Controlled Drug Delivery System Dr. Basavaraj K. Nanjwade KLE University’s College of Pharmacy BELGAUM- 590010, India E-mail: bknanjwade@yahoo.co.in Cell No: 0091 9742431000 “Ideal” Drug Delivery System • • • • • • • • • • Inert Biocompatible Mechanically strong Comfortable for the patient Capable of achieving high drug loading Readily processable Safe from accidental release Simple to administer and remove Easy to fabricate and sterilize Free of leachable impurities 09/08/2010 KLE COP, NIpani 2 Modified Drug Release Release can be: • instantaneous (delayed-release) • zero-order process (sustained release mostly non-oral) • first-order process (oral extended release) 09/08/2010 KLE COP, NIpani 3 Terminology Sustained release: • any dosage form that provides medication over an extended time • timed release, prolonged release etc Controlled release: • denotes that the system is able to provide some actual therapeutic control, whether this be of a temporal nature, spatial nature, or both 09/08/2010 KLE COP, NIpani 4 Traditional vs. Controlled Release Drug Dosing 09/08/2010 KLE COP, NIpani 5 Traditional vs. Controlled Release With traditional administration, the drug active must remain between a maximum blood level value which may represent a toxic level and a minimum value below which the drug is no longer effective With controlled administration, the blood levels are constant between the desired maximum and minimum for an extended period of time 09/08/2010 KLE COP, NIpani 6 Controlled Drug Delivery Controlled drug delivery occurs when a polymer is combined with a drug or active agent such that the release from the bulk material is pre-designed. • not all controlled systems are sustaining • targeted drug delivery • prodrugs, others 09/08/2010 KLE COP, NIpani 7 Advantages of Controlled Drug Delivery Eliminate over or underdosing Maintain drug levels in desired range Need for less dosing Increased patient compliance Prevention of side effects 09/08/2010 KLE COP, NIpani 8 Design of Controlled Drug Delivery Biopharmaceutic Characteristics of the Drug Molecular weight, Aqueous solubility, Partition coefficient, Drug Pka and Ionization, Route of administration, Drug stability etc Pharmacokinetic Characteristics of the Drug Absorption rate, Elimination Half-Life, Rate of metabolism etc. Pharmacodynamic Characteristics of the Drug Therapeutic Range, Therapeutic index, Plasma concentration response relatioship 09/08/2010 KLE COP, NIpani 9 Controlled Drug Delivery Depending on the formulation and the application, the time of release can be quite varied • Procardia XL - 24 hours 09/08/2010 KLE COP, NIpani 10 Controlled Drug Delivery • Lupron Depot - 1 month • Norplant - 5 years 09/08/2010 KLE COP, NIpani 11 Polymers for Controlled Release These are some of the first materials selected for delivery systems bases on their intended nonbiological physical properties: • Polyurethanes for elasticity • Polysiloxanes for insulating ability • Polymethyl methacrylate for physical strength and transparency • Polyvinyl alcohol for hydrophilicity and swelling • Polyvinyl pyrrolidone for suspension capabilities 09/08/2010 KLE COP, NIpani 12 Current Polymers used in Controlled Drug Delivery These polymers became usable in controlled delivery due to their inert physical characteristics and being free of leachable impurities • • • • • • Poly 2-hydroxy ethyl methacrylate Poly N-vinyl pyrrolidone Polyvinyl alcohol Polyacrylic acid Polyethylene glycol Polymethacrylic acid 09/08/2010 KLE COP, NIpani 13 Oral Dosage Form Biological Factors • Half-life • Absorption • active vs passive • GI transit time • floating systems • bioadhesives • penetration enhancers • Metabolism 09/08/2010 KLE COP, NIpani 14 Oral Dosage Form Physicochemical Factors • Dose Size (0.5-1.0 g) • Ionization, pKa and aqueous solubility • solubility less 0.01 mg/ml (digoxin, griseofulvin) • Partition Coefficient • Stability 09/08/2010 KLE COP, NIpani 15 Diffusion-Controlled Systems Reservoir Devices 09/08/2010 KLE COP, NIpani 16 Characteristics of a Reservoir Diffusional Systems Advantages • zero-order delivery is possible • release rate variable with polymer type Disadvantages • removal of system from implants • bad for high-molecular weight compounds • cost • potential toxicity if system fails 09/08/2010 KLE COP, NIpani 17 Reservoir Diffusional Products PRODUCT MANUFACTURER Nico-400 Jones Nitro-Bid Marion Nitrospan Rorer 09/08/2010 KLE COP, NIpani 18 Matrix Devices consists of drug dispersed homogeneously throughout a polymer matrix. Drug in the outside layer is exposed to the bathing solution is dissolved and diffuses out of the matrix. This process continues with the interface between bathing solution and the solid drug moving toward the interior. 09/08/2010 KLE COP, NIpani 19 Matrix Diffusional System 09/08/2010 KLE COP, NIpani 20 Characteristics of Matrix Diffusion Systems Advantages • easier to produce than reservoir devices • can deliver high molecular-weight compounds Disadvantages • cannot obtain zero-order release • removal of remaining matrix is necessary for implanted systems 09/08/2010 KLE COP, NIpani 21 Matrix Diffusional Products Product Manufacturer Procan SR Parke-Davis Desoxyn-Gradumet Abbott Choledyl SA Parke-Davis 09/08/2010 KLE COP, NIpani 22 Dissolution-Controlled Systems alternating layers of rate-controlling coats group of beads with different coatings • (Spansule, SmithKline Beecham) • dC/dt = kd*A(Cs-C) = D/h*A(Cs-C) • dC/dt=dissolution rate, kd=dissolution rate const • D=diffusion coefficient, Cs=saturation solubility • C=concentration of solute in bulk solution 09/08/2010 KLE COP, NIpani 23 Types of Dissolution Controlled Systems Two types of dissolutioncontrolled, pulsed delivery systems A: Single bead-type device with alternating drug and rate controlling layer B: Beads containing drug with differing thickness of dissolving coats 09/08/2010 KLE COP, NIpani 24 Encapsulated Dissolution Products Product Active Ingred Manufacturer Ornade Spansules PPA, chlorphen. SKB Contact PPA, others SKB Diamox Sequels Acetazolamide Lederle(WA) Chlor-Trimeton Repetabs Schering 09/08/2010 Chlorphen. KLE COP, NIpani 25 Matrix Dissolution Products Product Active Ingred. Manufacturer Dimetapp Extentabs Donnantal Extentabs Quinidex Extentabs Tenuate Dospan Bromphen. Robins ..... Robins Quinidine Robins Diethylprop. Merrel 09/08/2010 KLE COP, NIpani 26 Bioerodible and Combination Diffusion and Dissolution System Strictly speaking, therapeutic systems will never be dependent on dissolution only or diffusion only. Bioerodibile devices, however, constitute a group of systems for which mathematical descriptions of release is complex. The complexity of the system arises from the fact that, as the polymer dissolves, the diffusion path length for the drug may change. this usually results in a moving-boundary diffusion system. Zero-order release can occur only if surface erosion occurs and surface area does not change with time. The inherent advantage of such a system is that the bioerodible property of the matrix does not result in a ghost matrix. 09/08/2010 KLE COP, NIpani 27 Representation of a Bioerodible Matrix System Drug is dispersed in the matrix before release at time = 0. At time = t, partial release by drug diffusion or matrix erosion has occurred 09/08/2010 KLE COP, NIpani 28 Characteristics of Bioerodible Matrix Systems Advantages • all the advantages of matrix dissolution system • removal from implant sites is not necessary Disadvantages • difficult to control kinetics owing to multiple processes of release • potential toxicity of degraded polymer 09/08/2010 KLE COP, NIpani 29 Bioerodible and Biodegradable Controlled Release Polymers These polymers are designed to degrade within the body • • • • • Polylactides (PLA) Polyglycolides (PGA) Polylactide-co-glycolides (PLGA) Polyanhydrides Polyorthoesters 09/08/2010 KLE COP, NIpani 30 Degradation of Biodegradable Polymers These materials degrade within the body as a result of natural biological processes, eliminating the need to remove a drug delivery system after release of the active agent has been completed Bulk hydrolysis - the polymer degrades in a fairly Surface Eroding - degradation occurs only at the uniform manner throughout the matrix surface of the polymer, resulting in a release rate that is proportional to the surface area of the drug delivery system 09/08/2010 KLE COP, NIpani 31 Biodegradable Polymers Drug delivery from (a) bulk-eroding and (b) surface-eroding biodegradable systems. 09/08/2010 KLE COP, NIpani 32 Biodegradable (surface eroding) Polyorthoester rods after (left) 9 weeks and (right) 16 weeks of implantation Drug delivery from (a) bulk-eroding and (b) surface-eroding biodegradable systems. 09/08/2010 KLE COP, NIpani 33 Major Companies Involved in Polymeric Delivery Technology • Alza - DUROS, OROS • Alkermes Inc - Ring Caps • Nobex Corp. - Drug/Polymer Conjugates • Elan - MODAS, PRODAS • Andrx - SCOT, DPHS 09/08/2010 KLE COP, NIpani 34 Osmotically Controlled Systems • osmotic pressure provides the driving force to generate controlled release of drug. • Consider a semipermeable membrane that is permeable to water, but not to drug. When this device is exposed to water or any body fluid, water will flow into the tablet owing to the osmotic pressure difference. dV/dt= Ak/h(P) k=membrane permeability, A=area of the membrane, h=membrane thickness = osmotic pressure difference, P =hydrostatic pressure difference 09/08/2010 KLE COP, NIpani 35 Types of Osmotically Controlled Systems Type A contains a osmotic core with drug Type B contains the drug solution in a flexible bag, with the osmotic core surrounding 09/08/2010 KLE COP, NIpani 36 Types of Osmotically Controlled Systems 09/08/2010 KLE COP, NIpani 37 Immediate Release Oxybutynin V/s Controlled Release Ditropan XL 09/08/2010 KLE COP, NIpani 38 Characteristics of Osmotically Controlled Devices Advantages • Zero-order release is obtainable • reformulation is not required for different drugs • release of drug is independent of environment of the system Disadvantages • systems can be very expensive • quality control is more extensive 09/08/2010 KLE COP, NIpani 39 Examples of Osmotic Pump Systems Acutrim Appetite suppressant Concerta ADHD Procardia Hypertension/angina Volmax Bronchiodilator Ditropan Overactive bladder 09/08/2010 KLE COP, NIpani 40 Hydrodynamic Pressure Controlled Systems • Hydrodynamic pressure generated by swelling of a hydrophilic gum • The device comprises of a rigid, shape retaining housing enclosing a collapsible, impermeable containing liquid drug • The gun imbibes water in GIT through an opening at the lower side of external housing and swells creating an hydrodynamic pressure • The pressure thus created squeeze the collapsible drug reservoir to release the medicament through the delivery orifice 09/08/2010 KLE COP, NIpani 41 Delayed Transit Release Systems • Altered Density Systems High Density Pellets Low Density Pellets Mucoadhesive Systems Cross linked Polyacrylic acid tablet Intestinal Release Systems Peyer’s patches – Proteins, Peptides, Antigens Colonic Release Systems pH sensitive bioerodiable polymer polymethacrylates Divinylbenzene cross linked polymers – azoreductase of colonic bacteria 09/08/2010 KLE COP, NIpani 42 Ion-Exchange Systems • Ion-exchange systems generally use resins composed of water soluble cross-linked polymers • These polymers contain salt forming functional groups in repeating position on the polymer chain • The drug is bound to the resin and released by exchanging with appropriately charged ions in contact with the ion exchange groups Resin+ - drug- + X- resin+ - X- + drug- Where X- are ions in the GI tract 09/08/2010 KLE COP, NIpani 43 Different Novel Drug Delivery Systems Microspheres, Liposomes, Niosomes Implants Pharmacosomes Nanoparticles Polymeric Films Local drug delivery systems, etc 09/08/2010 KLE COP, NIpani 44 Classes of Drugs for Novel Drug Delivery Anti-cancer agents Anti-hypertensive agents Anti-psychotic agents Non steroidal anti-inflammatory agents Anti infective agents Anti-diabetic agents Protein and peptide drugs Biotechnological products 09/08/2010 KLE COP, NIpani 45 Routes of Administration Peroral Route Parenteral Route Subdermal implants Buccal Administration Occular Delivery Transdermal delivery Pulmonary Drug Delivery Nasal delivery Colon drug delivery 09/08/2010 KLE COP, NIpani 46 Parenteral Controlled Release Systems A. Injectables Solutions Dispersions Microspheres and Microcapsules Nanoparticles and Niosomes Liposomes and Pharmacosomes Resealed erythrocytes B. Implants C. Infusion Devices Osmotic Pumps (Alzet) Vapor Pressure Powered Pumps (Infusaid) Battery Powered Pumps 09/08/2010 KLE COP, NIpani 47 Infusaid Model 400 Implantable Pump 09/08/2010 KLE COP, NIpani 48 Bone Implants 09/08/2010 KLE COP, NIpani 49 Administration of Implant to Rabbit Femur 09/08/2010 KLE COP, NIpani 50 Transdermal Drug Delivery Systems Membrane permeation-controlled system Transderm – Scop (scopolamine; Ciba-Geigy) Adhesive dispersion-type system Deponit (nithroglycerin; Wyeth) Matrix diffusion-controlled system Nitrodur (nitroglycerin; Key) Microresevoir dissolution-controlled system Nitrodisc (Nitroglycerin; Searle) 09/08/2010 KLE COP, NIpani 51 Transdermal Device Monolithic 09/08/2010 Membrane KLE COP, NIpani 52 Transdermal Device Transdermal device for the delivery of scopolamine 09/08/2010 KLE COP, NIpani 53 Nasal and Pulmonary Drug Delivery Systems Dry Powder Inhalations Aerosols Nasal Gels Nasal Sprays Insuffulations 09/08/2010 KLE COP, NIpani 54 Buccal Delivery Delivery protein and peptide like drugs Examples: Insulin, Oxytocin, Vasopressin analogues, Buserelin, Calcitonin, etc which cannot be given orally 09/08/2010 KLE COP, NIpani 55 Occular Drug Delivery Systems Liposomes and Niosomes as carriers for antibiotics and protein and peptides. Biodegradable matrix drug delivery to the anterior segment. Polymeric dispersion to prolong the delivery of Pilocarpine. Microemulsions, Self Emulsifying Drug Delivery Systems 09/08/2010 KLE COP, NIpani 56 Occular Delivery Systems Ocusert intraocular device for release of pilocarpine 09/08/2010 KLE COP, NIpani 57 Dental Systems Local administration of drugs to periodontal pocket using biodegradable polymers We are working on delivery of drugs to periodontal pocket using biodegradable in situ gels and matrix implants 09/08/2010 KLE COP, NIpani 58 Administration of Implant to Periodontal Pocket 09/08/2010 KLE COP, NIpani 59 Administration of In situ gel to Periodontal Pocket 09/08/2010 KLE COP, NIpani 60 Current and Future Trends in Polymer Drug Delivery Systems Hydrogels Ringcap Technology Pulsincap Technology Novel Drug Delivery for Insulin • Oral Insulin • Molecular Gates 09/08/2010 KLE COP, NIpani 61 Hydrogels • Hydrogels consist of polymers that swell without dissolving in an aqueous environment (water or other biological fluid) • At equilibrium, the gels comprise 60-90% fluid and only 1030% polymer • Factors that affect release include pH, ionic strength, and temperature • Polymers commonly used in Hydrogels include • Poly-(N-isopropylacrylamide) • Poly(methacrylic acid) • Polyethylene Glycol 09/08/2010 KLE COP, NIpani 62 Ringcap Technology •Based on a tablet (usually film coated) •Tablet is partially coated with a series of “rings” •Rings can be made of any insoluble polymer that does not erode or degrade during the dispensing period •The number of rings, the position of the rings, and the thickness of rings control the rate of release of drug in the final dosage form 09/08/2010 KLE COP, NIpani 63 Pulsincap •Water insoluble capsule body and a water soluble cap •Capsule body contains drug and hydrogel polymer capable of rapidly expelling the drug at the predetermined time •As the soluble cap erodes, the hydrogel swells and pushes out the drug •The hydration rate depends on the hydrogel plug, the length of the plug and the fit ratio (plug diameter to body diameter) 09/08/2010 KLE COP, NIpani 64 Oral Protein Delivery Nobex Corp. has designed a polymer that binds to specific sites on drug structure to form drug polymer conjugates and allows for oral delivery. Benefits include increased stability in the body, ability to retain normal biological actions, improved efficacy and safety, and increased patient compliance This technology is being used to develop many new products, one of which is oral insulin. 09/08/2010 KLE COP, NIpani 65 Synthesis of the DrugPolymer Molecule The polymer blocks enzymes from attacking the protein 09/08/2010 KLE COP, NIpani 66 Molecular Gates • A new gel has been developed that is used to make a “molecular gate” • The gel expands at high pH and shrinks at low pH. • The gel contains two polymers – Polymethacrylic acid – Polyethylene glycol 09/08/2010 KLE COP, NIpani 67 Molecular Gates Adding the enzyme glucose oxidase causes the gel to respond to changes in glucose levels because the glucose and enzyme chemically react to produce an acid. The gates would shrink or open at low pH to release insulin As the glucose levels drop, the pH rises causing the gates to expand and block the release of insulin 09/08/2010 KLE COP, NIpani 68 Questions? 09/08/2010 KLE COP, NIpani 69 Thank You E-mail: bknanjwade@yahoo.co.in Cell No: 0091 9742431000 09/08/2010 KLE COP, NIpani 70