AN ABSTRACT OF THE THESIS OF Beom-Jin Lee for the degree of Doctor of Philosophy in Pharmacy (Pharmaceutics) presented on December 8, 1992. Title: Development and Evaluation of an Oral Controlled Release and a Transdermal Delivery System for Melatonin in Human Sublects. Abstract approved: Redacted for privacy James W. Ayres, Melatonin (MT) concentration in non-biological fluids was determined using a HPLC system with UV detection. Retention time and sensitivity (0.01 M acetate/methanol (50:50, v/v%), mobile phase) were about 4.5 minutes and 10 ng/ml, respectively, at a flow rate of 1.1 ml/min. MT was very pure as received from the company. MT solubility increased linearly as 2-hydroxypropy1-0cyclodextrin (2-HPCD) concentration (<30 w/v%) increased, but increased exponentially as propylene glycol (PG) concentration (<60 v/v%) increased. Solubilization capacity of 2-HPCD was decteased and less efficient as PG concentration increased in the presence of 2-HPCD. MT was unstable in acidic solution. Sugar spheres loaded with MT were coated with variable amounts of Aquacoat* (aqueous ethylcellulose suspension) to obtain a desired controlled release of MT over 8 hours. Twenty percent Aquacoat' coating of 8-10 mesh beads containing MT showed a controlled release of drug over 8 hours in dissolution profiles and in vivo human studies. An oral preparation containing 0.1 mg immediate release MT (uncoated beads) and 0.4 mg controlled release MT (20% coated beads) produced the plasma MT concentration versus time profile which was similar in shape to the computer simulated profile. However, maximal plasma MT concentration was three times greater than predicted. Urinary excretion rate of 6sulphatoxymelatonin (6-STMT) was closely related with plasma MT concentration, as expected. Flux (Ag/hr/cm2) of MT through excised hairless mouse skin using vertical Franz' diffusion cells was in the order, PG 40%/2-HPCD 30% > CD 30% > PG 40% > PG 20% > buffer. Flux of MT through the ethylene vinyl acetate membrane was 5-20 times less than through excised hairless mouse skin and no MT through the microporous polyethylene membrane was diffused over 12 hours. PG and 2-HPCD were ineffective for the diffusion of MT through synthetic membranes. In human pilot'studies using the Hill Top Chamber' containing MT in 40% PG solution as a transdermal delivery device (TDD), MT could be delivered transdermally. Urinary excretion rate of 6-STMT was also related with plasma MT concentration, as expected. DEVELOPMENT AND EVALUATION OF AN ORAL CONTROLLED RELEASE AND A TRANSDERMAL DELIVERY SYSTEM FOR MELATONIN IN HUMAN SUBJECTS by Beom-Jin Lee A THESIS Submitted to Oregon State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy Completed December 8, 1992 Commencement June 1993 APPROVED: Redacted for privacy of Major Professor of Pharmacy in Redacted for privacy Dean of College of Pharmacy Redacted for privacy Dean of Gra te Schoo Date thesis is presented December 8, 1992 Typed by Beom-Jin Lee ACKNOWLEDGEMENT Science is not simply a collection of facts; it is a discipline of thinking about rational solutions to problems after establishing the basic facts derived from observations. It is hypothesizing from what is known to what might be, and then attempting to test hypotheses. The love for logical thinking must come first; the facts can later fall into place. Rosalyn S. Yalow Mount Sinai School of Medicine Chronicle of Higher Education, June, 1988. I would like to dedicate this thesis in bereavement to my father for his love, encouragement and support until he died July, 24, 1992. My deepest gratitude goes to my wife, Mina Lee. Her understanding, patience and love make this truly meaningful. I would like to give my earnest love and blessing for my two daughters, Rita and Tina for their healthy growing and understanding. I would like to thank Dr. James W. Ayres for his guidance and valuable advice. I greatly appreciate Dr. Keith A. Parrott for his support, assistance, advice and friendship. Special thanks must go to Dr. Robert L. Sack of School of Medicine, Oregon Health Science University for his financial support and guiding in vivo human studies. I would like to thank my committee members for their advice and comments. I also appreciate my fellow graduate students for their help and friendship. I would like to thank all staff in College of Pharmacy for their helpful guidance and assistance. Special thanks go to all advisers in the Office of International Education for their assistance and guidance to adjust myself to new surroundings. TABLE OF CONTENTS 1 INTRODUCTION CHAPTER I: DETERMINATION OF MELATONIN BY REVERSED-PHASE HPLC WITH UV DETECTION 3 ABSTRACT 3 INTRODUCTION 4 MATERIALS AND METHODS 5 RESULTS AND DISCUSSION 7 CONCLUSIONS 15 REFERENCES 16 CHAPTER II: PREFORMULATION EVALUATION OF PHYSICOCHEMICAL PROPERTIES OF MELATONIN 19 ABSTRACT 19 INTRODUCTION 21 MATERIALS AND METHODS 24 RESULTS AND DISCUSSION 28 CONCLUSIONS 52 REFERENCES 53 CHAPTER III: DEVELOPMENT AND CHARACTERIZATION OF AN ORAL CONTROLLED RELEASE DELIVERY SYSTEM FOR MELATONIN 56 ABSTRACT 56 INTRODUCTION 57 MATERIALS AND METHODS 60 RESULTS AND DISCUSSION 69 CONCLUSIONS 83 REFERENCES 84 CHAPTER IV: EVALUATION AND PHARMACOKINETICS OF AN ORAL CONTROLLED RELEASE DELIVERY SYSTEM FOR MELATONIN IN HUMAN SUBJECTS 87 ABSTRACT 87 INTRODUCTION 89 MATERIALS AND METHODS 92 RESULTS AND DISCUSSION 99 CONCLUSIONS 118 REFERENCES 119 CHAPTER V: IN VITRO DIFFUSION STUDIES OF MELATONIN THROUGH HAIRLESS MOUSE SKIN AND SYNTHETIC MEMBRANES 122 ABSTRACT 122 INTRODUCTION 124 MATERIALS AND METHODS 127 RESULTS AND DISCUSSION 132 CONCLUSIONS 154 REFERENCES 156 CHAPTER VI: PRELIMINARY EVALUATION OF TRANSDERMAL DELIVERY DEVICE FOR MELATONIN IN HUMAN SUBJECTS 160 ABSTRACT 160 INTRODUCTION 162 MATERIALS AND METHODS 164 RESULTS AND DISCUSSION 167 CONCLUSIONS 175 REFERENCES 176 BIBLIOGRAPHY 178 APPENDICES 189 LIST OF FIGURES Figure Page 1.1 A typical chromatogram of a mixture of MT (peak 1) and MP (peak 2) as an internal standard. 10 1.2 Standard calibration curve for known MT concentration (0.04 to 0.5 mg/m1) versus peak area ratio of MT and MP (internal standard). 11 11.1 The chemical structure of melatonin (top) and 2-hydroxypropyl-fl-cyclodextrin 25 (bottom). 11.2 FT-IR spectrum of MT. 29 11.3 Thermogram of MT by DSC. 31 11.4 Construction for determining phase transition temperature of MT. A and B indicate lower and upper limit temperature and phase transition temperature is indicated by asterisk 32 (*lc). 11.5 MT solubility as a function of PG concentration (v/v%) at 25 °C in 0.05 M phosphate buffer (pH 6.1)/PG solutions. Arrow indicates the turning point of MT solubility. 11.6 Log solubility of MT as a function of PG concentrations (v/v %) at 25 °C in 0.05 M phosphate buffer (pH 6.1)/PG solutions. 38 11.7 MT solubility as a function of 2-HPCD concentration at 25 °C in 0.05 M phosphate buffer (pH 6.1). 39 11.8 MT solubility in PG with varying concentrations of 2-HPCD solutions at 25 °C in 0.05 M phosphate buffer (pH 6.1). 41 11.9 Comparison of observed (open circle) and theoretical (solid line) MT solubility in 20 % (v/v) PG with varying concentrations of 2-HPCD at 25 °C in 0.05 M phosphate buffer (pH 6.1). 42 37 11.10 Comparison of observed (open circle) and theoretical (solid line) MT solubility in 40% (v/v) PG with varying concentrations of 2-HPCD at 25 °C in 0.05 M phosphate buffer (pH 6.1). 43 11.11 Effect of concentrations of PG on the stability constant of MT (1/M) and slope calculated from the linear portion of MT solubility (mM) versus 2-HPCD concentration (mM) curves. 45 11.12 Comparison of MT solubility (mM) in various vehicles. 47 111.1 Cross section of STREA-1 SPRAY COATER fully assembled. 62 111.2 Dissolution profiles of MT from 18-20 mesh beads coated with Aquacoat'. Coating amounts: open circle, 5%; solid circle, 10%; and trangle, 20%. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 74 111.3 Dissolution profiles of MT from 8-10 mesh beads coated with Aquacoat% Coating amounts: open circle, 5%; solid circle, 10%; and trangle, 20%. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 75 Time for 50% MT dissolution as a function of coating amounts (theoretical weight gain) in 18-20 and 8-10 mesh coated beads. Each data point represents the mean ± standard deviation except where the standard deviation is too small to 77 show. 111.5 Dissolution profiles of MT from 8-10 mesh coated beads with 20% coating as a function of stirring speed. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 78 111.6 Time for 50% MT dissolution as a function of stirring speed. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 79 111.7 Dissolution profiles of MT from 8-10 mesh beads with 20 % coating after 6 months' storage at room temperature. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 82 IV.1 Computer simulated plasma MT concentrations from different dosage forms in human subjects. An 0.5 mg immediate release MT in curve 1 and an oral controlled release delivery system containing 0.1 mg immediate release MT from uncoated beads and 0.4 mg controlled release MT from 20% Aquacoat. coated beads over 8 hours (total dose = 0.5 mg) in curve 2. 100 IV.2 Mean plasma MT concentration versus time profiles after administration of controlled release delivery system to six human subjects at two different doses. Values are expressed as mean ± standard deviation (n=4 for low dose, n=2 for high 102 dose). IV.3 Comparison of the profiles of observed plasma MT concentration (mean ± standard deviation, n=4) and computer simulated plasma MT concentration at low dose. 103 IV.4 Estimated MT input rate (µg /hr) by deconvolution analysis resulting from an oral controlled release delivery system at two different doses of MT. 105 IV.5 Estimated cumulative amount input (Mg) of MT by deconvolution analysis resulting from an oral controlled release delivery system at two different doses of MT. 106 IV.6 Urinary excretion rate (ng/hr) of 6-STMT determined at the midpoints of each urine collection interval after administration of the oral controlled release delivery system to six human subjects. Values are expressed as mean ± standard deviation (n=4 for low dose, n=2 for high dose). 110 IV.7 Comparison of the profiles of plasma MT concentration and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval at the low dose of MT (0.5 mg) in six human subjects. Values are expressed as mean ± standard deviation (n=4). 111 IV.8 Comparison of the profiles of plasma MT concentration and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval at the high dose of MT (1.0 mg) in six human subjects. Values are expressed as mean ± standard deviation (n=2). 112 IV.9 Cumulative amount of urinary for 6 hours at two different Values are expressed as mean deviation (n=4 for low dose, 114 6-STMT (mg) doses of MT. ± standard n=2 for high dose). IV.10 Relationship between plasma MT concentrations and urinary excretion rates of 6-STMT determined at the midpoints of each urine collection interval in six human subjects. 115 IV.11 Computer-simulated plasma MT concentration versus time profiles at various dosing of MT. Total doses and percentage of immediate release portion are as follows: Curve 1, 0.8 mg, 10%; Curve 2, 0.5 mg, 20%; Curve 3, 0.4 mg, 12.5%; Curve 4, 0.4 mg, 10%; Curve 5, 0.2 mg, 10%. Open circles indicate observed plasma MT concentrations at low dose MT studied (0.5 mg, 20%). Kel=0.9 hrl, Ka=1.74 hr4, Vd=35.2 1, and F=0.3 for immediate release MT and F=0.1 for controlled release MT. 116 Scheme of a vertical Franz. diffusion 129 V.1 cell. V.2 Profiles of cumulative amount (4g) of MT released from vehicles saturated with MT through excised hairless mouse skin. Values are expressed as mean ± standard deviation (n=6). 134 V.3 Effects of vehicles on the flux (Ag/hr/cm2) of MT through excised hairless mouse skin. Vehicle 1-5, and 2-5 are statistically different (p<0.05) by Tukey method of multiple comparison analysis. Values are expressed as mean ± standard deviation (n=6). 136 V.4 Correlation between flux (Ag/hr/cm2) of MT from vehicles through excised hairless mouse skin and MT solubility (mM). Vehicles are indicated by numbers. 1, buffer, 2, PG 20% (v/v), 3, PG 40% (v/v), 4, 2-HPCD 30% (w/v), and 5, PG 40% (v/v)/2-HPCD 30% (w/v). Values are expressed as mean ± standard deviation 139 (n=6). V.5 Effects of vehicles on the lag time (hrs) of MT through excised hairless mouse skin. Values are expressed as mean ± standard deviation (n=6). 140 V.6 Effects of hydration time (minutes) between excision of hairless mouse skin and start of diffusion on the flux (Ag/hr/cm2) of MT from vehicles. 142 V.7 Profiles of cumulative amount (Ag) of MT released from vehicles through ethylene vinyl acetate membrane. Values are expressed as mean ± standard deviation 143 (n=4). V.8 Effects of vehicles on the flux (Ag/hr/cm2) of MT through ethylene vinyl acetate membrane. Vehicle 1-2, 1-3, 1-4, 2-3, and 2-5 are statistically different (p<0.05) by Tukey method of multiple comparison analysis due to high precision of data. Values are expressed as mean ± standard deviation (n=4). 145 V.9 Correlation between flux (Ag/hr/cm2) of MT from vehicles through ethylene vinyl acetate membrane and MT solubility (mM). Vehicles are indicated by numbers. 1, buffer, 2, PG 40% (v/v), 3, 2-HPCD 30% (w/v), and 4, PG 40% (v/v)/2-HPCD 30% (w/v). Values are expressed as mean ± standard deviation (n=4). 147 Comparison of flux (Ag/hr/cm2) of MT through excised hairless mouse skin and ethylene vinyl acetate membrane. Bar values of microporous polyethylene membrane are not shown due to undetectable flux. Values are expressed as mean ± standard deviation. 150 VI.1 Plasma MT concentration versus time profiles after application of TDD to four human subjects over 8 hours. 169 VI.2 Profiles of urinary excretion rate of 6STMT (ng/hr) determined at the midpoints of each urine collection interval after application of TDD to four human subjects. TDS was applied at 11:00 AM (t=0) in the morning. Asterisks show the time of TDD removal. 171 VI.3 Cumulative amount of urinary 6-STMT for 6 hours (11:00-17:00) after application of 172 V.10 TDD. VI.4 Correlation between plasma MT concentrations and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval after application of TDD to four human subjects. 173 LIST OF TABLES Page Table 1.1 Optimization of HPLC analytical conditions 8 for MT. 1.2 Melatonin analysis: Peak processing parameters for the Shimadzu Chromatopac CR3A integrator. 1.3 Slope, intercept (I), and coefficient of determination (R2) calculated from standard calibration curves of MT. 12 1.4 Precision and accuracy of standard calibration curves (n=7) for assay of MT concentration in water. 14 II.1 Melting point (mp), heat of fusion, and purity of MT as received from the company by DSC analysis. 30 11.2 Group contribution method for calculating solubility parameter (6) of MT. 34 11.3 Solubility of MT in varying concetrations of PG and/or 2-HPCD solutions. 36 11.4 Percentage of intact MT as a function of 48 9 pH at 70 °C. 11.5 Observed degradation rate constant (k,,, day') and half-life (t1,2, days) of MT as a function of PG and 2-HPCD at 70°C in NaClHC1 buffer (pH 1.4). 49 111.1 Typical processing conditions for coating of MT-loaded beads (STREA-1, Aeromatic). 63 111.2 Formulation for the application of MT to nonpareil sugar spheres. 64 111.3 Coating formulations for Aquacoat. coating of MT-loaded beads. 66 111.4 Amount of MT (mg per gram of bead) assayed 70 in beads. 111.5 Estimated coating amounts based on approximate weight gain of beads (batch size: 90 g of MT-loaded beads). 71 111.6 Amount of MT (mg per gram of bead) in coated beads after storage at room temperature (24±2 °C). 80 IV.1 Selec ed pharmacokinetic parameters of MT for c mputer simulation in human subjects. 93 IV.2 Vital statistics of six human subjects. 94 IV.3 Sampl ng schemes for blood and urine collection in six human subjects. 96 IV.4 Nonco partmental pharmacokinetic param ters for MT following administration of the oral controlled release delivery syste to six human subjects. 107 V.1 MT so ubility in various vehicles 133 V.2 Flux Ag/hr/cm2), permeability coefficient (cm /hi), and lag time of MT from vehicles throu h excised hairless mouse skin (n=6). 135 V.3 Flux Ag/hr/cm2), and permeability coeff cient (cm/hr) of MT from vehicles throu h synthetic membranes (n=4). 146 V.4 Mass alance studies of MT from a vehicle of PG 40% (v/v) with 2-HPCD 30% (w/v) throu h synthetic membranes (n=4). 148 V.6 Volum conta with studi micro 11) changes (ml) of donor phase ning MT in a vehicle of PG 40% (v/v) -HPCD 30% (w/v) during diffusion s through ethylene vinyl acetate and orous polyethylene membranes. 152 VI.l Vital statistics of four male subjects. 165 VI.2 Plasm MT concentration (pg/ml) after appli ation of TDD containing MT in propy ene glycol 40% (v/v) to four human subjects. 168 LIST OF APPENDIX FIGURES Page Figure A.1 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 1. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aquacoat.-coated beads) were administered. 190 A.2 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 2. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aquacoat.-coated beads) were administered. 191 A.3 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 3. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aquacoat.-coated beads) were administered. 192 A.4 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 4. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aquacoat.-coated beads) were administered. 193 A.5 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 5. Total 1 mg of MT doses (0.2 mg immediate release and 0.8 mg controlled released from 20% Aquacoat.-coated beads) were administered. 194 A.6 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 6. Total 1 mg of MT doses (0.2 mg immediate release and 0.8 mg controlled released from 20% Aquacoat-coated beads) were administered. 195 LIST OF APPENDIX TABLES Page Table B.1 Preparation of buffer solutions 197 C.1 Dissolution data: The percentage of MT released from Aquacoat - coated beads at various coating amounts (n=3). 199 C.2 Dissolution data: The percentage of MT released from 8-10 mesh Aquacoat- coated beads with 20% coating as a function of stirring speed. 200 C.3 Dissolution data: The percentage of MT released from 8-10 mesh Aquacoat- coated beads with 20% coating after 6 months' storage at room temperature. 201 D.1 Plasma MT concentration (pg /mi) versus time data after administration of the oral controlled release delivery system to human subjects. 203 D.2 Urinary excretion rate of 6-STMT (ng/hr) versus time data after administration of the oral controlled release delivery system to human subjects. 204 E.1 Mean cumulative amount (Ag) of MT and flux (Ag/hr/cm2) from vehicles through excised hairless mouse skin. 206 E.2 Mean cumulative amount (Ag) of MT and flux (Ag/hr/cm2) from vehicles through ethylene vinyl acetate membrane. 207 E.3 Comparison of ethylene vinyl acetate and microporous polyethylene membranes 208 DEVELOPMENT AND EVALUATION OF AN ORAL CONTROLLED RELEASE AND A TRANSDERMAL DELIVERY SYSTEM IN HUMAN SUBJECTS INTRODUCTION Melatonin (N- Acetyl -5- Methoxytryptamine) is a neurohormone secreted by the pineal gland in a circadian rhythm. Currently, no commercial dosage forms of melatonin (MT) that mimic endogenous MT circadian rhythm are available. Dosage forms which mimic the physiologically produced endogenous MT plasma concentration versus time profile will be valuable to fully evaluate the clinical potential of MT in the treatment of disordered sleep syndrome, jet-lag, seasonal affective disease, shift work syndrome, and other circadian disorders. Dosage forms must deliver MT over 8-10 hours in a controlled fashion so that endogenous circadian rhythms are mimicked. The overall goal of this research is to develop and evaluate an oral controlled release dosage form and a transdermal dosage form of MT for use in human subjects. Chapter I deals with development of a HPLC analysis for MT determination in non-biological fluids. The HPLC procedure was fine tuned to achieve optimal peak resolution and retention time. In Chapter II, the preformulation evaluation of MT 2 and determination of MT physicochemical properties is described. Thermal behavior of MT by DSC, and solubility and stability of MT in varying concentrations of propylene glycol (PG) and 2-hydroxypropyl cyclodextrin (2-HPCD) are also discussed. Development of an oral controlled release dosage form containing MT is presented in Chapter III. Coated MT pellets with the desired controlled release rate were developed using fluid-bed coating technology. Coating technique, dissolution, and stability of the coated pellets is also described. Chapter IV deals with evaluation of an oral controlled release delivery system for MT in human subjects. This chapter describes computer simulation for in vivo studies, and the plasma MT and urinary 6sulphatoxymelatonin (a major renally excreated metabolite of MT) concentrations achieved in human subjects. Chapter V deals with in vitro diffusion studies of MT through excised hairless mouse skin and two synthetic membranes. The diffusional behavior of MT through two synthetic membranes, ethylene vinyl acetate and microporous polyethylene membrane, and excised hairless mouse skin is described. In Chapter VI, the preliminary evaluation of a transdermal delivery system in human subjects is presented. 3 CHAPTER I DETERMINATION OF MELATONIN BY REVERSED-PHASE HPLC WITH UV DETECTION ABSTRACT An analytical procedure for determination of melatonin (MT) concentration in non-biological fluids using reversed-phase radial compression column (C18, 4A), with UV detection (229 nm) is described. Optimal elution conditions were determined by studying several variables: pH, buffer concentration, and ratio of mobile phase components. Mobile phase consisting of 50% (v/v) methanol (HPLC grade) in 0.01 M acetate buffer (pH 4.7) at a flow rate of 1.1 ml/min provided good resolution of MT and methylparaben (internal standard) peaks with a retention time of less than 7 minutes. Because this method has insufficient sensitivity (10 ng/ml), it may not be used for analysis of endogenous MT in plasma but is suitable for determination of MT concentration in aqueous solution. The method is simple, reliable, accurate, and precise. 4 INTRODUCTION It is well known that several indole compounds, which exert neurochemically important physiological actions, exist in the pineal gland. Among the pineal indoles, melatonin (MT; N- acetyl -5- methoxytryptamine) is implicated in the physiology of circadian rhythms (1) and reproductive development (2). Quantitative measurements of MT have mainly depended on bioassay (3), gas chromatography-mass spectroscopy (47), gas chromatography (8), radioimmunoassay (9-12), and high performance liquid chromatography (13-20). A very sensitive detection system is necessary because of the extremely low circulating MT concentrations in blood (10 to 100 pg/ml). All these methods have particular merits and demerits in respect to sensitivity, selectivity, specificity, and convenience (21). The purpose of the present study was to develop a simple and rapid technique for the determination of MT in non-biological fluids by HPLC with UV detection. 5 MATERIALS AND METHODS MT was purchased from Regis Chemical Co. (Morton Grove, IL). Sodium acetate (reagent grade) was from EM Industrial, Inc. (Gibbstown, NJ). Glacial acetic acid (reagent grade) was from J.T. Baker, Inc. (Phillisburg, NJ). Methanol (HPLC grade) was purchased from Mallinckrodt Specialty Chemicals Co. (Paris, KY). Methylparaben (p- hydroxybenzoic acid methyl ester) was from Sigma Chemical Co. (St. Louis, MO). Water was deionized before use. HPLC Analysis MT concentration in solution was determined using a HPLC system consisting of a delivery pump (M-600A, Waters Associates, Milford, MA), an automatic sample injector (WISP 712B, Water Associates, Milford, MA), a reversed- phase C18, 4 gm) radial compression column, a Model 441 absorbance detector with 229 nm light source (Waters Associates, Milford, MA), and a C-R3A Chromatopac Integrator (Shimadzu Corp, Kyoto, Japan). Mobile phase consisted of 50% (v/v) methanol in 0.01 M sodium acetate buffer (pH 4.7). The flow rate to deliver mobile phase was 1.1 ml/min. Mobile phase was filtered using 0.45 gm nylon filter (Cole-Parmer Instrument Co. Chicago, IL) under vacuum. Mobile phase was then further degassed by sonication under vacuum for 1 hour. Methyparaben (MP) was 6 prepared as an aqueous solution (16.7 µg /ml) and used as an internal standard. MT standard solutions ranging in concentration from 0.04 to 0.5 µg /ml were used for the standard calibration curve. MT and internal standard solutions (100 Al and 25 Al, respectively) were mixed and 40 Al was injected in duplicate for HPLC analysis. The standard calibration curve was constructed by plotting the ratio of MT peak area/internal standard peak area versus known MT concentrations (µg /m1). There were no detectable peaks from vehicles or solvents. 7 RESULTS AND DISCUSSION Composition of mobile phase, pH, and concentration of acetate buffer were changed to optimize retention time and resolution of MT and MP peaks. The volume ratio of acetate buffer and methanol had a significant effect on retention time of MT and MP (see Table I.1). Excellent resolution and short retention times were obtained at 50 (v/v)% of methanol in 0.01 M sodium acetate buffer (pH 4.70). Peak processing and recording parameters as shown in Table 1.2 provided the optimal condition for measurement of MT and MP peak areas. The area normalization method was used for the construction of standard calibration curve. Under the conditions described, MT and internal standard were clearly separated and eluted within 7 minutes (Figure I.1). Mean retention time for MT and MP was 4.5 and 6.1 minutes, respectively. Figure 1.2 shows a standard calibration curve for MT. Injections were made in duplicate. Slope, intercept, and coefficient of determination were calculated using linear regression analysis. Mean slope, intercept, and coefficient of determination were 2.001, 0.0071, and 0.9998, respectively (see Table 1.3) for seven standard curves produced over a one year interval. Slope and linearity were very reproducible, and reliable. The intercept was never significantly different from zero but did have a 8 Table 1.1 Optimization of HPLC analytical conditions for MT. Acetate Buffer Conc. (M) ratio' pH retention time (min) MT MP 0.04 5.40 65:35 14 19 0.04 4.70 65:35 13 17 0.04 4.25 65:35 14 18 0.04 4.70 70:30 No peakb No peakb 0.01 4.70 60:40 10 14 0.01 4.70 50:50 4.6 6.1 'Volume ratio of acetate buffer and methanol. bNo peaks were found within 25 minutes. Table 1.2 Melatonin analysis: peak processing parameters for the Shimadzu Chromatopac C-R3A integrator. Peak Processing Calculation Recording Attenuation Width (sec) 5 Drift (AV/min) 5000 (mV/full scale) Slope (4V/min) 3469 Speed (mm/min) Min. Area (count) 1000 Stop Time (min) 9 3 Area Normalization Method 5 to 10 START CC? --4755s Peak 1 6. 13 Peak 2 CHROMATOPAC C-R3A SAMPLE MO 0 REPORT NO 3564 P<M0 1 2 3 FILE METHOD TIME AREA 2.667 4.558 6.13 145954 25949 83176 MK E IDNO COMC 0 41 MAME 57.2193 18.1729 32.6078 TOTAL ---33101 Figure 1.1 A typical chromatogram of a mixture of MT (peak 1) and MP (peak 2) as an internal standard. 13 1.2 1.0 2.004 X 0.007 = 0.999 y == R2 0.8 0.6 0.4 0.2 0.0 Figure 1.2 0.4 0.5 0.2 0.3 MT Concentration (µg /ml)) 0.1 0.6 Standard calibration curve for known MT concentration (0.04 to 0.5 µg /ml) versus peak area ratio of MT and MP (internal standard). Table 1.3 Slope, intercept (I), and coefficient of determination (R2) calculated from standard calibration curves of MT. 0.0455 0.0833 0.1154 0.1667 0.5 Slope I R2 0.0833 0.1595 0.2156 0.3135 0.9740 1.9613 -0.0081 0.9999 0.0860 0.1576 0.2182 0.3055 0.9627 1.9327 -0.0061 0.9998 0.0754 0.1608 0.2090 0.3188 0.9683 1.9575 -0.0102 0.9998 0.0861 0.1641 0.2201 0.3291 0.9962 2.0037 -0.0059 0.9999 0.0844 0.1755 0.2372 0.3321 1.0467 2.1078 -0.0088 0.9997 0.0769 0.1569 0.2195 0.3195 0.9664 1.9491 -0.0072 0.9999 0.0921 0.1755 0.2444 0.3344 1.0467 2.0961 -0.0032 0.9997 Mean 0.0835 0.1643 0.2234 0.3218 0.9974 2.0012 0.0071 0.9998 S.Dh 0.0057 0.0080 0.0126 0.0105 0.0373 0.0722 0.0023 0.0001 CV (%)' 6.8747 4.8841 5.6427 3.2709 3.7554 3.6083 32.224 0.0090 Concentration (µg /m1) P.A.R.a aPeak area ratio of MT and methylparaben (internal standard). bStandard deviation. `Coefficient of variation, CV (%) =[ S.D./Mean] x 100 13 coefficient of variation (C.V.) of 32 %. This was a minor variability in real value as the range was only from - 0.0102 to -0.0032. The precision and accuracy of the HPLC is shown in Table 1.4. Mean percent of theory and C.V. were 100.15 % and 1.82 %, respectively. The lower limit of detection for this procedure is approximately 10 ng/ml. Consequently this assay is not appropriate for measurement of plasma MT where MT concentration is in the 10-100 pg/ml range. However, it may be possible to increase the sensitivity by concentrating plasma samples or increasing injection volume and/or changing detectors. Sagara et al. could detect plasma MT concentration of 19.3 pg/ml using HPLC with electrochemical detection (18). Even though the method described here has insufficient sensitivity to measure plasma MT, it is suitable for the determination of MT in non-biological solutions. Table 1.4 Precision and accuracy of standard calibration curves (n=7) for assay of MT concentration in water. % Theory' C.V. (%)b Actual (µg /m1) Observed 0.04546 0.04524 ± 0.0016c 99.52 ± 3.59 3.61 0.08333 0.08560 ± 0.0013 102.72 ± 1.53 1.49 0.11539 0.11515 ± 0.0023 99.80 ± 1.96 1.96 0.16667 0.16440 ± 0.0032 98.64 ± 1.90 1.92 0.5 0.50045 ± 0.0006 100.09 ± 0.13 0.13 100.15 ± 1.53 1.82± 1.24 (µg /m1) Overall Mean 3% theory = Observed 4- Actual x 100 bCoefficient of variation, C.V. (%)= S.D. + % Theory x 100 `Mean ± standard deviation, n=7 15 CONCLUSIONS Reversed-phase radial pak compression with UV detection could detect 10 ng/ml of aqueous MT solution. The method was reliable, accurate, and precise. Even though this method is not appropriate for measurement of plasma MT where endogenous MT concentration is in the 10200 pg/ml range because of an insufficient detection limit, the method is suitable for the determination of MT in non-biological fluids which is very useful in drug dosage form development. 16 REFERENCES 1. Waldhauser, F. and Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985) . 2. Tamarkin, L., Baird, C.J., and Almeida, O.F.X. Melatonin: A coordinating signal for mammalian reproduction? Science, 227, Feb., 15, 714-720 (1985). 3. Ralph, C.I. and Lynch, H.J. A quantitative melatonin bioassay. Gen. Comp. Endocrinol., 15, 334-338 (1970). 4. Cattabeni, F., Koslow, S.H., and Costa, E. Gas chromatographic-mass spectrometric assay of four indole alkylamines of rat pineal. Science, 178, 166168 (1972). 5. Wilson, B.W., Snedden, W., Silman R.E., Smith, I., and Mullen, P. A gas chromatography-mass spectrometry method for the quantitative analysis of melatonin in plasma and cerebrospinal fluid. Anal Biochem., 81, 283-291 (1977). 6. Lewy, A.J., and Markey, S.P. Analysis of melatonin in human plasma by gas chromatography negative chemical ionization mass spectrometry. Science, 201(25), 741743 (1978). 7. Lee, C.R. and Esnaud, H. Determination of melatonin in blood plasma using capillary gas chromatography and electron impact medium resolution mass spectrometry. Biomed. Environ. Mass Spectrom., 15, 249-252 (1988). 8. Greiner, A.C. and Chan, S.C. Melatonin content of the human pineal gland. Science, 199, Jan., 6, 83-84 (1978) . 9. Rollag, M.D. and Niswender, G.D. Radioimmunoassay of serum concentration of melatonin in sheep exposed to different lightening regimens. Endocrinol., 98, 482489 (1976). 10 Wetterberg, L., Eriksson, 0., Friberg, Y., and Vangbo, B. A simplified radioimmunoassay for melatonin and its application to biological fluids. Preliminary observations on the half-life of plasma melatonin in man. Clinica Chimica Acta, 86, 169-177 (1978) . 17 11. Fraser, S., Cowen, P., Franklin, M., Franey, C., and Arendt, J. Direct radioimmunoassay for Melatonin in plasma, 29(2), 396-397 (1983). 12. Vakkuri, 0., Leppaluoto J., and Vuolteenaho, O. Development and validation of a melatonin radioimmunoassay using radioiodinateded melatonin as tracer, Acta Endocrinologica, 106, 152-157 (1984). 13. Anderson, G.M., Young J.G., Cohen, D.J., and Young, S.N. Determination of indoles in human and rat pineal. J. Chromatogr., Biomed. Appl, 228, 155-163 , (1982). 14. Yamada, K., Sakamoto, Y., and Satoh, T. A simple method for the measurement of pineal melatonin with a high performance liquid chromatography-UV detection. Res. Comm. Chem. Pathol. & Pharmacol. 46(2), 283-287 (1984). 15. Wakabayashi, H., Shimada, K., and Aizawa, Y. Determination of serotonin and melatonin in rat pineal gland by high-performance liquid chromatography with ultraviolet and fluorometric dual detection. Chem. Pharm. Bull., 33(9), 3875-3880 (1985). 16. Malcolm H. Mills and Maurice G. King, Melatonin determination in human urine by high-performance liquid chromatography with fluorescence detection, J. Chromatography, 377, 350-355 (1986). 17. Mills, M.H. and Finlay, D.C. Determination of melatonin and monoamines in rat pineal using reversed-phase ion-interaction chromatography with fluorescence detection. J. Chromatogr., 564, 93-102 (1991). 18. Sagara, Y., Okatani, Y., Yamanaka, S., and Kiriyama, T. Determination of plasma 5-hydroxytryptophan, 5hydroxytryptamine, 5-hydroxyindoleacetic acid, tryptophan and melatonin by high performance liquid chromatography with electrochemical detection, J. Chromatography, 431, 170-176 (1988). 19. Raynaud, F. and Pevet, P. Determination of 5methoxyindoles in pineal gland and plasma samples by high-performance liquid chromatography with electrochemical detection. J. Chromatogr., 564, 103113 (1991). 18 20. Hernandez, G., Abreu, P., Alonso, R., and Calzadilla, C.H. Determination of pineal melatonin by highperformance liquid chromatography with electrochemical detection: Application for rhythm studies and tissue explants. J. Pineal Res., 8, 11-19 (1990). 21. Lynch, H. Assay methodology, The Pineal, edited by Relkin, R. p129-150 (1983). 19 CHAPTER II PREFORMULATION EVALUATION OF PHYSICOCHEMICAL PROPERTIES OF MELATONIN ABSTRACT The physicochemical properties of melatonin (MT) were characterized. Melting point and heat of fusion obtained were 116.9 ± 0.24 °C and 7386 ± 87 cal/mol, respectively, as determined by differential scanning calorimetry (DSC). HPLC, IR and DSC analysis indicate that MT as received is identifiable and very pure. Effects of propylene glycol (PG) and 2-hydroxypropy1-0-cyclodextrin (2-HPCD) on the solubility and stability of MT were investigated. Solubility of MT increased linearly as 2-HPCD (0-30 w/v%) increased but increased exponentially as PG (0-60 v/v%) increased. Solubility of MT in varying concentrations of 2-HPCD solution mixed with PG (20 or 40 v/v%) increased linearly, but was less than the sum of its solubility in 2-HPCD and PG individually. As PG increased in the presence of 2-HPCD, solubilization capacity of 2-HPCD was decreased and solubilization was less efficient although apparent MT solubility was highest in the mixture of 40% (v/v) PG and 30% (w/v) 2-HPCD. PG may have competitively displaced MT molecules from the 2-HPCD cavity. Stability of MT was dependent on pH. MT was unstable in HC1-NaC1 20 buffer (pH 1.4), but was relatively stable in acetate buffer (pH 4.7), phosphate buffer (pH 6.8), and carbonate buffer (pH 10) at 70 °C. In HC1-NaC1 buffer, the presence of PG made MT more unstable as compared to its stability in water. However, MT stability was unchanged compared to aqueous, nonbuffered solution in the presence of low concentrations of 2-HPCD (<0.3 w/v%). Information from these studies will aid in the ongoing development of an oral controlled release and a transdermal dosage form of MT. 21 INTRODUCTION Melatonin (MT; N- acetyl -5- methoxytryptamine) is an indole amide neurohormone (1). It is primarily secreted by the pineal gland in a circadian rhythm (2,3). Exogenous MT has been shown to be effective in resetting circadian rhythms in humans (4-6) and may be useful in the treatment of disordered sleep syndrome (7,8), jet lag (9), shift work syndrome (10), and seasonal affective diseases (11) in humans. Before a MT delivery system which mimics the endogenous MT circadian rhythm can be developed, the physicochemical properties of MT must be evaluated. Unfortunately, little information on the physicochemical properties of MT is available. MT has a relatively low solubility in water (12). Various approaches may be employed to improve MT solubility. Cosolvents or complexing agents are commonly used to overcome solubility and stability problems of drugs in the pharmaceutical industry. Propylene glycol (PG) is among the most useful cosolvents for drugs because of its ability to increase aqueous solubility. It is inexpensive, stable, nontoxic, and used widely in commercial preparations (13). The solubility parameter of PG is 14.8 (cal/cm3)112, which is similar to MT (11.6 (cal/cm3)1/2), based on the group contribution theory of 22 Hildebrand (14). Thus, one might expect that the presence of PG would increase MT solubility in water. Another approach to increase drug solubility is to use cyclodextrins (CDs) which complex with lipophilic drugs. CDs are oligomers of glucose which are produced from enzymatically modified starches. The outer surface of a CD molecule is hydrophilic, but the internal cavity is apolar and lipophilic. Inclusion complexes are formed when the hydrophobic portion of CD interacts with the hydrophobic portion of a drug molecule by noncovalent physical forces (15-16). The highly water soluble 2- hydroxypropy1-0-cyclodextrin (2-HPCD) is a commercially useful complexing agent used to encapsulate numerous compounds at the molecular level. 2-HPCD is utilized by formulators to increase aqueous solubility and chemical stability (17-19). Although many drugs can be complexed, there are some limitations such that CD complexation either is not possible or yields no advantages. However, MT's molecular structure provides conditions for which CD complexation may be applied (20). Purposes of the present research were to: a) characterize the thermal behavior and purity of MT using DSC, and b) to identify MT as received from the manufacture using IR and HPLC, and c) to determine the aqueous solubility and stability of MT in the presence of PG and/or 2-HPCD. Since no data that establish formulation 23 parameters for MT delivery in humans are available, preformulation studies will aid in the ongoing development of an oral controlled release and a transdermal dosage form of MT. 24 MATERIALS AND METHODS Materials Melatonin (MT) was purchased from Regis Chemical Co. (Morton Grove, IL, USA). 2- Hydroxypropyl-13- cyclodextrin (2-HPCD) was provided courtesy of American Maize-Product Company (Hammond, ID, USA). The average molecular weight, average degree of molar substitution and range of molar substitution are 1542, 6.5 moles of hydroxypropyl per mole of 0-cyclodextrin, and 5-8, respectively. Figure II.1 shows the structure of MT and 2-HPCD, respectively. All other chemicals used were of reagent grade. Deionized water was used throughout the study. HPLC and IR Analysis of MT All lots of MT received from the company were tested for identity using HPLC and Fourier transform infrared (FT-IR) spectroscopy. IR spectra were obtained using a Nicolet Model DXB FTIR-spectrometer. Samples were prepared in potassium bromide using a Wig-L-Bug mixer, filled into the macrosample cup of the Collector Cell, and leveled with a spatula. IR spectrum of MT was compared with a reference spectrum provided by the Regis company. HPLC retention time was also checked. Details of the HPLC analysis are described in Chapter I. 25 CH 0 NHCOCH3 CH2OR O "HO ROCH2 OH 0 HO OH OH R = -CH2-CH(OH)-CH3 Figure 11.1 The chemical structure of melatonin (top) and 2-hydroxypropY1-0cyclodextrin (bottom). 26 DSC Analysis of MT A Perkin-Elmer differential scanning calorimetry (DSC) was used to characterize thermal properties of MT, including melting point, heat of fusion, and purity of MT. The DSC apparatus consists of a Thermal Analysis Data Station (TADS) system, Interface, System 4 Microprocessor Controller, DSC-4 Analyzer with sampling provision, and recorder. Dried nitrogen gas continuously purged the DSC sample holder. Temperature was scanned from 50 to 150 °C at a rate of 10 °C/min. A pure indium sample with melting point 156.6 °C and transition energy 6.80 cal/gram was used for temperature calibration. The phase transition temperature determined for indium was within ± 0.2 °C. Solubility Studies Solubility studies were carried out according to the method of Higuchi and Connors (21). Excess amounts of MT were added to 0.05 M phosphate buffer (pH 6.1) containing various concentrations of PG and 2-HPCD. The resulting mixtures were sonicated and vortexed, and then placed in a 25.0 ± 0.1 °C constant-temperature water bath. Parafilm was used to cover the top to prevent evaporation. Equilibrium solubility was reached within 24 hours. Samples were centrifuged at 10,000 g for 15 minutes and the clear supernatant diluted with phosphate buffer to place the concentration in the correct range for assay. 27 The concentration of MT was determined by HPLC (Chapter Stability Studies Stability of MT was investigated under conditions of varying pH and varying concentrations of PG and 2-HPCD. HC1-NaC1 Buffer (pH 1.4), acetate buffer (pH 4.7), phosphate buffer (pH 7.4), and carbonate buffer (pH 10) were used to study the effect of pH on stability of MT. Known concentrations of melatonin were stored in an incubator at 70 ± 2 °C in the dark over 9 months. The degradation rate of MT with varying concentrations of PG and 2-HPCD was determined only in the acidic NaCl-HC1 buffer (pH 1.4) because MT was stable at other pH values. Concentrations of intact MT were determined by HPLC (Chapter I). Degradation rates were calculated by fitting data to a first order kinetic degradation model. 28 RESULTS AND DISCUSSION HPLC and IR Analysis of MT MT as received from the manufacture was identified by HPLC and IR spectroscopy before use. A typical HPLC chromatogram of MT in water for identification of MT is shown in Figure I.1 (Chapter I). Only MT and internal standard peaks were identified. The IR spectrum of MT was compared with that of a reference standard. Figure 11.2 shows an IR spectrum of MT as received. IR spectrum of MT is the same as that of the reference standard. These results suggest that MT as received from company is identifiable and suitable for further study. DSC Analysis of MT DSC evaluation was also undertaken to determine the purity of MT as received from the supplier to decide whether or not this product was suitable for evaluation in solubility and stability study, as well as for a proposed in vivo administration to people as an investigational new drug. DSC is commonly used to determine melting point, heat of fusion, and purity of compounds. DSC data obtained are summarized in Table 11.1. A sharp endothermic peak of fusion was found for MT on a DSC trace (Figure 11.3). The transition temperature (marked as **) of MT is shown in Figure 11.4. The transition temperature is that XTRANSMITTANCE 10. 731 25. 121 31. 510 27. 800 44. 288 O D . ,. .00 . icxxxxxxxxxerr 8 10,410;;;;; 0..0.60 OOOOO .1, f 4P!'PPPrrt,Prt grATAISMIa 30 Table 11.1 Melting point (mp), heat of fusion, and purity of MT as received from the company by DSC analysis. mp (°C) Heat of Fusion Purity (%) (cal/mol) 116.8 ± 0.25 7249 ± 217 99.97 ± 0.05 Note: MT samples accurately weighed using microbalance were heated in the calorimeter cell from 50 to 150 °C. Heating rate was 10°C/min. Two lots of MT samples were used. Values are expressed as mean ± standard deviation (total number of replication = 13). 31 10.00 MT (LOT: P89-114-1. A 1) 3. 30 mg WTI SCAN RATE, 10.00 deg/min A O 5.004 _J UX 0.00 50.00 70.00 40. 00 90. Ce 100.00 110.D3 12100 130.00 TFMPFRATURE <C) Figure 11.3 Thermogram of MT by DSC. 140.00 150.00 16400 DSC 32 10.00 MT CLOT' P89-114-1. A2-2) YTS 3.22 ns SCAN RATE, 10. DC degIn i n PEAK FROM. 115.01 TO. 122.51 117. 37 CAL /CRAM, 31. 87 ONSET. 5. 00 + A 1 0.00 105.00 110.00 115.00 1 00 125. 00 TEMPERATURE CC) Figure 11.4 Construction for determining phase transition temperature of MT. A and B indicate lower and upper limit temperature. Phase transition temperature is indicated by asterisk (**) DSC 33 temperature at which melting of sample is first detected, and is independent of variation in sample size. Heat of fusion of MT was determined by comparison of peak area of MT to the indium calibrant. Peak sharpness and peak width of the melting peak reflects purity and crystalline perfection of samples. The purity of MT was at least 99.9%. Thus, the commercially obtained MT is sufficiently pure to be used for in vivo human studies. Solubility Studies MT has a relatively low solubility in water (12). Information on MT solubility is useful for dosage form design, especially transdermal delivery systems. Group contribution theory based on the thermodynamic partition of each structural moiety is often useful to calculate solubility parameters, which express the cohesion forces between like molecules (14). The calculated solubility parameter (6) of MT was 11.6 (cal/cm3) 1/2 (Table 11.2). PG was selected as a solubilizer for MT because it has a solubility parameter (6=14.8 (cal/cm3) In, which is j similar to MT. PG is a common solvent in pharmaceutical formulations. In addition, 2-HPCD was selected as a complexing agent to increase solubility of MT. 2-HPCD is widely used and commercially available. MT solubility, as a function of concentration of PG or 2-HPCD, and in mixtures of PG and 2-HPCD is summarized 34 Table 11.2 Group contribution method for calculating solubility parameter (6) of MT. Atoms or Number AU; (KJ/mol)* AV; (CM3/M01) a Group CH3 2 4.71 x 2 = 9.42 33.5 x 2 = 67.0 CH2 2 4.94 x 2 = 9.88 16.1 x 2 = 32.2 CH 4 4.11 x 4 = 16.44 13.5 x 4 = 54.0 0 1 3.35 3.8 C=0 1 17.40 10.8 NH 2 8.40 x 2 C 4 4.31 x 4= 17.24 ring closure 2 1.05 x 2 = 2.10 16.0 x 2 = 32.0 conjugation 4 1.67 x 4 = 6.68 -2.2 x 4 = -8.8 = 16.80 EAU; = 100.11 6 = (rdiudalv, ) 4.5 x 2 = 9.0 -5.5 x 4= -22.0 EAV, = 178 un = 11.6 (cal/cm3)1/2 'AU; and AV; are the additive atomic and group contribution for the energy of vaporization and molar volume, respectively (14). 35 in Table 11.3. MT solubility increased as the concentration of PG increased. The solubility of MT in PG solution increased slowly until reaching 40% PG (indicated by an arrow) and then steeply increased (Figure 11.5). According to a linear combination model (13), mixed solvents can be treated as a linear combination of their components. That is, there is a linear relationship between log solubility of the solute in a mixed solvent and volume fraction of solvent. The log MT solubility as a function of volume fraction of PG did have a linear tendency although deviation from linearity at low and high volume fraction was observed (Figure 11.6). This curvature may result from nonideality of solvent or solute. Nonideality refers to water-PG interaction or interaction between MT and either itself or one of the mixed solvent components. The solubility of MT as a function of 2-HPCD concentration is shown in Figure 11.7. Solubility of MT increased linearly as the concentration of 2-HPCD increased (R2=0.993). According to the definition provided by Higuchi and Connors (21), the two types of solubility profiles are A and B. Curve AL indicates a linear relationship between CD concentration and drug concentration. Curve Ap and AN types indicate positive and negative deviations from linearity. On the other hand, B-type relationship indicates the formation of complexes 36 Table 11.3 Solubility of MT in varying concentrations of PG and/or 2-HPCD solutions. Solubilizer PG (v/v%) 2-HPCD (w/v%) 0 -- 10 20 40 60 AM. OM ------- 0.05 0.15 0.50 1.50 5.00 10.00 20.00 30.00 Solubility (mM)a 6.489 7.400 12.125 41.272 280.392 5.921 6.113 7.416 10.276 23.000 35.814 57.981 78.135 Mixtures of solubilizers 20 20 20 20 20 20 20 20 0.05 0.15 0.50 1.50 5.00 10.00 20.00 30.00 11.864 10.211 12.590 17.219 23.747 31.070 54.807 70.055 40 40 40 40 40 40 40 40 0.05 0.15 0.50 1.50 5.00 10.00 20.00 30.00 36.130 38.839 40.735 42.075 49.647 58.269 75.568 87.852 a n=3, mM = mmole/1 37 300 250 200 150 100 50 10 20 30 40 50 60 PG (v/v%) Figure 11.5 MT solubility as a function of PG concentration (v/v%) at 25 °C in 0.05 M phosphate buffer (pH 6.1)/PG solutions. Arrow indicates the turning point of MT solubility. 38 10 Figure 11.6 20 30 40 PG (v/v %) 50 60 Log MT solubility as a function of PG concentrations (v/v %) at 25 °C in 0.05 M phosphate buffer (pH 6.1)/PG solutions. 39 40 120 80 160 2 HPCD (mM) . 0 5 10 15 20 25 . i 30 2-HPCD (w/v %) Figure 11.7 MT solubility (mM) as a function of 2-HPCD concentration at 25 °C in 0.05 M phosphate buffer (pH 6.1). 40 with limited solubility. Because the solubility profile of MT in 2-HPCD solution looks an AL-type curve, MT likely forms soluble complexes with 2-HPCD. MT solubility in the mixtures of PG and 2-HPCD also increased linearly as 2HPCD increased (Figure 11.8). In the mixtures of PG and 2HPCD, observed MT solubility must be equivalent to theoretical MT solubility (sum of MT solubility in PG and 2-HPCD individually) if PG and 2-HPCD behave independently as solubilizers. Figure 11.9 and 10 show that observed MT solubility is less than theoretical MT solubility. These results suggest that interaction between PG, 2-HPCD, and/or MT may be present. MT solubility in the mixtures of PG and 2-HPCD was not additive. The initial linear portion of a solubility curve which involves complexation can be useful to examine the efficiency of complexation since the slope reflects the solubility increase as a function of 2-HPCD concentration. The steeper the slope, the more efficient the complexation. If the slope equals 1.0, then 1.0 mole of 2HPCD is complexing 1.0 mole of MT, i.e., the process is 100% efficient. If the slope is greater than one, higher order complexation is occurring. Figure 11.8 provides that the initial slope obtained in buffer, PG 20%, and PG 40% as a function of 2-HPCD concentration are 0.38, 0.31, and 0.26, respectively. Complexation efficiency between MT and 2-HPCD was not strong. However, the slope is useful to 41 100 o 0 % PG 20 % PG 80 v 40 % PG 60 20 0 40 80 120 2-HPCD (mM) 160 1..111t1111111111/111 111111.1111 0 5 10 15 20 25 30 2-HPCD (w/v %) Figure 11.8 MT solubility (mM) in PG with varying concentrations of 2-HPCD at 25 °C in 0.05 M phosphate buffer (pH 6.1). 42 100 80 E ..'N --6 ,-E, o 40 01 E-4 20 0 40 80 120 2-HPCD (mM) 0 5 10 15 20 160 25 30 2-HPCD (w/v %) Figure 11.9 Comparison of observed (open circle) and theoretical (solid line) MT solubility (mM) in 20 % (v/v) PG with varying concentrations of 2-HPCD at 25 °C in 0.05 M phosphate buffer (pH 6.1). 43 120 100 80 60 40 20 40 0 80 120 160 2-HPCD (mM) 0 5 10 15 20 25 30 2-HPCD (w/v %) Figure 11.10 Comparison of observed (open circle) and theoretical (solid line) MT solubility in 40 % (v/v) PG with varying concentrations of 2-HPCD at 25 °C in 0.05 M phosphate buffer (pH 6.1). 44 calculate the stability constant (or complex formation) on the basis of a 1:1 stoichiometric ratio between drug and complexing agent. Although more than one drug molecule is complexed with 2-HPCD, an apparent stability constant, calculated with the assumption of only 1:1 stoichiometry is often used to describe the system because an AL type diagram would still be observed, and a series of complexes with more than one drugs might not be distinguishable from that for 1:1 complex alone (21). The equation used is as follows. Stability constant (K1:1) = slope So (1-slope) where S, refers to the solubility of drug in water without PG and 2-HPCD. The stability constant (1/M) and the slope of the solubility isotherm are given in Figure II.11. The stability constant and the slope of the solubility isotherm were decreased without deviating from linearity as the concentration of PG was increased. Combination of 2-HPCD with PG reduced the solubilization capacity of 2- HPCD so that solubilization of MT was less efficient. In the mixtures of PG and 2-HPCD, PG may have competitively displaced MT molecules from 2-HPCD complexed cavity. Because 2-HPCD complexes MT in the inner ring closure by noncovalent bonding or hydrophobic properties, PG may influence surrounding forces such as a hydrogen bridge between 2-HPCD and MT by changing water structure and 45 80 60 71 0 C.) 40 erS 20 0 40 20 PG (v/v%) Figure 11.11 Effect of concentrations of PG on the stability constant of MT (1/M) and slope calculated from the linear portion of MT solubility versus 2HPCD concentration (mM) curves. 46 entropy inside the hydrophobic ring (22). The overall MT solubility in various vehicles is compared in Figure 11.12. Apparent MT solubility was the highest in the mixture of PG (40 v/v %) and 2-HPCD (30 w/v %) although efficiency of MT solubilization in 2-HPCD decreased as PG increased as mentioned previously. Stability Studies An amide linkage has lower reactivity than many other leaving groups since cleavage is usually in the order, acid halide > anhydrides > esters > amides. The amide linkage of MT is relatively insensitive to degradation compared with these other bond linkages (23). However, an amide linkage is sensitive to acid catalyzed hydrolysis in low pH solution (24). The percentage of intact MT as a function of pH at 70 °C is given in the Table 11.4. MT is degraded by first order kinetics and was unstable in strong acidic solution (HC1-NaC1 buffer, pH 1.4) but relatively stable in other pH values of 4-10. The stability of MT in the presence of PG and/or 2- HPCD was also investigated in acidic NaCl-HC1 buffer (pH 1.4) (Table 11.5). The use of mixed solvents to achieve greater aqueous solubility may result in altering the stability of drugs (25). Degradation of MT was accelerated in the presence of PG. MT in 10% PG solution was degraded 57 times more quickly than in aqueous solution without PG. 47 Water / PG 20% 41.4 PG 40% 78.1 2-HPCD 30% 70.1 PG 20%a-11PCD 30% I 87.9 PG 40%:2-HPC1) 30% 1.1.1.1.1.1.1.1. 0 10 20 30 40 50 60 70 80 MT Solubility (mM) Figure 11.12 Comparison of MT solubility in various vehicles. 90 48 Table 11.4 Percentage of intact MT as a function of pH at 70 °C pH Day kobs t1f2 1.4 4.7 7.4 10 0 100 100 100 100 0.25 96.5 0.5 86.9 1 81.3 2 71.3 3 61.7 4 56.5 5 51.1 6 47.0 8 41.6 14 12.8 27 2.26 97.3 95.2 94.0 60 0 175 0 73.9 67.2 58.2 283 0 62.5 63.2 37.1 (day')' 1.11x10'1 1.67x103 1.68x10-3 3.46x10-3 (day) b 6.2 415 412 200 'Observed degradation rate constant of MT at each pH was determined by fitting data to a first order kinetic model. "Half-life of MT, t12=0.692/kob, Table 11.5 Observed degradation rate constant (1(0,0 days-') and half-life (t1,2, days) of MT as a function of 2-HPCD and PG at 70 °C in NaCl-HC1 buffer (pH 1.4). PG (v/v Water 2-HPCD (w/v %) 10 20 40 0.005 0.03 0.1 %) 0.3 1(06, (days')' 0.112 6.336 1.217 0.638 0.106 0.111 0.107 0.146 tw (days)" 6.19 0.11 0.62 1.09 6.54 6.24 6.48 4.75 'Degradation rates were determined by fitting data to the first order kinetic model. "Half -life, t112 = 0.692/k 50 Acid catalyzed degradation of MT slowed in the higher concentration of PG. Because MT is a neutral drug, there would be a competition between water and PG in acid catalyzed degradation of MT. The system may contain both hydronium ions and glycolated proton in the reaction mixture. A decrease in dielectric constant, i.e., increase in PG concentration, resulted in an increased reaction rate as compared to MT in water only. In other words, degradation rate may be dependent on water content and solvent polarity (dielectric constant) (23, 25). In 10% PG, a glycolated proton would be a stronger acid than the hydronium ions, thus achieving a greater catalytic effect. However, as PG concentrations increased, the "water" reaction significantly decreased since water content decreased. Thus, overall acid catalyzed hydrolysis may be slowly decreased as water content decreases. On the other hand, the 2-HPCD at the lower concentrations (< 0.3%) did not change the degradation rate constant compared to the only aqueous solution. Acid catalyzed degradation of MT is less sensitive in 2-HPCD solutions than PG solutions. In 2-HPCD solutions, the moiety of MT structure which is sensitive to acid catalyzed degradation may be protected by 2-HPCD. The degradation mechanism of MT and complexation phenomena between MT and 2-HPCD are still under consideration. Degradation mechanism of MT can be studied by comparing 51 melting point of MT using DSC, HPLC retention time, IR, and NMR spectrum of reaction mixture with MT standard. Complexation phenomena between MT and 2-HPCD can also be studied using computer modeling and spectroscopic changes using circular dichroism, IR, NMR, and UV (19,26,27). 52 CONCLUSIONS MT as received from a supplier was identified by HPLC and IR. MT was highly pure, at least 99.9%. MT was endothermally melted as identified by a DSC tracing. PG increased MT solubility exponentially over 60% concentration. MT solubility increased linearly as 2-HPCD increased. MT solubility in the mixtures of PG and 2-HPCD increased linearly but was less than the sum of its solubility in 2-HPCD and PG individually. As PG concentrations increased in the presence of 2-HPCD, solubilization capacity of 2-HPCD was decreased and solubilization was less efficient although apparent MT solubility was the highest in the mixture of 40% PG and 30% (w/v) 2-HPCD. In the mixtures of PG and 2-HPCD, PG may have competitively displaced MT molecules from the 2-HPCD cavity. MT stability was pH dependent. MT was unstable in strong acidic solution (NaCl-HC1 buffer, pH 1.4) but relatively stable at pH values of 4-10. MT was more unstable in the presence of PG than in the aqueous solution only. MT stability was unchanged in the presence of low concentrations of 2-HPCD (< 0.3 w/v%). 53 REFERENCES 1. Lerner, A.B., Case, J.D., Heinzelman, R.V. Structure of melatonin. J. Am. Chem. Soc., 81, 6084-6085 (1959). 2. Waldhauser, F., Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985). 3. Pelham, R.W., Vaughan, G.M., Sandock, K.L., and Vaughan, M.K. Twenty-four hour cycles of melatonin-like substances in the plasma of human males. J. Clin. Endocrinol. Metab., 37, 341-344 (1973). 4. Arendt, J., Aldhous, M., and Wright, J. Synchronization of a disturbed sleep-wake cycle in a blind man by melatonin treatment. The Lancet, April 2, 773 (1988). 5. Petterborg, L.J., Thalen, B.E., Kjellman, B.F., and Wetterberg, L. Effects of melatonin replacement on serum hormone rhythm in a patient lacking endogenous emlatonin. Brain Res. Bull., 27(2), 181-185 (1991) . 6. Sack, R.L., Lewy, A.J., Blood, M.L., Stevenson, J, and Keith, L.D. Melatonin administration to blind people: Phase advances and entrainment. J. Biol. Rhythm, 6(3), 249-262 (1991). 7. Cramer, H., Rudolph, J., Consbruch, U., and Kendel, K. On the effects of melatonin on sleep and behavior in man. Adv. in Biochem. Psychopharmacol., 11, 187191 (1974). 8. Dahlitz, M., Alvarez, B., Vignau, J., English, J., Arendt, J., and Parkes, J.D. Delayed sleep phase syndrome response to melatonin. Lancet, 337(8750), 1121-1124 (1991). 9. Petrie, K., J.V. Conaglen, L. Thompson, K. Chamberlain (1989) Effects of melatonin on jet lag after long haul flight. Br. Med. J., 298, 705-707. 10. Waldhauser, F., Vierhapper, H., and Oirich, K. Abnormal circadian melatonin secretion in night-shift workers. The New Eng. J. Med., 7, 441-446 (1986). 54 11. Rosenthal, N.E., Sack, D.A., Gillin, J.C., Lewy, A.J., Goodwin, F.K., Davenport, Y., and Mueller, P.S., et. al., Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch. Gen, Psychiatry, 41, 71-80 (1984) . 12. Lewy, A.J. Biochemistry and regulation of mammalian melatonin production. The Pineal Gland, edited by Richard Relkin, Elsevier Science Publishing Co., Inc. (1983) . 13. Yalkowsky, S.H., and Rubino, J.T. Solubilization by cosolvents I: Organic solutes in propylene glycol-water mixtures. J. Pharm. Sci., 74(4), 416-421 (1985). 14. Barton, A.F.M. Handbook of solubility parameters and other cohesion parameters. CRC Handbook, CRC Press, Inc. (1983). 15. Duchene, D. and Wouessidjewe, D. Physicochemical characteristics and pharmaceutical uses of cyclodextrin derivatives, Part I. Pharm. Tech., 14(6), 26-34 (1990). 16. Yoshida, A., Arima, H., Uekama, K., and Pitha, J. Pharmaceutical evaluation of hydroxyalkyl ehters of 0-cyclodextrin. Int. J. Pharm., 46, 217-222 (1988). 17. Muller, B.W. and Brauns, V. Solubilization of drugs by modified 0-cyclodextrins. Int. J. Pharm., 26, 7788 (1985). 18. Loftsson, T., Bjornsdottir, S., Palsdottir, G., and Bodor, N. The effects of 2-hydroxypropy1-0cyclodextrin on the solubility and stability of chlorambucil and melphalan in aqueous solution. Int. J. Pharm. 57:63-72 (1989). 19. Backensfeld, T., Muller, B.W., Wiese, M., and Seydel, J.K. Effects of cyclodextrin derivatives on indomethacin stability in aqueous solution. Pharm. Res., 7(5), 484-490 (1990). 20. Szejtli, J. Cyclodextrins in drug formulations: PartII. Pharm. Tech., August, 24-38 (1991). 21. Higuchi, T. and Connor, K. Phase solubility techniques. Adv. Anal. Chem. Instr., 4. 117-212 (1965) . 55 22. Muller, B.W. and Albers, E. Effects of hydrotropic substances on the complexation of sparingly soluble drugs with cyclodextrin derivatives and the influence of cyclodextrin complexation on the pharmacokinetics of the drugs. J. Pharm. Sci., 80(6), 599-604 (1991). 23. Connors, K.A., Amidon, G.L., and Kennon, L. Chemical stability of pharmaceuticals, A handbook for pharmacists. John Wiley & Sons, 33-79 (1979). 24. Dilbeck, G.A., Field, L., Gallo, A.A., and Gargiulo, R.J. Biologically oriented organic sulfur chemistry. 19. Synthesis and properties of 2-amino-5-mercapto-5methylhexanoic acid, a bishomologue of penicillamine. Use of boron trifluoride etherate for catalyzing Markownikoff addition of a thiol to an olefin. J. Org. Chem., 43(24), 4593-4596 (1978). 25. Marcus, A.D. and Taraszka, A.J. A kinetic study of the specific hydrogen ion catalyzed solvolysis of chloramphenicol in water-propylene glycol system. J. Am. Pharm. Asso., Scientific edition, 48 (2), 77-84 (1959). 26. Puglisi, G., Santagati, N.A., Pignatello, R., Ventura, C., Bottino, F.A., Mangiafico, S., and Mazzone, G. Inclusion complexation of 4biphenylacetic acid with 0-cyclodextrin. Drug Dev. Ind. Pharm., 16(3), 395-413 (1990). 27. Xiang, T. and Anderson, B.D. Inclusion complexes of purine necleosides with cyclodextrins. II. Investigation of inclusion complex geometry and cavity microenvironment. Int. J. Pharm., 59, 45-55 (1990). 56 CHAPTER III DEVELOPMENT AND CHARACTERIZATION OF AN ORAL CONTROLLED RELEASE DELIVERY SYSTEM FOR MELATONIN ABSTRACT Sugar spheres loaded with melatonin (MT) were coated with Aquacoat' (aqueous polymeric ethylcellulose suspension) to control the release rate of MT. Dissolution was evaluated using the USP basket method. With 18-20 mesh beads, Tm(time to release 50% of drug) for 5%, 10% and 20% coatings was 10 min, 35 min and 60 min, respectively. Most drug was released within 2 hours so that prolonged release was not achieved. However, a zero order release pattern over 8 hours was obtained with 20% coating on 8-10 mesh beads. T50% for 5%, 10% and 20% coatings was about 1, 2, and 4 hours, respectively. MT in 20% coated beads was quite stable during storage at room temperature with less than 5% MT degraded during 6 months' storage. Dissolution profiles from 8-10 mesh beads with a 20% coating were unchanged after 6 months, which implies that coated films are relatively stable at room temperature. An effective drug delivery system has been developed which mimics the endogenous circadian MT pattern in vivo can be provided as a result of prospective application of pharmacokinetics and pharmaceutical coating technology. 57 INTRODUCTION Melatonin (MT, N- acetyl -5- methoxytryptamine) is an indole amide neurohormone (1). It is primarily secreted by the pineal gland in a circadian rhythm (2) which is quite stable in humans. MT concentrations increase in the evening about 10 pm, which lasts for approximately 8 hours above the arithematic mean levels of MT (30 pg/ml). It is desirable to develop controlled release dosage forms which deliver MT over 8 hours so that the normal endogenous circadian fashion of MT may be re-established in selected individuals whose MT production differs from the normal subjects. Currently, MT's clinical usefulness may be limited because a proper dosage form that mimics the physiological, endogenous plasma MT concentration versus time profile is not available. Since exogenous MT has been used as a circadian rhythm synchronizer in humans (3,4), appropriate dosage forms for MT have clinical potential to treat a variety of circadian rhythm disorders including sleep disorders (5,6), jet lag (7), shift work syndrome (8), seasonal depression (9), and may help blind and elderly people with desynchronized rhythms (3,10). Application of aqueous polymeric film coatings to drug loaded nonpareils (sugar spheres, NF) has become an increasingly popular method of developing controlled 58 release dosage forms (11-14). Aqueous polymeric ethylcellulose suspension (Aquacoat.) has replaced the conventional organic solvent-based coating methods because of the potential toxicity and high costs associated with organic solvents (15,16). Aquacoat' is an ethylcellulose dispersion stabilized by sodium lauryl sulfate and cetyl alcohol (17). Plasticizers must be added to these polymeric suspensions prior to their use. Plasticizers provide flexibility for the coating polymer by lowering its glass transition temperature, promoting film coalescence, and making the polymer more susceptible to deformation. Diethyl phthalate, dibutyl sebacate and triethyl citrate are commonly used as plasticizers (11,17,18). The fluid bed process is increasingly popular for coating of drug-loaded particles such as granules, beads, and sugar spheres to control drug release rates (19,20). Fluid-bed coating utilizes three basic approaches to spray coating materials: top, tangential, or bottom spray patterns (Wurster). The fluidized bed process using bottom-spraying with a Wurster air-suspension column provides the best conditions for coalescence of small polymeric particles, coating efficiency, homogenous drug disposition, and reproducible release characteristics (12,13,19,21). Drug release through polymeric films occurs not only 59 via diffusion, but also through pores in the polymeric networks formed during coating process (22,23). Drug release rate from a polymer coated system is sensitive to various parameters such as coating thickness, coating morphology, amount of additives and plasticizers, physicochemical properties of drugs, and polymeric components. Therefore, optimizing processing and formulation parameters is required to ensure desired release rates of drugs (21, 24-26). The purpose of this study was to develop an oral controlled release delivery system that releases MT over an 8 hour period. The effect of sugar pellet size, coating amount, and stirring rate of the dissolution basket on the release rate of MT were characterized. The chemical stability and release rate of MT from coated beads during storage was also determined. 60 MATERIALS AND METHODS Materials MT was purchased from Regis Chemical Co.(Morton Grove, IL). Core sugar spheres (USP/NF) as a substrate for MT loading were from Paulaur Co. (Robbinsville, NJ). Polyvinylpyrrolidone (PVP, average molecular weight 40,000, Lot # 05907CW) and hydroxypropylcellulose (HPC, average molecular weight 300,000, Lot # 80253BP) were from Aldrich Chemical Co. (Milwaukee, WI). Polymeric ethylcellulose suspension (Aquacoat': Type ECD-30, Lot # J0211) was from FMC Corp. (Philadelphia, Pennsylvania, USA). Sebatic acid dibutyl ester (DBS, grade II, lot # 40H0279) was from Sigma Chem. Co. (St. Louis, MO), and triethyl citrate (TEC) was from Aldrich Chemical Co. (Milwaukee, WI, USA) as plasticizers, respectively. 95% ethanol (USP grade) was from Georgia-pacific Co. Equipment The apparatus for MT-loading onto sugar spheres and applying the polymeric film coating consists of a laboratory scale spray coater having a Wurster column (2"x7", STREA -1, Aeromatic Inc., Columbia, MD) inside clear plexiglass column mounted on a fluid-bed dryer (LabLine/P.R.L. Hi-Speed Fluid Bed Dryer, Lab-Line Instruments Inc., Melrose Park, IL). A peristaltic pump is used to 61 deliver solutions to the spray nozzle. The entire equipment is located in a ventilating hood. A cross section of the STREA-1 SPRAY COATER is shown in Figure 111.1. Typical processing conditions for MT loading and coating of MT-loaded beads is given in Table 111.1. Preparation of MT-loaded Bead The formulation for the production of MT loaded beads is listed in Table 111.2. Polyvinylpyrrolidone (PVP) and hydroxypropylcellulose (HPC) were used as binders dissolved in 95% ethanol. MT was then dissolved in the binder solution. 300 grams of core sugar spheres retained on a either 18-20 or a 8-10 mesh screen were prewarmed in a fluid-bed coating chamber at 40°C for about 15-30 minutes. The solution containing MT and binders was then applied to the sugar spheres to produce MT-loaded beads using a 0.8 mm nozzle with continuous fluidizing air supply. The solution was delivered at 4 ml/min using a peristaltic pump. After the solution was applied, MT beads were further dried for 30 min in the coating chamber using fluidizing air at 40°C. Coating Process Aqueous polymeric coating suspension was prepared to provide rate controlling membranes. The coating formulation for Aquacoatscoating of MT-loaded beads is 62 plexiglass column Wurster colonn pins with win. nut screws mesh base screen tubing to air compressor fluid mounting Figure 111.1 Cross section of STREA-1 SPRAY COATER fully assembled 63 Table III.1 Typical processing conditions for coating of MT-loaded beads (STREA-1, Aeromatic) Wurster insert bottom spray Nozzle size 0.8 mm Inlet temperature' 50 °C Atomization air 12-15 psi Fluidization air blower 50-70% of full capacity Flow rateb 1 ml/min and 4 ml/min '40 °C was used for the preparation of MT-loaded beads. biOnly 4 ml/min was used for the preparation of MT-loaded beads. Peristaltic pump was manually switched between "on" or "off" as necessary to control clumping of beads during the coating process. 64 Table 111.2 Formulation for application of MT to nonpareil sugar spheres. MT 1.2 g Sugar spheres 300 g PVV" 0.24 g HP&" 0.12 g 95% ethanol 200 ml alpolyvinylpyrrolidone, Average Mw 40,000 bliydroxypropylcellulose, Average Mw 300,000 "Total binders, 30% (w/w) based on MT content. 65 listed in Table 111.3. Plasticizers (TEC and DBS) were combined and added at 30% (15% each, based on the solid content of Aquacoat.) to Aquacoat. suspension. Aquacoat' suspension was then diluted with deionized water (w /w,l:l). The coating solutions were stirred for at least 2 hours to ensure that plasticizers were well mixed with the polymeric suspension prior to coating, and were continuously stirred throughout the coating process. Coating solutions were applied to 90 g of MT-loaded beads to achieve the desired coatings with continuous air supply at a rate of 1 ml/min for 10 minutes and then 4 ml/min using a peristaltic pump. 31.4g, 62.7 g, or 125.4 g of coating solution produces a 5%, 10% or 20% theoretical coating based on solids content of Aquacoat'. If all coating solids attach to the MT beads, some solids are lost to the walls of the coating chamber which means all beads will contain less than the theoretical amount of coating, which has been retained as 5%, 10% or 20% coating for convenience. The final coated beads were dried in the chambers for 30 minutes and then further air dried in a hood. Assay for MT Content from Beads About 2 g of MT-loaded or coated beads were ground into a fine powder using a mortar and pestle. About 100 mg of powder was weighed exactly and transferred to 1 ml of 66 Table 111.3 Coating formulations for Aquacoat. coating of MT-loaded beads. Aquacoat' 100 g DBSb- 4.5 g 4.5 g Water 100 g `Aqueous ethylcellulose suspension containing 30 % solids. Total solids per 100 g Aquacoat' = 30 grams. tibutyl sebacate `Triethyl citrate "Total amount of plasticizers added was 30% based on solids content of Aquacoat'. 67 95 % ethanol. The suspension was agitated and centrifuged three times at 10,000 g for 10 min. The supernatant was collected and diluted with deionized water so that the expected MT concentration was within the range of the standard calibration curve. MT concentration was determined by HPLC. In vitro Dissolution In vitro dissolution of each formulation was performed in triplicate using the USP dissolution apparatus I (Basket method) at 37 ± 0.5 °C. The stirring rate was 50 rpm except when the effect of the stirring rate on the release rate of MT was evaluated. Dissolution media for the first 2 hours was 900 ml of enzyme free simulated gastric fluid (pH 1.4 ± 0.1) followed by enzyme free simulated intestinal fluid (pH 7.4 ± 0.1). Dissolution samples were collected at 0.25, 0.5, 0.75, 1.0, 1.5 and 2 hr (in gastric fluid), and 3, 4, 5, 6, 8, 12 and 24 hr (in intestinal fluid) with replacement of equal volume with temperature equilibrated media. The effect of sugar bead size, stirring rate of dissolution basket, and theoretical coating amounts on the percentage of MT released were studied. MT concentrations in dissolution samples were determined by HPLC. The percentage of MT released is the amount of MT released divided by amount of MT loaded, multiplied by 100. 68 Stability of MT from Coated Beads Uncoated and Aguacoate coated MT beads were placed in polyethylene containers and stored at room temperature (24 ± 2 °C) in a laboratory drawer (dark) to evaluate their stability. Samples were evaluated in duplicate at 0, 6 and 9 months. MT contents were determined according to the procedure described previously in Chapter I. Dissolution of MT from 20% coated beads (8-10 mesh) after 6 months storage was tested to determine whether the dissolution profile was the same as that of the initial coated beads. 69 RESULTS AND DISCUSSION Evaluation of Manufacturing Process The amount of MT assayed from beads is summarized in Table 111.4. Because some MT is lost to the coating chamber wall, supply tube, Wurster column, and through exhaust from the chamber during processing, the content of MT assayed was about 80% of total MT applied. As coating amounts increased, the content of MT per gram of bead decreased because MT-loaded beads gains more weight by the coating process. It is desirable to describe coating amount by determining the coating thickness. Coating amount are described as a function of weight gain (solids content) as a matter of convenience. Table 111.5 shows estimated coating amounts based on the weight gain of coating materials onto beads (see Table V.5 footnote for method of estimation). Weight gains of coated beads recovered was less than expected because a certain amount of coating materials may be lost initially to the coating chamber wall, supply tube, Wurster column, and through exhaust from the chamber. At the higher coating amounts, a smaller fraction of coating material is lost. Fraction of coating solids lost was higher at lower coatings than at higher coatings. Estimated coating amounts using weight gain revealed 22-88% of theoretical coat being deposited. This 70 Table 111.4 Amount of MT (mg per gram of bead) assayed in beads Size Theoretical % coating Amount (mg/g bead) 0 3.26±0.11 8-10 5 2.71±0.07 mesh 10 2.70±0.09 20 2.49±0.10 0 3.50±0.10 5 3.50±0.05 10 3.40±0.03 20 3.05±0.12 18-20 mesh Table 111.5 Estimated coating amounts based on approximate weight gain of beads (batch size: 90 g of MT-loaded beads). Size (mesh) Coating (%)' bwt 1 lit 2 dWt 3 8-10 5 31.4 5.9 88.7 es, fio g__ (Estimated (%) 8-- 10 62.7 11.7 95.1 0.56 4.36 18-20 20 5 125.4 23.4 105.5 0.33 13.4 31.4 5.9 94.5 0.23 3.85 10 62.7 11.7 99.8 0.16 8.40 20 125.4 23.4 110.7 0.11 17.6 'Theoretical coatings. bTotal amount (g) of coating solution applied to 90 g MT-loaded beads. `Total solids content (g) of coating solution applied. Aguacoat. contains 30% solids. Total amounts of plasticizers added was 30% based on solids content of Aquacoat% dTotal weight of coated beads recovered after coating. `Fraction of coating solids lost = 1- [Wt3-90)/Wt2 Estimated coating (%) = a x (1-e) gNot available because weight of coated beads recovered was less than weight of batch size (90 g). Note: Less than complete recovery of coated beads occurrs which results in all estimated % coating's being slightly underestimated since calculation assumed 90 gm of beads which is about 3-5 gm more than was actually recovered. 72 large deviation implies that estimating coating amounts using weight gain is not accurate, especially at the low coating level because weight loss for these small batches is not accurately predictable during the coating process. A direct measure of coating materials to determine coating amount is desirable. Coating thickness measured by scanning electron microscopy is an useful parameter to describe coating thickness, but was not studied in the current works. On the other hand, fraction of coating materials lost was less for the 18-20 mesh beads than for the 8-10 mesh beads. Coating efficiency based on weight gain was greater for the 18-20 mesh beads. Since 18-20 mesh beads have larger numbers of beads per unit batch size (90 g), 18-20 mesh beads have a larger surface area which results in greater coating efficiency. In addition, it was noted that 8-10 mesh beads readily crack and break in the coating chamber compared to 18-20 mesh beads when fluidized in the air. As a result, 18-20 mesh beads are more efficiently coated than 8-10 mesh beads. However, even though coating efficiency by weight gain is greater for the 18-20 mesh beads, coat thickness is less because of the greater surface area per unit weight, when compared to 8-10 mesh beads. These results are supported by dissolution analysis of coated beads showing the release 73 rate of MT was faster for the 18-20 mesh beads, which is consistent with a thinner coat and larger surface area. In vitro Dissolution Release rates of drugs are affected by many parameters. Factors affecting release rate of drug in the development of controlled release delivery system by fluidized-bed methods were reviewed in the literatures (21,24-26). Several processing and formulation parameters must be controlled to ensure the reproducibility of drug release rates. In this study, the effects of stirring rate of dissolution basket, size of core sugar spheres, and coating amounts were evaluated on the dissolution profile of MT from coated beads. Dissolution profiles of MT from 18-20 mesh beads coated with Aquacoate are shown in Figure 111.2. Most MT was released in simulated gastric fluid, and the desired controlled release was not achieved. A possible interpretation of MT release from the coated beads is that the coating may be incomplete and porous so that the drug is readily released. The amounts of coating up to 20% theoretical coating was not enough to produce the desired controlled release. On ther other hand, dissolution profiles of MT from 8-10 mesh beads coated with Aguacoat. are shown in Figure 111.3. A desired controlled release pattern was observed over 8 hours at 20% coating. At 20% 74 100 7 80 100 80 60 60 40 40 20 . 20 0.0 0.5 1.0 1.5 2.0 12 15 18 21 24 1,,I,,I.,1,,t IiI,,t,It 3 6 9 Time (hrs) Figure 111.2 Dissolution profiles of MT from 18-20 mesh beads coated with Aguacoat% Coating Amounts: Open circle, 5%; solid circle, 10%, and triangle, 20%. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 75 100 80 60 40 20 3 6 9 12 15 18 21 24 Time (hrs) Figure 111.3 Dissolution profiles of MT from 8-10 mesh beads coated with Aguacoat% Coating amounts: Open circle, 5%; solid circle, 10%, and triangle, 20%. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 76 coating of 8-10 mesh beads, drug release is predominantly governed by diffusion through the film barrier. T50% (time to release 50% of drug release) of MT from 18-20 mesh and 8-10 mesh coated beads is compared in Figure 111.4. As coating amounts are increased, T50% of MT is increased, as expected. T50% was about 4 hours for the 20 % coating of 8-10 mesh beads which provided the controlled release over 8 hours. Dissolution profiles of MT from 20% coated beads (810 mesh) as a function of stirring speed are compared in Figure 111.5. No statistically significant change of MT release rate was observed in 20% coated beads (8-10 mesh) as stirring speed increased from 50 to 100 rpm. T50% was essentially unchanged as a function of stirring rate (Figure 111.6). Stability of MT from Beads The amount of MT determined per gram of beads and the percentage of intact MT from coated beads stored at room temperature for up to 9 months is given in Table 111.6. MT was degraded relatively slowly during storage. Degradation of MT may be related to transfer of heat and water through the coated membranes (27,28). However, dissolution of MT from the 20% Aguacoat° coated beads (8-10 mesh) after 6 months' storage produced a release of MT from stored beads which was similar to the originally coated beads drug 77 5 o 8-10 mesh 18-20 mesh s. 3 0 to Ei 2 1 0 0 5 10 15 20 Coating Levels (%) Figure 111.4 Time for 50% MT dissolution as a function of coating amounts (theoretical weight gain) in 18-20 and 8-10 mesh coated beads. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 25 78 100 80 60 Stirring Speed 50 rpm 77 rpm 40 v 100 rpm 20 It 0 0 3 1 It 'It lilt 6 9 12 I It 15 I I 18 I 11 til 21 24 Time Figure 111.5 Dissolution profiles of MT from 8-10 mesh coated beads with 20% coating as a function of stirring speed. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 79 5 4 1 50 Figure 111.6 I 77 Stirring Rate (rpm) 1 100 Time for 50% MT dissolution as a function of stirring speed. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. Amount of MT (mg per gram of bead) in coated beads after storage at room temperature (24 ± 2 °C) Table 111.6 size Time (month) Coating (%) 0 6 9 0 3.26±0.11 2.91±0.07 (10.6)* 2.84±0.05 (12.9) 8-10 5 2.71±0.07 2.55±0.03 2.32±0.04 (14.1) mesh 10 2.70±0.09 2.65±0.08 (4.41) 2.43±0.04 20 2.49±0.10 2.35±0.03 (5.48) 2.11±0.06 (15.3) 0 3.50+0.10 2.98±0.07 (14.8) 2.92±0.04 5 3.50+0.05 2.94±0.01 (16.1) 2.58±0.05 (26.4) 10 3.40+0.03 2.76±0.03 2.68±0.05 20 3.05±0.12 2.61±0.20 (14.4) 18-20 mesh (5.90) (18.8) (9.76) (16.5) (21.3) 2.51±0.03 (17.7) 'Number in parenthesis indicates the percentage of MT degraded based on initial amount of MT. 81 release (Figure 111.7). These data suggest that, although MT in coated beads was slowly degraded, the wall coat integrity was unchanged under the storage conditions. 82 0 T = 0 T = 6 naontias 100 80 60 40 20 0 0 3 6 9 12 15 18 21 24 Time (hrs) Figure 111.7 Dissolution profiles of MT from 8-10 mesh beads with 20 % coating after 6 months' storage at room temperature. Each data point represents the mean ± standard deviation except where the standard deviation is too small to show. 83 CONCLUSIONS Based on weight gain, estimated coating amounts were less than theoretical due to loss of coating materials during the coating process. Larger beads (8-10 mesh) were coated less efficiently than smaller beads (18-20 mesh). The smaller beads gain more weight as coating materials are sprayed but have a thinner coat because of larger total surface area per unit batch. Desired controlled release over 8 hours was not observed with the 18-20 mesh coated beads at 5, 10 or 20% coatings. However, 8-10 mesh beads overlaid with small quantities of MT coated with 20% Aquacoat' showed the desired controlled release over 8 hours. Stirring speed of the dissolution basket at three different settings (50, 77 and 100 rpm) did not affect the release rate of MT from the 20% coated beads (8-10 mesh). MT from coated beads was degraded relatively slowly at room temperature but the dissolution profile of MT from 20% coated beads (8-10 mesh) was unchanged after 6 months storage. 84 REFERENCES 1. Lerner, A.B., Case, J.D., Heinzelman, R.V. Structure of melatonin. J. Am. Chem. Soc., 81, 6084-6085 (1959). 2. Waldhauser, F. Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985). 3. Arendt, J., Aldhous, M., and Wright, J. Synchronization of a disturbed sleep-wake cycle in a blind man by melatonin treatment. The Lancet, April 2, 773 (1988). 4. Petterborg, L.J., Thalen, B.E., Kjellman, B.F., and Wetterberg, L. Effects of melatonin replacement on serum hormone rhythm in a patient lacking endogenous melatonin. Brain Res. Bull., 27(2), 181-185 (1991). 5. Cramer, H., Rudolph, J., Consbruch, U., and Kendel, K. On the effects of melatonin on sleep and behavior in man. Adv. in Biochem. Psychopharmacol., 11, 187191 (1974). 6. Dahlitz, M., Alvarez, B., Vignau, J., English, J., Arendt, J., and Parkes, J.D. Delayed sleep phase syndrome response to melatonin. Lancet, 337(8750), 1121-1124 (1991). 7. Petrie, K., Conaglen, J.V., Thompson, L., Chamberlain, K. Effects of melatonin on jet lag after Br. Med. J., 298, 705-707 (1989). long haul flight. 8. Waldhauser, F., Vierhapper, H., and Oirich, K. Abnormal circadian melatonin secretion in night-shift workers. The New Eng. J. Med., 7, 441-446 (1986). 9. Rosenthal, N.E., Sack, D.A., Gillin, J.C., Lewy, A.J., Goodwin, F.K., Davenport, Y., Mueller, P.S., et. al., Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch. Gen, Psychiatry, 41, 71-80 (1984). 10. Sack, R.L., Lewy, A.J., Blood, M.L., Stevenson, J., and Keith, L.D. Melatonin administration to blind people: Phase advances and entrainment. J. Biol. Rhythm, 6(3), 249-262 (1991). 85 11. Ghebre-sellassie, I., Iyer, U., Kubert, D., and Fawzi, M.B. Characterization of a new waterbased coating for modified release preparations, Pharm. Tech., Sep., 96-106 (1988). 12. Mehta, A.M., and Jones, D.M. Coated pellets under the microscope. Pharm. Tech., 52-60 (1985) . 13. Jackson, I.M., Robert, S., Timmins, P., and Sen, H. Comparison of laboratory-scale processing techniques in the production of coated pellets. Pharm. Tech., Feb., 50-56 (1990). 14. Rekhi, G.S., Mendes, R.W., Porter, S.C., and Jambhekar, S.S. Aqueous polymeric dispersions for controlled drug delivery- Wurster process. Pharm. Tech., March, 112-125 (1989). 15. Bodmeier, R., and Paeratakul, 0. Drug release from laminated polymeric film prepared from aqueous latexes. J. Pharm. Sci., 79(1), 32-36 (1990). 16. Appel, L.E., and Zentner, G.M. Use of modified ethylcellulose lattices for microporous coating of osmotic tablets. Pharm. Res., 8(5), 600-604 (1991) . 17. FMC Aquacoat. manual, aqueous polymeric dispersion 18. Lyer, U., Hong, W.-H., Das, N. and GhebreSellassie, I. Comparative evaluation of three organic solvent and dispersion-based ethylcellulose coating formulations. Pharm. Tech., 14(9) 68-86 (1990). 19. Mehta, A.M., Valazza, M.J., and Abele, S.E. Evaluation of fluid-bed processes for enteric coating systems. Pharm. Tech., April, 46-56 (1986). 20. Mehta, A.M. Scale-up considerations in the fluid-bed process for controlled release products, Pharm. Tech., Feb., 46-52 (1988). 21. Variables that Hossain, M. and Ayres, J.W. influence coat integrity in a laboratory spray coater. Pharm. Tech., Oct., 72-82 (1990). 86 22. Higuchi, T. Mechanisms of sustained-action medicine: Theoretical analysis of rate of release of solid drugs dispersed in solid matrices. J. Pharm. Sci., 50, 874-875 (1961). 23. Zhang, G., Schwartz, J.B., and Schnaare, R.L. Bead coating. I. Change in release kinetics (and mechanism) due to coating levels. Pharm. Res., 8(3), 331-335 (1991). 24. Abdou, H.M. Dissolution, bioavailability and bioequivalence. Mack Publishing Company, Easton, PA. (1989). 25. Lippold, B.H., Sutter, B.K., and Lippold, B.C. Parameters controlling drug release from pellets coated with aqueous ethyl cellulose dispersion. Int. J. Pharm., 54, 15-25 (1989). 26. Li, S.P., Mehta, G.N., Buehler, J.D., Grim, W.M., and Harwood, R.J. The effect of film-coating additives on the in vitro dissolution release rate of ethyl cellulose-coated theophylline granules. Pharm. March, 20-24 (1990). 27. Banker, G.S., Core, A.Y., and Swarbrick, J. Water vapor transmission properties of free polymer films. J. Pharm. Pharmacol., 18, 457-466 (1966). 28. Porter, S.C. The practical significance of the permeability and mechanical properties of polymer film used for the coating of pharmaceutical solid dosage forms. Int. J. Pharm. & Prod. Mfr., 3(1), 2125 (1982). 87 CHAPTER IV EVALUATION AND PHARMACOKINETICS OF AN ORAL CONTROLLED RELEASE DELIVERY SYSTEM FOR MELATONIN IN HUMAN'SUBJECTS ABSTRACT An oral preparation containing melatonin (MT)loaded uncoated pellets for immediate release and coated pellets for controlled release over 8 hours was evaluated in six human subjects. The desired drug release pattern was determined based on a computer simulation program (MAXSIM.) using population average pharmacokinetics of MT. When total 0.5 mg MT as low dose (immediate release portion of MT, 0.1 mg) was administered to four subjects, average peak plasma MT concentration was reached at about 600 pg/ml and maintained at about 100 pg/ml over 8 hours. Maximal plasma MT concentrations were three times greater than predicted MT concentrations by computer simulation. When total 1 mg MT as high dose (immediate release portion of MT, 0.2 mg) was administered to two subjects, average peak plasma MT concentrations were doubled and terminal elimination phase was parallell with low dose. Plasma MT concentration versus time profiles were similar in shape to MAXSIM. computer-simulated profiles. However, maximal plasma MT concentrations produced were three times 88 higher than MT concentrations predicted by computer simulation. Therefore, the results indicate that proper dosing of immediate and controlled release MT are required to produce physiological MT concentration profiles. Input drug rate and cumulative amount of MT absorbed were estimated by deconvolution analysis of plasma MT concentrations. Deconvolution and pharmacokinetic analysis revealed that less than 20% MT doses administered were absorbed until 8 hour. A low bioavailability may result from extensive first pass metabolism and remaining amounts of MT from controlled beads. A good correlation between plasma MT concentration and urinary excretion rate of 6sulphatoxymelatonin (6-STMT), a major metabolite of MT was observed. As plasma MT concentration increased, urinary excretion rate of 6-STMT increased concomittantly. Linear relationship between urinary excretion rate of 6-STMT and plasma MT among subjects was statistically significant (r = 0.75, F18 2.28, p<0.001). If relationship between urinary 6-STMT and plasma MT is recognized, urinary 6-STMT may be used as an index of circadian rhythms of MT in humans. 89 INTRODUCTION MT (N- acetyl -5- methoxytryptamine) is an indole amide neurohormone secreted by the pineal gland in a circadian fashion (1,2). MT concentration is very low during the daytime (< 10 pg/ml). MT concentrations start to rise in the late evening and are maintained at 25-120 pg/ml during the night (over 8 hours) until MT levels return to the daytime baseline (2,3). This circadian rhythms of MT may be largely affected by endogenous and exogenous factors, called zeitgebers (3-5). The full potential significance of introducing exogenous MT at physiological and pharmacological concentrations is still unknown (6,7). Exogenous MT may have clinical potential as a circadian synchronizer to treat or entrain circadian rhythm disorders including sleep disorders (8-10), jet lag (11), shift work syndrome, and seasonal affective diseases (12,13) in human subjects. The pharmacokinetics of MT are controversial. MT is extensively metabolized by a first pass effect and then eliminated in the urine as a sulphate conjugate (14,15). The half-life of MT reported is to be about 40 min (16,17). Physicochemical properties of MT, disease state, and nutritional state may affect pharmacokinetic behavior of MT (17-21). Le Bars et. al., suggested that sustained release dosage forms which possess a longer 90 biologically effective half life may be of interest to evaluate clinical potential of MT by offsetting rapid brain turnover or mimicking sustained nocturnal secretion of melatonin (22). The usual physiological nocturnal secretion over 8 hours coupled with the short half-life of MT prompted us to develop a controlled release delivery system for MT which mimics endogenous plasma MT concentration versus time profiles. Although Strassman and colleagues have used intravenous infusion to produce endogenous plasma MT concentration profiles (23), lack of clinically useful dosage forms may hinder evaluating the full clinical potential of MT. Polymer coating technology has been coupled with pharmacokinetic simulation to produce an oral controlled release dosage form (24). Computer simulation program aids to determine the dosing regime of drug and predict plasma concentration versus time profiles. The purpose of this study was to determine whether or not an oral controlled release drug delivery system for MT produced plasma MT concentration versus time profiles similar to endogenously produced MT profiles in human subjects. An oral controlled release delivery system consists of MT-loaded uncoated beads for immediate release and MT-loaded coated beads with aqueous ethylcellulose suspension (Aquacoat') for 91 controlled release in gelatin capsules. Deconvolution and pharmacokinetics analysis were performed to analyze plasma MT concentrations after oral administration of the new dosage form to huam subjects. Correlation between plasma MT concentrations and urinary excretion rate of 6-STMT, a major metabolite of MT, was also evaluated. 92 MATERIALS AND METHODS Computer Simulations Plasma MT concentrations after administration of an oral controlled drug delivery system containing 0.1 mg MT for immediate release and 0.4 mg MT for controlled release over 8 hours were estimated by computer simulation (MAXSIM', version 3.01, Uppsala, Sweden). Pharmacokinetic parameters of MT for MAXSIM. computer simulation were selected from the literature (Table IV.1). Simulations were performed assuming an one compartment open model. In Vivo Study Protocol Six human volunteers (5 males and 1 female) participated in the study after giving informed consent approved by Oregon Health Science University, Instruction Review Board (Table IV.2). All subjects were admitted to the Oregon Health Science University Clinical Research Center at 10 o'clock, A.M. on the day of the study. Subjects fasted at least 2 hours before the study began. Gelatin capsules containing 0.1 mg MTloaded uncoated beads for immediate release and 0.4 mg MT-loaded beads which were coated with 20% Aquacoat. (aqueous polymeric suspension, courtesy of FMC Corp., Philadelphia, USA) for controlled release over 8 hours Table IV.1 Selected pharmacokinetic parameters of MT for computer simulation in human subjects. Ka (hr-1) K, (hr-1) 0.90 V, 13 ( 1 ) Vd ( 1 ) F 35.2 References Iguchi et al (17) 1.74 Waldhauser et al (18) 0.1 Lane et al (15) 94 Table IV.2 Subject No. Vital statistics of six human subjects Sex Age Weight Height (yrs) (Kg) (cm) 1 M 49 82 182.9 2 M 32 102 185.4 3 M 30 73 177.8 4 F 30 49 165.0 5 M 30 59 169.5 6 M 45 65 180.3 36 ± 9 71.7 ±18.7 176.7-1-8.1 Mean t S.D. 95 were administered to six subjects. Methods to produce 20% coated beads and amount of MT loaded per gram of uncoated and coated beads are described previously in Chapter III. Each capsule contained 0.1 mg of immediate release MT on uncoated beads and 0.4 mg of controlled release MT on 20% ethylcellulose coated beads designated as low dose (0.5 mg of total dose of MT). Thus, 31 mg of uncoated beads and 161 mg of 20% coated beads (total weight: 192 mg) provides 0.1 mg of immediate release MT and 0.4 mg of controlled release MT, respectively. Two subjects were also given two capsules of this formulation designated as high dose (1.0 mg total dose of MT) . Blood samples were collected through an indwelling intravenous catheter at 0, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours and kept in heparinized test tube in the freezer until analysis. Urine was collected every two hours for determination of 6-STMT, a major metabolite of MT. Blood and urine samples were collected before administration of the oral controlled delivery system to provide baseline values with regard to the daytime concentration of MT and 6-STMT. Sampling schemes for blood and urine in the six human subjects are provided in Table IV.3. Plasma MT concentrations were determined by high sensitivity GC/MS (25). Urinary 6-STMT concentration were determined by radioimmunoassay (26). 96 Table IV.3 Sampling scheme for blood and urine collection in six human subjects. Time (hrs) Clock Blood Urine 0 10:30 Yes Yes 0.5 11:00 Yes No 1 11:30 Yes No 1.5 Noon Yes No 2 12:30 Yes Yes 3 13:30 Yes No 4 14:30 Yes Yes 6 16:30 Yes Yes 8 18:30 Yes Yes 97 Deconvolution and Pharmacokinetic Evaluation Input rates (µg /hr) and cumulative amounts of MT absorbed were estimated using an interactive deconvolution program, PCDCON (version 1.0, courtesy of Dr. Gillespie, College of Pharmacy, University of Texas). Plasma MT data following an intravenous bolus of MT by Iguchi et. al., were used for impulse response specification of MT (17). Plasma MT concentrations obtained after administration of the oral controlled release delivery system was used for the input response specification of MT. Noncompartmental pharmacokinetic parameters (27) for MT including AUC (area under the drug concentration- time curve), AUMC (area under the moment curve) and MRT (mean residence time, AUC/AUMC) were obtained RSTRIP II (Micromath Scientific Software, Salt Lake City, UT). This program employs a least square minimization procedure based on a modification of Powell's algorithm. "Estimated" bioavailability (FEsT) of the oral controlled release delivery system containing MT was estimated from AUC in this study (AUC ) divided by AUC from a different study (AUCIV) followed by intravenous injection of MT by Iguchi et. al. (17). "Relative" bioavailability (Fm) of the oral controlled release delivery system was estimated from AUC in this study (AUCmm) divided by AUC from a different study (AUCro) followed by oral 98 administration of immediate release MT capsule by Waldhauser et. al. (18). The equations used are as follows. AUCDDS FEST = ) DDDS F REL = where Dims, Div, and k AUCIV ) DIV AUCDDS ) AUC po ) DDDS PO Dm indicate MT doses for the new oral controlled release in the study, and intravenous injection, and oral immediate release administration in a different study, respectively. Statistical Analysis Regression analysis was used to calculate slope, correlation coefficient (r), and coefficient of determination (r2). The aptness of the linear models was evaluated by comparing F-test for lack of fit (28). The estimators of the linear regression parameters are obtained according to the methods of least squares minimization. 99 RESULTS AND DISCUSSION Computer Simulation Before administering the oral controlled release delivery system to human subjects, plasma MT concentrations were predicted from dissolution data of dosage form and population pharmacokinetic parameters of MT using computer simulation (MAXSIM.). An ideal dosage form would deliver MT to mimic the endogenous circadian pattern of MT. Computer-simulated plasma MT concentration versus time profile in human subjects for the new dosage form is shown in Figure IV.1. A conventional (immediate release) MT capsule (curve 1) does not produce the desired sustained drug concentration because MT has a short half life of MT (16,17,19). Curve 2 shows that a mixture of uncoated beads containing 0.1 mg MT for immediate release and beads coated with 20% Aquacoate containing 0.4 mg MT for controlled release are predicted to produce a plasma MT concentration versus time profile which mimics the profile known to be produced by endogenous release of MT during the night. Deconvolution and Pharmacokinetic Evaluation The study was conducted during the day. Because normal daytime concentration of MT is below 10-30 pg/ml, 100 900 IMelatonin Simulation I 800 700 01 600 ; 2500 w 400 E .-42 300 200 100 Figure IV.1 Computer-simulated plasma MT concentrations from different dosage forms in human subjects. An 0.5 mg immediate release MT in curve 1 and an oral controlled release delivery system containing 0.1 mg immediate release MT from uncoated beads and 0.4 mg controlled release MT from 20% Aquacoat.- coated beads, over 8 hours (total dose = 0.5 mg) in curve 2. 101 the contribution of endogenous MT to exogenously produced MT concentration is negligible. Observed mean plasma MT concentration versus time profile after administration of the oral controlled release delivery system to human subjects is shown in Figure IV.2. When low dose of MT was administered to four subjects, average peak plasma MT concentration was reached at about 600 pg/ml and maintained around 100 pg /mi over 8 hours. When high dose of MT was administered to two subjects, average peak plasma MT concentrations were doubled, as expected and terminal slope was parallel with low dose. The shape of the plasma MT concentration versus time profile was similar for the two different doses. Peak plasma MT reached about 600 pg/ml as a result of immediate release of MT and extended MT concentrations over 8 hours result from the coated beads. As predicted by computer simulation previously in Figure IV.1, Figure IV.3 shows that the delivery system produces a plasma MT concentration versus time profile which is in shape similar to that produced at night as a result of endogenous MT release (2). However, maximal plasma MT concentrations produced were three times higher than MT concentrations predicted by computer simulation. These differences primarily resulted from the fraction of bioavailability (F=0.1) selected for computer simulation and intrinsic metabolic function 102 0 Low Dose (0.5 mg) High Dose (1 mg) I,I,1 t III 4 3 1 5 6 t 7 1 8 , 1 (1 10 9 postdose (hrs) 12 14 16 18 20 Time of the Day Figure IV.2 Mean plasma MT concentration versus time profiles after administration of controlled release delivery system to six human subjects at two different doses. Values are expressed as mean ± standard deviation (n=4 for low dose, n=2 for high dose). 103 1000 0 Low Dose (0.5 mg) A 800 MAXSI1L Simulation tv 04 0 600 0 0 .4..$ ,as i 400 ei 0 rn 200 ccs rai 2 1 12 Figure IV.3 3 4 5 6 7 8 postdose (hrs) 14 16 18 Time of the Day 10 9 20 12 11 22 Comparison of the profiles of observed plasma MT concentrations (mean ± standard deviation, n=4) and computer-simulated plasma MT concentration at low dose. 104 among subjects. Therefore, proper dosing regime based on the observed plasma MT concentration is required to produce physiological MT concentration profiles. The rate and extent of in vivo drug release was obtained by deconvolving the plasma concentration versus time profile. Estimated MT input rate after administration of the delivery system is shown in Figure IV.4. The profile of estimated input rate was coincident with that of observed plasma MT concentrations versus time. The initial sharp increase of input rate results from the immediate release MT. The slow declining curve indicates input of MT from the controlled release beads. As expected, the high dose of MT provided a larger input rate than the lower dose. Estimated cumulative amount of MT input after oral administration of the controlled delivery system is also shown in Figure IV.5. The input slope was steeper during the first 2 hours, followed by slow cumulative input until 8 hour studied. The cumulative amounts input at the low and high dose were about 0.10 mg and 0.15 mg, respectively. This suggests that only 15-20% of administered dose of MT is absorbed. Noncompartmental pharmacokinetic parameters obtained using RSTRIP II program are summarized in Table IV.4. Ratio of area under the curve (AUC) and area under the moment curve (AUMC) gives mean residence time (MRT). MRT has been defined as the mean time for intact drug to 105 150 n- 120 Low Dose (0.5 mg) High Dose (1 mg) 90 60 30 0 0 2 4 6 8 Time (hrs) Figure IV.4 Estimated MT input rate (µg /hr) by deconvolution analysis resulting from an oral controlled release delivery system at two different doses of MT. 106 200 Low Dose (0.5 mg) - High Dose (1 mg) eo 150 a. 2 100 -3 a' 50 0' 2 4 6 8 rime (h s) Figure IV.5 Estimated cumulative amount input (Mg) of MT by deconvolution analysis resulting from an oral controlled release delivery system at two different doses of MT. Noncompartmental pharmacokinetic parameters for MT following Table IV.4 administration of the oral controlled release delivery system to human subjects. Low Dose (0.5 mg) Values 1 Slope (hr-1)` 2 3 Mean ± S.D.' 4 0.505 0.089 0.278 0.162 C.V.° ( %) High Dose (1 mg) 5 Mean ± S.D. 6 0.259 ± 0.18 70.3 0.345 0.179 c.v.b (%) 0.262 ± 0.117 44.8 AUCd 3729 2127 2063 1538 2364 ± 947 40.1 4742 3820 4281 ± 652 15.2 AUMC° 13205 5202 4985 4503 6974 ± 4164 59.7 10966 19812 15389 ± 6255 40.6 MRTt 3.54 2.42 2.93 2.83 ± 0.53' 18.7 2.32 5.18 3.75 ± 2.02 53.9 C," 774.8 744.4 628.2 456.7 651.0 ± 144.1 22.1 1666.2 1178 ± 690.4 58.6 Tm.,° 1.77 0.72 1.21 0.58 1.07 ± 0.54 50.4 0.72 0.45 0.59 ± 0.19 32.6 F.,,i 0.30 0.17 0.16 0.13 0.19 ± 0.07 39.6 0.19 0.15 0.17 ± 0.03 16.6 Fd 1.28 0.73 0.71 0.53 0.82 ± 0.32 39.9 0.82 0.66 0.74 ± 0.11 15.3 2.44 689.8 'Standard deviation. °Coefficient of variation, C.V.(%)= S.D./mean *100 `Apparent slope of terminal phase by least square regression. 'Area under the curve (pg-hr/ml). `Area under the moment curve (pg- hr2 /ml). 'Mean residence time (hr), MRT=AUC/AUMC tobserved maxsimum plasma MT concentration (pg/ml). 'Time to reach maxsimum plasma MT concentration (hr). °Absolute bioavailability based on the I.V. data of MT in different subjects (17), AUC,= 247.6 pghr/ml, Dose=10 pg. 'Relative bioavailability based on the oral data of MT in different subjects (18), AUC po= 464480 pghr/ml, Dose=80 mg (18) jMRT for I.V. data was 0.71 hr when data of Iguchi et al was analyzied by RSTRIP II (17). 108 transit through the body (27). The apparent terminal slopes were prolonged as would be expected for a controlled release preparations. MRT calculated from the intravenous data of Iguchi et al (17) from a different study was 0.71 hours. The new oral dosage form produced a MRT of 5 times longer compared to the intravenous injection of MT. Observed MRT for the new oral dosage form ranges from 2.4 to 5 hours. "Estimated" bioavailability (FasT) obtained was about 19% and 18% for low and high MT dose, respectively. These results were very consistent with fraction of the cumulative amount input of MT estimated by deconvolution method in Figure IV.5. The "relative" bioavailability compared to oral immediate release MT from a different study by Waldhauser et. al., was about 82% and 74% for low and high dose MT, respectively. A low bioavailability may result from extensive first pass metabolism and remaining amounts of MT from controlled beads. The main metabolite of MT excreted in urine is 6-STMT (14,15). Extensive first pass metabolism may be involved in the apparent low fraction of dose absorbed. This may suggest that plasma MT profiles are greatly influenced by the liver function. Iguchi et. al., found that patients with liver cirrhosis have a prolonged metabolic clearance of MT, maybe due to a decrease in liver flow, lowered activity of 60- 109 hydroxylase, or competition with bilirubin in the intrahepatic transport system (17). It is interesting to correlate urinary excretion rate of 6-STMT with plasma MT because MT is extensively metabolized by the liver and excreted as 6-STMT. Urinary excretion rate of 6-STMT was plotted as a function of both postdose and time of the day (Figure IV.6). Urinary excretion rates of 6-STMT during the daytime in subjects not receiving MT was very low (<200 ng/hr). When the oral controlled release delivery system of MT was administered, the urinary excretion rate of 6-STMT greatly increased compared to the control urine. The terminal slopes of urinary excretion rate profiles of 6STMT were parallel for the two different doses. A correlation between plasma MT and urinary 6-STMT has been reported elsewhere (29,30). If relationship between plasma MT concentration and urinary excretion rate of 6-STMT is well recognized, urinary 6-STMT can be used as an non-invasive method to assess circadian rhythms of MT in humans. The plasma MT concentration and urinary excretion rate profiles of 6-STMT as a function of time at low dose and high dose MT are compared in Figure IV.7 and Figure IV.8, respectively. The profiles of plasma MT and urinary excretion rates of 6-STMT are parallel at each dose. As expected, as plasma MT concentration increased, urinary excretion rate of 6- 110 High Dose (1mg) O Low Dose (0.5mg) Control Urine #74% to 50000 E-4 C/3 to 10000 s..4 0 Q) Qi C4 .9 100 U cr3 t, 10 c. 0 2 1 4 3 5 8 6 Postdose (hrs) 12 Figure IV.6 14 16 Time of the Day 18 10 9 20 Urinary excretion rate (ng/hr) of 6-STMT determined at the midpoints of each urine collection interval after administration of the oral controlled release delivery system to six human subjects. Values are expressed as mean ± standard deviation (n=4 for low dose, n=2 for high dose). 111 50000 '-0 cs 1000 30000 tO 04 a0 10000 47 7000 100 /5000 700 70' 0 10 500 Low Dose (0.5 tag) rn czi tIlltItIt I tItli I a, 0 2 1 3 4 1.111 5 6 7 8 300 10 9 Postdose (hrs) 12 14 16 18 20 Time of the Day Figure IV.7 Comparison of the profiles of plasma MT concentration and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval at the low dose of MT (0.5 mg) in human subjects. Values are expressed as mean ± standard deviation (n=4). 112 50000 II 30000 0 1000 V) c0 .51 0 al al 10000 at 4.3 1:4 100 500 al High Dose (1 mg) 5 M rn O 10 o ti 1 .1 I , 1 , 1 .1 , a 0 II 0 1 .1. 300 4-4 0 2 1 3 4 5 6 8 7 10 9 Postdose (hrs) 12 Figure IV.8 16 14 Time of the Day 18 20 Comparison of the profiles of plasma MT concentration and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval at the high dose of MT (1.0 mg) in human subjects. Values are expressed as mean ± standard deviation (n=2). 113 STMT also increased concomitantly. Urinary 6-STMT appears to reflect behavior of plasma MT concentration. Cumulative amounts of urinary 6-STMT for 6 hours were compared at two different doses of MT (Figure IV.9). As MT dose was doubled, urinary 6-STMT was also twice increased. The difference was statistically significant. Figure IV.10 shows the relationship between urinary excretion rate of 6-STMT and plasma MT concentration in six human subjects. The linear relationship between urinary excretion rate of 6-STMT and plasma MT concentration was highly significant (F 1, 18 = 2.28, r2=0.56, p <0.001). Furthermore, the linear relationship was much greater when only past peak plasma MT concentrations were correlated (r=0.838). Although observed plasma MT concentration versus time profiles were similar in shape to the computer predicted MT concentration curves, maximal plasma MT concentrations produced were three times higher than MT concentrations predicted by computer simulation at the low dose MT assuming 10% bioavailability. Therefore, computer simulation curves with appropriate dosing adjustments are regenerated in Figure IV.11. Total dose of MT administered and ratio of immediate release MT and controlled release MT were varied. Fraction of drug absorbed (F) was obtained based on the observed plasma MT concentration using pharmacokinetic analysis. In 114 0.3 0.2 0.1 0.0 Figure IV.9 Low Dose High Dose Cumulative amount of urinary 6-STMT (mg) for 6 hours at two different doses of MT. Values are expressed as mean ± standard deviation (n=4 for low dose, n=2 for high dose). 115 70000 R = .747 40 p 60000 EEco 50000 0 40000 0 Subject 1 30000 Subject 2 0 20000 7 Subject 3 Subject 4 Subject 5 Subject 6 10000 400 800 1200 1600 Plasma Melatonin (pg/m1) Figure IV.10 Relationship between plasma MT concentrations and urinary excretion rates of 6-STMT determined at the midpoints of each urine collection interval in six human subjects. 116 O O 500 ----= E ---... a, 0. g 400 7-, s_''' 4., 4.C 2 300 0 1 - (..) C oc ' '''" 200 4J 5 E'C' tra cr: 0 100 50 T 0 Figure IV.11 2.0 , 6.0 4.0 Time (hrs) B.0 Computer-simulated plasma MT concentration versus time profiles at various dosing of MT. Total doses and percentage of immediate release portion are as follows: Curve 1, 0.8 mg, 10%; Curve 2, 0.5 mg, 20%; Curve 3, 0.4 mg, 12.5%; Curve 4, 0.4 mg, 10%; Curve 5, 0.2 mg, 10%. Open circles indicate observed plasma MT concentrations at low dose MT studied (0.5 mg, 20%). Ke1 =0.9 hr 1, K,=1.74 hr-I, Vd=35.2 1, and F =0.3 for immediate release MT and F=0.1 for controlled release MT. 117 other words, the simulated curve 2 approximated observed plasma MT concentrations (open circle) in the study at low dose MT when F=0.3 for immediate release MT and F=0.1 for controlled release MT for computer simulation were utilized. Five curves at various doses of MT were thereafter simulated. This simulation suggests that a total 0.2 mg MT dose (curve 5) containing 10% immediate release is desirable to approximate a nighttime endogenous plasma MT concentration versus time profile. Inherent is the assumption that F is larger for immediate release MT than controlled release MT due to a decreased first pass effect when the drug is rapidly absorbed. This assumption certainly needs confirmation prior to acceptance. Another evaluation of an oral controlled release delivery system for MT in both young and elderly people is under investigation. 118 CONCLUSIONS An oral preparation designed to release 0.1 mg MT immediately from uncoated beads, and 0.4 mg MT from coated beads in a controlled release fashion over 8 hours produced about 600 pg/ml average peak plasma MT concentration, and then maintained MT concentrations at about 100 pg/ml. Plasma MT concentration versus time profile was very similar in shape to the computersimulated profile. However, maximal plasma MT concentrations were about three times greater than predicted. The input rate and cumulative amount of MT were estimated using plasma MT concentrations and a deconvolution program. Deconvolution and pharmacokinetic analysis revealed that less than 20% of the MT dose administered was absorbed. A low bioavailability observed may result from extensive first pass metabolism and incomplete absorption from coated beads. Urinary excretion rate of 6- suiphatoxymelatonin (6-STMT) profile was closely related with plasma MT concentration. Urinary 6-STMT may be used as non-invasive method to assess pineal gland activity of MT in humans. 119 REFERENCES 1. Lerner, A.B., Case, J.D., Heinzelman, R.V. Structure of melatonin. J. Am. Chem. Soc., 81, 6084-6085 (1959) . 2. Waldhauser, F., Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985). 3. Lewy, A.J. and Newsome, D.A. Different types of melatonin circadian secretory rhythms in some blind subjects. J. Clin. Endocrinol & Metab., 56, 1103-1107 (1983) . 4. Kerkhof, G.A. Inter-individual differences in the human circadian system: A review. 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Psychopharmacol., 11, 187in man. 191 (1974). 10. Dahlitz, M., Alvarez, B., Vignau, J., English, J., Arendt, J., and Parkes, J.D. Delayed sleep phase syndrome response to melatonin. Lancet, 337(8750), 1121-1124 (1991). 120 11. Petrie, K., Conaglen, J.V. Thompson, L, Chamberlain, K. Effects of melatonin on jet lag after long haul flight. Br. Med. J., 298, 705-707 (1989) . 12. Waldhauser, F., Vierhapper, H., and Oirich, K. Abnormal circadian melatonin secretion in night-shift workers. The New Eng. J. Med., 7, 441-446 (1986). 13. Rosenthal, N.E., Sack, D.A., Gillin, J.C., Lewy, A.J. Goodwin, F.K., Davenport, Y., Mueller, P.S., et. al., Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch. Gen, Psychiatry, 41, 71-80 (1984). 14. Vakkuri, O., Leppaluoto, J., and Kauppila, A. Oral administration and distribution of melatonin in human serum, saliva and urine. Life Sci., 37, 489-495 (1985). 15. Lane, E.A. and Moss, H.B. Pharmacokinetics of melatonin in man: First pass hepatic metabolism. J. Clin. Endocrinol. Metab. 61, 1214-1216 (1985). 16. Mallo, C., ZaIdan, R., Galy, G., Vermeulen, E., Brun, J., Chazot, G., and Claustrat, B. Pharmacokinetics of melatonin in man after intravenous infusion and bolus injection. Eur. J. Clin. Pharmacol., 38, 297-301 (1990). 17. Iguchi, H., Kato, K.-I., and Ibayashi, H. Melatonin serum levels and metabolic clearance rate in patients with liver cirrhosis. J. Clin. Endocrinol. Metab., 54(5), 1025-1027 (1982). 18. Waldhauser, F., Waldhauser, M., Lieberman, H.R., Deng, M.-H., Lynch, H.J., and Wurtman, R.J. Bioavailability of oral melatonin in humans. Neuroendocrinol., 39, 307-313 (1984). 19. Aldhous, M., Franey, C., Wright, J., and Arendt, J. Plasma concentrations of melatonin in man following oral absorption of different preparations. Br. J. Clin. Pharmacol., 19, 517-521 (1985). 20. Viljoen, M., Steyn, M.E., Van-Rensburg, B.W., and Reinach, S.G. Melatonin in chronic renal failure. Nephron, 60(2), 138-143 (1992). 121 21. Smith, J.A., Helliwell, P.S., Isdale, A., Astbury, C., Padwick, D.J., and Bird, H.A. Human nocturnal blood melatonin and liver acetylation status. J. Pineal Res., 10(1), 14-17 (1991). 22. Le Bars, D., Thivolle, P., Vitte, P.A., Bojkowski, C., Chazot, G., Arendt, J., Frackowiak, R.S.J., and Claustrat, B. PET and plasma pharmacokinetic studies after bolus intravenous administration of [ IC]melatonin in humans. Nucl. Med. Biol., 18(3), 357-362 (1991). 23. Strassman, R.J., Peake, G.T., Qualls, C.R., and Lisansky, E.J. A model for the study of the acute effects of melatonin in man. J. Clin. Endocrinol. Metab., 65, 847-852 (1987). 24. Hossain, M and Ayres, J.W. Pharmacokinetics and pharmacodynamics in the design of controlled-release beads with acetaminophen as model drug. J. Pharm. Sci., 81(5), 444-448 (1992). 25. Lewy, A.J. and Markey, S.P. Analysis of melatonin in human plasma by gas chromatography negative chemical ionization mass spectroscopy. Science, 201, 25, 741743 (1978). 26. Aldhous, M.E. and Arendt, J. Radioimmunoassay for 6sulphatoxymelatonin in urine using an iodinated tracer. Ann. Clin. Biochem., 25, 298-303 (1988). 27. Gibaldi, M. and Perrier, D. Pharmacokinetics, 2nd edition, revised and expanded, Marcel Dekker, Inc., NY (1982). 28. Neter, J., Wasserman W., and Kutner, M.H. Applied linear statistical models: Regression, analysis of variance and experimental design, 2nd edition. Richard D. Irwin, Inc., Homewood, IL (1985). 29. Brown, G. M., Bar-Or, A., Grossi, D., Kashur, S., Johannson, E., and Yie, S.M. Urinary 6sulphatoxymelatonin, an index of pineal function in the rat. J. Pineal Res., 10, 141-147 (1991). 30. Nowak, R., Mcmillen, I.C., Redman, J., and Short, R.V. The correlation between serum and salivary melatonin concentration and urinary 6hydroxymelatonin sulphate excretion rate: Two noninvasive techniques for monitoring human circadian rhythmicity. Clin. Endocrinol., 27, 445-452 (1987). 122 CHAPTER V IN VITRO DIFFUSION STUDIES OF MELATONIN THROUGH HAIRLESS MOUSE SKIN AND SYNTHETIC MEMBRANES ABSTRACT The effects of vehicles on the diffusion rate of melatonin (MT) through excised hairless mouse skin and two synthetic membranes (ethylene vinyl acetate and microporous polyethylene) using vertical Franz. diffusion cell was evaluated. Flux (gg/hr/cm2) of MT were dependent on the type of membrane and the formulation vehicles. Flux of MT was greatest in excised hairless mouse skin followed by ethylene vinyl acetate membrane and microporous polyethylene membrane. Flux of MT from vehicle formulations through excised hairless mouse skin in increasing order was: 40% (v/v) of propylene glycol (PG)/30% (w/v) of 2-hydroxypropy1-0-cyclodextrin (2-HPCD) > 30% 2-HPCD > 40% PG > 20% PG > buffer. Flux of MT through excised hairless mouse skin was proportional to MT solubility in vehicles and the relationship was statistically significant (F13= 10.87, p < 0.05). A lag time of MT from PG 40% vehicle was the shortest through excised hairless mouse skin. Flux of MT was slightly changed as hydration time (<1.5 hours) prior to start of a diffusion experiment increased but no correlation was 123 observed. Flux of MT from four vehicles through ethylene vinyl acetate membrane was 5-20 times lower than those through excised hairless mouse skin. Flux of MT through ethylene vinyl acetate membrane in increasing order was: buffer > PG 40% > 2-HPCD 30 %> PG 40%/2-HPCD 30%. Unlike the excised hairless mouse skin, flux of MT through ethylene vinyl acetate membrane decreased as MT solubility increased. These contradictory results need to be explained by other mechanisms rather than solubility only. No MT was detected over 12 hours after starting diffusion through microporous polyethylene membrane. PG and 2-HPCD appears to be ineffective for the penetration of MT through synthetic membranes. Interestingly, for the microporous polyethylene membrane, volume of donor phase increased to 2.5 times the initial applied volume (1.5 m1). This indicates that water flows from receptor to donor phase. Flux of MT through two synthetic membranes were so low or negligible that it could not be used as a rate controlled membrane. On the other hand, flux of MT through the excised hairless mouse skin needs to be optimized. 124 INTRODUCTION Melatonin (MT) is a neurohormone secreted by the pineal gland in a circadian rhythm (1). Exogenous MT may be effective in resetting circadian rhythm disorders of MT (2,3) such as sleep disorder (4,5), jet-lag (6), shift work syndrome (7), and seasonal affective disease (8) in humans. However, useful MT treatment may depend on dosage forms that mimic the endogenous circadian rhythms of MT. No appropriate dosage forms are currently available. Transdermal delivery is one of promising routes to deliver drug molecules for a desired length of time (911). Factors related to skin penetration by drugs includes the physicochemical properties of drugs, partition coefficient, hydration of skin, age, and presence or absence of penetration enhancers (9,13-18). Long lag times, small permeability coefficient, and low solubility may be a physical obstacle to transdermal delivery (12). Solubility is a common and measurable index which is related to the diffusional behavior of drugs. Development of a transdermal delivery system for MT may be limited because MT has a relatively low solubility (<1.5 mg/ml) in water (19). The poor permeability of most drugs through the skin has led to use of a variety of transdermal penetration enhancers which may increase the thermodynamic activity of the drug and change the barrier 125 function of the stratum corneum so as to improve drug permeability (16-18). Propylene glycol (PG) has been widely used as a cosolvent or penetration enhancer in transdermal delivery systems (16-18,20). 2- hydroxypropy1- 3- cyclodextrin (2- HPCD) is also widely used in the pharmaceutical industry because of its ability to improve the solubility, stability, and bioavailability of many drugs (21-23). It has been reported that 2-HPCD improved the topical and transdermal absorption of 4-biphenyl acetic acid (24) and 17 /3- estradiol (25). Pfister et. al., suggested 2-HPCD as a penetration enhancer compatible with silicone medical adhesives (17). However, 2-HPCD has not been extensively studied in a transdermal delivery system. Therefore it is of interest to incorporate these additives into vehicles and to determine if penetration of MT through skin and model membranes is enhanced. It is desirable to conduct in vitro transdermal delivery experiments with human skin. However, alternatives to human skin may be considered because human skin is, for many good reasons, not readily available. Of course there is no animal skin that completely mimics the penetration characteristics of human skin (9,11). The majority of in vitro experiments reported have been conducted using hairless mouse skin due to its similarities to human skin, and ready availability. 126 Inconsistent results have been reported with both animal and human skin (26,27). Many polymeric membranes have also been used to control or evaluate drug diffusion and develop transdermal delivery devices (11,28). Diffusion of drugs through rate controlling membranes is dependent on membrane type employed, thickness, pore size, and membrane composition (17,28). Partition and diffusion of MT from PG solution through excised hairless mouse skin was previously studied in our laboratory (29). The purpose of this research was to extensively evaluate diffusional behavior of MT through excised hairless mouse skin and two synthetic membranes (ethylene vinyl acetate and microporous polyethylene). Donor vehicles for these studies included buffer, PG and/or 2-HPCD. 127 MATERIALS AND METHODS Materials Melatonin (MT) was purchased from Regis Chemical Co (Morton Grove, IL). Ten week old, male hairless mice (HRS/J strain) were used in the study. Propylene glycol (PG) was obtained from J.T. Baker, Inc., (Phillisburg, NJ). 2-hydroxypropy1-0-cyclodextrin (2-HPCD; molecular weight, 1542; average degree of molar substitution, 6.5 moles of hydroxypropyl/mole of 0-cyclodextrin; range of molar substitution, 5-8) was provided courtesy of American Maize-Product company (Hammond, ID). Ethylene vinyl acetate (3M CoTranTlm controlled caliper film #9702) and microporous polyethylene (3M CoTranTm microporous film #9710) were provided courtesy of 3M company (St. Paul. MN). All chemicals used were of reagent grade. Deionized water was used throughout the study. Equilibrium Solubility of MT Excess amounts of MT were added to 0.05 M phosphate buffer (pH 6.1) containing various concentrations of PG and 2-HPCD. The resulting mixtures were placed in a 25±0.1 °C constant temperature water bath. Parafilm was used to cover the top to prevent evaporation. Equilibrium solubility was reached within 24 hours. Samples were centrifuged at 10,000 g for 15 minutes and the clear 128 supernatant was collected and diluted with phosphate buffer. HPLC analysis of MT concentration was carried out as described in Chapter I. Skin Sources and Preparation The mice were housed individually at the College of Pharmacy, Oregon State University. The mice were sacrificed by exposure to CO2. Full thickness abdominal skin samples were excised and kept in 0.9 % physiological NaC1 equilibrated at 30 °C prior to mounting on the diffusion cell. Diffusion Studies Skin and synthetic membrane samples were mounted between the donor and receptor phase in vertical Franz' diffusion cells as shown in Figure V.1. The crosssectional area and diameter for diffusion was 3.14 cm2 and 2 cm, respectively. The temperature was maintained at 30 °C (approximate skin temperature) with a circulating water bath during the entire experiment. Normal saline solution was used as receptor media. One and a half mililiter (1.5 ml) of vehicle solution containing saturated MT was applied to donor chamber using a pipette. The saturated MT concentration in vehicles was determined based on solubility studies. Stirring of the media within the receptor chamber was achieved by externally driven 129 Open to Air Saline Solution Injection Port Cell Cap (Donor) . Thin Finite Dose Isotonic Saline Solution Chamber Skin Water Out Water Jacket Cell Body (Receptor) Water In Figure V.1 Stirring Bar Scheme of a vertical Franz. diffusion cell. 130 magnetic stirring bars. 150 ul of samples from the receptor chamber were collected using a pipette attached with teflon tube through the sampling port of the diffusion cell at 0.5, 1, 1.5, 2, 2.5, 3.5, 4.5, 6, 9, and 12 hours. The receptor phase was replenished with an equal volume of saline solution after each sample were collected. Sink conditions were maintained in the receptor. Analysis of each subsequent sample was corrected for all previous samples (150 Al) that had been removed for analysis. until analysis. The samples were stored in the freezer Samples were centrifuged at 7000 g for 10 min to remove any insoluble residue before HPLC analysis. MT concentration was determined by HPLC as described in Chapter I. Data Analysis The cumulative amount of MT (Ag) permeating through excised hairless mouse skin or other membranes during each sampling interval was calculated based on the MT concentration and volume in the receptor phase. The flux (µg /hr /cm2) and lag time (hr) of MT release from each vehicle were calculated from the slope and the intercept of the plot of cumulative amount of MT (Mg) in the receptor phase at steady state against time using linear regression analysis (29). Diffusional area was 3.14 cm2. Permeability coefficient (P) was obtained by dividing 131 the flux (J) by corresponding solubility of MT (C) in vehicles based on the following equation (12). J =KDC/h=PC The amount of drug diffused through a unit area of membrane per unit time (J) is the product of the diffusion coefficient (D), skin-vehicle partition coefficient (K), and the drug solubility in the vehicle or delivery system (C) divided by the thickness of the skin (h). The above equation is commonly expressed as product of permeability coefficient (P) and drug solubility (C) if there is an excess supply of drug in the delivery system since D, K and h are experimentally entangled. All values are expressed as mean ± standard deviation of at least three determinations. Statistical significances in flux among vehicles were evaluated using Tukey's method of multiple comparison (29). The aptness of the linear models was evaluated by comparing F-test for lack of fit. 132 RESULTS AND DISCUSSION While transdermal delivery has several potential advantages by delivering drug over a period of desired time, and avoiding first pass metabolism, it requires an understanding of both functions of skin and drugs (10,12). Drugs with reasonable potency, oil/water partitioning coefficient, and solubility can be a good candidate for transdermal delivery (10,12,16). Parameters which affect transdermal delivery of drugs must be investigated to optimize flux of drug, and to finally fabricate transdermal delivery device. In this study, vehicles which affect MT solubility were utilized to increase MT flux through the membranes. MT solubility obtained in various vehicles is shown in Table V.I. MT solubility in PG and/or 2-HPCD solution markedly increased compared with buffer solution. The profiles of cumulative amount of MT released vs time through excised hairless mouse skin is shown in Figure V.2. Flux, permeability coefficient (P), and lag time of MT calculated are also given in Table V.2. Flux of MT through excised hairless mouse skin was increased as MT solubility increased. Flux of MT from PG 40% with 2-HPCD 30% was the largest and statistically different (p<0.05) compared to buffer and PG 20% (Figure V.3). There was no statistically significant difference for MT flux between 133 Table V.1 MT solubility in various vehicles Vehicles Solubility' (mg/ml) Buffer 1.507 PG 20% (v/v) 2.817 PG 40% (v/v) 9.587 2-HPCD 30% (w/v) 18.151 PG 40% (v/v)/2-HPCD 30% (w/v) 20.408 "n=3, Mw=232.3 134 o 12 Buffer PG 20% v PG 40% 2-HPCD 30% PG 40%/2-HPCD 30% 9 6 3 3 6 9 12 Time (hrs) Figure V.2 Profiles of cumulative amount (Ag) of MT released from vehicles saturated with MT through excised hairless mouse skin. Values are expressed as mean ± standard deviation (n=6). Table V.2 Flux (µg /hr /cm2), permeability coefficient (cm/hr), and lag time (hr) of MT from vehicles through excised hairless mouse skin (n=6). Flux Solubility P Lag time (µg /hr /cm2)' (mg/ml) (cm/hrx10-5)b (hrs)' Buffer 0.198±0.012 1.507 7.029 1.867±0.781 PG 20% (v/v) 0.128±0.015 2.817 1.335 2.341±0.496 PG 40% (v/v) 0.236±0.026 9.587 1.300 1.028±0.113 2-HPCD 30% (w/v) 0.274±0.060 18.151 1.510 2.361±1.147 PG 40% (v/v)/2HPCD 30% (w/v) 0.404±0.050 20.408 1.980 2.361±1.147 Vehicles 3Slope of terminal steady state of cumulative amount of MT (Ag) versus time curve fitted by linear regression divided into diffusional area of Franz cell (3.14 cm2). hPermeability coefficient (P)=flux (µg /hr /cm2) + MT solubility (µg /ml). `Intercept of terminal steady state of cumulative amount of MT released versus time curve fitted by linear regression. 136 PG 40%/ 2 -HPCD 30% 2-HPCD 30% PG 40% 3 2 PG 20% Buffer 0.0 0.1 0.2 Flux (,ug/hr/cm Figure V.3 0.4 0.3 0.5 ) Effects of vehicles on the flux (gg/hr/cm2) of MT through excised hairless mouse skin. Vehicle 1-5, and 2-5 are statistically different (p < 0.05) by Tukey method of multiple comparison analysis. Values are expressed as mean ± standard deviation (n=6). 137 PG 40%, 2-HPCD 30%, and PG 40% with 2-HPCD 30%. Although MT solubility in PG 40% with 2-HPCD 30% increased about 13 times compared to buffer, flux was increased twice only. Flux of MT may be more compensated by the decreasing partitioning coefficient of MT compared to the increasing MT solubility. Is the flux of MT (0.40 Ag/hr/cm2) in PG 40% with 2-HPCD 30% enough to reach normal endogenous plasma MT concentration? Transdermal delivery rate can be treated as intravenous infusion assuming no metabolism and degradation are occurred in the skin. Infusion rate can be calculated by the product of MT concentration desired, and volume of distribution and elimination constant. When 100 pg/ml of plasma MT concentration desired, 34.2 liter of volume of distribution, and 0.9 hr'' of elimination constant are used (34), delivery rate is 3.17 pg /hr. Since diffusional area is 3.14 cm2, flux expected is 1.01 Ag/hr/cm2. Therefore, if hairless mouse skin may simulate human skin, flux of MT through the excised hairless mouse skin is not enough to reach normal plasma MT concentration by transdermal route. More detailed study is required to develop a transdermal delivery device. In contrast, permeability coefficient (P) of MT through excised hairless mouse skin was the greatest in buffer followed by PG 40% with 2-HPCD 30%, 2-HPCD, PG 40%, and PG 20% (Table V.2). The permeability coefficient (P) is uniquely dependent on the chemical structure of the 138 drug, the physicochemical nature of the medium of application, and physicochemical nature of the membrane (12). Figure V.4 shows the correlation between flux and solubility of MT among vehicles. The linear relationship between flux of MT and MT solubility was significant (F0=10.8, p<0.05, r=0.89). PG as a cosolvent, acts on the skin to enhance permeation of the drug (18). 2-HPCD appeared to be more useful to enhance permeation of MT. The enhancing effects of 2-HPCD on MT flux rate may result from the enhancement of MT solubility by complexation. Direct membrane disruption due to extraction of lipids from the skin may contribute to penetration enhancement. Altering effects of the lipid barrier of the absorption site by cyclodextrin derivatives have been studied for the nasal delivery of insulin (32). Extrapolation of the linear portion of the cumulative amount of MT vs time curves (Figure V.2) to axis gives an apparent diffusional lag time. The lag time due to membrane (stratum corneum) resistance is directly proportional the thickness of the membrane and inversely proportional to the membrane diffusion coefficient (9,12). Lag time is a measure of the time it takes for the permeant's concentration gradient to become stabilized across the membrane. A lag time for MT permeation through excised hairless mouse skin was observed (Figure V.5). Although the lag time of MT was the shortest in PG 40%, no 139 0.5 0 0.4 5 N E 0 -... 2a 0.3 biz, g 0.2 0.1 0.0 0 20 40 60 80 100 MT Solubility (mM) Figure V.4 Correlation between flux (Ag/hr/cm2) of MT from vehicles through excised hairless mouse skin and MT solubility (mM). Vehicles are indicated by numbers. 1, buffer, 2, PG 20% (v/v), 3, PG 40% (v/v), 4, 2-HPCD 30% (w/v), and 5, PG 40% (v/v)/2-HPCD 30% (w/v). Values are expressed as mean ± standard deviation (n=6). 140 PG 40%/ 2-HPCD 30% 2-HPCD 30% PG 40% PG 20% Buffer 0 I I 1 2 _1 I I 3 4 I 5 Lag Time (hrs) Figure V.5 Effects of vehicles on the lag time (hrs) of MT through excised hairless mouse skin. Values are expressed as mean ± standard deviation (n=6). 141 statistically significant difference among vehicles was observed. It is known that prolonged skin hydration may mechanically disrupt mouse skin so that increased permeability of drugs is expected as hydration time increases (15,27). Figure V.6 shows flux of MT as a function of hydrating time (interval between excision of skin and start of experiment). Flux of MT was changed in a small number of replication as hydrating time (<1.5 hours) of skin increased but it was difficult to explain the correlation because of the short time interval and variation of data. Merwe et. al., reported that evaluation of drug diffusion through skin within 24 hr skin collection and temperature less than 37 °C is desirable in order to avoid deterioration of the skin (15). In this study, excised hairless mouse skin was hydrated for less than 1.5 hours at 30 °C. Selecting polymer films for use as rate controlling membranes or device matrices for a transdermal delivery system requires consideration of many parameters (11,17). Two commercially available 3M CoTranTM films, ethylene vinyl acetate and polyethylene films were evaluated as potential components of a transdermal delivery device because no information on diffusion of MT through these membranes have been available. Figure V.7 shows the cumulative amount of MT released versus time profiles 142 o Buffer 0.5 PG 20% o PG 40% v 2-HPCD 30% 0.4 E C.) 0.3 V V 0 an 0.2 Q 0 0.1 II..1,,,,,...(1....1 0.0 0 20 40 60 80 100 Hydration Time (min) Figure V.6 Effects of hydration time (minutes) between excision of hairless mouse skin and start of diffusion on the flux (mg/hr/cm2) of MT from vehicles. 143 o Buffer PG 40% v 2-HPCD 30% PG 40%/2-HPCD 30% 3 6 9 12 Time (hrs) Figure V.7 Profiles of cumulative amount (Ag) of MT released from vehicles through ethylene vinyl acetate membrane. Values are expressed as mean ± standard deviation (n=4). 144 through the ethylene vinyl acetate membrane. Flux rates of MT in decreasing order are: buffer >PG 40% >2-HPCD 30%>PG 40%/2-HPCD 30%. Flux of MT from a vehicle of PG 40% with 2-HPCD 30% was lowest and statistically different from PG 40% and buffer (p<0.05) (Figure V.8). The flux, permeability coefficient (P), and lag time through the ethylene vinyl acetate membrane are given in Table V.3. Interestingly, flux of MT decreased as MT solubility increased and was inversely proportional to MT solubility (Figure V.9). The negative linear relationship between flux rate of MT and MT solubility was significant (F12 =62.3, p<0.05, r=0.98). It is not clear why the relationship between solubility and flux of MT through excised hairless mouse skin and ethylene vinyl acetate membrane are inconsistent. However, these results suggest that permeability of MT through ethylene vinyl acetate membrane is dependent on factors other than MT solubility only. Further, no MT diffusion occurred through the microporous polyethylene membrane no matter which vehicle was used. This finding was verified by mass balance studies of MT from a vehicle of PG 40% with 2-HPCD 30% saturated with MT and applied to both synthetic membranes (Table V.4). PG and 2-HPCD appears to be ineffective for the penetration of MT through synthetic membranes. Although flux of MT through the ethylene vinyl acetate membrane was higher than the microporous polyethylene, 145 PG 40%/ 2-HPCD 30% 4 2-HPCD 30% PG 40% Buffer 1 t 0.00 0.01 0.02 Flux Figure V.8 0.03 0.04 0.05 (ii,g/hr/cm2) Effects of vehicles on the flux (Ag/hr/cm2) of MT through ethylene vinyl acetate membrane. Vehicle 1-2, 1-3, 1-4, 2-3, and 2-5 are statistically different (p<0.05) by Tukey method of multiple comparison analysis due to high precision of data. Values are expressed as mean ± standard deviation (n=4). Table V.3 Flux (Ag/hr/cm2), and permeability coefficient (cm/hr) of MT from vehicles through ethylene vinyl acetate membrane (n=4). Vehicles Flux (Ag/hr/cm2)4 Solubility P (mg/ml) (cm/hrx10-5) b Buffer 0.039±0.001 1.507 2.588 PG 40% (v/v) 0.034±0.002 2.817 0.355 2-HPCD 30% (w/v) 0.022±0.001 9.587 0.121 PG 40% (v/v)/2- 0.019±0.003 18.151 0.093 HPCD 30% (w/v) 'Slope of terminal steady state of cumulative amount of MT (Ag) versus time curve fitted by linear regression divided into diffusional area of Franz cell (3.14cm2). bPermeability coefficient (P, cm/hr)=flux rate (Ag/hr/cm2) /MT solubility (µg /ml). Note) Calculation of lag time is insignificant because intercept of terminal steady state of cumulative amount of MT released versus time curve fitted by linear regression is essentially zero. 147 0.05 0.04 (,1 c.) I. 0.03 = an 3x 0.02 = 0.01 0.00 0 20 40 60 80 100 MT Solubility (mM) Figure V.9 Correlation between flux (Ag/hr/cm2) of MT from vehicles through ethylene vinyl acetate membrane and MT solubility (mM). Vehicles are indicated by numbers. 1, buffer, 2, PG 40% (v/v), 3, 2-HPCD 30% (w/v), and 4, PG 40% (v/v)/2-HPCD 30% (w/v). Values are expressed as mean ± standard deviation (n=4). 148 Table V.4 Mass balance studies of MT from a vehicle of PG 40% (v/v) with 2-HPCD 30% (w/v) through synthetic membranes (n=4). Synthetic membranes Ethylene Microporous vinyl acetate Polyethylene 22.17 22.17 Donor (mg) 21.98±0.45 22.07±0.39 Membranes (4g) NDb ND Receptor(Ag) 1.08 ± 0.37 ND Applied (mg) Recovered' `MT assayed at 12 hours after MT diffusion. bNot detectable 149 fluxes of MT was so low that normal plasma MT concentration could not be achieved when these membranes were used as rate controlled membranes. Flux (Ag/hr/cm2) of MT from four vehicles through the membranes are compared in Figure V.10. Fluxes of MT were more dependent on the type of membrane selected than on MT solubility. Flux of MT was greatest in excised hairless mouse skin, followed by the ethylene vinyl acetate membrane and microporous polyethylene membrane. Flux of MT through the ethylene vinyl acetate membrane were 5-20 times lower than those through excised hairless mouse skin, while no MT diffused through the microporous polyethylene membrane over 12 hours. Flux of drug through synthetic membranes is dependent on structural difference, interaction of vehicle with membranes, and physicochemical properties of drug (10). Effects of PG and 2-HPCD on disruption of lipid barriers and partitioning of vehicles may be least important for the synthetic membranes. The possible lipid extraction effect of 2-HPCD (32,33) may not be considered in the synthetic membranes compared to the excised hairless mouse skin. The content of vinyl acetate increases flux of drug (10). In addition, since the ethylene vinyl acetate membrane contains 9 % of vinyl acetate in polyethylene as a copolymer, ethylene vinyl acetate membrane had higher flux of MT than the microporous polyethylene membrane. 150 1=1 Hairless Mouse Skin Ethylene Vinyl Acetate Membrane PG 40%/ 2-HPCD 30% 1 2-HPCD 30% I 1 PG 40% 7) H Buffer 0.0 H I 0.1 0.2 Flux Figure V.10 t I 0.3 0.4 0.5 (p,g/hr/cm2) Comparison of flux (Ag/hr/cm2) of MT through excised hairless mouse skin and ethylene vinyl acetate membrane. Bar values of microporous polyethylene membrane are not shown due to undetectable flux. 151 If solvent transport across membranes is involved in drug permeability (31), volume changes of donor phase can affect MT flux rate through the membranes. Table V.5 shows that volumes of donor phase applied to the microporous polyethylene membrane are markedly increased. With the ethylene vinyl acetate membrane, no significant volume changes occurred. This result indicates that water flows from receptor to the donor phase for the microporous polyethylene membrane. It was not clear why the liquid traveled into the donor phase through the microporous polyethylene membrane but this water flux apparently prevents the drug from migrating to the receptor phase. Structural differences between membranes clearly influence the flux of MT and water. Since microporous polyethylene membrane have pores, liquid may travel through the pores unlike to the ethylene vinyl acetate membrane with continuous film. One might think that osmotic pressure difference between donor and receptor phase are involved. Additional diffusion studies in which the donor and receptor phases are isotonic will be necessary to determine whether or not MT is able to across the microporous polyethylene membrane. Flux of MT in the vehicles selected through the excised hairless mouse skin was lower than expected to reach the normal plasma MT concentration. However, transdermal delivery of MT may be possible if flux of MT 152 Table V.5 Volume changes (ml) of donor phase containing MT in a vehicle of PG 40% (v/v) with 2-HPCD 30% (w/v) during diffusion studies through ethylene vinyl acetate and microporous polyethylene membranes. Membranes* Surfaceb Applied` Recoveredd (ml) (ml) Ml 1.5 1.45 -3.33 M1 1.5 1.40 -0.07 A Vol (%)` M1 NG 1.5 1.35 -10.0 M1 NG 1.5 1.40 -0.07 M2 1.5 3.80 153.3 M2 1.5 3.60 140.0 M2 NG 1.5 3.80 153.3 M2 NG 1.5 3.65 143.3 *Synthetic membranes, Ml, ethylene vinyl acetate, M2, microporous polyethylene. bMembrane surface exposed to donor phase, G, glassy, NG, non-glassy. `Total volume (ml) of vehicle solution containing MT applied to donor phase. dTotal volume (ml) of vehicle solution recovered from donor phase at 12 hours after diffusion. `Volume changes, A Vol (%)=(recovered-1.5) 1.5 x 100. 153 was optimized by selecting approprite enhancers and vehicle compositions. Flux of MT through ethylene vinyl acetate membrane was so low that it could not be used as rate controlled membrane. Microporous polyethylene membrane may be used as backing materials because no MT was penetrated through the membrane. 154 CONCLUSIONS PG and 2-HPCD enhanced penetration of MT through excised hairless mouse skin. Flux of MT from the 40% PG with 2-HPCD 30% was greatest and statistically different compared to buffer and PG 20%. (p<0.05). In contrast, flux of MT through the ethylene vinyl acetate membrane was 5-20 times lower than through the excised hairless mouse skin and MT did not diffuse through microporous polyethylene membranes over 12 hrs. No markedly enhancing effect of vehicles on flux of MT was observed for the synthetic membranes. As MT solubility in various vehicles increased, flux of MT linearly increased through excised hairless mouse skin. However, flux of MT through the ethylene vinyl acetate membrane was inversely proportional to MT solubility, which is quite unexpected. Flux of MT is considered as a function of product of solubility and partitioning coefficient of MT rather than individually. However, flux of MT obtained appeared to be too low to reach normal plasma MT concentration in this study. Fluxes of MT were highly dependent on the type of membranes. Flux of MT through the membranes may result from structural difference, interaction of vehicle with membranes, and physicochemical properties of drug. The lack of flux of MT through the microporous membrane was 155 associated content of vinyl acetate, and volume expansion of donor phase due to flux of water from the receptor phase. Selecting vehicles and model membranes is important in developing a transdermal delivery device. Information reported here-in will be used to prepare a transdermal delivery device. 156 REFERENCES 1. Waldhauser, F., Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985). 2. Petterborg, L.J., Thalen, B.E., Kjellman, B.F., and Wetterberg, L. Effects of melatonin replacement on serum hormone rhythm in a patient lacking endogenous emlatonin. Brain Res. Bull., 27(2), 181-185 (1991). 3. Sack, R.L., A.J. Lewy, D.L. Blood, M.L., Stevenson, J., and Keith, L.D. Melatonin administration to blind people: Phase advances and entrainment. J. Biol. Rhythm, 6(3), 249-262 (1991) . 4. Cramer, H., Rudolph, J., Consbruch, U., and Kendel, K. On the effects of melatonin on sleep and behavior in man. Adv. in Biochem. Psychopharmacol., 11, 187191 (1974). 5. Dahlitz, M., Alvarez, B., Vignau, J., English, J., Arendt, J., and Parkes, J.D. Delayed sleep phase syndrome response to melatonin. Lancet, 337(8750), 1121-1124 (1991). 6. Petrie, K., Conaglen, J.V. Thompson, L., and Chamberlain, K. Effects of melatonin on jet lag after long haul flight. Br. Med. J., 298, 705-707 (1989). 7. Waldhauser, F., Vierhapper, H., and Oirich, K. Abnormal circadian melatonin secretion in night-shift workers. The New Eng. J. Med., 7, 441-446 (1986). 8. Rosenthal, N.E., Sack, D.A., Gillin, J.C., Lewy, A.J., Goodwin, F.K., Davenport, Y., and Mueller, P.S., et. al., Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch. Gen, Psychiatry, 41, 71-80 (1984). 9. 10. Kydonieus, A.F. and Berner, B. Transdermal delivery of drugs. Vol. I, II, & III. CRC Press, Inc., Boca Raton, FL (1987). Guy, R.H. and Hadgraft, J. Transdermal drug delivery: A perspective. J. Controlled Release 4, 237-251(1987). 157 11. Hadgraft, J. and Guy, R.H. Transdermal drug delivery. Developmental issues and research initiatives. Marcel Dekker, Inc., NY (1989). 12. Flynn, G.L. and Stewart, B. Percutaneous drug penetration: Choosing candidates for transdermal development. Drug Dev. Res., 13, 169-185 (1988). 13. Higo, N., Hinz, R.S., Lau, D.T.W., Benet, L.Z., and Guy, R.H. Cutaneous metabolism of nitroglycerin in vitro. II. Effects of skin condition and penetration enhancement. Pharm. Res., 9(3), 303-306 (1992). 14. Dick, I.P. and Scott, R.C. The influence of different strains and age on in vitro rat skin permeability to water and mannitol. Pharm. Res., 9(7), 884-887 (1992) . 15. Merwe, E.V.D., Ackermann, C., and Wyk, C.J.V. Factors affecting the permeability of urea and water through nude mouse skin in vitro. I. Temperature and time of hydration. 16. Pfister, W.R. and Hsieh, D.S.T. Permeation enhancers compatible with transdermal drug delivery systems. Part I: Selection and formulation considerations. Pharm Tech. Sep., 132-140 (1990). 17. Pfister, W.R. and Hsieh, D.S.T. Permeation enhancers compatible with transdermal drug delivery systems. Part II: System design considerations. Pharm Tech. Oct., 54-60 (1990). 18. Rolf, D. Chemical and physical methods of enhancing transdermal drug delivery. Pharm. Tech. Sep. 130-140 (1988). 19. Lewy, A.J. Biochemistry and regulation of mammalian melatonin production. The Pineal Gland, edited by Richard Relkin, Elsevier Science Publishing Co., Inc. (1983) . 20. Yalkowsky, S.H. and Rubino, J.T. Solubilization by cosolvents I: Organic solutes in propylene glycol-water mixtures. J. Pharm. Sci., 74(4), 416-421 (1985). 21. Duchene, D. and Wouessidjewe, D. Physicochemical characteristics and pharmaceutical uses of cyclodextrin derivatives, Part I. Pharm. Tech., 14(6), 26-34 (1990). 158 22. Duchene, D. and Wouessidjewe, D. Pharmaceutical uses of cyclodextrins and derivatives. Drug Dev. & Ind. Pharm., 16(17), 2487-2499 (1990). 23. Szejtli, J. Cyclodextrins in drug formulations: Part II. Pharm. Tech., August, 24-38 (1991). 24. Arima, H., Adachi, H., Irie, T., Uekama, K., and Pitha, J. Enhancement of the antiinfalmmatory effect of ethyl 4-biphenyl acetate in ointment by gcyclodextrin derivatives: Increased absorption and localized activation of the prodrugs in rats. Pharm Res., 7(11), 1152-1156 (1990). 25. Loftsson, T. and Border, N. Effects of 2hydroxypropy1-0-cyclodextrin on the aqueous solubility of drugs and transdermal delivery of 170estradiol. Acta Pharm Nordica 1, 185-194 (1989). 26. Rigg, P.C. and Barry, B.W. Shed snake skin and hairless mouse skin as model membranes for human skin during permeation studies. J. Invest. Dermatol., 94, 234-240 (1990). 27. Bond, J.R. and Barry, B.W. Hairless mouse skin is limited as a model for assesing the effects of penetration enhancers in human skin. J. Invest. Dermatol., 90, 810-813 (1988). 28. Hsieh, D.S.T. Multiple lamination for transdermal patches. Controlled release systems: Fabrication technology. Volume I, edited by Dean Hsieh, CRC Press, Inc., Boca Raton, FL (1988). 29. Lee, Y. Development of a transdermal delivery system for melatonin. M.S. Thesis, College of Pharmacy, Oregon State University (1989). 30. Mallo, C., Zaidan, R., Galy, G., Vermeulen, E., Brun, J., Chazot, G., and Claustrat, B. Pharmacokinetics of melatonin in man after intravenous infusion and bolus injection. Eur. J. Clin. Pharmacol., 38, 297-301 (1990) . 31. Neter, J., Wasserman, W., and Kutner, M.H. Applied linear statistical models: Regression, analysis of variance and experimental design, 2nd edition. Richard D. Irwin, Inc., Homewood, IL (1985). 159 32. Aungst, B.J., Blake, J.A., and Hussain, M.A. Contribution of drug solubilization, partitioning, barrier disruption, and solvent permeation to the enhancement of skin permeation of various compounds with fatty acids and amines. Pharm. Res., 7(7), 712718 (1990). 33. Shao, Z., Krishnamoorthy, R., and Mitra, A.K. Cyclodextrins as nasal absorption promoters of insulin: Mechanistic evauation. Pharm. Res., 9(9), 1157-1163 (1992). 160 CHAPTER VI PRELIMINARY EVALUATION OF TRANSDERMAL DELIVERY DEVICE FOR MELATONIN IN HUMAN SUBJECTS ABSTRACT The Hill Top Chamber' with Webril' pad as an occlusive transdermal delivery device (TDD) was applied to four human subjects to investigate the penetration behavior of melatonin (MT) through human skin. Saturated MT solution in 40% propylene glycol was loaded in Webril' pad of TDD. A total TDD surface area of 3.80 cm2 was applied to the forearm of each subject. Plasma MT concentrations increased and above the baseline in approximately 2-4 hours although steady state was not achieved in the 8 hour study period. Urinary excretion rate of 6-STMT also increased as plasma MT concentration increased. Urinary excretion rate of 6-STMT following TDD application was higher than control excretion. Cumulative amounts of urinary 6-STMT over 6 hours when TDD was applied were three times greater than control excretion. Urinary excretion rate of 6-STMT was correlated with plasma MT concentration among subjects (coefficient of determination = 0.77). These data suggest that urinary excretion rate of 6-STMT can be used as an index of MT circadian rhythm in human subjects. An intersubject 161 variability in both plasma MT concentration and urinary excretion rate of 6-STMT was observed. However, it was evident that MT could be delivered transdermally in human subjects. 162 INTRODUCTION Melatonin (MT; N-Acetyl -5-Methoxytryptamine) is an indole amide neurohormone secreted primarily from the pineal gland (1). The circadian pattern of endogenous production may be described by low levels during the day time (< 30 pg/ml) and higher constant values (50-200 pg/ml) during the night (2). Although exogenously administered MT is known to entrain (reset) circadian rhythms in animals and humans (3,4), MT's potential clinical values may be limited because no dosage forms are currently available which provide sustained release of MT so as to mimic the normal physiological plasma MT concentrations vs time profile. Since MT has a short halflife, about 40 minutes (12), a sustained release preparation is necessary to maintain the plasma MT concentration in the physiological range of 50-200 pg/ml over 8-10 hours (2). Exogenously administered MT in a sustained release dosage form could play a role in treating disruptions of circadian rhythm such as delayed sleep syndrome (5,6), jet lag (7), shift work syndrome (8), and winter depression (9). Because of the need for MT to be delivered in a sustained manner over 8-10 hours, transdermal delivery may be a viable route for MT administration. MT may be a good candidate for transdermal delivery. It has low molecular 163 weight (Mw 232.3) and is organic soluble (11). Lee et. al., studied the diffusion of MT across hairless mouse skin in the in vitro system (12). A vehicle of phosphate buffer (pH 6.1) with 40% (v/v) propylene glycol as a cosolvent gave the maximum flux of MT compared to other buffer/propylene glycol mixtures. The purpose of this preliminary study was to characterize the plasma MT concentration and urinary excretion rate of its metabolite, 6-sulphatoxymelatonin (6-STMT), after administration of TDD containing MT to human subjects. 164 MATERIALS AND METHODS Subjects Four healthy male subjects who had received no medication in the previous 48 hours were admitted to the Oregon Health Science University Clinical Research Center on the study day at approximately 9 A.M. Subjects were allowed food and fluids freely throughout the study. Characterization of the four subjects are shown in Table VI.1. Study Protocol The study was conducted in late August. The Hill Top Chambers with Webril pad. (occlusive device containing 0.95 cm2 absorbent pads; Hill Top Research, Inc., Cincinnati, OH, USA) was used as a transdermal delivery device (TDD). One hundred milligrams of MT (Regis Chemical Co., Morton Grove, IL) were dissolved in 10 ml of pH 6.1 phosphate buffer containing 40% propylene glycol (J.T. Baker Inc., Phillipsburg, NJ). Thereafter, 200 Al MT solution was loaded on each Webril pad. which was in the Hilltop Chambers.. Four Chambers with Webril pads were applied to the hairless surface of an each subject's forearm and covered with a tape adhesive. TDD was applied at 11 AM. Total surface area and total MT contents are 3.80 cm2 and 8 mg, respectively. An indwelling catheter was set in the 165 Table VI.1 Subjects Vital statistics of four male subjects. Age Weight Height (yr) (Kg) (cm) 1 30 59 170 Asian 2 45 65 180 Caucasian 3 48 82 183 Caucasian 4 33 73 173 Asian Mean±S.D. 39 ± 9 70 ± 10 177 ± 6 Race 166 opposite forearm for blood collection. Blood and urine samples were collected before TDD application. Approximately 5 ml of blood was withdrawn through the indwelling catheter at 1, 2, 4, 6, and 8 hours after application of TDD. Heparin solution was used to prevent clotting within the catheter. The TDD was removed from subject 1 and 2. The skin area was gently washed with water after the TDD was removed. After a two week washout period, daytime control urines were collected from subject 1 and 2. Analytical Methods Plasma MT concentrations were determined by a highly sensitive and specific GC/MS assay (13). Urinary 6-STMT concentrations were determined by radioimmunoassay (14). 167 RESULTS AND DISCUSSION Preliminary diffusion studies using excised abdominal hairless mouse skin showed that MT in 40 % (v/v) propylene glycol had a flux rate of 0.24 pg/hr/cm2. Input rate of MT from the TDD is 0.912 gg/hr over 3.80 cm2 of total skin surface area applied. Transdermal delivery rate of MT can be treated as intravenous infusion assuming that no metabolism and degradation of MT are occurred in the skin. The expected MT plasma concentration by transdermal route will be about 30 pg/ml at steady state when 35.2 liter of volume of distribution of MT and 0.9 hr-' of elimination are used (12). Plasma MT concentrations for each subject are shown in Table VI.2 and Figure VI.1. Plasma MT concentration increased above the baseline in approximately 2-4 hours although steady state was not achieved in the eight hour study period. The in vivo flux rate of MT was not determined directly but it appeared to be greater than the in vitro flux of MT through excised hairless mouse skin. The baseline MT concentration in the four subjects at 11:00 AM before TDD application ranged from 9.7 to 24.3 pg/ml (see Table VI.2). The variation in baseline MT concentration among subjects may be related to interindividual differences of circadian rhythm (15), age (16), sleeping cycles (6) or light sensitivity (17). Plasma MT concentration (pg/ml) after administration of TDD Table VI.2 containing MT in propylene glycol 40% (v/v) to four human subjects. Subjects Time (hrs) Clock Time On 11:00 1 12:00 2 13:00 24.3 4 15:00 24.3 6 17:00 75.3b 8 19:00 #1 24.3 #2 #3 23.0 mean ± SD #4 9.7 8.3 110.3 30.3 9.7 19.4 20.9±8.7 19.4 48.6 30.8±15.6 43.01' 58.3 20.0 24.3 58.9±16.2 170.1 'TDD was applied at 11:00 AM. bTDD was removed and then skin was gently washed with water. `Subject 3 and 4 only. 19.0±8.1 97.2±103.1` 169 100 10 Subject 1 1 100 10 r Subject 2 1 100 r 10 Subject 3 10 Subject 4 1 0 2 4 6 8 Post TDD (hrs) Figure VI.1 Plasma MT concentration versus time profiles after application of TDD to four human subjects over 8 hours. Asterisks show the time of TDD removal. 170 MT is extensively metabolized to 6-STMT (18). The correlation between plasma MT concentration and urinary excretion rate of 6-STMT was reported (19). If 6-STMT is closely related to plasma MT concentration, urinary excretion rate of 6-STMT may be used as a non-invasive method to study circadian rhythms of MT. Figure VI.2 shows urinary excretion rate of 6-STMT determined at the midpoint of urine collection interval in four subjects. As plasma MT concentration increased, urinary excretion rate of 6-STMT also increased during TDD application. Cumulative amount of urinary 6-STMT over 6 hours in subject 1 and 2 is compared in Figure VI.3. The cumulative amount of urinary 6-STMT when TDD was applied was three times greater than control excretion. This result suggested that MT could be delivered by the transdermal route. Correlation between plasma MT concentration and urinary excretion rate of 6-STMT is shown in Figure VI.4. Although the correlation was not strong due to large intersubject variation, the linear relationship was statistically significant (F1,0 = 45, p < 0.0001). Significant intersubject variations in plasma MT concentrations and urinary excretion rates of 6-STMT were also observed in this small study group. In conclusion, MT could be delivered transdermally in human subjects. Further development and testing of the TDD are necessary. This includes proper vehicle composition to 171 1000 100 Subject 1 10 1000 100 Subject 2 10 1000 100 Subject 3 10 1000 100 Subject 4 10 0 2 4 6 8 Post TDD (hrs) Figure VI.2 Profiles of urinary excretion rate of 6 STMT (ng/hr) determined at the midpoints of each urine collection interval after application of TDD to four human subjects. TDD was applied at 11:00 AM (t=0) in the morning. Asterisks show the time of TDD removal. 172 5,000 c. 4. 4,000 3,000 E 2,000 1,000 E U 0 Subject 1 Figure VI.3 Subject 2 Cumulative amount of urinary 6-STMT (ng) for 6 hours (11:00-17:00) after application of TDD. 173 2000 -731) r = 0.915 E-4 E-0 1500 \cs 0 rsa) 1000 0 o 0 4-a Subject 1 Subject 2 Subject 3 Subject 4 ct.) c.) 500 ."4 0 7 I I I 50 I 1 I 1 I 100 I t 150 I 200 Plasma MT Concentration (pg/ml) Figure VI.4 Correlation between plasma MT concentrations and urinary excretion rate of 6-STMT determined at the midpoints of each urine collection interval after application of TDD to four human subjects. 174 provide maximum flux of MT through human skin, and fabrication of transdermal delivery system for clinical application. 175 CONCLUSIONS Plasma MT concentration increased after administration of TDD to human subjects. Urinary excretion rate of 6-STMT also increased as plasma MT concentration increased. Cumulative amount of urinary 6-STMT over 6 hours when TDD was applied was three times greater than control urine. Urinary 6-STMT was related with plasma MT concentration among subjects. A significant intersubject variation in plasma MT concentration and urinary 6-STMT was also observed in a small study group. A linear correlation between urinary 6-STMT and plasma MT suggest that urinary 6-STMT can be used as an index of MT circadian rhythm in humans. 176 REFERENCES 1. Lerner, A.B., Case, J.D., and Heinzelman, R.V. Structure of melatonin. J. Am. Chem. Soc., 81, 60846085 (1959). 2. Waldhauser, F., and Dietzel, M. Daily and annual rhythms in human melatonin secretion: Role in puberty. Ann., New York Acad. Sci., 453, 205-214 (1985). 3. Sack, R.L., Lewy, A.J., Blood, M.L., Stevenson, J., and Keith, L.D. Melatonin administration to blind people: Phase advances and entrainment. J. Biol. Rhythm, 6(3), 249-262 (1991). 4. Petterborg, L.J., Thalen, B.E., Kjellman, B.F., and Wetterberg, L. 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Res., 8(3), 331-335 (1991). 189 APPENDIX A PROFILES OF PLASMA MT CONCENTRATION AND URINARY EXCRETION RATE OF 6-STMT VERSUS TIME FOR INDIVIDUAL SUBJECTS AFTER ADMINISTRATION OF ORAL CONTROLLED RELEASE DELIVERY SYSTEM 190 = 1000 -61:1 cn = tvi 10000 oo 40 a) = tt4 = 0 0 U 0 10 ccS cC 0 100 2 4 6 8 Time (hrs) Figure A.1 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 1. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aguacoaecoated beads) were administered. 191 ..".. $ .1:4 to = 1000 E--4 E--4 con 15 4.m 0 0 100 1 0000 1 00 t`l P4 = 2. te 10 I- 0 . w cci .z.44 1 2 1 , 4 100 1 6 8 Time (hrs) Figure A.2 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 2. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aguacoat.coated beads) were administered. 192 1.. .-= to = I 1000 E-4 ii) E-4 c.) = 10000 ± o t41 o 100 a) -44 1'4 0 = a4 (.) - 1000 .40, = o F-4 o I0 10 x W m E w >, m = 5.: o 2 I I 4 6 100 8 Time (hrs) Figure A.3 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 3. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aguacoaecoated beads) were administered. 193 1000 ,-, El 100DP`4-4 D 0 0 100 P4 = 0 O 1000 10 0 X 44 .a 100 2 4 6 D 8 Time (hrs) Figure A.4 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 4. Total 0.5 mg of MT doses (0.1 mg immediate release and 0.4 mg controlled released from 20% Aguacoat.coated beads) were administered. 194 81) 1000 C/) = 2 4- 0 100 0 0 /10000 a = 0 C.) E.4 :244 0 1.4 10 iC cd 100 2 4 6 8 Time (hrs) Figure A.5 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 5. Total 1 mg of MT doses (0.2 mg immediate release and 0.8 mg controlled released from 20% Aguacoat.- coated beads) were administered. 195 1 1000 ao 0 ti 100 a' 0 = 0 10 *-41 0 100 2 4 6 8 Time (hrs) Figure A.6 Profiles of plasma MT concentration and urinary excretion rate of 6-STMT versus time for subject 6. Total 1 mg of MT doses (0.2 mg immediate release and 0.8 mg controlled released from 20% Aguacoat.- coated beads) were administered. 196 APPENDIX B PREPARATION OF BUFFER SOLUTION 197 Table B.1 Preparation of buffer solutions 1. 0.01 M acetate buffer (pH 4.70) for HPLC analysis Weigh 0.8203 g of sodium acetate (Mw, 82.03) and dissolve in about 950 ml of deionized water. Add 0.1 M of glacial acetic acid until pH reaches 4.70. Volume of 0.1 M acetic acid consumed is about 10 to 20 ml. Finally, adjust volume to 1000 ml by water. 2. NaCl-HC1 buffer (pH 1.4 ± 0.1) as simulated gastric fluid Dissolve 6.0 g of Nadi in 2900 ml of deionized water. Add 7.4% of diluted HC1 and adjust pH 1.4. Volume of 7.4% of diluted HC1 consumed is about 40 to 55 ml. Finally, adjust volume to 3000 ml by water. 3. Phosphate buffer (pH 7.4 ± 0.1) as simulated intestinal fluid. Dissolve 20.4 g of potassium phosphate monobasic (KH2PO4) in about 2800 ml of deionized water. Mix and adjust resulting solution with 1 N NaOH and adjust pH 7.4±0.1. Volume of 1N NaOH consumed is about 100 to 110 ml. Dilute and adjust with deionized water to 3000 ml. 198 APPENDIX C DISSOLUTION DATA: PERCENTAGE OF MT RELEASED FROM COATED BEADS Table C.1 Dissolution data: The percentage of MT released from Aquacoat'- coated beads at various coating amounts (n=3). Coating (%) 18-20 mesh 8-10 mesh Size 5 10 20 5 10 20 0.25 17.6 12.5 9.5 54.7 29.9 22.8 0.5 29.5 19.8 13.1 75.3 48.2 35.4 1 49.9 30.9 19.0 85.2 67.5 50.6 1.5 63.9 40.0 25.2 89.7 76.9 61.9 2 73.4 47.9 29.8 90.0 80.0 69.6 4 86.5 75.6 52.7 92.0 86.8 85.1 6 90.2 86.9 66.3 87.3 89.5 9 92.9 94.6 80.4 87.3 91.6 12 91.4 97.1 88.9 90.0 91.1 24 91.2 98.9 101.5 90.2 91.9 Time (hrs) 200 Table C.2 Dissolution data: The percentage of MT released from 8-10 mesh Aguacoat.-coated beads with 20% coating as a function of stirring speed. rpm 50 77 100 Time (hrs) 9.5 8.7 9.4 0.5 13.1 13.2 12.0 1.0 19.1 18.7 18.7 1.5 25.2 23.3 23.1 2.0 29.8 31.3 27.9 3.0 42.9 43.6 40.7 4.0 52.7 53.4 51.0 6.0 66.3 68.4 67.2 9.0 80.4 83.7 82.3 12.0 88.9 93.1 93.1 24.0 101.5 104.5 101.1 0.25 201 Table C.3 Dissolution data: The percentage of MT released from 8-10 mesh Aguacoat.-coated beads with 20% coating after 6 months' storage at room temperature. Time (hrs) Original 0.25 9.5 6 months 9.3 0.5 13.1 13.0 1.0 19.1 18.8 1.5 25.2 24.2 2.0 29.8 29.2 3.0 42.9 39.5 4.0 52.7 48.5 6.0 66.3 63.4 9.0 80.4 78.9 12.0 88.9 86.9 24.0 101.5 101.7 MT content loaded for dissolution (mg): 7.47 mg at t=0; 7.06 mg at t=6 months 202 APPENDIX D PLASMA MT CONCENTRATION AND URINARY EXCRETION RATE OF 6-STMT VERSUS TIME DATA FOR INDIVIDUAL SUBJECTS AFTER ADMINISTRATION OF ORAL CONTROLLED RELEASE DELIVERY SYSTEM. Table D.1 Plasma MT concentration (pg/ml) versus time data after administration of the oral controlled release delivery system to human subjects. High Dose Low Dose Time (hrs) #3 #2 #1b #4 Mean S.D.° C.V.d #5 #6 Mean S.D. C.V. (%) (%) 0' 2 3 16 5 6.4 6.5 101.9 16 12 14 2.8 20.2 0.5 480 700 490 450 530 114.6 21.6 1575 690 1133 625.8 55.3 1.0 510 750 440 440 535 147.1 27.5 1600 575 1088 724.8 66.6 1.5 660 435 800 341 559 209.1 37.4 1400 590 995 572.8 57.6 2.0 1075 550 570 300 624 324.9 52.1 975 600 788 265.2 33.7 3.0 610 201 295 168 318 201.8 63.4 590 425 508 116.7 23.0 4.0 490 146 141 148 231 172.6 74.7 375 315 345 42.4 12.3 6.0 142 135 88 65 107 37.3 34.7 205 220 213 10.6 5.0 8.0 105 120 66 86 94 23.4 24.8 170 170 -- °Start of experiment, clock time: 10:30 A.M. bSubject number (see also Table IV.2). `Standard deviation. dCoefficient of variation. 204 Table D.2 Urinary excretion rate of 6-STMT (ng/hr) versus time data after administration of the oral controlled delivery system. Low Dose Time' (hrs) #1b #2 #3 Mean #4 S.D.` C.V.d (%) 0 339 572 1104 201 554 397 71.8 1 20551 35954 37824 31981 31578 7744 24.5 3 29575 26129 12615 18367 21671 7643 35.2 5 11840 13370 9734 7488 10608 2558 24.1 7 8552 *m. 6352 7452 1556 20.8 High Dose Time (hrs)' #51, #6 Mean S.D.` C.V.d (%) 0 469 441 455 20.8 4.4 1 45562 51773 48667 4392 9.0 3 34918 5 11242 12491 62.2 7 12240 34918 28907 20075 'Midpoints of each urine collection interval after start of experiment at 10:30 A.M. bSubject number (see also Table IV.2). `Standard deviation. d Coefficient of variation. 205 APPENDIX E CUMULATIVE AMOUNT OF MT RELEASED FROM VEHICLES THROUGH EXCISED HAIRLESS MOUSE SKIN AND ETHYLENE VINYL ACETATE MEMBRANE Table E.1 Mean cumulative amount (Ag) of MT and flux (µg /hr/cm2) from vehicles through excised hairless mouse skin. Time (hrs) 0.5 1.0 1.5 2.0 2.5 3.5 4.5 6.0 8.0 10.0 12.0 Flux' PG 40% 2-HPCD 30% (v/v) (w/v) PG 40%(v/v)/2HPCD 30%(w/v) 0.34±0.33 0.38±0.37 0.50±0.45 0.71±0.24 0.89±0.29 1.32±0.33 1.72±0.29 2.48±0.24 3.67±0.19 4.98±0.20 6.36±0.31 0.91±1.10 1.06±1.16 1.30±1.20 1.67±1.06 1.87±0.96 2.58±1.01 3.18±0.80 4.46±0.74 5.87±1.03 7.78±0.47 8.93±0.23 0.21±0.26 0.38±0.30 0.48±0.38 0.73±0.51 0.99±0.66 1.50±0.99 2.83±0.96 3.93±1.49 4.94±2.53 6.76±3.39 8.70±4.15 0.54±0.40 0.65±0.32 0.96±0.48 1.22±0.32 1.53±0.23 2.28±0.46 3.03±0.72 4.67±1.17 7.27±1.40 9.62±2.68 12.60±3.22 0.198±0.012 0.236±0.026 0.274±0.060 0.404±0.050 1.867±0.781 1.028±0.113 2.361±1.147 2.361±1.147 Buffer (µg /hr /cm2) Lag Timeb (hrs) 'Slope of terminal steady state of cumulative amount of MT released versus time curve fitted by linear regression divided into diffusional area of Franz. cell (3.14 cm2). bIntercept of terminal steady state of cumulative amount of MT released versus time curve fitted by linear regression. Table E.2 Mean cumulative amount (Ag) of MT and flux (Ag/hr/cm2) from vehicles through ethylene vinyl acetate membrane (n=4). Time (hrs) 0.5 1.0 1.5 2.0 2.5 3.5 4.5 6.0 8.0 10.0 12.0 Flux' (Ag/hr/cm2) PG 40%(v/v)/2HPCD 30%(w/v) PG 40% 2-HPCD 30% (v/v) (w/v) 0.17+0.34 0.18±0.36 0.31±0.25 0.36±0.33 0.28±0.25 0.48±0.15 0.54±0.10 0.82±0.25 1.12±0.19 1.34±0.18 1.57±0.20 0.14±0.24 0.14±0.25 0.36±0.33 0.45±0.43 0.47±0.43 0.65±0.31 0.70±0.36 0.87±0.31 1.14±0.29 1.30±0.32 1.54±0.37 0 0 0 0.06±0.11 0.34±0.07 0.44±0.04 0.61±0.03 0.72±0.07 0.85±0.04 0.29±0.57 0.29±0.57 0.37±0.55 0.38±0.56 0.43±0.51 0.57±0.46 0.63±0.45 0.73±0.45 0.84±0.44 0.95±0.44 1.10±0.39 0.039±0.001 0.034±0.002 0.022±0.001 0.019±0.003 Buffer 0 0 'Slope of terminal steady state of cumulative amount of MT released versus time curve fitted by linear regression divided into diffusional area of Franz cell (3.14 cm2). Table E.3 Comparison of ethylene vinyl acetate and microporous polyethylene membranes. Properties Ethylene Vinyl Acetate' Caliper Vinyl Acetate Content Tensile, g/25 mm Elongation (%) Gurly Porosity Void Volume Bubble Point Heat Shrinkage (65 °C) Pore Deformation Safety Heat Sealing Storage 0.051 mm 9.0 % MD 2000 CD 900 MD 300 CD 200 Microporous Polyethyleneb 0.051 mm 0 % 24 sec/50cc (air) 78 % 0.18A 4 % 115 °C Yes Yes Temp.=10-27 °C Humidity 40-60% Yes Yes Temp.=10-27 Humidity 40-60% '3M CoTranTM controlled caliper film #9702, homogenous membranes. b3M CoTranTM microporous membranes.