1 Nanomemulsion of megestrol acetate 2 bioavailability and reduced food effect for improved oral 3 4 Yixian Li, Chung Kil Song, Min-Kyoung Kim, Hyosang Lim, Qingbo Shen, 5 Don Haeng Lee, Su-Geun Yang* 6 7 * Corresponding to Su-Geun Yang, Ph.D. (Sugeun.Yang@Inha.ac.kr) 8 9 The solubility studies of MGA in each composition 10 The components for nanoemulsion were determined by the solubility of MGA in oils, 11 surfactants and co-surfactants. The solubility studies of MGA were conducted by placing an 12 excess amount of MGA in 1 mL of each vehicle, and solubilized on a vortex mixer. The 13 mixtures were kept at room temperature in a shaking water bath for 72 hrs to reach 14 equilibrium. The samples were centrifuged at 10,000 rpm for 10 min. The supernatant was 15 taken, filtered through 0.45 μm membrane filter and diluted with solvent if necessary for 16 analysis. The concentration of MGA in each vehicle was determined by Agilent 1200 series 17 high performance liquid chromatography (HPLC) system. Based on the solubility study 18 (Table S1), MCT oil, Cremophore RH40 and propylene carbonate were selected as oil, 19 surfactant and cosurfactant, respectively, due to higher solubility of MGA than other vehicles. 20 21 22 23 Table S1. The solubility of MGA in various vehicles at ambient condition for 3 days (n=3) Oils Surfactants Co-surfactants 24 25 Vehicles Solubility (mg/g) Triacetin 9.56±0.60 OMEGA 3 fatty acid 7.25±0.33 MCT oil 7.28±0.34 Solutol 15 8.37±0.29 Cremophor EL 7.60±0.26 Cremophore RH40 8.58±0.27 Tween 20 6.65±0.30 Tween 80 6.36±0.30 Ethanol 11.67±1.60 PEG 400 5.01±0.12 Transcutol 18.61±2.10 Propylene glycol 3.85±0.02 Lutrol 400 5.09±0.07 Propylene carbonate 40.07±1.12 26 Determination of composition for MGA NE 27 On the result of the solubility studies of MGA, medium-chain triglyceride (MCT oil) was 28 selected as the oil phase for the development of nanoemulsion. In previous solubility study, 29 triacetin showed higher solubility than MCT oil. Triacetin is triglyceride of short chain fatty 30 acid (acetic acid). Even though triacetin shows higher solubility than other oils, it has some 31 shortage as a core forming oil material. Triacetin is water-miscible oil, leaks out from oil 32 droplets and eventually cause precipitation of drug in media (data is not shown). Cremophore 33 RH40 was used as surfactant along with propylene carbonate as cosurfactant. The 34 compositional ratio of each component for nanoemulsion was determined based on the phase 35 diagram following previous our study. The selected composition of nanoemulsion 36 preconcentrate was 53% Cermophor RH 40 (surfactant), 23% propylence carbonate (co- 37 surfactant), 21% MCT (oil). The loading of MGA in this composition, determined using 38 HPLC as described in above section “The solubility studies of MGA in each composition”, 39 was 25±1.2 mg/g. MGA was dissolved in the nanoemulsion preconcentrate at the 40 concentration of 20 mg/g (loading efficiency was 100 %). Then water can be added by ratio 41 of 1:5 to 10. The optimal concentration of MGA which can sustain the stable nanoemulsion 42 without precipitation was determined by droplet size analysis and microscopic observation. 43 44 Figure S1. MGA NE (A) and MGA MS (B). 45 46 Figure S2. Dissolution of MGA NE (○; MGA Nanoemuslion, ●; MGA microcrystal 47 suspension) using a USP 37 dissolution apparatus II (708-DS Dissolution Apparatus, Agilent 48 Technologies, CA) with 900 mL of simulated gastric fluids without pepsin (0.2% sodium 49 chloride in 0.7% hydrochloric acid) at 37 ± 0.5°C with a paddle speed of 50 rpm. Dissolution 50 samples were dropped on the media, and media samples (5 ml) were taken, filtered (0.45 μm) 51 and introduced to HPLC for analysis. 52 53 54 a) 55 56 57 58 59 60 b) 61 62 63 64 65 66 c) 67 68 69 70 71 72 Figure S3. LC-MS/MS spectra of (a) blank plasma (b) MGA-spiked plasma (c) MGA & IS 73 (medroxyprogesterone acetate , 50 ng/ml)-spiked plasma. 74 75 76 Table S2. Intra-day (n=6) and inter-day (n=6) precision and assay accuracy of quality control 77 samples for the determination of megestrol acetate at different concentrations (5, 50 and 100 78 ng/mL) in plasma samples. Intra-day Inter-day Nominal concentration (ng/mL) Measured concentration (mean ± SD) 79 Precision Accuracy (CV, %) (bias, %) Measured concentration (mean ± SD) Precision Accuracy (CV, %) (bias, %) 5 4.95 ± 0.46 9.32 99.09 5.14 ± 0.61 11.87 102.8 50 51.05 ± 2.05 6.74 102.10 50.18 ± 2.77 5.52 100.37 100 100.79 ± 1.78 4.26 100.79 101.58 ± 2.19 2.15 101.53 80 The enhancement bioavailability of MGA NE in the rat 81 Sprague-Dawley rats (Orient Bio Co., Seoul, Korea) were used to confirm the improvement 82 of oral bioavailability after treatment of MGA NE. The animals were fasted for 24 h for the 83 oral administration of MGA MS and MGA NE. They were randomly divided into two groups. 84 The femoral artery and vein of the rats were cannulated with a polyethylene tube (PE-50; 85 Clay Adams, Parsippany, NJ) after anaesthetization. The rats were administrated with MGA 86 suspension or MGA NE containing same amount (10 mg/kg) of MGA. 300 µL blood was 87 obtained through femoral artery at pre-determination time (0, 30, 60, 90, 120, 180, 240, 360, 88 480, 600, and 720 min) after oral administration. These samples were immediately 89 centrifuged at 10,000 rpm for 5 min and stored at -70°C until drug analysis was carried out 90 using HPLC-MS-MS. 91 92 Table S3. Pharmacokinetic parameters of MGA MS and MGA NE in SD rats. The data 93 represent the mean ± S.D. (n=4) and paired student t-test was performed. Parameter MGA MS (A) MGA NE (B) Ratio (B/A) AUCall (ng·min/mL) 100427.3±52058.6 648949.9±275852.9** 6.46 Cmax (ng/mL) 423.0±371.7 3890.8±2587.9** 9.19 Tmax (min) 375.0±278.7 52.5±28.7 - T1/2, terminal (min) -* 210.1±55.4 - 94 * Parameter couldn’t be obtained because of large variation of data at terminal phase. 95 ** p < 0.001 (n=4) Conc. of megestrol (ng/ml) 5000 Suspension Nanoemulsion 4000 3000 2000 1000 0 0 2 4 6 8 10 12 Time (hrs) 96 97 Figure S4. Mean plasma concentration profile of MGA MS (●) and MGA NE (○) in SD rats. 98 The data represent the mean ± S.D. (n=4) 99 100 101 102 103 104 Figure S5. Box plots summarizing the inter-distribution of AUC (A) and Cmax (B) of MGA 105 NE and MGA MS in fed and fasting conditions. The data represent the mean ± S.D. (n=6).