing ī‚ĸ Patient complience ī‚ĸ Drug intake ī‚ĸ Fluctuation in serum conc ī‚ĸ Reduced side effects ī‚ĸ Sustained efficacy
  • 80. 3-BIOLOGICAL RATIONALE ī‚ĸ Absorption ī‚ĸ Distribution ī‚ĸ Elimination ī‚ĸ Dose dependent bioavailability ī‚ĸ Drug protein-binding ī‚ĸ Half life (duration of action) ī‚ĸ Margin of safety ī‚ĸ Disease condition
  • 81. 4- PHARMACO-KINETIC/DYNAMIC CONSIDERATIONS ī‚ĸ Dose dumping ī‚ĸ First pass metabolism ī‚ĸ Enzyme induction/inhibition upon multiple dosing ī‚ĸ Prolonged drug absorption ī‚ĸ Variability in GI emptying & motility
  • 82. 5-PHYSICO CHEMICAL CONSIDERATIONS ī‚ĸ Solubilty & pKa ī‚ĸ Partition coefficient ī‚ĸ Molecular size & diffusivity ī‚ĸ Dose size ī‚ĸ Complexation ī‚ĸ Ionization constant ī‚ĸ Drug stability ī‚ĸ Protein binding
  • 83. PHYSICO CHEMICAL FACTORS EFFECTING CRDD
  • 84. SOLUBILITY & PKA ī‚ĸ The solubilty of solid substance is defined as ‘’the conc at which solution phase in equilibrium with a given solid phase at a steady state , temp & pressure ‘’ ī‚ĸ To improve solubilty we go towards ī‚ĸ Solvation ī‚ĸ Hydration ī‚ĸ Complexation ī‚ĸ Recrystalization ī‚ĸ Co-solvation ī‚ĸ surfactants
  • 85. SOLUBILTY & PKA ī‚ĸ Absorption of poorly soluble drugs is often dissolution rate limited. ī‚ĸ Such drugs don’t require any further control & thus may not seen as good candidate for oral controlled release formulation
  • 87. PARTITION COEFFICIENT ī‚ĸ The partition coefficient is defined as ‘’the conc ratio of unionized drug distributed b/w 2 phases at equilibrium ī‚ĸ The apparent partition coefficient can be 1. Acidic 2. Basic ī‚ĸ Drugs that are very lipid soluble or very water soluble, will be extreme in p.coeffecient
  • 88. PARTITION COEFFICIENT ī‚ĸ Low (acidic/basic) slow flux into the tissues ī‚ĸ High(acidic/basic) rapid flux followed by accumulation in tissue Both cases are undesireable for CRDD
  • 89. MOLECULAR SIZE & DIFFUSIVITY
  • 90. MOL SIZE & DIFFUSIVITY ī‚ĸ In addition to diffusion through a variety of molecular membranes, drugs in CRDD must diffuse through a rate cantrolling membrane/matrix ī‚ĸ An important influence of difusivity in polymers is the mol size of diffusing species ī‚ĸ Mol.size can be determined by MS (mass spectroscopy) or FTIR (fourier transform IR) ī‚ĸ Diffusion (MATRIX/ENCAPSULATION) is rate determining step in CRDD
  • 92. DOSE SIZE ī‚ĸ Size of drug play a major role in determining the size of final finished product ī‚ĸ In case, the dose already high , then formulating same in CRDD will further increase the overall dosage size & there by reduce patient complience NOTE: for drugs with an elimination half life of less than 2 hours as well those which are administerd in large dose are prohibited in CRDD
  • 94. COMPLEXATION ī‚ĸ A method to entrap within a complexing agent like cyclodextrin complex ī‚ĸ These complex could be helpful in entrapping drugs of very high molecular weight which have low diffusivity through the membrane ī‚ĸ This property facilitates increasing the solubility of drug in required solvents.
  • 96. IONIZATION CONSTANT ī‚ĸ An ionization constant (using the symbol K) is a constant that depends upon the equilibrium between ions and molecules that are not ionized in a solution or liquid. It is the ratio between the product of concentration and reactant. Any imbalance in the equation can lead to corrosion. ī‚ĸ An ionization constant is also known as a dissociation constant. [www.corrosionpedia.com]
  • 97. IONIZATION CONSTANT ī‚ĸ From the site of release of drug its absorption depends upon its ionization constant ī‚ĸ And it has been stated that drugs in unionized form are absorbed faster than ionized species.
  • 99. DRUG STABILITY ī‚ĸ Most oral controlled release system are designed to release their contents over much of the length of GI tract ī‚ĸ For drugs those are 1. Unstable in intestinal environment 2. Unstable in stomach environment Might be difficult in formulate prolong release systm to counteract such problems several modified release methods are available that restrict the release at GI site.
  • 100.
  • 101. PROTEIN BINDING ī‚ĸ It refers the formation of complexes with the blood protein (albumin) with the absorbed drug. ī‚ĸ This complex leads to 1. Inhibition of therapeutic effects of such amount 2. Half life is increased (compared to invitro studies) 3. Toxicity profile elevated 4. Mostly drugs (95%) are protein binding. So this property is undesireable in CRDD [overview of controlled release mechanism 2012 Siegel R A & Rathbone M]
  • 102. INVITRO ANALYSIS ī‚ĸ The aim of this in-vitro experimental study was to design a novel drug delivery system that may permit controlled release of N-acetylcysteine (NAC) following intratympanic administration(hearing organs in animals). ī‚ĸ The system was composed of two different solutions that attained a hydrogel form within seconds after getting into contact with each other. ī‚ĸ The authors performed swelling, pH and temperature tests and analysis of controlled release of NAC from this novel controlled release system. [a preliminar report: Ciftci Z1, Deniz M2, Yilmaz I3, Ciftci HG4, Sirin DY5, Gultekin E2 2015 nov ]
  • 103. FORMULATION OPTIMIZATION ī‚ĸ To formulate and optimize the formulation on the basis of in vitroperformance of microsphere. A full factorial design was employed to study the effect of independent variables, polymer-to-drug ratio and stirring speed ,on dependent variables, encapsulation efficiency, particle size, and time to 80% drug release. ī‚ĸ Suppose the best batch exhibited a high entrapment efficiency of 70% and mean particle size 290 Îŧm. The drug release was also prolonged for more than 12 hours. The study helped in finding the optimum formulation with excellent prolong drug release. [Sanjay Dey,1 Soumen Pramanik,1 and Ananya Malgope2 research article volume 2011 ]

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