Orodispersible Carbamazepine/Hydroxypropyl-β-Cyclodextrin Tablets Obtained by Direct Compression with Five-in-One Co-processed Excipients.
Jaime Conceição, Oluwatomide Adeoye, Helena Cabral-Marques, Angel Concheiro, Carmen Alvarez-Lorenzo, José Manuel Sousa Lobo
Author Information
Jaime Conceição: UCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Rua de Jorge Viterbo Ferreira, no. 228, 4050-313, Porto, Portugal. jmgmconceicao@ff.up.pt.
Oluwatomide Adeoye: Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal.
Helena Cabral-Marques: Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal.
Angel Concheiro: Departamento de Farmacología, Farmacia y Tecnología Farmacéutica, I+D Farma Group (GI-1645), Facultad de Farmacia and Health Research Institute of Santiago de Compostela (IDIS), Universidade de Santiago de Compostela, 15782, Santiago de Compostela, Spain.
Carmen Alvarez-Lorenzo: Departamento de Farmacología, Farmacia y Tecnología Farmacéutica, I+D Farma Group (GI-1645), Facultad de Farmacia and Health Research Institute of Santiago de Compostela (IDIS), Universidade de Santiago de Compostela, 15782, Santiago de Compostela, Spain.
José Manuel Sousa Lobo: UCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Rua de Jorge Viterbo Ferreira, no. 228, 4050-313, Porto, Portugal.
The development of orodispersible tablets (ODTs) for poorly soluble and poorly flowable drugs via direct compression is still a challenge. This work aimed to develop ODTs of poorly soluble drugs by combining cyclodextrins that form inclusion complexes to improve wetting and release properties, and directly compressible co-processed excipients able to promote rapid disintegration and solve the poor flowability typical of inclusion complexes. Carbamazepine (CBZ) and hydroxypropyl-β-cyclodextrin (HPβCD) were used, respectively, as a model of a poorly soluble drug with poor flowability and as a solubilizing agent. Specifically, CBZ-an antiepileptic and anticonvulsant drug-may benefit from the studied formulation approach, since some patients have swallowing difficulties or fear of choking and are non-cooperative. Prosolv® ODT G2 and F-Melt® type C were the studied five-in-one co-processed excipients. The complex was prepared by kneading. Flow properties of all materials and main properties of the tablets were characterized. The obtained results showed that ODTs containing CBZ/HPβCD complex can be prepared by direct compression through the addition of co-processed excipients. The simultaneous use of co-processing and cyclodextrin technologies rendered ODTs with an in vitro disintegration time in accordance with the European Pharmacopoeia requirement and with a fast and complete drug dissolution. In conclusion, the combination of five-in-one co-processed excipients and hydrophilic cyclodextrins may help addressing the ODT formulation of poorly soluble drugs with poor flowability, by direct compression and with desired release properties.
Conceição J, Adeoye O, Cabral-Marques HM, Lobo JMS. Cyclodextrins as drug carriers in pharmaceutical technology: the state of the art. Curr Pharm Des. 2018;24(13):1405–33.
[PMID: 29256342]
Narvekar M, Xue HY, Eoh JY, Wong HL. Nanocarrier for poorly water-soluble anticancer drugs—barriers of translation and solutions. AAPS PharmSciTech. 2014;15(4):822–33.
[PMID: 24687241]
Jansook P, Ogawa N, Loftsson T. Cyclodextrins: structure, physicochemical properties and pharmaceutical applications. Int J Pharm. 2018;535(1–2):272–84.
[PMID: 29138045]
Salústio PJ, Pontes P, Conduto C, Sanches I, Carvalho C, Arrais J, et al. Advanced technologies for oral controlled release: cyclodextrins for oral controlled release. AAPS PharmSciTech. 2011;12(4):1276–92.
[PMID: 21948320]
Jacob S, Nair AB. Cyclodextrin complexes: perspective from drug delivery and formulation. Drug Dev Res. 2018;79(5):201–17.
[PMID: 30188584]
Conceição J, Adeoye O, Cabral-Marques HM, Lobo JMS. Cyclodextrins as excipients in tablet formulations. Drug Discov Today. 2018;23(6):1274–84.
[PMID: 29689302]
Adeoye O, Cabral-Marques H. Cyclodextrin nanosystems in oral drug delivery: a mini review. Int J Pharm. 2017;531(2):521–31.
[PMID: 28455134]
Loftsson T, Saokham P, Sá Couto AR. Self-association of cyclodextrins and cyclodextrin complexes in aqueous solutions. Int J Pharm. 2019;560:228–34.
[PMID: 30771468]
Conceição J, Farto-Vaamonde X, Goyanes A, Adeoye O, Concheiro A, Cabral-Marques H, et al. Hydroxypropyl-β-cyclodextrin-based fast dissolving carbamazepine printlets prepared by semisolid extrusion 3D printing. Carbohydr Polym. 2019;221:55–62.
[PMID: 31227167]
European Pharmacopoeia, 9th edition. Strasbourg, France: European Directorate for the Quality of Medicines & HealthCare (EDQM), Council of Europe; 2016.
Cilurzo F, Musazzi UM, Franzé S, Selmin F, Minghetti P. Orodispersible dosage forms: biopharmaceutical improvements and regulatory requirements. Drug Discov Today. 2018;23(2):251–9.
[PMID: 29030242]
Visser JC, Woerdenbag HJ, Hanff LM, Frijlink HW. Personalized medicine in pediatrics: the clinical potential of orodispersible films. AAPS PharmSciTech. 2017;18(2):267–72.
[PMID: 27044380]
Slavkova M, Breitkreutz J. Orodispersible drug formulations for children and elderly. Eur J Pharm Sci. 2015;75:2–9.
[PMID: 25736528]
Petrovick GF, Kleinebudde P, Breitkreutz J. Orodispersible tablets containing taste-masked solid lipid pellets with metformin hydrochloride: influence of process parameters on tablet properties. Eur J Pharm Biopharm. 2018;122:137–45.
[PMID: 29106946]
Zeng F, Wang L, Zhang W, Shi K, Zong L. Formulation and in vivo evaluation of orally disintegrating tablets of clozapine/hydroxypropyl-β-cyclodextrin inclusion complexes. AAPS PharmSciTech. 2013;14(2):854–60.
[PMID: 23649995]
Mangal S, Meiser F, Morton D, Larson I. Particle engineering of excipients for direct compression: understanding the role of material properties. Curr Pharm Des. 2015;21(40):5877–89.
[PMID: 26446468]
Bowles BJ, Dziemidowicz K, Lopez FL, Orlu M, Tuleu C, Edwards AJ, et al. Co-processed excipients for dispersible tablets—part 1: manufacturability. AAPS PharmSciTech. 2018;19(6):2598–609.
[PMID: 29916193]
Patel S, Kaushal AM, Bansal AK. Compression physics in the formulation development of tablets. Crit Rev Ther Drug Carrier Syst. 2006;23(1):1–65.
[PMID: 16749898]
Dziemidowicz K, Lopez FL, Bowles BJ, Edwards AJ, Ernest TB, Orlu M, et al. Co-processed excipients for dispersible tablets—part 2: patient acceptability. AAPS PharmSciTech. 2018;19(6):2646–57.
[PMID: 29943280]
Krupa A, Jachowicz R, Pędzich Z, Wodnicka K. The influence of the API properties on the ODTs manufacturing from co-processed excipient systems. AAPS PharmSciTech. 2012;13(4):1120–9.
[PMID: 22941425]
Siow CRS, Tang DS, Heng PWS, Chan LW. Probing the impact of HPMC viscosity grade and proportion on the physical properties of co-freeze-dried mannitol-HPMC tableting excipients using multivariate analysis methods. Int J Pharm. 2019;556:246–62.
[PMID: 30529666]
Assaf SM, Subhi Khanfar M, Bassam Farhan A, Said Rashid I, Badwan AA. Preparation and characterization of co-processed starch/MCC/chitin hydrophilic polymers onto magnesium silicate. Pharm Dev Technol. 2019;24(6):761–74.
[PMID: 30888873]
Rathod P, Mori D, Parmar R, Soniwala M, Chavda J. Co-processing of cefuroxime axetil by spray drying technique for improving compressibility and flow property. Drug Dev Ind Pharm. 2019;45(5):767–74.
[PMID: 30722705]
Saha S, Shahiwala AF. Multifunctional coprocessed excipients for improved tabletting performance. Expert Opin Drug Deliv. 2009;6(2):197–208.
[PMID: 19239391]
Rojas J, Buckner I, Kumar V. Co-proccessed excipients with enhanced direct compression functionality for improved tableting performance. Drug Dev Ind Pharm. 2012;38(10):1159–70.
[PMID: 22966909]
Mirani AG, Patankar SP, Borole VS, Pawar AS, Kadam VJ. Direct compression high functionality excipient using coprocessing technique: a brief review. Curr Drug Deliv. 2011;8(4):426–35.
[PMID: 21235470]
Al-Khattawi A, Mohammed AR. Challenges and emerging solutions in the development of compressed orally disintegrating tablets. Expert Opin Drug Discovery. 2014;9(10):1109–20.
Al-Khattawi A, Mohammed AR. Compressed orally disintegrating tablets: excipients evolution and formulation strategies. Expert Opin Drug Deliv. 2013;10(5):651–63.
[PMID: 23387409]
Gierbolini J, Giarratano M, Benbadis SR. Carbamazepine-related antiepileptic drugs for the treatment of epilepsy—a comparative review. Expert Opin Pharmacother. 2016;17(7):885–8.
[PMID: 26999402]
United States Pharmacopeia (USP) 41 - National Formulary (NF) 36. Rockville, United States of America: The United States Pharmacopeial Convention; 2017.
Loftsson T, Brewster ME. Cyclodextrins as functional excipients: methods to enhance complexation efficiency. J Pharm Sci. 2012;101(9):3019–32.
[PMID: 22334484]
Kleptose®: betacyclodextrins and hydroxypropyl betacyclodextrins: Roquette; 2006.
Conceição J, Adeoye O, Cabral-Marques HM, Sousa Lobo JM. Hydroxypropyl-β-cyclodextrin and β-cyclodextrin as tablet fillers for direct compression. AAPS PharmSciTech. 2018;19(6):2710–8.
[PMID: 29978292]
Conceição J, Teixeira C, Sousa G, Simões AM, Amorim A, Sá B, et al. Tablet machine instrumentation: influence of lubricants on the lubrication efficiency and compaction profiles. Arh Farm. 2016;66:111–2.
Conceição J, Sousa G, Teixeira C, Simões AM, Sá B, Sousa Lobo JM. Influence of lubricants on tabletting and drug release characteristics. In: 10th world meeting on pharmaceutics, biopharmaceutics and pharmaceutical technology; Glasgow: APV, APGI and A.D.R.I.T.E.L.F; 2016.
Moqbel HA, ElMeshad AN, El-Nabarawi MA. A pharmaceutical study on chlorzoxazone orodispersible tablets: formulation, in-vitro and in-vivo evaluation. Drug Deliv. 2016;23(8):2998–3007.
[PMID: 26828616]
Kohlmann P, Stillhart C, Kuentz M, Parrott N. Investigating oral absorption of carbamazepine in pediatric populations. AAPS J. 2017;19(6):1864–77.
[PMID: 28971365]
Chandrasekaran P, Kandasamy R. Development of extended-release oral flexible tablet (ER-OFT) formulation for pediatric and geriatric compliance: an age-appropriate formulation. AAPS PharmSciTech. 2017;18(7):2394–409.
[PMID: 28138820]
European Medicines Agency (EMA), Committee for Human Medicinal Products (CHMP). Background review for cyclodextrins used as excipients. London; 2014. https://www.ema.europa.eu/en/documents/report/background-review-cyclodextrins-used-excipients-context-revision-guideline-excipients-label-package_en.pdf .
Kou W, Cai C, Xu S, Wang H, Liu J, Yang D, et al. In vitro and in vivo evaluation of novel immediate release carbamazepine tablets: complexation with hydroxypropyl-β-cyclodextrin in the presence of HPMC. Int J Pharm. 2011;409(1–2):75–80.
[PMID: 21371541]
Koester LS, Xavier CR, Mayorga P, Bassani VL. Influence of beta-cyclodextrin complexation on carbamazepine release from hydroxypropyl methylcellulose matrix tablets. Eur J Pharm Biopharm. 2003;55(1):85–91.
[PMID: 12551708]
Loh GOK, Tan YTF, Peh K-K. Enhancement of norfloxacin solubility via inclusion complexation with β-cyclodextrin and its derivative hydroxypropyl-β-cyclodextrin. Asian J Pharm Sci. 2016;11(4):536–46.
Mura P. Analytical techniques for characterization of cyclodextrin complexes in the solid state: a review. J Pharm Biomed Anal. 2015;113:226–38.
[PMID: 25743620]
Jain AS, Date AA, Pissurlenkar RR, Coutinho EC, Nagarsenker MS. Sulfobutyl ether(7) β-cyclodextrin (SBE(7) β-CD) carbamazepine complex: preparation, characterization, molecular modeling, and evaluation of in vivo anti-epileptic activity. AAPS PharmSciTech. 2011;12(4):1163–75.
[PMID: 21918921]
Katzhendler I, Azoury R, Friedman M. Crystalline properties of carbamazepine in sustained release hydrophilic matrix tablets based on hydroxypropyl methylcellulose. J Control Release. 1998;54(1):69–85.
[PMID: 9741905]
Medarević D, Kachrimanis K, Djurić Z, Ibrić S. Influence of hydrophilic polymers on the complexation of carbamazepine with hydroxypropyl-β-cyclodextrin. Eur J Pharm Sci. 2015;78:273–85.
[PMID: 26255049]
Salústio PJ, Cabral-Marques HM, Costa PC, Pinto JF. Comparison of ibuprofen release from minitablets and capsules containing ibuprofen: β-cyclodextrin complex. Eur J Pharm Biopharm. 2011;78(1):58–66.
[PMID: 21195175]
Salústio PJ, Pinto JF, Costa PC, Cabral-Marques HM. Release profiles of indometacin in β-cyclodextrin complexes from HPMC capsules. J Incl Phenom Macrocycl Chem. 2013;75:101–9.
Conceição J, Sá B, Vaz Q, Mesquita P, Sousa G, Sousa Lobo JM. Effect of superdisintegrants on dissolution rate and disintegration time. Arh Farm. 2016;66:109–10.
Guidance for industry: orally disintegrating tablets: Food and Drug Administration (FDA); 2008.
Rao NGR, Patel T, Gandhi S. Development and evaluation of carbamazepine fast dissolving tablets prepared with a complex by direct compression technique. Asian J Pharm. 2009;3(2):97–103.
Arima H, Higashi T, Motoyama K. Improvement of the bitter taste of drugs by complexation with cyclodextrins: applications, evaluations and mechanisms. Ther Deliv. 2012;3(5):633–44.
[PMID: 22834407]