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ONTARGET
Targeted Drug Delivery Systems
Dr. Gajanan S. Sanap M.Pharm.,Ph.D
Department of Pharmaceutics
Ideal College of Pharmacy and Research
Kalyan 421- 306
COLON TARGETED DRUG DELIVERY
ī‚–
ī‚™ Introduction
ī‚™ Anatomy of colon
ī‚™ Criteria of drug selection
ī‚™ Approaches of colon targeting
ī‚™ EVALUATION
ī‚™Reference
CONTENTs
INTRODUCTION
Targeted drug delivery systems:
īļ The major goal of any drug delivery system is to supply a therapeutic
amount of drug to a target site in a body.
īļ Targeted drug delivery implies selective and effective localization of
drug into the target at therapeutic concentrations with limited access
to non target sites.
īļ A targeted drug delivery system is preferred in drugs having
instability, low solubility and short half life,
Definition:-
Colon drug delivery system refers to targeted delivery of drug in to the
lower parts of GI tract , mainly large intestine.
Targeted delivery of drugs to the colon is usually to achieve one or
more of four objectives.
īƒ˜To reduce dosing frequency
īƒ˜To delay delivery to the colon to achieve high local concentrations
in the treatment of diseases of the distal gut,
īƒ˜To delay delivery to a time appropriate to treat acute phases of
disease (chronotherapy),
īƒ˜To deliver to a region that is less hostile metabolically, e.g., to
facilitate absorption of acid and enzymatically labile materials,
especially peptides.
īƒ˜ Oral route is considered to be most convenient for administration of
drug to patient.
īƒ˜ Colon is used as site of Targeted drug delivery.
īƒ˜ Colon was considered as a BLACK-BOX , as most of the drug are
absorbed from the upper part of the GI tract.
īƒ˜ Prime objective-Beneficial in the treatment of colon diseases.
īƒŧIncrease the pharmacological activity.
īƒŧReduce dosing & side effects.
īƒŧPrevent drug from degradation.
īƒ˜As most of the conventional drug delivery systems for treating colon
disorders such as inflammatory bowel diseases, infectious diseases and
colon cancer are failing as the drugs don't reach the site of action in
appropriate concentration.
īƒ˜Thus an effective and safe therapy of these colonic disorders using
site specific drug delivery system.
īƒ˜ The therapeutic advantages of targeting drug to the diseased organ
include,
a)Delivery of drug in its intact form as close as possible to the target
site.
b)The ability to cut down the conventional dose.
c) Reduced incidence of adverse side effects.
WHY COLON TARGETED DRUG DELIVERY IS NEEDED?
īƒ˜In recent times the colon-specific delivery systems(CSDDS) are also
gaining importance for the systemic delivery of protein and peptide
drugs . This is because,
i)as the peptide and protein drugs are destroyed and inactivated in acidic
environment of stomach or by pancreatic enzymes (or) by parenteral
route which is inconvenient and expensive.
ii) Due to the negligible activity of brush border membrane peptidase
activity and less activity of pancreatic enzymes the colon is considered as
the most suitable site.
ADVENTAGES
īƒ˜ The site specific delivery of drug to lower part of GIT, for
localized treatment of several colonic diseases. (ulcerative
colitis, Chron's disease, carcinomas and infections)
īƒ˜ Prevent drug from degradation
īƒ˜ Ensure direct treatment at disease site.
īƒ˜ Suitable absorption site for Protein & Peptide drug.
īƒ˜ Used to prolong the drug therapy.
īƒ˜ Improved drug utilization.
īƒ˜Multiple manufacturing steps.
īƒ˜Microflora affects activity of drug via metabolic degradation of the
drug.
īƒ˜Bioavailability of drug may be low due to potentially binding of
drug in a nonspecific way to dietary residues, intestinal secretions,
mucus or faecal matter.
īƒ˜Non availability of an appropriate dissolution testing method to
evaluate the dosage form in-vitro.
īƒ˜Drug should be in solution form before absorption and there for
rate limiting step for poor soluble drugs.
Limitations / Challenges/Difficulties
īƒ˜ Substantial variation in gastric retention time may
affect drug delivery.
īƒ˜ Diseased condition may affect the colonic transit
time and drug release profile.
īƒ˜ pH level of colon may vary between individuals
due to disease, state and temperature of food
consumed.
Application
īļIn local colonic pathologies
īļSystemic delivery of protein and peptide
īļPotential site for the treatment of diseases sensitive to
circadian rhythms (asthma, angina and arthritis)
īļFor the drugs that are absorbed through colon such as
steroids (â€Ļ.efficacy..)
īļFor the treatment of disorders like IBS, colitis, crohn’s
disease (â€Ļwhere it is necessary to attain high concentration
of drugs)
Table 1. Colon targeting diseases, drugs and sites
Targetsites Disease conditions Drugand activeagents
Topical action Inflammatory Bowel
Diseases, Irritable bowel
disease and Crohn’s disease.
Chronic pancreatitis
Hydrocortisone,
Budenoside,
Prednisolone, Sulfaselazine,
Olsalazine, Mesalazine,
Balsalazide
Local action Pancreatactomy and cystic
fibrosis, Colorectal cancer
Digestive enzyme
supplements
5-Flourouracil
Systemic action To prevent gastric irritation
To prevent first pass
metabolism of orally
ingested drugs
Oral delivery of peptides
Oral delivery of vaccines
NSAIDS
Steroids
Insulin
Inflammatory
bowels
disease
Ulcerative
colitis
Crohn’s disease
Colon Cancer
īƒ˜Colon and rectum cancer - 10% in men and 11% women
īƒ˜ >55,000 Total Colorectal Cancer Deaths
Anatomy & physiology of colon
īƒ˜The GI tract is divided into stomach, small intestine & large
intestine.
īƒ˜The colon itself is made up of the caecum, ascending colon,
hepatic flexure, transverse colon, splenic flexure, descending
colon, sigmoid colon.
īƒ˜It is about 1.5 m long.
īƒ˜Although it varies in diameter from approx 9 cm in caecum
& 2 cm in sigmoid colon.
īƒ˜The wall of colon is composed of 4 layers: serosa,
muscularis externa, sub mucosa & mucosa.
īƒ˜Serosa consists of areolar tissue, muscularis externa
composed of an inner circular layer of fibers, sub mucosa is
layer of connective tissue, mucosa is divided into epithelium
lamina propria & muscularis mucosae
Function of colon
ī‚— Formation of suitable environment for colonic
microorganism.
ī‚— Act as storage reservoirs of waste matter.
ī‚— Removal of content of colon at proper time.
ī‚— Absorption of potassium ion & water from
lumen, concentrating fecal content & secretion
& excretion of potassium & bicarbonates.
ī‚— Gastrointestinal Transit --
ī‚— Gastric emptying of various dosage form is highly
inconsistant & depends primary on whether the subject is
fed or fasting & properties of dosage form.
ī‚— The arrival of dosage form in colon is determined by
rate of gastric emptying & intestine transit time.
Intestinal transit time
Organ Transit time (hrs)
Stomach <1 (fasting)
>3 (fed)
Small intestine 3-4
Large intestine 20-30
Factors to be considered for colonic drug delivery
1. pH in the colon:
īƒŧ pH of the GI tract is subjected to both inter & intra subject
variation.
īƒŧ On entry in to the colon, the pH dropped to 6.4 . The pH in
the mid colon & the left colon is 6.0- 7.6
Location pH
Oral cavity 6.2-7.4
Esophagus 5.0-6.0
Stomach Fasted condition 1.5-2.0
Fed condition 3.0-5.0
Small intestine Jejunum 5.0-6.5
Ileum 6.0-7.5
Large intestine Right colon 6.4
Mid & left colon 6.0-7.6
2. Gastrointestinal transit:
īƒŧGastric emptying of dosage forms is highly variable &
depends primarily on whether the subject is fed or fasted.
īƒŧThe arrival of an oral dosage form at the colon is determined
by the rate of gastric emptying & the small intestinal transit
time.
īƒŧThe transit time of dosage form in GIT:
Organ Transit time (hrs)
Stomach <1 (fasting), >3 (fed)
Small intestine 3-4
large intestine 20-30
3. Colonic microflora:
īƒŧMany compounds taken orally are metabolized by gut
bacteria.
īƒŧDrug release depends on enzymes that are derived from
microflora present in colon.
īƒŧThese enzymes are used to degrade coatings/matrices as well
as to break bonds between an inert carrier and an active agent
resulting in the drug release from the formulation.
īƒŧImportant metabolic reactions carried out by intestinal
bacteria : hydrolysis, reduction, dehydroxylation,
decarboxylation, dehalogenation, deamination, acetylation,
esterification.
Drug absorption in the colon
īƒŧDrugs are absorbed passively by either paracellular or
transcellular route.
īƒŧTranscellular absorption involves the passage of drugs through
cells.(Lipophilic drug)
īƒŧParacellular absorption involves the transport of drug through
tight junction between cells. ( Hydrophilic drug)
īƒŧThe colon may not be the best site for drug absorption since the
colonic mucosa lacks well defined villi as found in the small
intestine.
īƒŧThe colon contents become more viscous with progressive
absorption of water as one travels further through the colon. This
causes a reduced dissolution rate, slow diffusion of drug through
the mucosa.
Role of absorption enhancers
īƒŧThe permeability of drugs can be modified by the use of
chemical enhancers.
īƒŧThese enhancers increase transcellular & paracellular
transport through one of the following mechanism:
1. By modifying epithelial permeability via denaturating
membrane proteins.
2. By reversibly disrupting the integrity of lipid bilayer of
colon.
Category Example
NSAIDs Indomethacin
Calcium ion chelating agent EDTA
Surfactants Polyoxyethylene lauryl ether
Bile salts Glycocholate
Fatty acids Sodium caprylate
Mixed micelles Oleic acid glycocholate
ī‚–
ī‚™ Drugs used for local effects in colon against GIT diseases.
ī‚™ Drugs poorly absorbed from upper GIT.
ī‚™ Drugs for colon cancer.
ī‚™ Drugs that degrade in stomach and small intestine.
ī‚™ Drugs that undergo extensive first pass metabolism.
ī‚™ Drugs for targeting.
Criteria of drug selection
Pharmaceutical Approaches for Targeting Drugs
to Colon
ī‚— pH sensitive systems
ī‚— Microbially triggered system
â—Ļ Prodrugs
â—Ļ Polysaccharide based systems
ī‚— Timed release systems
ī‚— Osmotically controlled drug delivery systems
ī‚— Pressure dependent release systems
īƒ˜ An oral colonic delivery system should retard drug release in the
stomach and small intestine but allow complete release in the
colon.
īƒ˜ A variety of strategies has been used and systems have been
developed for the purpose of achieving colonic targeting .
Approaches to colon specific drug delivery
1. Coating with pH dependent polymers:
īļ The underlying principle of this approach has been employment of
polymers that are able to withstand the lower pH values of the
stomach, but that disintegrate and release the drug as the pH in the
small bowel increases.
īļSelection of enteric polymer dissolving at pH 7 is likely to cause
drug release in terminal small bowel.
īļThe pH in the transverse colon is 6.6 and 7.0 in the descending
colon. Use of pH dependent polymers is based on these differences in
pH levels.
īļThe polymers described as pH dependent in colon specific drug
delivery are insoluble at low pH levels but become increasingly
soluble as pH rises.
īļThese processes distribute the drug throughout the large intestine
and improve the potential of colon targeted delivery systems.
Examples: Cellulose Acetate Phthalate (CAP)
CAP is a white free-flowing powder. It is insoluble in water, alcohols,
and chlorinated hydrocarbons, but soluble in acetone and its mixtures
with alcohols, ethyl acetate–IPA mixture.
Enteric polymers Optimum pH for dissolution
Polyvinyl acetate phthalate (PVAP) 5.0
Cellulose acetate trimelitate (CAT) 5.5
Hydroxypropyl methyl cellulose phthalate
(HPMCP)
>5.5
Methacrylic acid copolymer, Type C
(Eudragit L100-55)
>6.0
Cellulose acetate phthalate (CAP)
(Aquateric)
6.0
Shellac 7.0
Table. pH of commonly used enteric polymers.
ī‚— Cellulose Acetate Phthalate:
ī‚— Methacrylic Acid Copolymers:
ī‚— These are anionic copolymers and are very commonly utilized for
enteric coating, including application in colonic delivery.
ī‚—
ī‚— Eudragit L
Shellac:
ī‚— Shellac is a material of natural origin used for enteric coatings. It is
a purified resinous secretion of the insect Laccifer lacca.
Hydroxypropyl Methylcellulose Phthalate (HPMCP):
ī‚— HPMCP is a white powder or granular material. It is a more
flexible polymer than CAP. Commercially, the available forms are
HPMCP-50 and HPMCP-55.
EudracolTM
ī‚™ The microflora of the colon is in the range of 1011 -1012 CFU/ mL,
consisting mainly of anaerobic bacteria, e.g. bacteroides,
bifidobacteria, eubacteria, clostridia, enterococci, enterobacteria and
ruminococcus etc.
ī‚™ Microflora produces a vast number of enzymes like glucoronidase,
xylosidase, arabinosidase, galactosidase, nitroreductase, azareducatase,
deaminase, and urea dehydroxylase.
ī‚™ Presence of the biodegradable enzymes only in the colon, the use of
biodegradable polymers for colon-specific drug delivery.
ī‚™ These polymers shield the drug from the environments of stomach and
small intestine, and are able to deliver the drug to the colon.
Microbially Triggered Drug
Delivery to Colon
ī‚™ A Prodrug is a pharmacologically inactive derivative of a parent
molecule that require some form of transformation in vivo to release the
active drug at the target site.
ī‚™ This approach involves covalent linkage between the drug and its carrier.
ī‚™ Biotransformation is carried out by a variety of enzymes, mainly of
bacterial origin, present in the colon. The enzymes that are mainly
targeted for colon drug delivery include azoreducatase-galactosidase, β-
xylosidase, nitroreductase, glycosidase deaminase, etc.
PRODRUG
ī‚§For colonic delivery , prodrug is designed to undergo minimal
hydrolysis in upper tracts of GIT & undergo enzymatic hydrolysis in
colon there by releasing the active drug moiety from drug moiety.
ī‚§Metabolism of azo compound by intestinal bacteria is one of most
extensively studied bacterial metabolic process.
ī‚™ The azo linkage exhibits a wide
range of thermal, chemical,
photochemical and pharmaceutical
properties.
ī‚™ The azo compounds are
extensively metabolized by the
intestinal bacteria.
ī‚™ Sulphasalazine, which was used
for the treatment of rheumatoid
arthritis. This compound has an
azo bond between 5-ASA and
sulphapyridine.
ī‚™ Include naturally occurring
polysaccharides obtained from
plant (guar gum, inulin), animal
(chitosan, chondrotin sulphate),
algal (alginates) or microbial
(dextran) origin.
ī‚™ The polysaccrides can be broken
down by the colonic microflora to
simple saccharides. Therefore,
they fall into the category of
“generally regarded as safe”
(GRAS).
AZOREDUCTASES POLYSACCHARIDASES
Of the multitude of bacterial enzymes that are produced in colon, 2
main classes are:-
40
Prodrugs
Drug Carrier Molecule
Enzymatic stimuli in the biological
environment of the GIT breaks the bond
Concept
of
prodrug
s
Prodrugs
Drug Carrier Molecule
Concept
of
prodrug
s
Prodrugs
Drug Carrier Molecule
Concept
of
prodrug
s
Prodrugs
Drug Carrier Molecule
Concept
of
prodrug
s
41
Bacteria in
colon
Hydrolysis of sulphasalazine (A) into 5-aminosalicylic acid (B) and
sulfapyridine (C).
(
A
)
(
B
)
(
C
)
Prodrugs: Example,
īƒŧSulfasalazine is mainly used for the treatment of inflammatory
bowl diseases.
īƒŧChemically it is 5-amino salicylic acid (5-ASA) coupled with
sulphapyridine by azo bonding.
īƒŧOn reaching the colon, the azo bond is reduced by
azoreductases to 5-ASA & sulphapyridine.
īƒŧThe active moiety is 5-ASA & sulphapyridine acts as carrier
to deliver 5-ASA in colon.
Azo polymeric new drug
ī‚— In which use of polymers as drug carriers for drug
delivery to colon .
ī‚— Synthetic, naturally, sub-synthetic polymers used form
colon targeted polymeric prodrug with azo linkage
between polymer & drug moiety.
ī‚— The various azo polymers are evaluated for coating
materials over drug core. These are susceptible to
cleavage by azo reductase enzyme.
ī‚— Coating of protein & peptide drug capsules
crosslinked with azoaromatic group Polymer to
protect drug from degradation in stomach & small
intestine. In colon azo bonds reduced & drug is
released 43
1)Azo bond conjugate:-
Azoreductase enzyme produced in colon by colonic
bacteria which degrades azo bond.
This principle is utilized in preparation of prodrug
derivative of active drug for targeting in colon.
īąSulphasalazine(SASP) is prodrug of 5-ASA. It is conjugated
with sulphapyridine through azo bond.
īąSulphasalazine was introduced for the treatment of rheumatoid
arthritis and anti-inflammatory disease.
Carrier moiety conjugated
with 5-amino salicylic acid
Prodrug of 5-amino
salicylic acid
p-aminohippurate (4-amino
benzoyl glycine)
ipsalazine,
p- 4-amino benzoyl-β-
alanine
balsalazine
p-aminobenzoate HB-313
nonabsorbable
sulphanilamide ethylene
polymer
poly-ASA
a dimer representing two
molecules of 5-ASA that are
linked via an azo bond
olsalazine (OSZ)
45
Polysaccharide based delivery system
īƒ˜Polysaccharides offer an alternative substrate for the
bacterial enzymes present in the colon.
īƒ˜Most of them are hydrophilic in nature.
īƒ˜Natural polysaccharides are either modified or mixed
with water insoluble polymers.
46
Polysaccharides as carriers:
īƒŧThe colonic microflora secretes a number of enzymes that are
capable of hydrolytic cleavage of glycosidic bonds.
īƒŧThese include β-d-glucosidase, β-dgalactosidase, amylase,
pectinase, xylanase, Îą-d-xylosidase, and dextranases.
īƒŧNatural polysaccharides like pectin & inulin are not digested in
stomach & small intestine but are degraded in colon by resident
bacteria.
īƒŧThe bacteria converts polysaccharides to gases such as methane,
carbon dioxide, hydrogen & to short chain fatty acids.
īƒŧThese polysaccharides thus have the potential as non-toxic
carriers for colon specific drug delivery.
63
Polysaccharides used for Colon Drug
Delivery
â€ĸ Chitosan
â€ĸ Pectin
â€ĸ Guar gum
â€ĸ Chondroitin sulphate
â€ĸ Dextran
â€ĸ Cyclodextrins
â€ĸ Almond gum
â€ĸ Locust bean gum
â€ĸ Inulin
â€ĸ Boswellia gum
â€ĸ Karaya gum
49
Different bacterial species acting on
Polysaccharides in colon
Polysaccharides Bacterial species
Amylose
Chitosan
Chondroitin sulphate
Cyclodextrins
Dextran
Guar gum
Bacteriodes
Bifidobacterium
Bacteriodes
Bacteriodes
Bacteriodes
Bacteriodes
Bacteriodes
Ruminococccus
Polysaccharides Drug targeted to colon
Guar gum
Pectin
Inulin
Amylase
Cyclodextrin (β)
Dextran
Chitosan
Eudragits
Rofecoxib , Tinidazole
Naproxen
Azathioprine
5-Amino salicylic acid
Albendazole
Ibuprofen
Satranidozole
5-fluorouracil
List of few studies on
Polysaccharides
50
MARKETED PREPERATION
MARKETED PRODUCTS
51
Time release dosage forms:
īƒ˜Nonbiodegradable polymers are used.
īƒ˜They are generally nonspecific with respect to pH-solubility characteristics and
the employment of these polymers as carrier matrices for colonic delivery often
utilizes a time-dependent mechanism.
īƒ˜ This provides an initial lag phase of low or no release during transit through
the upper gastrointestinal tract.
īƒ˜ The lag time usually starts after gastric emptying because most of the time-
controlled formulations are enteric coated.
īƒ˜ The enteric polymer coat prevents drug release in the stomach.
īƒ˜ Drug release from these systems is not pH dependent.
īƒ˜ Various polymers used are: polyacrylates, methylcellulose, HPMC, CMC etc.
Lag phase
of
~ 5 h is
observed.
īąThis system, first described by Shah & co-workers, uses lag time to
achieve colon delivery.
īąSystem consist of 3 main parts: An outer enteric coat, inner
semipermeable polymer membrane, and a central core having swelling
excipients and an active component.
īąThe outer enteric coating prevents drug release until the tablet reaches
the small intestine.
īąIn the small intestine, the enteric coating dissolves allowing
gastrointestinal fluids to diffuse through the semipermeable membrane
into the core.
īąThe core swells until after a period of 4–6 h, when it bursts, and releases
the active component in the colon.
PULSINCAP
OROS-CT
CODESâ„ĸ
PORTÂŽ SYSTEM
TIME CLOCKÂŽ SYSTEM
COLAL-PREDâ„ĸ
Pulsincap:
Hydrogel capsule
Pulsincap and Hydrophilic Sandwich Capsules
Erodible plug time-delayed capsule:
īļ OROS-CT
īļ CODESâ„ĸ
īļ PORTÂŽ SYSTEM
īļTIME CLOCKÂŽ SYSTEM
īƒ˜ Solid dosage form coated
with lipid barriers containing
carnauba wax and bees wax
along with surfactants.
īƒ˜ Further coated with enteric
coating polymer to prevent
premature drug release, but
the release is independent of
pH or digestive state of the
gut
Enteric coating
Wax coating with
surfactant
Drug core
īļCOLAL-PREDâ„ĸ
īƒ˜Pellets containing the drug (prednisolone
metasulphobenzoate) with a coating of
ethylcellulose and a specific form of amylose
(derived from starch).
īƒ˜After completion of succsesful phase I and II
trials ‘Alizyme’ obtained approval for Phase III
clinical trial of COLAL-PREDTM in maintenance
of remission of ulcerative colitis.
īƒ˜Patient compliance and treatment efficacy
īƒ˜Useful in treatment of ulcerative colitis, crohn's disease,
irritable bowel syndrome and carcinomas
īƒ˜Low dose is required ,so less side effect
īƒ˜Used for local and systemic action
īƒ˜Gastric irritation can be avoided
īļDisadvantages
īƒ˜There is less fluid in colon than in small intestine and
hence, dissolution is a problem for water soluble drugs.
īƒ˜Binding of drug to dietary residues, intestinal
secretions etc., reduce concentration of free drugs.
īƒ˜Some micro flora may degrade the drug.
īƒ˜Small luminal surface area and relative tightness of
tight Junctions in colon, delay the systemic absorption.
īƒ˜Onset of action is slow.
īļApplications
LOCALACTIONS
1. Ulcerative colitis.
2. CHRON'S disease.
3. Irritable bowel syndrome.
4. Metastatic human colon cancer.
SYSTEMIC ACTIONS
1. Molecules degraded/poorly absorbed from upper G.I.T
such as peptides and proteins are better absorbed from
colon.
2. For achieving chemotherapy for diseases that are
sensitive to circadian rhythm such as Asthma, angina,
arthritis.
īƒ˜The OROS-CT (Alza corporation) can be used to target the drug
locally to the colon for the treatment of disease or to achieve systemic
absorption.
īƒ˜The OROS-CT system can be a single osmotic unit or may
incorporate as many as 5-6 push-pull units, each 4 mm in diameter,
encapsulated within a hard gelatin capsule.
īƒ˜For treating ulcerative colitis, each push pull unit is designed with a
3-4 h post gastric delay to prevent drug delivery in the small intestine.
Drug release begins when the unit reaches the colon.
īƒ˜OROS-CT units can maintain a constant release rate for up to 24
hours in the colon or can deliver drug over a period as short as four
hours.
Osmotic Controlled Drug Delivery (ORDS-CT)
Delivery port
Osmet pump
Depend up on the osmotic pressure
exerted by osmogens on drug
compartment with which though drug
get released slowly through the
orifice.
OROS-CT (Alza corporation)
īąImmediately after the OROS-CT is swallowed, the gelatin capsule
containing the push-pull units dissolve
īą Because of its enteric coating, each push-pull unit is prevented
from absorbing water in the acidic environment.
īąAs the unit enter the small intestine, the coating dissolve in this
higher pH (pH >7), water enters the unit, causing the osmotic push
compartment to swell and concomitantly creates a flowable gel in
the drug compartment.
īąSwelling of the osmotic push layer forces drug gel out of the
orifice.
MARKETED PRODUCTS
Sr.
no.
Marketed
name
Company
name
Disease Drug content
1) Mesacol tablet Sun pharma,
India
Ulcerative
colitis
Mesalamine
2) SAZO Wallace , India Ulcerative
colitis, crohn’s
disease
Sulphasalazin
e
3) BUSCOPAN German
remedies
Colonic
motility
Hyoscine
butyl bromide
4) Entofoam Cipla, India Ulcerative
colitis
Hydrocortison
e acetate
For evaluation, not any standardized evaluation technique is available
for evaluation of CDDS because an ideal in vitro model should posses
the in-vivo conditions of GIT such as pH, volume, stirring, bacteria,
enzymes, enzyme activity, and other components of food.
These conditions are influenced by the diet, physical stress, and these
factors make it difficult to design a standard in-vitro model.
EVALUATION
1. In vitro dissolution study
2. In vitro enzymatic degradation test
3. Relative colonic tissue exposure
4. Relative systemic exposure to drugs
5. ī§-Scintigraphy
6. Magnetic moment imaging study
7. Drug delivery index
8. High frequency capsule
1. In vitro methods:
īƒ˜ The ability of the coats/ carriers to remain in the physiological
environment of the stomach and small intestine is generally
assessed by conducting drug release studies in,
â€ĸ Drug release study in 0.1 N HCl for 2 hours (mean gastric emptying
time)
â€ĸ Drug release study in phosphate buffer for 3 hours (mean small
intestine transit time PH 6.8)
īƒ˜These dissolution studies can be carried out by using paddle or basket
or flow through dissolution apparatus.
IN-VITRO DISSOLUTIONTEST
ī‚— Dissolution of CDDS is usually complex, dissolution
Describe in USP
ī‚— Disso. Carried out by conventional basket method.
ī‚— Dissolution tests for CDDS in different media simulating pH
condition & times likely to be encountered at various
location in GI tract.
ī‚— Following media were used-
pH 1.2 to simulate gastric fluid.
pH 6.8 to simulate jejunal region of small intestine.
pH 7.2 to simulate ileum segment.
Enteric coated CDDS studied in gradient disso. Study in 3
buffer systems. 2 hr at pH 1.2, then 1 hr at pH 6.8& finally
at pH 7.4
75
BioDis-III (Apparatus III)
â€ĸ Ideal for the dissolution profiling of extended release
dosage forms.
â€ĸ It is designed to meet or exceed current USP specification.
â€ĸ It used a reciprocating motion to dip the inner tube into
media.
â€ĸ At the designated time, the entire row of inner tubes
raises and moves to the next row of media.
Bio-Dis III
â€ĸ Capable of running unattended upto 6 days and can store upto 25
programms.
â€ĸ 7 sample tubes which automatically traverse upto 6 rows of
corresponding outer tubes filled with different media.
â€ĸ With accessories, the appropriate media volume can vary from 100,
300 ml (USP) or 1000 ml.
BioDis III
In vitro enzymatic degradation test
Method 1:
Drug release in buffer medium containing enzymes(e.g.pectinase, dextranase) or
rat or guinea pig or rabbit decal contents
Amount of drug release in particular time directly proportional to the rate of
degradation of polymer carrier.
Method 2:
Incubating carrier drug system in fermenter
Suitable medium containing colonic bacteria (streptococcus faecium or B.ovatus)
Amount of drug released at different time intervels determined.
B R Nahata College of Pharmacy
Mandsaur (M.P.)
2 In vivo methods:
īąAnimal models
īƒ˜Rats, mice, pigs and dogs animal models were reported for colon
targeted drug delivery systems.
īƒ˜For simulating the human physiological environment of the colon,
appropriate animal model selection is depends on its approach and
design of system.
īƒ˜For example, guinea pigs have glycosidase and glucuronidase activities
in the colon and digestive anatomy and physiology is similar to that of
human, so they are appropriate in evaluating prodrugs containing
glucoside and glucuronate conjugated for colonic delivery.
īƒ˜Techniques which are used for monitoring the in vivo behavior of
colon targeted drug delivery are
String technique,
Endoscopy,
Radiotelemetry,
Roentegenography,
Gamma scintigraphy.
String technique : In these studies, a tablet was attached to a
piece of string and the subject swallowed the tablet, leaving the free
end of the string hanging from his mouth.
īƒ˜At various time points, the tablet was withdrawn from the stomach
by pulling out the string and physically examining the tablet for the
signs of disintegration.
Endoscope technique:
īƒ˜It is an optical technique in which a fiber scope (gastro scope) is
used to directly monitor the behavior of the dosage form after
ingestion.
īƒ˜This method requires administration of a mild sedative to facilitate
the swallowing of the endoscopic tube. The sedative alter the gastric
emptying and GI motility.
Radiotelemetry :
īƒ˜This technique involves the administration of a capsule that consist
of a small pH probe interfaced with a miniature radio transmitter
which is capable of sending a signal indicating the pH of the
environment to an external antenna attached to body of the subject.
īƒ˜So it is necessary to physically attach the dosage form to the capsule
which may effect the behaviour of the dosage form being studied.
Reoentgenography :
īƒ˜The inclusion of a radio-opaque material into a solid dosage form
enables it to be visualized by the use of X-rays.
īƒ˜By incorporating Barium sulphate into a pharmaceutical dosage form,
it is possible to follow the movement, location, and the integrity of the
dosage form after oral administration by placing the subject under a
fluoroscope and taking a series of X-rays at a various time points.
Gamma scintigraphy
īƒ˜The most useful technique, to evaluate the in vivo behavior of dosage
forms in animals and humans is external scintigraphy or gamma
scintigraphy
īƒ˜It requires the presence of a gamma emitting radio active isotope in the
dosage form that can be detected in vivo by an external gamma camera.
The dosage form can be radio labeled using conventional labeling or
neutron activation methods.
Colon targeted drug delivery systems

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Colon targeted drug delivery systems

  • 1. ONTARGET Targeted Drug Delivery Systems Dr. Gajanan S. Sanap M.Pharm.,Ph.D Department of Pharmaceutics Ideal College of Pharmacy and Research Kalyan 421- 306 COLON TARGETED DRUG DELIVERY
  • 2. ī‚– ī‚™ Introduction ī‚™ Anatomy of colon ī‚™ Criteria of drug selection ī‚™ Approaches of colon targeting ī‚™ EVALUATION ī‚™Reference CONTENTs
  • 3. INTRODUCTION Targeted drug delivery systems: īļ The major goal of any drug delivery system is to supply a therapeutic amount of drug to a target site in a body. īļ Targeted drug delivery implies selective and effective localization of drug into the target at therapeutic concentrations with limited access to non target sites. īļ A targeted drug delivery system is preferred in drugs having instability, low solubility and short half life,
  • 4. Definition:- Colon drug delivery system refers to targeted delivery of drug in to the lower parts of GI tract , mainly large intestine. Targeted delivery of drugs to the colon is usually to achieve one or more of four objectives. īƒ˜To reduce dosing frequency īƒ˜To delay delivery to the colon to achieve high local concentrations in the treatment of diseases of the distal gut, īƒ˜To delay delivery to a time appropriate to treat acute phases of disease (chronotherapy), īƒ˜To deliver to a region that is less hostile metabolically, e.g., to facilitate absorption of acid and enzymatically labile materials, especially peptides.
  • 5. īƒ˜ Oral route is considered to be most convenient for administration of drug to patient. īƒ˜ Colon is used as site of Targeted drug delivery. īƒ˜ Colon was considered as a BLACK-BOX , as most of the drug are absorbed from the upper part of the GI tract. īƒ˜ Prime objective-Beneficial in the treatment of colon diseases. īƒŧIncrease the pharmacological activity. īƒŧReduce dosing & side effects. īƒŧPrevent drug from degradation.
  • 6. īƒ˜As most of the conventional drug delivery systems for treating colon disorders such as inflammatory bowel diseases, infectious diseases and colon cancer are failing as the drugs don't reach the site of action in appropriate concentration. īƒ˜Thus an effective and safe therapy of these colonic disorders using site specific drug delivery system. īƒ˜ The therapeutic advantages of targeting drug to the diseased organ include, a)Delivery of drug in its intact form as close as possible to the target site. b)The ability to cut down the conventional dose. c) Reduced incidence of adverse side effects. WHY COLON TARGETED DRUG DELIVERY IS NEEDED?
  • 7. īƒ˜In recent times the colon-specific delivery systems(CSDDS) are also gaining importance for the systemic delivery of protein and peptide drugs . This is because, i)as the peptide and protein drugs are destroyed and inactivated in acidic environment of stomach or by pancreatic enzymes (or) by parenteral route which is inconvenient and expensive. ii) Due to the negligible activity of brush border membrane peptidase activity and less activity of pancreatic enzymes the colon is considered as the most suitable site.
  • 8. ADVENTAGES īƒ˜ The site specific delivery of drug to lower part of GIT, for localized treatment of several colonic diseases. (ulcerative colitis, Chron's disease, carcinomas and infections) īƒ˜ Prevent drug from degradation īƒ˜ Ensure direct treatment at disease site. īƒ˜ Suitable absorption site for Protein & Peptide drug. īƒ˜ Used to prolong the drug therapy. īƒ˜ Improved drug utilization.
  • 9. īƒ˜Multiple manufacturing steps. īƒ˜Microflora affects activity of drug via metabolic degradation of the drug. īƒ˜Bioavailability of drug may be low due to potentially binding of drug in a nonspecific way to dietary residues, intestinal secretions, mucus or faecal matter. īƒ˜Non availability of an appropriate dissolution testing method to evaluate the dosage form in-vitro. īƒ˜Drug should be in solution form before absorption and there for rate limiting step for poor soluble drugs. Limitations / Challenges/Difficulties
  • 10. īƒ˜ Substantial variation in gastric retention time may affect drug delivery. īƒ˜ Diseased condition may affect the colonic transit time and drug release profile. īƒ˜ pH level of colon may vary between individuals due to disease, state and temperature of food consumed.
  • 11. Application īļIn local colonic pathologies īļSystemic delivery of protein and peptide īļPotential site for the treatment of diseases sensitive to circadian rhythms (asthma, angina and arthritis) īļFor the drugs that are absorbed through colon such as steroids (â€Ļ.efficacy..) īļFor the treatment of disorders like IBS, colitis, crohn’s disease (â€Ļwhere it is necessary to attain high concentration of drugs)
  • 12. Table 1. Colon targeting diseases, drugs and sites Targetsites Disease conditions Drugand activeagents Topical action Inflammatory Bowel Diseases, Irritable bowel disease and Crohn’s disease. Chronic pancreatitis Hydrocortisone, Budenoside, Prednisolone, Sulfaselazine, Olsalazine, Mesalazine, Balsalazide Local action Pancreatactomy and cystic fibrosis, Colorectal cancer Digestive enzyme supplements 5-Flourouracil Systemic action To prevent gastric irritation To prevent first pass metabolism of orally ingested drugs Oral delivery of peptides Oral delivery of vaccines NSAIDS Steroids Insulin
  • 13.
  • 17. Colon Cancer īƒ˜Colon and rectum cancer - 10% in men and 11% women īƒ˜ >55,000 Total Colorectal Cancer Deaths
  • 18.
  • 19. Anatomy & physiology of colon īƒ˜The GI tract is divided into stomach, small intestine & large intestine. īƒ˜The colon itself is made up of the caecum, ascending colon, hepatic flexure, transverse colon, splenic flexure, descending colon, sigmoid colon. īƒ˜It is about 1.5 m long. īƒ˜Although it varies in diameter from approx 9 cm in caecum & 2 cm in sigmoid colon. īƒ˜The wall of colon is composed of 4 layers: serosa, muscularis externa, sub mucosa & mucosa. īƒ˜Serosa consists of areolar tissue, muscularis externa composed of an inner circular layer of fibers, sub mucosa is layer of connective tissue, mucosa is divided into epithelium lamina propria & muscularis mucosae
  • 20.
  • 21. Function of colon ī‚— Formation of suitable environment for colonic microorganism. ī‚— Act as storage reservoirs of waste matter. ī‚— Removal of content of colon at proper time. ī‚— Absorption of potassium ion & water from lumen, concentrating fecal content & secretion & excretion of potassium & bicarbonates.
  • 22. ī‚— Gastrointestinal Transit -- ī‚— Gastric emptying of various dosage form is highly inconsistant & depends primary on whether the subject is fed or fasting & properties of dosage form. ī‚— The arrival of dosage form in colon is determined by rate of gastric emptying & intestine transit time. Intestinal transit time Organ Transit time (hrs) Stomach <1 (fasting) >3 (fed) Small intestine 3-4 Large intestine 20-30
  • 23. Factors to be considered for colonic drug delivery 1. pH in the colon: īƒŧ pH of the GI tract is subjected to both inter & intra subject variation. īƒŧ On entry in to the colon, the pH dropped to 6.4 . The pH in the mid colon & the left colon is 6.0- 7.6 Location pH Oral cavity 6.2-7.4 Esophagus 5.0-6.0 Stomach Fasted condition 1.5-2.0 Fed condition 3.0-5.0 Small intestine Jejunum 5.0-6.5 Ileum 6.0-7.5 Large intestine Right colon 6.4 Mid & left colon 6.0-7.6
  • 24.
  • 25. 2. Gastrointestinal transit: īƒŧGastric emptying of dosage forms is highly variable & depends primarily on whether the subject is fed or fasted. īƒŧThe arrival of an oral dosage form at the colon is determined by the rate of gastric emptying & the small intestinal transit time. īƒŧThe transit time of dosage form in GIT: Organ Transit time (hrs) Stomach <1 (fasting), >3 (fed) Small intestine 3-4 large intestine 20-30
  • 26. 3. Colonic microflora: īƒŧMany compounds taken orally are metabolized by gut bacteria. īƒŧDrug release depends on enzymes that are derived from microflora present in colon. īƒŧThese enzymes are used to degrade coatings/matrices as well as to break bonds between an inert carrier and an active agent resulting in the drug release from the formulation. īƒŧImportant metabolic reactions carried out by intestinal bacteria : hydrolysis, reduction, dehydroxylation, decarboxylation, dehalogenation, deamination, acetylation, esterification.
  • 27. Drug absorption in the colon īƒŧDrugs are absorbed passively by either paracellular or transcellular route. īƒŧTranscellular absorption involves the passage of drugs through cells.(Lipophilic drug) īƒŧParacellular absorption involves the transport of drug through tight junction between cells. ( Hydrophilic drug) īƒŧThe colon may not be the best site for drug absorption since the colonic mucosa lacks well defined villi as found in the small intestine. īƒŧThe colon contents become more viscous with progressive absorption of water as one travels further through the colon. This causes a reduced dissolution rate, slow diffusion of drug through the mucosa.
  • 28. Role of absorption enhancers īƒŧThe permeability of drugs can be modified by the use of chemical enhancers. īƒŧThese enhancers increase transcellular & paracellular transport through one of the following mechanism: 1. By modifying epithelial permeability via denaturating membrane proteins. 2. By reversibly disrupting the integrity of lipid bilayer of colon. Category Example NSAIDs Indomethacin Calcium ion chelating agent EDTA Surfactants Polyoxyethylene lauryl ether Bile salts Glycocholate Fatty acids Sodium caprylate Mixed micelles Oleic acid glycocholate
  • 29. ī‚– ī‚™ Drugs used for local effects in colon against GIT diseases. ī‚™ Drugs poorly absorbed from upper GIT. ī‚™ Drugs for colon cancer. ī‚™ Drugs that degrade in stomach and small intestine. ī‚™ Drugs that undergo extensive first pass metabolism. ī‚™ Drugs for targeting. Criteria of drug selection
  • 30. Pharmaceutical Approaches for Targeting Drugs to Colon ī‚— pH sensitive systems ī‚— Microbially triggered system â—Ļ Prodrugs â—Ļ Polysaccharide based systems ī‚— Timed release systems ī‚— Osmotically controlled drug delivery systems ī‚— Pressure dependent release systems īƒ˜ An oral colonic delivery system should retard drug release in the stomach and small intestine but allow complete release in the colon. īƒ˜ A variety of strategies has been used and systems have been developed for the purpose of achieving colonic targeting .
  • 31. Approaches to colon specific drug delivery 1. Coating with pH dependent polymers: īļ The underlying principle of this approach has been employment of polymers that are able to withstand the lower pH values of the stomach, but that disintegrate and release the drug as the pH in the small bowel increases. īļSelection of enteric polymer dissolving at pH 7 is likely to cause drug release in terminal small bowel. īļThe pH in the transverse colon is 6.6 and 7.0 in the descending colon. Use of pH dependent polymers is based on these differences in pH levels. īļThe polymers described as pH dependent in colon specific drug delivery are insoluble at low pH levels but become increasingly soluble as pH rises. īļThese processes distribute the drug throughout the large intestine and improve the potential of colon targeted delivery systems.
  • 32.
  • 33. Examples: Cellulose Acetate Phthalate (CAP) CAP is a white free-flowing powder. It is insoluble in water, alcohols, and chlorinated hydrocarbons, but soluble in acetone and its mixtures with alcohols, ethyl acetate–IPA mixture. Enteric polymers Optimum pH for dissolution Polyvinyl acetate phthalate (PVAP) 5.0 Cellulose acetate trimelitate (CAT) 5.5 Hydroxypropyl methyl cellulose phthalate (HPMCP) >5.5 Methacrylic acid copolymer, Type C (Eudragit L100-55) >6.0 Cellulose acetate phthalate (CAP) (Aquateric) 6.0 Shellac 7.0 Table. pH of commonly used enteric polymers.
  • 34. ī‚— Cellulose Acetate Phthalate: ī‚— Methacrylic Acid Copolymers: ī‚— These are anionic copolymers and are very commonly utilized for enteric coating, including application in colonic delivery. ī‚— ī‚— Eudragit L
  • 35. Shellac: ī‚— Shellac is a material of natural origin used for enteric coatings. It is a purified resinous secretion of the insect Laccifer lacca. Hydroxypropyl Methylcellulose Phthalate (HPMCP): ī‚— HPMCP is a white powder or granular material. It is a more flexible polymer than CAP. Commercially, the available forms are HPMCP-50 and HPMCP-55.
  • 37. ī‚™ The microflora of the colon is in the range of 1011 -1012 CFU/ mL, consisting mainly of anaerobic bacteria, e.g. bacteroides, bifidobacteria, eubacteria, clostridia, enterococci, enterobacteria and ruminococcus etc. ī‚™ Microflora produces a vast number of enzymes like glucoronidase, xylosidase, arabinosidase, galactosidase, nitroreductase, azareducatase, deaminase, and urea dehydroxylase. ī‚™ Presence of the biodegradable enzymes only in the colon, the use of biodegradable polymers for colon-specific drug delivery. ī‚™ These polymers shield the drug from the environments of stomach and small intestine, and are able to deliver the drug to the colon. Microbially Triggered Drug Delivery to Colon
  • 38. ī‚™ A Prodrug is a pharmacologically inactive derivative of a parent molecule that require some form of transformation in vivo to release the active drug at the target site. ī‚™ This approach involves covalent linkage between the drug and its carrier. ī‚™ Biotransformation is carried out by a variety of enzymes, mainly of bacterial origin, present in the colon. The enzymes that are mainly targeted for colon drug delivery include azoreducatase-galactosidase, β- xylosidase, nitroreductase, glycosidase deaminase, etc. PRODRUG ī‚§For colonic delivery , prodrug is designed to undergo minimal hydrolysis in upper tracts of GIT & undergo enzymatic hydrolysis in colon there by releasing the active drug moiety from drug moiety. ī‚§Metabolism of azo compound by intestinal bacteria is one of most extensively studied bacterial metabolic process.
  • 39. ī‚™ The azo linkage exhibits a wide range of thermal, chemical, photochemical and pharmaceutical properties. ī‚™ The azo compounds are extensively metabolized by the intestinal bacteria. ī‚™ Sulphasalazine, which was used for the treatment of rheumatoid arthritis. This compound has an azo bond between 5-ASA and sulphapyridine. ī‚™ Include naturally occurring polysaccharides obtained from plant (guar gum, inulin), animal (chitosan, chondrotin sulphate), algal (alginates) or microbial (dextran) origin. ī‚™ The polysaccrides can be broken down by the colonic microflora to simple saccharides. Therefore, they fall into the category of “generally regarded as safe” (GRAS). AZOREDUCTASES POLYSACCHARIDASES Of the multitude of bacterial enzymes that are produced in colon, 2 main classes are:-
  • 40. 40 Prodrugs Drug Carrier Molecule Enzymatic stimuli in the biological environment of the GIT breaks the bond Concept of prodrug s Prodrugs Drug Carrier Molecule Concept of prodrug s Prodrugs Drug Carrier Molecule Concept of prodrug s Prodrugs Drug Carrier Molecule Concept of prodrug s
  • 41. 41 Bacteria in colon Hydrolysis of sulphasalazine (A) into 5-aminosalicylic acid (B) and sulfapyridine (C). ( A ) ( B ) ( C )
  • 42. Prodrugs: Example, īƒŧSulfasalazine is mainly used for the treatment of inflammatory bowl diseases. īƒŧChemically it is 5-amino salicylic acid (5-ASA) coupled with sulphapyridine by azo bonding. īƒŧOn reaching the colon, the azo bond is reduced by azoreductases to 5-ASA & sulphapyridine. īƒŧThe active moiety is 5-ASA & sulphapyridine acts as carrier to deliver 5-ASA in colon.
  • 43. Azo polymeric new drug ī‚— In which use of polymers as drug carriers for drug delivery to colon . ī‚— Synthetic, naturally, sub-synthetic polymers used form colon targeted polymeric prodrug with azo linkage between polymer & drug moiety. ī‚— The various azo polymers are evaluated for coating materials over drug core. These are susceptible to cleavage by azo reductase enzyme. ī‚— Coating of protein & peptide drug capsules crosslinked with azoaromatic group Polymer to protect drug from degradation in stomach & small intestine. In colon azo bonds reduced & drug is released 43
  • 44. 1)Azo bond conjugate:- Azoreductase enzyme produced in colon by colonic bacteria which degrades azo bond. This principle is utilized in preparation of prodrug derivative of active drug for targeting in colon. īąSulphasalazine(SASP) is prodrug of 5-ASA. It is conjugated with sulphapyridine through azo bond. īąSulphasalazine was introduced for the treatment of rheumatoid arthritis and anti-inflammatory disease.
  • 45. Carrier moiety conjugated with 5-amino salicylic acid Prodrug of 5-amino salicylic acid p-aminohippurate (4-amino benzoyl glycine) ipsalazine, p- 4-amino benzoyl-β- alanine balsalazine p-aminobenzoate HB-313 nonabsorbable sulphanilamide ethylene polymer poly-ASA a dimer representing two molecules of 5-ASA that are linked via an azo bond olsalazine (OSZ) 45
  • 46. Polysaccharide based delivery system īƒ˜Polysaccharides offer an alternative substrate for the bacterial enzymes present in the colon. īƒ˜Most of them are hydrophilic in nature. īƒ˜Natural polysaccharides are either modified or mixed with water insoluble polymers. 46
  • 47. Polysaccharides as carriers: īƒŧThe colonic microflora secretes a number of enzymes that are capable of hydrolytic cleavage of glycosidic bonds. īƒŧThese include β-d-glucosidase, β-dgalactosidase, amylase, pectinase, xylanase, Îą-d-xylosidase, and dextranases. īƒŧNatural polysaccharides like pectin & inulin are not digested in stomach & small intestine but are degraded in colon by resident bacteria. īƒŧThe bacteria converts polysaccharides to gases such as methane, carbon dioxide, hydrogen & to short chain fatty acids. īƒŧThese polysaccharides thus have the potential as non-toxic carriers for colon specific drug delivery.
  • 48. 63 Polysaccharides used for Colon Drug Delivery â€ĸ Chitosan â€ĸ Pectin â€ĸ Guar gum â€ĸ Chondroitin sulphate â€ĸ Dextran â€ĸ Cyclodextrins â€ĸ Almond gum â€ĸ Locust bean gum â€ĸ Inulin â€ĸ Boswellia gum â€ĸ Karaya gum
  • 49. 49 Different bacterial species acting on Polysaccharides in colon Polysaccharides Bacterial species Amylose Chitosan Chondroitin sulphate Cyclodextrins Dextran Guar gum Bacteriodes Bifidobacterium Bacteriodes Bacteriodes Bacteriodes Bacteriodes Bacteriodes Ruminococccus
  • 50. Polysaccharides Drug targeted to colon Guar gum Pectin Inulin Amylase Cyclodextrin (β) Dextran Chitosan Eudragits Rofecoxib , Tinidazole Naproxen Azathioprine 5-Amino salicylic acid Albendazole Ibuprofen Satranidozole 5-fluorouracil List of few studies on Polysaccharides 50
  • 52. Time release dosage forms: īƒ˜Nonbiodegradable polymers are used. īƒ˜They are generally nonspecific with respect to pH-solubility characteristics and the employment of these polymers as carrier matrices for colonic delivery often utilizes a time-dependent mechanism. īƒ˜ This provides an initial lag phase of low or no release during transit through the upper gastrointestinal tract. īƒ˜ The lag time usually starts after gastric emptying because most of the time- controlled formulations are enteric coated. īƒ˜ The enteric polymer coat prevents drug release in the stomach. īƒ˜ Drug release from these systems is not pH dependent. īƒ˜ Various polymers used are: polyacrylates, methylcellulose, HPMC, CMC etc.
  • 53. Lag phase of ~ 5 h is observed.
  • 54. īąThis system, first described by Shah & co-workers, uses lag time to achieve colon delivery. īąSystem consist of 3 main parts: An outer enteric coat, inner semipermeable polymer membrane, and a central core having swelling excipients and an active component. īąThe outer enteric coating prevents drug release until the tablet reaches the small intestine. īąIn the small intestine, the enteric coating dissolves allowing gastrointestinal fluids to diffuse through the semipermeable membrane into the core. īąThe core swells until after a period of 4–6 h, when it bursts, and releases the active component in the colon.
  • 57.
  • 58. Pulsincap and Hydrophilic Sandwich Capsules
  • 63. īļTIME CLOCKÂŽ SYSTEM īƒ˜ Solid dosage form coated with lipid barriers containing carnauba wax and bees wax along with surfactants. īƒ˜ Further coated with enteric coating polymer to prevent premature drug release, but the release is independent of pH or digestive state of the gut Enteric coating Wax coating with surfactant Drug core
  • 64. īļCOLAL-PREDâ„ĸ īƒ˜Pellets containing the drug (prednisolone metasulphobenzoate) with a coating of ethylcellulose and a specific form of amylose (derived from starch). īƒ˜After completion of succsesful phase I and II trials ‘Alizyme’ obtained approval for Phase III clinical trial of COLAL-PREDTM in maintenance of remission of ulcerative colitis.
  • 65. īƒ˜Patient compliance and treatment efficacy īƒ˜Useful in treatment of ulcerative colitis, crohn's disease, irritable bowel syndrome and carcinomas īƒ˜Low dose is required ,so less side effect īƒ˜Used for local and systemic action īƒ˜Gastric irritation can be avoided
  • 66. īļDisadvantages īƒ˜There is less fluid in colon than in small intestine and hence, dissolution is a problem for water soluble drugs. īƒ˜Binding of drug to dietary residues, intestinal secretions etc., reduce concentration of free drugs. īƒ˜Some micro flora may degrade the drug. īƒ˜Small luminal surface area and relative tightness of tight Junctions in colon, delay the systemic absorption. īƒ˜Onset of action is slow.
  • 67. īļApplications LOCALACTIONS 1. Ulcerative colitis. 2. CHRON'S disease. 3. Irritable bowel syndrome. 4. Metastatic human colon cancer. SYSTEMIC ACTIONS 1. Molecules degraded/poorly absorbed from upper G.I.T such as peptides and proteins are better absorbed from colon. 2. For achieving chemotherapy for diseases that are sensitive to circadian rhythm such as Asthma, angina, arthritis.
  • 68. īƒ˜The OROS-CT (Alza corporation) can be used to target the drug locally to the colon for the treatment of disease or to achieve systemic absorption. īƒ˜The OROS-CT system can be a single osmotic unit or may incorporate as many as 5-6 push-pull units, each 4 mm in diameter, encapsulated within a hard gelatin capsule. īƒ˜For treating ulcerative colitis, each push pull unit is designed with a 3-4 h post gastric delay to prevent drug delivery in the small intestine. Drug release begins when the unit reaches the colon. īƒ˜OROS-CT units can maintain a constant release rate for up to 24 hours in the colon or can deliver drug over a period as short as four hours. Osmotic Controlled Drug Delivery (ORDS-CT)
  • 69.
  • 70. Delivery port Osmet pump Depend up on the osmotic pressure exerted by osmogens on drug compartment with which though drug get released slowly through the orifice.
  • 71. OROS-CT (Alza corporation) īąImmediately after the OROS-CT is swallowed, the gelatin capsule containing the push-pull units dissolve īą Because of its enteric coating, each push-pull unit is prevented from absorbing water in the acidic environment. īąAs the unit enter the small intestine, the coating dissolve in this higher pH (pH >7), water enters the unit, causing the osmotic push compartment to swell and concomitantly creates a flowable gel in the drug compartment. īąSwelling of the osmotic push layer forces drug gel out of the orifice.
  • 72. MARKETED PRODUCTS Sr. no. Marketed name Company name Disease Drug content 1) Mesacol tablet Sun pharma, India Ulcerative colitis Mesalamine 2) SAZO Wallace , India Ulcerative colitis, crohn’s disease Sulphasalazin e 3) BUSCOPAN German remedies Colonic motility Hyoscine butyl bromide 4) Entofoam Cipla, India Ulcerative colitis Hydrocortison e acetate
  • 73. For evaluation, not any standardized evaluation technique is available for evaluation of CDDS because an ideal in vitro model should posses the in-vivo conditions of GIT such as pH, volume, stirring, bacteria, enzymes, enzyme activity, and other components of food. These conditions are influenced by the diet, physical stress, and these factors make it difficult to design a standard in-vitro model. EVALUATION 1. In vitro dissolution study 2. In vitro enzymatic degradation test 3. Relative colonic tissue exposure 4. Relative systemic exposure to drugs 5. ī§-Scintigraphy 6. Magnetic moment imaging study 7. Drug delivery index 8. High frequency capsule
  • 74. 1. In vitro methods: īƒ˜ The ability of the coats/ carriers to remain in the physiological environment of the stomach and small intestine is generally assessed by conducting drug release studies in, â€ĸ Drug release study in 0.1 N HCl for 2 hours (mean gastric emptying time) â€ĸ Drug release study in phosphate buffer for 3 hours (mean small intestine transit time PH 6.8) īƒ˜These dissolution studies can be carried out by using paddle or basket or flow through dissolution apparatus.
  • 75. IN-VITRO DISSOLUTIONTEST ī‚— Dissolution of CDDS is usually complex, dissolution Describe in USP ī‚— Disso. Carried out by conventional basket method. ī‚— Dissolution tests for CDDS in different media simulating pH condition & times likely to be encountered at various location in GI tract. ī‚— Following media were used- pH 1.2 to simulate gastric fluid. pH 6.8 to simulate jejunal region of small intestine. pH 7.2 to simulate ileum segment. Enteric coated CDDS studied in gradient disso. Study in 3 buffer systems. 2 hr at pH 1.2, then 1 hr at pH 6.8& finally at pH 7.4 75
  • 76. BioDis-III (Apparatus III) â€ĸ Ideal for the dissolution profiling of extended release dosage forms. â€ĸ It is designed to meet or exceed current USP specification. â€ĸ It used a reciprocating motion to dip the inner tube into media. â€ĸ At the designated time, the entire row of inner tubes raises and moves to the next row of media.
  • 77. Bio-Dis III â€ĸ Capable of running unattended upto 6 days and can store upto 25 programms. â€ĸ 7 sample tubes which automatically traverse upto 6 rows of corresponding outer tubes filled with different media. â€ĸ With accessories, the appropriate media volume can vary from 100, 300 ml (USP) or 1000 ml. BioDis III
  • 78. In vitro enzymatic degradation test Method 1: Drug release in buffer medium containing enzymes(e.g.pectinase, dextranase) or rat or guinea pig or rabbit decal contents Amount of drug release in particular time directly proportional to the rate of degradation of polymer carrier. Method 2: Incubating carrier drug system in fermenter Suitable medium containing colonic bacteria (streptococcus faecium or B.ovatus) Amount of drug released at different time intervels determined. B R Nahata College of Pharmacy Mandsaur (M.P.)
  • 79. 2 In vivo methods: īąAnimal models īƒ˜Rats, mice, pigs and dogs animal models were reported for colon targeted drug delivery systems. īƒ˜For simulating the human physiological environment of the colon, appropriate animal model selection is depends on its approach and design of system. īƒ˜For example, guinea pigs have glycosidase and glucuronidase activities in the colon and digestive anatomy and physiology is similar to that of human, so they are appropriate in evaluating prodrugs containing glucoside and glucuronate conjugated for colonic delivery.
  • 80. īƒ˜Techniques which are used for monitoring the in vivo behavior of colon targeted drug delivery are String technique, Endoscopy, Radiotelemetry, Roentegenography, Gamma scintigraphy. String technique : In these studies, a tablet was attached to a piece of string and the subject swallowed the tablet, leaving the free end of the string hanging from his mouth. īƒ˜At various time points, the tablet was withdrawn from the stomach by pulling out the string and physically examining the tablet for the signs of disintegration.
  • 81. Endoscope technique: īƒ˜It is an optical technique in which a fiber scope (gastro scope) is used to directly monitor the behavior of the dosage form after ingestion. īƒ˜This method requires administration of a mild sedative to facilitate the swallowing of the endoscopic tube. The sedative alter the gastric emptying and GI motility. Radiotelemetry : īƒ˜This technique involves the administration of a capsule that consist of a small pH probe interfaced with a miniature radio transmitter which is capable of sending a signal indicating the pH of the environment to an external antenna attached to body of the subject. īƒ˜So it is necessary to physically attach the dosage form to the capsule which may effect the behaviour of the dosage form being studied.
  • 82. Reoentgenography : īƒ˜The inclusion of a radio-opaque material into a solid dosage form enables it to be visualized by the use of X-rays. īƒ˜By incorporating Barium sulphate into a pharmaceutical dosage form, it is possible to follow the movement, location, and the integrity of the dosage form after oral administration by placing the subject under a fluoroscope and taking a series of X-rays at a various time points. Gamma scintigraphy īƒ˜The most useful technique, to evaluate the in vivo behavior of dosage forms in animals and humans is external scintigraphy or gamma scintigraphy īƒ˜It requires the presence of a gamma emitting radio active isotope in the dosage form that can be detected in vivo by an external gamma camera. The dosage form can be radio labeled using conventional labeling or neutron activation methods.