A Review on Long Acting PLGA Based in Situ
Forming Microparticles Formulation for a Novel Drug Delivery System
Vimal Patel, Bhavesh Akbari*,
Anand Deshmukh, Manish Goyani, Adil Patel
Department of Pharmaceutics, Shree Dhanvantary Pharmacy College, Kim, Dist: Surat, Gujarat.
*Corresponding Author E-mail: email2vimal.patel@gmail.com,
bhaveshakbari83@gmail.com
ABSTRACT:
Pharmaceutical research has recently been focusing on new inject able
drug delivery systems which provide long therapeutic effects, minimum initial
burst effect, reduced side effects, and involving simplified production stages
and facilitate application process. In situ forming micro particle (ISM)
systems, one of the latest approaches in this field, offer a new encapsulation
technique and meet the objectives state above. Factors such as the carrier use
to form the multiparticles, amount and type of drug and the vehicle type can be
taken as the main performance criteria for these systems. Ongoing studies have
shown that this new multiparticulate drug delivery system is suitable for
achieving new implant delivery system with low risk of dose-dumping, capable of
being modulated to exhibit varying release patterns, reproducible, easily
applicable and well-tolerable. A novel in situ method for the preparation of inject able biodegradable
poly(lactide-co-glycolide) (PLGA) micro particle for the controlled delivery of
drug using DMSO as solvent. A stable dispersion of PLGA microglobules
(`premicroparticles' or `embryonic micro particles') in a vehicle mixture
usually biocompatible oils on injection comes in contact with water from
aqueous buffer or physiological fluid, thereby hardening the microglobules into
solid matrix type micro particles entrapping the drug (in situ forming micro
particles). The myotoxicity was assessed by measuring the cumulative release of
creatine kinase (CK) to evaluate the muscle damage caused by this formulation. CK
release will be significant lower decreased with a lower polymer phase: oil
phase ratio. The vivo studies confirmed the in vitro data and showed good
muscle compatibility of the ISM-system.
KEYWORDS: Initial Burst Effect, PLGA, Biocompatible Oil,
Myotoxicity, Creatine Kinase.
INTRODUCTION:
Kranz and
Bodmeier developed in 1997 and 1998 respectively a novel polymeric based in
situ forming micro particle (ISM) system as an attempt to control the
release of drug from such systems. The ISM system consists of an inner drug
polymer-solvent phase which is emulsified into an outer phase usually oil.
This emulsion
when injected into buffer or gets in contact with physiological fluids, the
internal polymeric phase solidifies and micro particles are formed
spontaneously. The ISM offers may advantages over its corresponding polymeric in situ forming implant such
as; little myotoxicity, better syringability and inject ability (since
viscosity is highly dependent on the outer oil phase and not on the polymeric
phase) and lower initial burst effect. The process of ISM system preparation is
quite simple compared to the conventional methods for the preparation of micro
particles (Kranz and Bodmeier, 2007).[1]
Kranz and
Bodmeier studied the release of diltiazem hydrochloride and buserelin acetate
from two different in situ forming systems namely; in situ implants
(ISI) and in situ micro particles. Either poly(d,l-lactide) (PLA) or
poly(d,l-lactide-co-glycolide) (PLGA) in DMSO, NMP or 2-pyrrolidone was
used to form polymeric solutions that were used as in situ implants. The
ISM systems were prepared by utilizing the previously described polymeric
solutions that were emulsifying into peanut oil at different polymeric solution
to oil phase ratios. The release of both drugs from the in situ implant
systems showed an initial high burst release compared to the release from the
ISM system. They concluded that the ISM system significantly reduced both drug
initial burst effect when compared to the in situ implant systems
(polymer solutions) and attributed that effect to the presence of an outer oil
phase which had made a partial barrier between the inner polymer solution and
the outer aqueous medium. Another possible mechanism for the lower initial
drugs burst was the less porous surface of the ISM compared to the ISI system.[1] Another comparative
study between both systems (ISI and ISM) was conducted on bupivacaine
hydrochloride utilizing poly(d,l-lactide) (PLA) as a biocompatible polymer
which was dissolved in various organic solvents to prepare ISI while the ISM
was prepared using peanut oil as external phase at different polymer phase to
oil phase ratios as previously described. A reduced initial bupivacaine
hydrochloride release was also exhibited from the ISM compared to the ISI and
they also attributed this behavior to presence of external oil phase and the
less porous surface of the ISM. Ahmed et al. also reported the same
results for haloperidol in vitro and in vivo release from ISM and
ISI systems.[8]
Jain et al.
was developing a novel in situ method for the preparation of inject able stable
dispersion of PLGA micro globules (premicrospheres or embryonic microspheres).
The preparation made up of two oil phases. The oil phase I consists of a
mixture of PLGA/ triacetin/drug/PEG 400/tween 80. This mixture is added drop wise
to oil phase II which composed of miglyol 812 and span 80 and homogenized to
produce rubbery inject able dispersion of PLGA micro globules. The produced
embryonic or pre-microspheres harden, shrink, were able to entrapping the drug
and form true microspheres in situ within 17 minutes. One major
advantage of this system is its ability to control the release of cytochrome c
from few days to weeks. The burst of the drug was less than 30% (within the
first 24 hrs) of the total drug load and they attributed the major amount to
the unencapsulated drug. We expected that the formulation and processing
factors of this method could be optimized to give lower initial drug release.[5] Another factor that
could play a role in the release of drugs from in situ implant system is the
drug lipophilicity. Deadman et al., studied the effect of drug
lipophilicity on its release profile from different controlled release vehicles
such as, PLGA micro particles and in situ forming depots. They reported that,
although there was minor effect of drug lipophilicity on the in vitro studies
that effect was obvious in vivo which attributed to the interactions
between the formulation and the biological tissue. Moreover, recent
developments in this field such as the first Phase I trial of Risperidone-ISM™
suggest there is a possibility for prolonged release of bioactive molecules
applied as intramuscular injection.[4]
ISM formulations have shown advantages in comparison to the higher viscous ISI
solutions. Easier inject ability through smaller needle sizes, improved muscle
compatibility observed in Sprague Dawley rat [12] and decreased initial burst release of low molecular
drugs and peptides in vitro and in vivo were related to the additional lower
viscous continuous phase.
MATERIALS AND METHODS:
Materials:
Biocompatible
Polymer:
US Pat. No.
2003/0049320 A1[12]
describes the polymer is a long chain polymer, amorphous, semi crystalline or
crystalline in nature. Preferably, the long chain polymer is one with a
molecular Weight in the range of 500 to 100,000 daltons as measured by gel
permeation chromatography against polystyrene standards. The chosen polymer
could be biodegradable or non-biodegradable. For parenteral applications, a
biodegradable polymer with a degradation profile occurring Within 1 Week to 1
year, is desirable. Examples of such biodegradable polymers useful in this
invention include but are not limited to poly-L-lactic acids, poly-DL-lactic
acids, poly-L-lactides, poly-DL-lactides, poly(L-lactic acid-co-glycolic
acids), poly(DL-lactic acid-co-glycolic acids), poly(L-lactide-co-glycolides),
poly(DL-lactide-co-glycolide), polyglycolides, polycaprolactones,
polycarbonates, polyorthoesters, polyaminoacids, polyethylene glycols,
polyethylene oxides, polyvinyl alcohol, polyvinyl pyrrolidone,
polyoxyethylene-polypropylene block copolymers, polyethers, polyphosphazenes,
polydioxanones, polyacetals, polyhydroxy butyrates, polyhydroxy valerates,
polyhydroxycelluloses, chitin, chitosan, polyanhydrides, polyalkylene oxalates,
polyurethanes, polyesteramides, polyamides, polyorthocarbonates,
polyphosphoesters, star-branched polymers and copolymers, betacyclodextrin,
polysaccharides, gelatin, collagen, albumin, fibrin, fibrinogen, polyketals,
polyalkylene succinates, poly(malic acid), polypropylene oxides and other
biodegradable polymers, known to a person skilled in the art of drug delivery
and their copolymers, terpolymers, combinations and mixtures thereof. These
polymers can either be used alone or as copolymers created from the different monomers
in different ratios or mixtures of two or more different polymers or copolymers
to achieve a variety of release profiles and degradation rates. The copolymers
could either be random copolymers in a variety of comonomer ratios or block
copolymers. Such polymers could be end-blocked or free carboxylic acid end
group polymers or mixtures of these or polymers with other end groups.
Preferred polymers are those with a lower degree of crystallinity and a higher
degree of hydrophobicity. Such polymers include but are not limited to
poly-L-lactic acids, poly-DL-lactic acids, poly-L-lactides, poly-DL-lactides,
poly(L-lactic acid-co-glycolic acids), poly(DL-lactic-acid co-glycolic acids),
poly(L-lactide-co-glycolides), poly(DLlactide-co-glycolide) polyglycolides,
polyanhydrides, poly orthoesters, polycaprolactones and their combinations and
copolymers. These polymers also include those created from interlinked segments
of D- and L-lactide, or combinations of these with DL-lactide.
Biocompatible organic Solvents:
The solvents of
this invention should be completely water-soluble and miscible with aqueous
media in all proportions and include without limitation N,N‘-dimethyl acetamide
(DMA), glycofural, dimethyl sulfoxide (DMSO), N-methyl-2-pyrrolidone (NMP),
water, 2-pyrrolidone, ethanol, propylene glycol, polyethylene glycol, glycerol,
sorbitol, dimethyl formamide (DMF), dialkylamides, caprolactam, glycerol
formal, decylmethyl sulfoxide and other polar solvents, because of their
exceptional solvating capability for the polymers described above, their
non-volatility and their complete miscibility with water and with each other.
The viscosity of the polymer solution is governed by the type of polymer,
concentration of the polymer and molecular weight of the polymer. A particular
solvent or solvent composition should be chosen for each polymer to provide a
polymer solution of optimum solubility and of optimum viscosity. When a drug
will be incorporated into the polymer solution, the solvent used in the
invention must provide a polymer solution with a high enough viscosity to carry
a fairly high drug load but should not be too viscous for processing for the
purposes of the invention. This is also true when a bioinactive agent is used.
The choice of solvents and solvent systems for different polymers is within the
scope of understanding for a person skilled in the art of making polymer based
drug delivery systems.[12]
Biocompatible oils:
US Pat. No.
2003/0049320 A1[12]
describes biocompatible, nontoxic, nonirritant, and a non-solvent for the
polymer. The oil is chosen from classes of oils which are allowed for
pharmaceutical parenteral use. Such oils include without limitation various
grades of animal oils such as whale oil or shark liver oil, or vegetable oils
such as sesame seed oil, cottonseed oil, poppy seed oil, castor oil, coconut
oil, canola oil, sunflower seed oil, peanut oil, corn oil, soyabean oil, or
their fractionated counterparts such as capric-caprylic triglycerides and their
salts with other acids. Preferably, the oil is chosen from super refined fixed
vegetable oils such as sesame seed oil, soyabean oil, castor oil, fractionated
coconut oil, poppy seed oil and such other pharmaceutically acceptable
vegetable oils and their derivatives. Isopropyl myristate can also be used.
Other classes of oils and their derivatives or mixtures of different oils in
different proportions are known to those skilled in the art and also fall
within the scope of this invention. There is no limitation to the kind of
biocompatible oil chosen as long as it is gelled by the emulsifiers of the
invention. The oils used in this invention are biocompatible, nontoxic,
nonirritant, and a non-solvent for the polymer. The oil is chosen from classes
of oils which are allowed for pharmaceutical parenteral use. Such oils include
without limitation various grades of animal oils such as whale oil or shark
liver oil, or vegetable oils such as sesame seed oil, cottonseed oil, poppy
seed oil, castor oil, coconut oil, canola oil, sunflower seed oil, peanut oil,
corn oil, soyabean oil, or their fractionated counterparts such as
capric-caprylic triglycerides and their salts with other acids. Preferably, the
oil is chosen from super refined fixed vegetable oils such as sesame seed oil,
soyabean oil, castor oil, fractionated coco nut oil, poppy seed oil and such
other pharmaceutically acceptable vegetable oils and their derivatives.
Isopropyl myristate can also be used. Other classes of oils and their
derivatives or mixtures of different oils in different proportions are known to
those skilled in the art and also fall within the scope of this invention.
There is no limitation to the kind of biocompatible oil chosen as long as it is
gelled by the emulsifiers of the invention.[12]
Polymer Concentration:
It is preferred
to use polymer concentrations of between 1-90% w/w with respect to the solvent
in the polymer phase. Even more preferably the polymer concentrations are in
the range of 5-70% w/w. An even more optimum concentration is that between
10-60% w/w with respect to the solvent. The molecular weight of the polymer,
copolymer or mixtures of polymers and their crystallinity will determine the
solution viscosity. Thus a high molecular weight polymer will provide a
solution of higher viscosity at a lower concentration when compared with a
lower molecular weight polymer from the same class. Polymer solutions of
concentrations of up to 60% w/w can be processed by raising the temperature of
the polymer solution up to 25-75° C. Such concentrated polymer solutions of 10-60%
w/w allow the delivery of higher loads of biologically active substances in
smaller volumes of the final delivery system in contrast to the prior art
compositions. Polymers concentrations up to 70% w/w can be processed by raising
the temperature up to 95° C. Polymer concentrations of greater than 60% w/w to
90% w/w can be prepared by heating to 75-95° C. If a low melting polymer is
used then the polymer solutions of greater than 60% w/w to 90% w/w can be
processed at temperatures below 75° C. The polymer solution will generally
comprise 0.01- 60%w/w of the total composition. More preferably the polymer
solution will comprise 5-50%w/w and even more preferably 10-40%w/w of the total
composition.[12]
Biocompatible emulsifier:
The continuous
oil phase contains from 5-70% w/w of the non-ionic emulsifiers sorbitan
monostearate (span 60), sorbitan monopalmitate (span 40)and sorbitan monooleate
(span 80) or a mixture thereof. The percentage of these non-ionic emulsifiers
added to the oil phase will depend upon the amount of the emulsifier required
to gel the continuous oil phase in the presence of the polymer solution. The
higher the amount of the polymer solution that is to be emulsified the greater
the amount of emulsifier is required. Also, a higher percentage of the
emulsifier would impart additional stability to the gelled polymeric dispersion
through an increase in the droplet stabilization. The determination of the
percentage of the emulsifier required to form the gelled polymeric dispersion
can be determined by a person skilled in the art of forming disperse systems.
Other emulsifiers that can be used in the polymer solution may be chosen from
but are not limited to polysorbates, lecithins, other sorbitan esters of fatty
acids, or other emulsifiers used in the formulation of disperse systems. These
emulsifiers are used in concentrations of 01-60% w/w with respect to the
polymer solution. More preferably the Weight percentage of the emulsifier with
respect to the polymer solution is between 5 and 50%.[12]
Preparation
of in situ forming micro particles drug delivery system:
Sonication method:
In situ implants
(polymer solutions) are prepares by mixing PLA or PLGA with the solvents
(2-pyrrolidone, NMP or DMSO) in glass vials until the formation of a clear solution.
For the in situ implants the
polymer concentration is kept constant at 40% (w/w, based on the amount of
solvent and polymer). Goserelin acetate then dissolved in the polymer solution
(10% (w/w), based on the polymer). The ISM systems are prepare by emulsifying
the drug containing polymer solutions (PLA or PLGA in 2-pyrrolidone, NMP or
DMSO) (polymer phase) into a peanut oil phase (oil phase) at a polymer to oil
phase ratio of 1:1, 0.5:1, 0.25:1 and 0.1:1 by probe sonication for 30s under
ice cooling. The polymer concentration varies between 0% and 40% PLA or PLGA
(w/w, based on amount of solvent and polymer). Pluronic F 68 (1% (w/w) based on
the amount of the total formulation). Than dissolved in the polymer phase and
aluminum monostearate (2% (w/w), based on peanut oil) in the oil phase to
increase the stability of the emulsions. The active agent (10% (w/w), based on
the weight of the polymer) was dissolved in the polymer phase for the
preparation of the Goserelin acetate-containing ISM systems.[1]
Homogenization method:
Jain et al.[5] have described a novel
method for in situ preparation of inject able biodegradable PLGA microspheres
which did not involve the use of any unacceptable organic solvents. The
delivery system is a dispersion of PLGA microglobules (premicrospheres' or
&embryonic microspheres') in an acceptable vehicle mixture (continuous
phase) and whose integrity is maintained by the use of appropriate stabilizers.
A solution of PLGA, triacetin, a model protein (cytochrome c), PEG 400,
and Tween 80 (Oil Phase 1) is added drop wise with continuous homogenization to
Miglyol 812-Span 80 solution (Oil Phase 2), thereby inducing phase separation
(coacervation) of PLGA and forming PLGA microglobules (containing cytochrome c)
dispersed in the continuous phase. This novel drug delivery system (NDDS) is
dispersion and has a viscous consistency, but is sufficiently syringeable. When
injected, it comes in contact with water from aqueous buffer or physiological
fluid and as a result, the microglobules harden to form solid matrix type
microparticles entrapping cytochrome c (in situ formed microspheres).
Cytochrome c was then released from these microspheres in a controlled
fashion.
Two syringe/connector system:
The O/O–ISM
system comprises of polymer solution phase and external oil phase. Polymer
solution phase can be prepared by dissolving a biodegradable polymer such as
PLA or PLGA in a water-miscible, biocompatible solvent (this may also act as a
plasticizer for the polymer) such as NMP, 2- pyrrolidone, dimethyl sulphoxide
(DMSO), triacetin and/or low molecular weight grade of polyethylene glycol
{such as polyethylene glycol (PEG) 200 or 400}, which are able to form highly
concentrated polymer solutions in combination with surfactants such as
polyethylene glycol sorbitan monooleate (Tween 80) or polyoxyethylene
polyoxypropylene copolymer (Pluronic F 68). Peanut oil and sesame oil (oil for
injection) can be used as a biocompatible external oil phase with surfactants
such as sorbitan monooleate (Span 80) or triglyceride (Miglyol 812)
with/without aluminum stearate or aluminum monostearate. Subsequently,
accurately weighed internal and external phases (in different ratios) are
loaded preferably into polypropylene syringes A and B, respectively. The two
syringes are coupled with a Connector and emulsification can be achieved by
pushing the content of syringe A into syringe B to and fro for 50 mixing
cycles. At the end of this, the contents are pushed into one syringe, the
connector is removed and a needle is attached, and is ready for use.[8]
Figure 1. Preparation of an
injectable ISM-emulsion prior administration in a two syringe/connector system.
However, there
is still the need for improvement. One challenge, especially associated with
non-aqueous ISM systems, is the relatively low ISM emulsion stability. Koerber
observed a beginning phase separation within minutes despite the utilization of
various potential emulsion stabilizers (Koerber 2007)[9]. Coalescence of unstable viscous polymer solution
droplets (lumps formation) prior administration may complicate an easy
injection through thin needles. Furthermore, emulsion instability will
result into the in situ formation of implant-like polymer lumps rather than
microparticles. Differently shaped polymer matrices exhibit different surface
areas which will likely affect the drug release pattern.
Figure 3: SEM of ISM of PLGA
(RG 503 H)in 2-Pyrollidone after (A) 24 h, (B) 14 days and (C) 28 days stored
in buffer medium pH 7.4. (D) ISM system of PLA (R 203) in 2-pyrollidone after
28 days in buffer 7.4 pH.
Characterization
of ISM:
Syringe
ability and Micro carrier Formation:
Syringe ability
and micro carrier formation from the novel systems was determined by filling
the formulations into glass syringes fitted with needles of various gauges,
ranging from 14-23 gauge, and injecting the formulation into glass vials
containing pH 7.0 phosphate buffer containing 0.02% Tween 80 and 0.02% sodium
azide at 37°C., hereinafter stated to be the “aqueous medium”. The tubes were
then capped and placed in an orbital shaker at 37° C. and mixed at 100
oscillations per minute. Syringe ability is described as the smallest bore
needle through which the formulations can be delivered with ease. Micro carrier
formation is defined as the formation of a uniform dispersion within a maximum
time period of 24 hours with the absence of any lumps or aggregates when
observed visually.[12]
Particle Size Measurement:
The gelled
compositions were filled into glass syringes fitted With 18 gauge needles and
approximately 0.5-1.0 g of the gelled compositions were injected into glass
tubes containing 10 ml of pH 7.0 phosphate buffer containing 0.02% Tween 80 and
0.02% sodium azide. The tubes were capped and placed in an orbital shaker at
37°C. and mixed at 100 oscillations per minute for 24 hours. The sizes of the
formed micro carrier dispersions were measured using a Malvern particle size
analyzer by laser light scattering.
Drug Release from the Novel
Systems:
The novel gelled
polymeric dispersions (0.5 g) were injected using syringes attached With 18
gauge needles followed by the addition of 5 ml of the release medium into
pieces of dialysis tubing tied at one end. The other end of the sacs were tied
with threads and the sacs were placed into screw-capped glass tubes containing
15 ml of pH 7.0 phosphate buffer containing 0.02% w/v Tween 80 and 0.02% w/v
sodium azide. The tubes were placed in a reciprocating incubator shaker
maintained at 37° C. with an oscillation speed of 100 oscillations per minute.
At different
sampling points post initiation of the study, the release medium was removed
from the tube and replaced with fresh medium. The amount of drug released into
the medium was assayed by HPLC. The actual amount of the polymer-drug solution
incorporated in the final formulation was taken as the basis for the
calculation of drug release and encapsulation efficiencies. The amount of
biologically active agent entrapped within the particles was determined by the
difference in the actual amount of drug incorporated in the final formulations
during processing and the amount released in one day.[12]
Stability of ISM:
Some aspects of
the stability of ISM systems have been investigated by researchers. Jain et
al investigated the effect of myoglobin (macromolecules) on the release
characteristics of ISMs and reported that the physical stability of myoglobin
(helical structure) was unaffected by formulation, process, and storage
conditions. Kranz et al(6) also
investigated the stability of ISM systems and showed that the stability of the
ISM increased by dissolving Pluronic F68 in the polymer phase while placing
aluminum monostearate in the oil phase of the system. The stability of PLGA and
leuprolide acetate in in-situ forming systems, either ISMs or polymer
solutions and lyophilized sponges, was investigated by Dong et al. It
was found that degradation of PLGA increased with increasing storage
temperature and water content in biocompatible solvents. Faster degradation
occurred in polar protic solvents (2-pyrrolidone, PEG 400, triethyl citrate)
than in polar aprotic solvents (NMP, DMSO, triacetin, ethyl acetate). The
presence of leuprolide acetate significantly accelerated the PLGA degradation,
especially in solution state. PLGA was stable in oily (sesame oil, soybean oil,
medium chain triglyceride) suspensions at 4° C and degraded only slightly
faster than solid powder at 25° C. No interaction between oils and PLGA was
observed as indicated by an unchanged Tg of approximately 47° C. Finally,
leuprolide acetate was chemically stable in sponges, oils and polymer solutions
in suspension state, but unstable (aggregation) when dissolved in the polymer
solutions and stored at 25 and 40°C. Glycerol monostearate (GMS) showed
superior stabilizing potential prolonging the emulsion stability from a few
minutes to more than 12 h. Flow behavior analysis, differential scanning
calorimetry, polarized light- and Cryo-electron microscopy revealed, that the
stabilization was caused by an immediate, more than 5-fold viscosity increase
in the continuous phase after emulsification and by a stabilized interface
through a liquid crystalline GMS layer around the polymer solution droplets.[20]
Creatine kinase activity in
vitro interference assay:
All
of the tested solvents were evaluated to determine whether they stimulated or
inhibited CK activity. Briefly, as described in [10,11], rabbit muscle CK Type I was
prepared by dissolving approximately 1 mg of the enzyme in 10 ml of balanced
salt solution (BSS) at pH 7.4. A given aliquot of this solution was spiked into
incubation vessels containing the BSS at 37º C and bubbled with 95% O2/5%
CO2. The tested solution was added to the test incubation vessel,
while the same volume of 0.9% sodium chloride injection served as control. The
amount of CK, approximately 500 U/L, was the same in both the test and control
incubation vessels. All studies were conducted for 30 min. CK was determined
spectrophotometrically at 340 nm using a commercially available kit, which is
based upon the change in the absorbance caused by a reduction of NAD to NADH.
In vitro myotoxicity studies:
Extensor
digitorum longus (EDL) muscles (approximately 150 mg) were isolated from male
Sprague–Dawley rats as previously described[10,11]. Briefly, rodents were
administered an anesthetic dose of sodium pentobarbital and sacrificed via
cervical dislocation. The EDL muscles were injected with the test solution or
emulsion formulation (15 ml) using a 100 ml Hamilton syringe equipped with a
needle guard to control the depth and angle of injection. The injected muscles
were placed into a Teflon coated plastic basket and immersed in 9 ml of a
carbogenated (95% O2 / 5% CO2) BSS. The solutions were
drained and fresh BSS was added at 30-min intervals. The drained solutions at
30, 60, 90 and 120 min were analyzed for CK using a commercially available
Spectrophotometric kinetic assay.
Myotoxicity was calculated from the cumulative sum of the CK values (U/L) over
a 120-min period. Phenytoin (50 mg/ml in normal saline) and 0.9% normal saline served
as positive and negative controls, respectively.
In vivo myotoxicity studies:
Studies
were conducted using male rats as described previously[10,11]. Briefly, rats were catheterized and
allowed to recover for 3 days prior to the study to allow CK-levels to
stabilize at baseline. Following intramuscular injection (0.3 mL) in the right
thigh muscle, blood samples (0.5 ml) were collected via the carotid artery at
0, 0.5, 1, 2, 4, 6, 8 and 12 h. The blood samples were centrifuged immediately
and plasma was stored at 20ºC for analysis of CK level, while blood cells were
reconstituted in heparinized (40 U/mL) normal saline solution (0.25 mL) and
reinjected into the rat following the next sample to maintain blood volume.
Myotoxicity was assessed by the area under the plasma CK curve.
DISCUSSION:
Micro particles
prepared by the classical solvent evaporation method, the use of the lower
molecular weight PLGA resulted in ISM with a lower initial release than ISM
prepared with the higher molecular weight PLGA. A slower solvent diffusion from
the low molecular-weight PLGA solution droplets into the release medium led to
a less porous structure of the resulting micro particles, thus explaining the
lower initial release. PLGA with free carboxylic acid end groups led to a lower
drug release compared to PLGA with esterified end groups. 6-month controlled
release leuprolide ISM could be obtained by blending poly(lactides) (PLA) with
different molecular weights. The polymer
concentration plays an important role in the drug release from in situ forming
systems. A decrease in the drug release from in situ forming implant systems
with the increasing polymer concentration was already reported. A higher
polymer concentration led to a more viscous solution, which delayed the polymer
precipitation and resulted in a less porous polymer matrix with a slower drug
release. In ISM-systems, the initial release decreased dramatically from 62.7
to 43.7and 11.7% with an increasing polymer solution concentration of 20, 30
and 40% (w/w), respectively. The effect of polymer concentration on the second
release phase (after initial release) was marginal. ISM-systems prepared with
40% RG 503H formed lumps during the emulsification into the external oil phase
due to the high viscosity of the inner polymer solution and fast diffusion of
NMP into the oil phase. A decrease in the internal polymer to the external oil
phase ratio (1:1 to 1:2.5, w/w) led to a decreased initial release
(41.6–27.0%). More oil decreased the direct contact area between the inner
leuprolide-polymer phase and the release medium and increased the diffusion
pathway of the drug/droplets to the oil/release medium interface, thus
resulting in a lower initial release. The initial release increased with
increasing surfactant (Span 80) concentration in the oil phase (w/w), which
could possibly be explained with the smaller particle size at the higher
surfactant concentration because of a reduced interfacial tension between the
polymer solution and the oil.
The
initial drug release from ISM systems (40% (w/w) PLAG based on the solvent and
polymer, polymer: oil phase ratio of 0.25:1) prepared with different solvents
decreased in the rank order of DMSO>NMP> 2-pyrrolidone. After 20 h, 70.8%
drug release from ISM systems prepared with DMSO. This initial burst decreased
to 39.9% and 30.2% for the ISM systems prepared with NMP and 2-pyrrolidone,
respectively. The particle size of the ISM decreased in the rank order of
2-pyrrolidone >NMP>DMSO.
Ternary solvent blends of dimethyl sulfoxide (DMSO),
ethyl acetate and water are used to adjust the protein solubility in order to
facilitate the incorporation of either dispersed or dissolved protein into the
polymer solution. The pharmaceutically acceptable solvent DMSO is use because
of its ability to dissolve both the model protein and the biodegradable polymer
(PLGA). The GRAS-listed biocompatible ethyl acetate dissolves the polymer but
is a non-solvent for the protein. Ethyl acetate is used in order to allow
adjustments of the protein solubility. Additionally to DMSO and ethyl acetate,
water has been introduced into the solvent system since preliminary
investigations showed decreased dissolution times for protein in DMSO in the
presence of small amounts of water (from about 2h to less than 0.5 h). This
would be desirable for formulations, which require reconstitution prior to
administration, e.g. where protein and polymer have to be stored separately
from the solvent systems due to storage instability. On the other hand, water
could alter the protein release patterns of in-situ forming drug delivery
systems through an accelerated phase inversion of the PLGA solutions. The
in situ forming formulations were found to be much less myotoxic than the
polymeric liquid implant because the solvent has been diluted with the external
aqueous phase 1–10 times. The low myotoxicity of the ISM systems with the
dilution of external phase was confirmed by the in vivo myotoxicity data. It
suggested that the ISM formulations were interesting drug delivery systems
which were well tolerated in muscle tissues.
CONCLUSION:
In situ forming micro
particle (ISM) systems offer a new encapsulation technique that provides
prolonged release of drug along with much greater ease of preparation and
administration than conventional micro particles and surgically implanted
systems. ISMs are an attractive alternative to parenteral drug delivery,
especially those prepared by existing complicated microencapsulation methods.
ACKNOWLEDGEMENT:
The authors
would like to thank the Gujarat Council of Science and Technology (GUJCOST) for
research grant GUJCOST/MRP/2014-15/386 and Shree Dhanvantary Pharmacy Analysis
and Research Center (SDPARC) for support research work via using the lab and
instrumental analysis for the study in Institute.
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Received on 29.01.2016 Modified on 17.02.2016
Accepted on 05.04.2016 ©A&V Publications All right reserved
Res. J. Pharm. Dosage Form. and
Tech. 2016; 8(2):127-134.
DOI: 10.5958/0975-4377.2016.00017.3