Research Achievement Winner Lecture AAPS Annual Meeting 2010 Formulation of Poorly Water-Soluble Drugs: Drug Delivery Strategies Abu T. M. Serajuddin, Ph.D. St. John’s University, Queens, New York E-mail: serajuda@stjohns.edu; Phone: 718-990-7822 Recent Trends in New Molecule Solubility 50 Two-thirds (?): Insoluble or Practically Insoluble Very slightly soluble or soluble Percent 40 30 20 New Generation 10 0 <10µg/mL 10-100µg/mL >100µg/mL Solubility Solubility < 1 μg/mL (0.001 mg/mL) is common 2 Source: Personal experience, literature data and anecdotal information Dosage Form Development Strategies A few common strategies to overcome impacts of low solubility on product development: – Particle size reduction • • – – – – Milling Nanosizing Salt formation Solubilization Solid dispersion Lipid-based drug delivery To save time and resources in product development, relatively simpler approaches should be tried first. 3 Salt Formation How Does Salt Formation Increase Dissolution Rate? J = dM = DA (Cs - C ) dt h Diffusion Layer Model Cs, h=0 >> Cs, bulk medium …. by changing microenvironmental pH and solubility Bulk Liquid Phase Solid (salt) •Saturate •Supersaturate, and/or •Fine precipitate (Dissolution Medium) Stagnant Diffusion Layer h 5 C Effect of Salt Formation on Drug Solubility pH-Solubility Profile of Haloperidol Mesylate, Hydrochloride and Phosphate 100000 30 mg/mL Line: fitted by equation Log Solubility (µg/mL) Mesylate HCl 1000 Phosphate 10 Mesylate > HCl > Phosphate 2.5 µg/mL 0.1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 pH 6 Ref: S. Li, S.M. Wong, S. Sethia, H. Almoazen, Y.M. Joshi and A.T.M. Serajuddin. Investigation of Solubility and Dissolution of a Free Base and Two Different Salt Forms as a Function of pH. Pharm. Res. 22:628-635 (2005) Dissolution Profiles of a Free Base Cumulative amount released (mg) Intrinsic dissolution of haloperidol base 35 pH 2.05 30 25 20 15 10 pH 3.08 pH 1.1 5 pH 5.0 0 0 15 30 45 60 75 Time (min) 90 105 120 Solubility is practically zero under intestinal pH conditions (5 and higher) 7 Ref: S. Li, S.M. Wong, S. Sethia, H. Almoazen, Y.M. Joshi and A.T.M. Serajuddin. Investigation of Solubility and Dissolution of a Free Base and Two Different Salt Forms as a Function of pH. Pharm. Res. 22:628-635 (2005) Dissolution Rates of Salt Forms of a Basic Compound Intrinsic dissolution of haloperidol hydrochloride Intrinsic dissolution of haloperidol mesylate 300 40 pH 3.08 30 25 pH 7.0 20 pH 2.02 15 10 pH 3.05 250 pH 5.02 Cumulative amount released (mg) Cumulative amount released (mg) 35 pH 5.01 pH 7.0 200 150 pH 2.08 100 50 5 pH 1.1 0 0 0 15 30 45 60 75 Time (min) 8 pH 1.65 pH 1.08 90 105 120 0 15 30 45 60 75 90 105 120 Time (min) Ref: S. Li, S.M. Wong, S. Sethia, H. Almoazen, Y.M. Joshi and A.T.M. Serajuddin. Investigation of Solubility and Dissolution of a Free Base and Two Different Salt Forms as a Function of pH. Pharm. Res. 22:628-635 (2005) Limitation of Salt Formation Limitation of Salt Formation for the New Generation of Poorly Water-soluble Drugs Diffusion Layer Model When the intrinsic solubility is very low, the precipitated free base coats the dissolving surface, preventing further dissolution of salt. Solid (salt) Precipitated Free Base Please note: Precipitation at the surface, not in the bulk medium. No increase in surface area. X Cs, h=0 >> Cs, bulk medium Bulk Liquid Phase X (Dissolution Medium) Stagnant Diffusion Layer C h 10 High-energy Solid 11 Structure of High-energy Solids liquid (enthalpy, H) Heat content High-energy amorphous solid Crystal 12 Temperature Low-energy crystalline solid Solid Dispersion 13 Storage temperature (enthalpy, H) Heat content Advantage of Solid Dispersion: Better Stability than Purely Amorphous System Drug only Drug - polymer miscible blend Elevated Tg Tg (drug) 14 Temperature Tg (mixture) What is Solid Dispersion ? “the dispersion of one or more active ingredients in an inert carrier or matrix, where the active ingredients could exist in finely crystalline, solubilized or amorphous state” - Chiou and Riegelman, J Pharm Sci 1971, 60, 1281-1302 Drug (crystalline) No miscibility Carrier + Partial miscibility (amorphous) Complete miscibility Advantage of Solid Dispersion: Higher Dissolution Rate Poorly Water-Soluble Drug Tablet/Capsule Solid Dispersion Dosage Form Disintegration Large Solid Particles (Usually 5-100 microns) Lower Dissolution Rate 16 Matrix Dissolves Drug in G.I. Tract Colloidal Drug Particles/Globules Absorption into Body Systems Higher Dissolution Rate Ref: Serajuddin, J. Pharm. Sci. 1999, 88, 1058 Surfactant-based Solid Dispersions Solid Dispersion by Melt-Filling: Advantage of Surfactant Aqueous Dispersion of Solid Plug Solid dispersion Disintegration of capsule shell Solid Plug with Layer Solid Plug Non-Surface active vehicle 18 • Forms drug-rich surface layer Surface active vehicle • Retards/prevents dissolution of drug • Rapid dissolution rate • Disperses/emulsifies drug Development of Solid Dispersion: Compound A Composition of Solid Dispersion Prepared Compound A (LAB687) 20 mg Polysorbate 80 0-120 mg PEG 3350 360-0 mg Total Weight 500 mg Capsule size # 0 Ref: 19 Dannenfelser et al., J. Pharm. Sci. 93:1165-1175 (2004) Solid Dispersion Selected for Clinical Study: Compound A Composition of Solid Dispersion Compound A 20 mg Polysorbate 80 120 mg PEG 3350 360 mg Capsule size # 0 Ref: 20 Dannenfelser et al., J. Pharm. Sci. 93:1165-1175 (2004) Bioavailability in Dogs from Solid Dispersion: Compound A Formulation AUC (0-48h) (ng.h/mL) Solid dispersion 6960 Solubilized system 6900 Capsule (mic. Powder) Ref: 21 681 Relative Bioavailability 100 100 10 Dannenfelser et al., J. Pharm. Sci. 93:1165-1175 (2004) Solid Dispersion by Melt Extrusion 22 Solid Dispersion by Melt Extrusion Technology Melt extrusion is a single-step process ideally suitable to manufacture solid dispersion Homogeneous mixture of active, polymer plasticizer, surfactant Ref: Adapted from J. Kowalski (Novartis) presentation 23 Crystalline drug subs. + Polymer Amorphous drug subs. + Polymer High temperature melt extrusion Lower temperature melt extrusion Amorph. extrudate Lower Temperature Melt Extrusion – A Novel Strategy Drug degradation Stable product Ref: Lakshman et al., Molecular Pharmaceutics, 5:994-1002, 2008 24 Microemulsion 25 What is Microemulsion? -‘Cyclosporine A’ Example Without dilution Cyclosporin A Sandimmune® Neoral® 20 – 150 nm ( < 200 nm) Microemulsion (o/w) Dilution with water Ref:A. Meinzer et al, BT Gattefosse 88 :21-26, 1995 26 Systematic Screening of Lipids for Microemulsion Formation Structures of Lipids C8 Chain fatty acid Glyceryl Caprylate/Caprate (Capmul MCM; ABITEC Co.) Glyceryl Dicaprylate (ABITEC Co.) Glyceryl Tricaprylate (Captex 8000; ABITEC Co.) Ternary System for Monoglyceride (Glyceryl Caprylate/Caprate), Cremophor EL and Water Oil : Surfactant % Water Gel 9:1 7:3 5:5 3:7 2:8 1:9 Particle Size, nm 70 4815 7865 1215 2481 28 15 80 7126 3859 1532 1265 18 12 90 1609 3242 743 473 15 12 99 2978 1173 578 430 15 14 Ternary System for Diglyceride( Glyceryl Dicaprylate), Cremophor EL and Water Oil : Surfactant % 9:1 7:3 Water 5:5 3:7 2:8 1:9 Particle Size, nm 70 2788 492 90 17 80 32 80 2007 286 55 20 77 14 90 1844 222 35 18 19 14 99 1903 153 35 20 19 16 Ternary System for Triglyceride (Caprylate/ Caprate Triglyceride), Cremophor EL and Water Oil : Surfactant % 9:1 Water 7:3 5:5 3:7 2:8 1:9 Particle Size, nm 70 1580 619 1296 533 867 116 80 1794 463 634 390 685 39 90 2136 380 383 334 402 22 99 3851 291 218 172 154 20 Pseudo-Ternary System using 1:1-Tri- + MonoGlycerides, Cremophor EL and Water Oil : Surfactant % 9:1 7:3 Water 6:4 5:5 4:6 3:7 2:8 1:9 Particle Size, nm 70 3353 1105 115 43 22 20 18 24 80 5303 395 153 21 17 15 14 33 90 875 546 44 21 17 16 14 16 99 338 41 30 25 20 18 16 16 Pseudo-Ternary System using 1:1-Di- + MonoGlycerides, Cremophor EL and Water Oil : Surfactant 7:3 % 5:5 3:7 2:8 1:9 Particle Size, nm Water 70 1029 1079 150 82 80 80 1063 442 22 18 17 90 870 252 18 16 17 99 50 78 20 16 16 Solid Microemulsion Preconcentrate - A Novel Solid Dispersion 34 Solid Microemulsion Preconcentrate Solid dispersion Solid preconcenrate Liquid preconcentrate Component CF 3 Solid Microemulsion Preconcentrate O O H 3C N H N H O CH 3 Compound A 35 Compound A (%w/w) 4 8 Capmul PG8 (%w/w) 28.8 27.6 Cremophor EL (%w/w) 28.8 27.6 PEG 3350 (%) 38.4 36.8 Ref: Li et al., J. Pharm. Sci., 98:1750-1763, 2009 Formulation of Poorly Water-Soluble Drugs Concluding Remarks Almost one-third of compounds synthesized by discovery scientists is extremely waterinsoluble (solubility in water: <10 µg/mL) Conventional formulation techniques may no longer be applicable to most, if not all, of them. Special formulation approaches are necessary to enable development of such compounds. Formulation strategies must be selected based on dose, solubility and other physicochemical properties of NCEs. 36