SOLID DISPERSIONS – A NOVAL APPROCH IN SOLUBILITY ENHANCEMENT Ankita Raizada1*, Pawan Mishra2, Vishwa Vibhuti2, Sanjula Baboota3, Javed Ali3 1 – Jodhpur National University , Jodhpur, Rajasthan, 342001 2- Vishveshwarya Institute of Medical Sciences, Greater Noida, U.P., 203207 3- Jamia Hamdard University, New Delhi, 110001 Corresponding author Ankita Raizada Jodhpur National University , Jodhpur, Rajasthan E mail- ankitaraizada24@gmail.com Phone No- 09999356065 INTRODUCTION In recent years due to application of combinational chemistry and high-throughput screening during drug discovery, a majority of new drug candidates exhibits poor aqueous solubility, compounds to be very challenging for formulation scientists in development of bioavailable dosage forms for such. It is commonly recognized in the pharmaceutical industry that more than 40% newly discovered drug candidates are poorly water soluble. The solubility behaviour of drugs remains one of the most challenging aspects in formulation development and also complicating the delivery of poorly water soluble drugs. To improve such poor solubility issues, solid dispersion techniques are widely applied to increase the apparent solubility or enhance the oral bioavailability of poorly water soluble drugs. Inspite of tremendous potential for improving drug solubility, only few products have been marketed since the development of this technology 40 years ago.1, 2 A success of formulation depends on how efficiently it makes the drug available at the site of action. Therapeutic effectiveness of a drug depends upon the bioavailability and ultimately upon the solubility of drug molecules especially in oral formulation. But most of the time it becomes challenging to formulate poorly water soluble drugs. Therefore it is necessary to improve solubility of drug by various ways like salt formation, co-solvency, and addition of solublizing agent, micronization, and complexation. Although these techniques have commonly been used to increase dissolution rate of the drug, there are practical limitations with these techniques, the desired bioavailability enhancement may not always be achieved. One such formulation approach that has been shown to significantly enhance absorption of such drugs is to formulate/prepare solid dispersions.3 A poorly water soluble drug, more recently, has been defined in general terms to require more time to dissolve in the gastrointestinal fluid than it take to be absorbed in the gastrointestinal tract4. Thus a greater understanding of dissolution and absorption behaviors of drugs with low aqueous solubility is required to successfully formulate them into bioavailable drug products. Although salt formation, partical size reduction, etc. have commonly been used to increase dissolution rate of the drug, there are practical limitation with these techniques the desired bioavailability enhancement may not always be achieved. Therefore formulation approaches are being explored to enhance bioavailability of poorly water-soluble drugs. One such formulation approach that has been shown to significantly enhance absorption of such drugs is to formulate/prepare solid dispersion. Solid dispersions have attracted considerable interest as an efficient means of improving the dissolution rate and hence the bioavailability of a range of hydrophobic drugs. With poorly soluble drug candidates emerging in the drug discovery pipeline, the importance of the solid dispersion formulation approach is increasing. This strategy includes complete removal of drug crystallinity, and molecular dispersion of the poorly soluble compound in a hydrophilic polymeric carrier. The potential of this technique to increase oral absorption and hence bioavailability is enormous5, 6. Types of solid dispersion : 7,8 1. Binary solid dispersion: It consists of drug and a polymeric carrier. 2.Ternary solid dispersion: It consists of drug, a polymeric carrier and a surfactant. Generally used surfactant is polysorbate 80 which plays an important positive role in dissolution of the solid dispersion. Both the binary and ternary solid dispersions enhanced the dissolution of poorly water soluble drugs. Moreover, the dissolution of ternary solid dispersion is found faster compared with that of binary solid dispersion .This was because of polysorbate 80, which improved the wettability and solubilized the non-molecularly dispersed or crystalline fraction of drug (ex. Ofloxacin ). 3. Surface solid dispersion: Surface solid dispersion is formulated with polymers such as polyvinylpyrrolidone, polyethylene glycol and polyvinyl pyrrolidone-vinyl acetate copolymer by fusion technique to improve its solubility. Preparation of surface solid dispersion, a technique that provides deposition of the drug on the surface of certain materials, can alter the dissolution characteristics of drug. Deposition of drug on the surface of an inert carrier leads to reduction in particle size of drug, therapy providing faster rate of dissolution . Solubility enhancement strategies in solid dispersions:The two important breakthrough in formulation of solid dispersion are, the development of technologies to fill solid dispersions directly in to hard gelatin capsule and the ability of surface active and self-emulsifying agents carriers. Various strategies investigated by several investigators include fusion (melting), solvent evaporation, lyophilization (freeze drying), melt agglomeration process, extruding method, spray drying technology, use of surfactant, electro static spinning method and super critical fluid technology.9 Fusion method: The fusion process is technically the less difficult method of preparing dispersions provided the drug and carrier are miscible in the molten state. This process employs melting of the mixture of the drug and carrier in metallic vessel heated in an oil bath, immediately after fusion, the sample are poured onto a metallic plate which is kept at ice bath. A modification of the process involves Spray congealing from a modified spray drier onto cold metal surface. Decomposition should be avoided and is affected by fusion time and rate of cooling. Another modification of the above method, wherein SD(s) of troglitazonepolyvinyl pyrrolidone (PVP) k 30 have been prepared by closed melting point method. This method involves controlled mixing of water content to physical mixtures of troglitazone PVP k30 by storing at various equilibrium relative humidity levels (adsorption method) or by adding water directly (charging method) and then mixer is heated. This method is reported to produce SD with 0% apparent crystallinity10. On the other hand, the fusion process does not require an organic solvent but since the melting of sparingly water-soluble drug and water-soluble polymer entails a cooling step and solid pulverizing step, a time consuming multiple stage operation is required. To overcome this problem Nakano et al have described a method conceptualizing the formation of a SD as the solid-to-solid interaction between a sparingly water soluble drug, nilvadipine and water soluble polymer which, unlike conventional production method, comprises mixing a sparingly water soluble drug and water soluble polymer together under no more than the usual agitation force with heating within the temperature region not melting them, instead of heating the system to the extent that the two materials are melted , the sparingly water soluble drug can be made amorphous to have never been achieved by any dry process heretofore known11. Solvent evaporation method: The solvent-based process uses organic solvent to dissolve and intimately disperse the drug and carrier molecule. Large volumes of solvents are generally required which can give rise to toxicological problems. Many investigators studied SD of meloxicam, naproxen, rofecoxib, felodipine, atenolol, and nimesulide using solvent evaporation technique12. These findings suggest that the above-mentioned technique can be employed successfully for improvement and stability of solid dispersions of poor water drugs. The prepared SD(s) exhibited improved dissolution attributed to decreased crystallinity, improved wetting and improved bioavailability13. Lyophillization technique: Freeze-drying involves transfer of heat and mass to and from the product under preparation. Lyophillization has been thought of a molecular mixing technique where the drug and carrier are co dissolved in a common solvent, frozen and sublimed to obtain a lyophilized molecular dispersion. Spray freeze-drying is a potential alternative to the above-mentioned process to produces 9- tetrahydrocannabino containing inulinbased solid dispersions with improved incorporation of – tetrahydrocannabino in inulin14. Melt agglomeration process: This technique has been used to prepare SD where the binder acts as a carrier. Binder (carrier), drug and excipients are heated to temperature above the melting point of the binder (melt- in procedure) or by spraying a dispersion of drug in molten binder on the heated excipient (spray-on procedure) by using a high shear mixer11. The rotary processor might be preferable to the high melt agglomeration because it is easier to control the temperature and because a higher binder content can be incorporated in the agglomerates. Larger particles results in densification of agglomerates while fine particle cause complete adhesion to the mass to bowl shortly after melting attributed to distribution and coalescence of the fine particles15,16. Extruding method: The extruding method was originally designed as an extraction / casting method for polymer alloys in plastic industry, is now used to process cereals and functionalize food materials, such as tissue products from animal proteins. Hot melt extrusion approach represent the advantageous mean of preparation of SD(s) by using the twin screw hot melt extruder where only thermostable components are relevant14. The extruder consists of a hooper, barrel, a die, a kneading screw and heaters 17. The physical mixture is introduced into the hopper that is forwarded by feed screw and finally is extruded from the die. The effect of screw revolution speed and water content on the preparation of SD(s) should be investigated, since these parameters have profound impact on the quality of SD(s). This method has already been used successfully to prepare SD(s) of itraconazole and hydroxypropylmethylecellulose (HPMC), indomethacin/lacidipine/nefidipine/ piroxicam/ tobutamide and polyvinylpyrrolidone (PVP) , itraconazole and HPMC 2910/ Eudragit e 100 or a mixture of Eudragit E 100-PVP vinyl acetate 64 to improve solubility and dissolution rate of poor water soluble drugs18. Spray drying: Today, spray drying finds great utility in pharmaceutical industry because of the rapid drying and specific characteristics such as particle size and shape of the final product. In addition, it is simple and cost effective, as it is 30-50 times less expensive than freezedrying. It is an established method that is initiated by atomizing suspensions or solutions into fine droplets followed by a drying process, resulting solid particles. The process allows production of fine, dust free powder as well as agglomerated one to precise specifications. The operating conditions and dryer design depends upon the drying characteristics of the product and require powder specifications 19. Rankell et al. prepared SD(s) of loperamide with PEG 6000 by this technique wherein solutions containing different concentrations of PEG 6000 and constant amount of loperamide were spray dried. After spray drying, the dispersions were dried at 400C under vacuum until constant weight. Solvent used was dichloromethane. The prepared SD(s) exhibited higher dissolution rates than that of pure crystalline loperamide . The spray drying technique is a useful method to obtain spherical particle and narrow distribution. The role of porous materials such as calcium silicate, controlled pore glass and porous cellulose is appreciated to formulate solid dosages forms because they confer special characteristics such as decrease of melting point and a decrease in the crystallinity of drug entrapped in pores. In addition, porous materials control polymorphs and stabilizes meta-stable crystals in SD(s) under sever storage conditions. Moreover, porous silica has been reported to improve solubility and dissolution rates of indomethacin and tolbutamide 20. The use of surfactant: The utility of the surfactant systems in solubilization is well known. Surfactant reduces hydrophobicity of drug by reducing interfacial or surface tension because of these unique property surfactants have attracted the attention of investigators for preparation of solid dispersions18. Recently a new class of surfactant known as Gelucires are introduced which identify by melting points and HLB values. Gelucire is a widely use in the formulation of semi solid dispersions21. Gelucire is a saturated polyglycolized glyceride consisting of mono-, di- and triglycerides and of mono- and di- fatty acid esters of polyethylene glycol (PEG) derived from natural vegetable fatty acids and having amphiphilic character. Gelucires with low HLB can be employed to decrease the dissolution rate of drugs and higher HLB ones for fast release. Solid dispersions of antiviral agent uc-781-polyethylene glycol 6000- gelucire 44/14 and UC-781- PEG 6000-gelucire 44/14- PVP k 30 were studied. Improvement in solubility, dissolution and stability was observed19. Labrasol, of same chemical nature as gelucire, is a clear liquid surfactant with a HLB of 14. Solid dispersions of piroxicam with labrasol have also resulted in improved solubility and dissolution when compared with pure drug. The amphiphilic poly (ethylene oxide)-poly (propylene oxide)- poly (ethylene oxide) (PEO-PPO-PEO) block polymers, known as poloxamer or pluronics represent another class of surfactants. These are available in various molecular weights and PEO/PPO ratios, and hence offer a large variety of physico-chemical properties 22. These block polymers are extensively used in the pharmaceutical industry as defoaming agents, gelling agents, detergents, dispersing agents, emulsifying agents and solubilizing agents. When used in relatively high quantities, poloxamer imparts sustainedrelease properties to solid dosage forms, by forming a lipid matrix. A significant increase of oral bioavailability compared with conventional capsule formulation was also reported. Polysorbate 80, a commonly used surfactant, results in improvement of dissolution and bioavailability of poorly watersoluble drug attributed to solubilisation effect of surface active agent. Polysorbate 80 also ensures complete release of drug in metastable finely dispersed state having large surface area23. Surface active carriers uses in Pharmaceutical preparation: Because of their unique functional properties, surface active carriers find a wide range of uses in pharmaceutical preparations. These include, depending on the type of product, improving the solubility or stability of the drug in the liquid preparation, stabilizing and modifying the texture of semisolid preparations, or altering the flow properties of the final tablet dosage form. In addition to their use as excipients to improve the physical and chemical characteristics of the formulation, surface active carriers may be included to improve the efficacy or the bioperformance of the product. The properties of surfactant are such that they can alter the thermodynamic activity, solubility, diffusion, disintegration, and dissolution rate of a drug. Each of these parameters influences the rate and extent of drug absorption. Further more, surface active carriers can exert direct effects on biological membranes thus altering drug transport across the membrane24. Two of the important surface-active carriers are Gelucire 44/14 and Vitamin E R-alpha-tocopheryl polyethylene glycol 1000 succinate (TPGS). Block Copolymers as Pharmaceutical Surface active carriers: The toxicity of many pharmaceutical surface active carriers has led to the search of more acceptable solubilizers. Soluble surface-active block copolymers of polyoxyethylene and polyoxypropylene have been used widely in pharmaceuticals and significantly found favor for such critical applications as emulsifiers for intravenous lipids and as priming agents for heart lung apparatus. A range of commercial block copolymer surface active carriers are available under the Pluronic, Pluronic R, Tetronic, and pluradot trade names; their preparation and properties have been reviewed by schmolka. The corresponding nonproprietary names of the first three types are Poloxamer, Meroxapols and Poloxamine, respectively, there being no equivalent name for the plurodot compounds. The Poloxamers have been most widely studied , yet there has been considerable confusion in the literature over the exact nature of their colloidal behavior, in particular whether micelles are formed. Recently, surface tension measurement on a series of Poloxamers in aqueous solution and photon correlation spectroscopy has helped to resolve some of these problems, but as benefits their structure their behavior patterns tend to be complex. At low concentrations, approximating those at which more conventional nonionic detergents form micelles, the Poloxamers monomers are thought to form monomolecular micelles by a change in configuration in solution. At higher concentration these monomolecular micelles associate to form aggregates of varying size, which have the ability to solubilize drugs and to increase the stability of solubilized agents25, 26. Block copolymer micelles are aggregates that resemble many properties of micelles formed by low molecular weight surface active carriers. They are the consequence of a selfassembling tendency displayed by block copolymers when dissolved in a so-called selective solvent, which is a good solvent for one of the blocks, but a poor one for the other. Solvent selectivity and, hence, copolymer self-assembling, have been observed for a variety of block copolymers in water, polar and non-polar organic solvents and, more recently, in supercritical fluids. For this generality and for the possibility of tuning the aggregate properties by varying either the kind of monomer or the size and proportion of the constituting blocks, these aggregates are able to provide a much wider range of applications than that observed for normal surface active carriers, involving solubilization of drugs or pollutants, as nonreactors, in controlled drug delivery and as potential DNA carriers, among others27. Supercritical Fluid Technology It has been known for more than a century that supercritical fluids (SCFs) can dissolve nonvolatile solvents, with the critical point of carbon dioxide, the most widely used supercritical fluid. SCF technology offers tremendous potential, as it is safe, environmentally friendly, and economical28. In the pharmaceutical field, the SCF technology was industrially applied in the early 1980s; the applications included the purification of surfactants and pharmaceuticals, fractionation of polymeric materials and chemical reactions and polymerizations. In the same period, interest in using SCFs for precipitation and crystallization processes was developing for pharmaceutical materials. A SCF exists as a single phase above its critical temperature (Tc) and pressure (Pc). SCFs have properties useful to product processing because they are intermediate between those of pure liquid and gas (ie, liquid-like density, gas-like compressibility and viscosity and higher diffusivity than liquids). Moreover, the density, transport properties (such as viscosity and diffusivity), and other physical properties (such as dielectric constant and polarity) vary considerably with small changes in operating temperature, pressure, or both around the critical points24. Hence, it is possible to fine-tune a unique combination of properties necessary for a desired application. These unique processing capabilities of SCFs, long recognized and applied in the food industry, have recently been adapted to pharmaceutical applications29. SCF technology provides a novel alternative method of generating small particles, with higher surface areas, that are free flowing and very low in residual organic solvent. The formation of small particles is, however, highly dependent on the materials in question and requires optimization of processing conditions. These aspects of the technology can be applied to formulate coprecipitates of drug in water-soluble carrier and thus overcome many aforementioned problems of conventional method. The solid dispersion prepared from this method has been found to increase the dissolution considerably30. Some examples of Solid dispersions in Market 31 Sporanox® (itraconazole) Intelence® (etravirine) Prograf® (tacrolimus) Crestor® (rosuvastatin) Gris-PEG® (griseofulvin) Cesamet® (nabilone Summary and Future Potential: The solubility of drugs in aqueous media is a key factor highly influencing their dissolution rate and bioavailability following oral administration resulting in low bioavailability. Solubility enhancement of these drugs remains one of the most challenging aspects of drug development. A variety of devices have been developed over the years to enhance the drug solubility and dissolution of the drugs. The solid dispersion method is one of the effective approaches to achieve the goal of solubility enhancement of poorly water-soluble drugs. Various techniques, described in this review, are successfully used for the preparation of SD(s) in the bench and lab scale and can be used at industrial scale also 32. Solid dispersions came into limelight in pharmaceutical development due to the increasing number of drug candidates which are poorly soluble and the substantial improvements in the manufacturing methods for solid dispersions that have been made in the last few years. Although there are some hurdles like scale up and manufacturing cost to overcome, there lies a great promise that solid dispersion technology will hasten the drug release profile of poorly water soluble drugs33. Despite many advantages of solid dispersion, issues related to preparation, reproducibility, formulation, scale up, and stability limited its use in commercial dosage forms for poorly water-soluble drugs. Successful developments of solid dispersion systems for preclinical, clinical and commercial use have been feasible in recent years due to the availability of surface-active and self-emulsifying carriers with relatively low melting points. The preparation of dosage forms involves the dissolving of drugs in melted carriers and the filling of the hot solutions into gelatin capsules. Because of the simplicity of manufacturing and scale up processes, the physicochemical properties and as expected to change significantly during the scale up. For this reason, the popularity of the solid dispersion systems to solve difficult bioavailability issues with respect to poorly water-soluble drugs will grow rapidly. Because the dosage form can be developed and prepared using small amounts of drugs substances in early substances in early stages of the drug development process, the system might have an advantage over such other commonly used bioavailability enhancement techniques as micronization of drugs and soft gelatin encapsulation34. One major focus of future research will be identification of new surface-active carriers and self-emulsifying carriers for solid dispersion. Only a small number of such carriers are currently available for oral use. Some carriers that are used for topical application of drug only may be qualified for oral use by conducting appropriate toxicological testing. One limitation in the development of solid dispersion system may be the inadequate drug solubility in carriers, so a wider choice will increase the success of dosage form development. Research should also be directed toward identification of vehicles or excipients that would retard or prevent crystallization of drugs from supersaturated systems. Attention should also be given to any physiological and pharmacological effects of carriers used. Many of the surface-active and self-emulsifying carriers are lipidic in nature, so potential roles of such carriers on drug absorption, especially on their p-glycoproteinmediated drug efflux, will require careful consideration. In addition to bioavailability enhancement, much recent research on solid dispersion systems was directed towards the development of extended-release dosage forms35, 36. It may be pointed out that this area of research has been reinvigorated by the availability of surface-active and self-emulsifying carriers and the development of new capsule filling processes. 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