Effective Management of Rare Lymphangioleiomyomatosis Using Sirolimus: Tablet Matrix with Hibiscus rosa sinensis Leave Mucilage
Hindustan Abdul Ahad*, Haranath Chinthaginjala, Abdalrahman Mohammed Salih Karar,
Musab Idris Mohammed Ali Saeed, Aladin Khalaf Alla Elhaj Eltahir Alawad
Department of Industrial Pharmacy, Raghavendra Institute of Pharmaceutical Education and Research
(RIPER) - Autonomous, Ananthapuramu – 515721, AP, India.
*Corresponding Author E-mail: abdulhindustan@gmail.com
ABSTRACT:
The authors aimed to extend the discharge of Sirolimus from the tablets with a blend of herbal and synthetic polymers. In this study, Sirolimus was taken as a model drug, Hydroxy Propyl Methyl Cellulose as a synthetic polymer and mucilage from Hibiscus rosa sinensis leaves as a natural polymer. Sirolimus is an orphan drug used to treat Lymphangioleiomyomatosis damage and to suppress body refuse towards the transplanted organs. Sirolimus matrix tablets made with the blend of Hibiscus rosa sinensis leaves mucilage and Hydroxy Propyl Methyl Cellulose. The blend was assessed for flow possessions and the designed tablets were categorized for official and non-official tests including Sirolimus discharge. The Sirolimus matrix tablets possess good Sirolimus content with passible pre and post-formulation parameters. The study concludes that there were no chemical interactions between Sirolimus with polymers used. The study also revealed that Hibiscus rosa sinensis leaves mucilage can be a good polymer in grouping with other polymers for prolonged drug discharge.
KEYWORDS: Sirolimus, Lymphangioleiomyomatosis, Hibiscus rosa sinensis, mucilage, matrix
INTRODUCTION:
Lymphangioleiomyomatosis (LAM) damage the Alveoli and unable the blood to get fully oxygenated and collapsed lung1. Presently no cure/ drugs that improve lung function. Oxygen therapy and lung transplantation are the solutions for this issue. But organ transplantation arises rejection by the body and need immunosuppressant2,3.
Sirolimus (SRS) is an immunosuppressant, prescribed to patients after organ transplantation to repel anti-rejection reaction by the body. SRS is an orphan drug and is also used to tackle the rare orphan disease LAM. SRS is of BCS class II drug with the issues of solubility4.
Extended drug delivery systems with controlled SRS discharge can be realized by various techniques among them matrix system is simple, inexpensive and effective5. The use of costly polymers can be discharged by economical and easily available herbal leave mucilage from Hibiscus rosa sinensis leaves mucilage (HRLM)6.
MATERIALS AND METHODS:
Material:
The materials required in this work are illustrated in table 1.
Table 1. List of materials
|
Materials |
Suppliers/Manufacturer |
|
Sirolimus |
Gift sample by Zydus Biogen, Ahmedabad |
|
HPMC |
Fischer Chemic Ltd, Hyderabad |
|
Lactose |
Fischer Chemic Ltd, Hyderabad |
|
Silicon dioxide (colloidal) |
Fischer Chemic Ltd, Hyderabad |
|
Talc |
Fischer Chemic Ltd, Hyderabad |
|
Water |
Distillation unit of our Lab |
Methods:
Identification of Sirolimus:
Identification of SRS was scrutinized for a physical look, melting point and solubility7.
Sirolimus calibration curve:
The procedure for plotting SRS calibration curve as illustrated in figure 1.
Figure 1. Procedure for obtaining Sirolimus calibration curve
Extraction of mucilage:
The extraction and purification were done as styled by Ahad et al., 2010. The fresh Hibiscus rosa sinensis leaves were washed, soaked and boiled in water. Later filtered isolated with Acetone, dried, # 80 sieved8.
Drug excipient compatibility studies:
Differential scanning calorimetry (DSC):
The DSC analyses of SRS and blend were done with Perkin Elmer, FTIR spectrophotometer to check any drug-excipient interaction. Each sample was placed in an aluminium pan separately with heating rates of 10°C/min from 50-300°C under nitrogen 50 ml/min.
FTIR study:
FTIR spectra and distinctive peaks of SRS and SRS with excipient blend were made by Bruker IR spectrophotometer.
Formulation of tablets by wet granulation technique:
Table 2. Composition of the tablets
|
Ingredients (mg) |
Formulation |
|||||
|
F-1 |
F-2 |
F-3 |
F-4 |
F-5 |
F-6 |
|
|
Sirolimus |
1 |
1 |
1 |
1 |
1 |
1 |
|
Hibiscus rosa sinensis leaves mucilage |
10 |
20 |
30 |
40 |
50 |
60 |
|
Lactose |
15 |
15 |
15 |
15 |
15 |
15 |
|
Micro Crystalline Cellulose |
64 |
54 |
44 |
34 |
24 |
14 |
|
Silicon dioxide (colloidal) |
5 |
5 |
5 |
5 |
5 |
5 |
|
Talc |
5 |
5 |
5 |
5 |
5 |
5 |
|
The weight of the tablets |
100 |
100 |
100 |
100 |
100 |
100 |
Steps involved in the preparation of prolonged-release tablets (PRT) shown in figure 2.
Figure 2. Steps involved in matrix tablet preparation
Pre formulation studies:
The dried granules were checked for the flow patterns for checking their easy movement from hopper to tablet dyes for compression9,10.
Post formulation studies:
The tablets were characterized for the following parameters11,12.
Thickness of tablets:
A sliding caliper was used to know the thickness of 5 tablets from each batch.
Uniformity of weight:
20 tablets from each batch were weighed solely and the mean weight was also resolute. Later the unorthodoxy of individual weights was calculated.
Tablet hardness:
5 tablets were arbitrarily taken from each batch and hardness was dogged by using Pfizer tester.
The loss on friability:
A pre-weighed 10 tablets from each batch were allowed for 100 falls (4 min) from 6 inches and weighed after de-dusting.
Determination of drug content in tablets:
SRS content in the PRT was dogged by the procedure explained13,14 in figure 3.
Figure 3. Procedure for determining the drug content in the tablets
In vitro dissolution studies
The dissolution conditions adopted for drug dissolution15 were concise in table 3.
Table 3. In vitro dissolution conditions
|
Parameter |
Description |
|
Apparatus |
USP-II |
|
Rotation (rpm) |
100 |
|
Medium |
0.1 M HCl for first 2 h then in pH 6.8 phosphate buffer solution for 10 h |
|
Volume |
900 ml |
|
Temperature |
37±0.5°C |
|
Sampling at |
1, 4, 6, 8, 10 and 12 h |
|
Wavelength |
278 nm |
RESULTS AND DISCUSSION:
Results API characterization:
SRS appearance, melting point, and solubility were listed in figure 4.
Figure 4. Sirolimus identification parameters
Compatibility studies:
Neither loss of precise peaks nor productions of new peaks were seen in the DSC of SRS thermogram when equated to pure SRS which signposts no incompatibility of SRS with polymers used (table 4). The characteristic peaks present in the pure drug were also found even in the drug excipient combination indicating the compatibility of the drug with the excipients used (figure 5).
Table 4. DSC thermograms of drug and polymers used
|
DSC sample |
Endothermic events (°C) |
ΔH Fusion |
Inference |
||
|
T onset |
T peak |
T End |
Enthalpy (J) |
||
|
Sirolimus |
178.4 |
185.5 |
195.6 |
-389.37 |
An endothermic peak |
|
Sirolimus+ Polymers |
171.3 |
181.8 |
193.7 |
-358.84 |
A shift in peak to left due to positive blending of Sirolimus with polymers |
Figure 5. FTIR spectrum of A) Pure drug B) Drug with excipients
Pre formulation studies:
The flow parameters of the granules were illustrated in table 5.
Table 5. Flow parameters of the granules
|
|
Flow properties |
||||
|
Formulation |
Angle of repose (o) |
Bulk Density |
Tapped Density |
Carr’s Index |
Hausner’s Ratio |
|
F-1 |
26.35±0.01 |
0.521±0.02 |
0.545±0.02 |
4.403±0.09 |
1.046±0.01 |
|
F-2 |
28.54±0.15 |
0.522±0.03 |
0.569±0.03 |
8.260±0.15 |
1.090±0.02 |
|
F-3 |
25.38±0.25 |
0.489±0.05 |
0.521±0.06 |
6.142±0.04 |
1.065±0.03 |
|
F-4 |
27.49±0.14 |
0.456±0.09 |
0.501±0.04 |
8.982±0.12 |
1.098±0.05 |
|
F-5 |
28.01±0.19 |
0.465±0.04 |
0.510±0.02 |
8.823±0.02 |
1.096±0.01 |
|
F-6 |
28.96±0.17 |
0.415±0.06 |
0.451±0.08 |
7.982±0.19 |
1.086±0.06 |
Readings in mean ±SD; The number of trials (n=3)
Post formulation studies:
The PRT were found to have a uniformity in thickness (5 mm) and weight which represents the drug and excipients were added and blended systematically. The loss on friability was negligible (1%) and the hardness was > 4 Kg/cm2 indicates that the PRT having appreciable strength. The SRS content in PRT was satisfactory as per the specifications (Table 6). The in vitro discharge indicates a controlled discharge of SRS from the formulation. Among the formulations, F-5 showed controlled discharge for an extended period (Figure 7).
Table 6. Physical Characteristics of the matrix table
|
|
Physical parameter |
||||
|
Formulation |
Uniformity of weight (mg) |
Hardness (cm2) |
Thickness (mm) |
Friability (%) |
Assay (%) |
|
F-1 |
102.4±1.68 |
6.8±0.04 |
5.06±0.04 |
0.55±0.02 |
98.8±0.96 |
|
F-2 |
101.4±1.07 |
5.2±0.06 |
5.01±0.05 |
0.66±0.01 |
97.8±4.19 |
|
F-3 |
100.1±1.84 |
4.8±0.07 |
5.09±0.09 |
0.39±0.05 |
97.7±1.21 |
|
F-4 |
102.7±2.55 |
7.3±0.08 |
5.03±0.02 |
0.48±0.02 |
99.6±2.30 |
|
F-5 |
101.3±0.15 |
6.0±0.09 |
5.02±0.01 |
0.23±0.02 |
98.4±2.48 |
|
F-6 |
100.8±0.12 |
5.8±0.05 |
5.01±0.03 |
0.38±0.01 |
97.8±3.29 |
Values in mean ±SD; The number of trials (n=3)
SRS calibration curve (figure 6) shows a slope of 0.0745x-0.0099 with a regression (R2) value of 0.9996 (Figure 2.)16. The in vitro drug release chart of the formulated matrix tablets were illustrated in figure 7.
Figure 6. Calibration curve of Sirolimus
Figure 7. Drug release profile of prepared tablets
CONCLUSION:
The authors in this study experiential that Sirolimus matrix tablet covers the emission rate for the prolonged duration (>12 h) with increased bioavailability and devoid of repetitive dosing and dose. This was also noted that Hibiscus rosa sinensis leaves mucilage can be a good polymer in combination with HPMC for controlling the drug discharge with reduced adverse effects and cost and with improved patient happiness and effectiveness.
ACKNOWLEDGMENTS:
The authors would like to thank RERDS- CPR. Ananthapuramu, India for providing the facilities for performing the work.
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Received on 16.06.2021 Modified on 01.07.2021
Accepted on 14.07.2021 ©A&V Publications All Right Reserved
Res. J. Pharma. Dosage Forms and Tech.2021; 13(4):276-280.
DOI: 10.52711/0975-4377.2021.00045