A Synopsis On “FORMULATION, CHARACHTERIZATION AND EVALUATION OF SITE SPECIFIC DRUG DELIVERY SYSTEM (S) OF ANTICANCER DRUG” Under Supervision of- Supervisor Co-Supervisor Prof. R.K.Khar Dr. S.K. Prajapati Ex-Head & Ex-Dean Department of Pharmaceutics, Faculty of Pharmacy, Jamia Hamdard (Hamdard University), New Delhi Head & Reader Institute of Pharmacy, Bundelkhand University, Jhansi (U.P.) Submitted by Rishikesh Gupta M.Pharm. Specialization of the proposed research work:Pharmaceutics (Pharmacy) Aims and objectives of present research works:1. To prepare novel floating drug delivery systems containing anti-cancer drugs to optimize and rationalize the delivery. 2. To do comparative studies on prepared dosage forms for various relevant process and formulation parameters in order to find out the potential delivery system. Name and Signature of Candidate CONTENTS Chapter Page No. 1. Introduction 02-05 2. Literature Review 06-09 3. Research Envisaged 10 4. Plan of work 11-12 5. References 13-15 INTRODUCTION The gastric emptying time (GET) and the variation in the pH in the different segments of gastrointestinal tract (GIT) are the major challenges in the development of oral controlled release drug delivery systems. Various attempts have been made to enhance the residence time of the dosage form within the stomach. Gastroretentive system can remain in the gastric region for several hours and hence significantly prolong the gastric residence time of drug in the GIT. The prolongation of gastric residence time (GRT) of delivery system could be achieved by the mechanism of mucoadhesion, simultaneous administration of pharmacological agents that delay the gastric emptying. One of the methods for enhancement of GRT is based on the mechanism of floatation. Wherein the delivery systems are less dense than the gastric fluid. Floating single dosage form, also called hydro dynamically balanced systems (HBS), have been extensively studied. Floating systems, first described by Davis in 1968, are low-density systems that have sufficient buoyancy to float over the gastric contents and remain in the stomach for a prolonged period. The system floats over the gastric contents, releasing the drug slowly at the desired rate, which not only results in increased GRT but also reduces fluctuation in plasma drug concentration. FLOATING SYSTEM: These have a bulk density lower than the gastric content. They remain buoyant in the stomach for a prolonged period of time, with the potential for continuous release of drug. Eventually, the residual system is emptied from the stomach. Gastric emptying is much more rapid in the fasting state and floating systems rely heavily on the presence of food to retard emptying and provide sufficient liquid for effective buoyancy. Floating systems can be classified as effervescent and non-effervescent systems. Effervescent Systems: Floatation of a drug delivery system in the stomach can be achieved by incorporating a floating chamber filled with air, or an inert gas. Gas can be introduced into the floating chamber by the volatilization of an organic solvent (e.g., ether or cyclopentane) or by the CO2 produced as a result of an effervescent reaction between organic acids and carbonate–bicarbonate salts. Non-effervescent Systems: Non-effervescent systems incorporate a high level (20–75% w/w) of one or more gel-forming, highly swellable, cellulosic hydrocolloids, polysaccharides, or matrix-forming polymers into tablets or capsules. Upon coming into contact with gastric fluid, these gel formers hydrate to form a colloidal gel barrier that controls the rate of fluid penetration into the device and subsequent drug release. The air trapped by the swollen polymer lowers the density of and confers buoyancy to the dosage form. Stomach cancer is the second leading cause of the death. Stomach cancer can be cured if the tumor is found early and completely removed surgically. However, the disease is often not diagnosed until it has already spread (metastasized) to other tissues and organs. Outcomes are very poor for patients with advanced stomach cancer that cannot be surgically removed. There are two factors that play a major role in the development of stomach cancer; Infection with Helicobacter pylori bacteria and the type of diet. The earliest sign of both non-cancerous (benign) and cancerous (malignant) stomach tumor is microscopic internal bleeding, which is usually only detected by tests that is based on stool examination for blood content. The patient may also feel tired if this bleeding causes the loss of too many healthy red blood cells (anemia). Controlled drug delivery system Most solid dosage forms are designed to release their medication to the body for absorption rapidly and completely, where as some dosage forms are designed to release the drug slowly for more prolonged drug release and sustained drug action. The termcontrolled release implies that the release of drug from the dosage form occurs in a planned, predictable, and slower than normal fashion. In general, controlled delivery attempts to: Delayed release Sustained release Site specific targeting and Receptor targeting Delayed release system are those that use repetitive intermittent design of a drug from one or more immediate release units incorporated into a single dosage form i.e. repeat action tablets, capsules and enteric coated where timed release is achieved by a barrier coating. Sustained releases systems include any drug delivery systems that achieve slow release of drug over extended period of time. This system is successful at maintaining constant drug level in the target tissue or cell; it is considered as controlled release system. Site specific and receptor targeting refers to targeting of a drug directly to a certain biological location. In the cases of site specific release, the target is adjacent to or in the diseased organ or tissues. For receptor release, the target is the particular receptor for a drug within an organ or tissue. Both these system are considered to be controlled drug system. TARGETED DRUG DELIVERY SYSTEM: The objective of drug targeting is to achieve a desired pharmacological response at a selected site without undesirable interaction at other sites. At present drug targeting is achieved by following two approaches: Involves chemical modification of the parent compound to a derivative, which is activated only at target site. Utilizes carriers such as liposomes, microspheres, nanoparticles, antibodies, cellular carriers (erythrocytes and lymphocytes), and macromolecules to direct the drug to its site of action. The Prodrug approach which involves an inactive derivative of the parent compound (prodrug) that is activated predictably in-vivo to the active drug species. However, with few exceptions, it cannot achieve site-specific delivery. Chemical Delivery System approach involves the transformation of the active drug by synthetic means into an inactive derivative, which when placed in the body, will undergo several predictable enzymatic transformations principally at its site of action. This approach has proven to be successful in local delivery of drug to the eye, brain, and testes. Advantages of TDDS: Specific targeting of the drug to the colon is recognized to have several therapeutic advantages. Drugs that are destroyed by the acidic environment of the stomach or metabolized by pancreatic enzymes are only slightly effective in the colon. Treatment of colonic diseases such as ulcerative colitis, Crohn's disease and colorectal cancer is more effective with the direct delivery of drugs to the colon The features of the colon that makes it suitable for targeting of various drugs including proteins and peptides are-: Its lower metabolic activities. Longer residence time (20-30hrs.) Responsiveness to absorption enhancers. Targeting opportunities offered by colonic bacterial enzymes. Transmucosal and membrane potential difference that is significant in the absorption of the ionized and unionized drugs, and possibility that bulk water absorption in this region may provide scope for solvent drug. LITERATURE REVIEW 1. Kawashima, et al. prepared multiple-unit hollow microspheres by emulsion solvent diffusion technique. Microballoons were floatable in-vitro for 12 hours when immersed in aqueous media Radiographical studies proved that microballoons orally administered to humans were dispersed in the upper part of stomach and retained there for 3 hours against peristaltic movements. 2. Joseph, et al. developed a floating dosage form of piroxicam based on hollow polycarbonate microspheres. The microspheres were prepared by the solvent evaporation technique. Pharmacokinetic analysis was derived from plasma concentration vs. time plot and revealed that the bioavailability from the piroxicam microspheres alone was 1.4 times that of the free drug and 4.8 times that of a dosage form consisting of microspheres plus the loading dose was capable of sustained delivery of the drug over a prolonged period. 3. Sato, et al. prepared hollow microspheres by the emulsion solvent diffusion method using enteric acrylic polymers with the drug in a mixture of dichloromethane and ethanol. The optimum loading amount of riboflavin in the microballoon was found to impart ideal floatable properties to the microballoons. On the other hand, little entrapment was observed for aspirin due to the low distribution coefficient; however, entrapment improved to some extent upon reduction of the pH of the process. 4. El-Kamel, et al. prepared floating microparticles of ketoprofen, by emulsion solvent diffusion technique. Four different ratios of Eudragit S-100 with Eudragit RL were used. The formulation containing 1:1 ratio of the two above mentioned polymers exhibited high percentage of floating particles in all the examined media as evidenced by the percentage of particles floated at different time intervals. 5. Sopimath, et al. prepared hollow microsphers of cellulose acetate loaded with four cardiovascular drugs (nifedipine [NFD], nicardapine hydrochloride [NCD], verapamil hydrochloride [VRP], and dipyridamole [DIP]) by solvent diffusion- evaporation method. Here, they used ethyl acetate less toxic as solvent and concluded that the release of drug was controlled for more than 8 hours. 6. Fell, et al. prepared floating alginate beads incorporating amoxicillin. The beads were produced by drop wise addition of alginate into calcium chloride solution, followed by removal of gel beads and freeze-drying. The beads containing the dissolved drug remained buoyant for 20 hours and high drug-loading levels were achieved. 7. Illum, and Ping. developed microspheres that released the active agent in the stomach environment over a prolonged period of time. The outer layer was composed of bioadhesive (chitosan). The microspheres were prepared by spray drying an oil/water or water/oil emulsion of the active agent, the water-insoluble polymer, and the cationic polymer. 8. Yang, et al. prepared microspheres with microballoons inside for floating drug delivery systems from xanthan gum and gelatin by water-in-oil method with theophylline as model drug. They concluded that with increasing the amount of gelatin, the percentage yield and drug encapsulation efficiency decreased. The drug release rate also decreased with increasing gelatin content. 9. Shrivastava, et al. developed floating microspheres by the solvent evaporation method using polymers hydroxypropylmethylcellulose, ethyl cellulose and dichloromethane, ethanol as solvent. And concluded that microspheres of different size and drug content could be obtained by varying the formulation variables. 10. Jain, et al. prepared novel calcium silicate based microspheres of repaglinide for gastroretentive floating microspheres by using calcium silicate as porous carrier, repaglinide as oral hypoglycemic agent and Eudragit S 100 as polymer. And studied the effect of different formulation and process variables on the internal and external practical morphology, micromeritic properties, in-vitro floating behavior, physical state of incorporated drug, drug loading and in-vitro release studies; and concluded that the incorporation of the porous calcium silicate in the microspheres proved to be an effective method to achieve the desired release behavior and buoyancy. 11. Zheng, et al. prepared floating–bioadhesive microparticles containing clarithromycin for eradication of Helicobacter pylori by combined method of emulsion/evaporation and internal/ion gelation using ethyl cellulose and chitosan as polymers; and concluded that clarithromycin contained in CAEMS was released in sustained manner in-vitro. 12. Soppimath, et al studied the effect of coexcipients on drug release and floating property of nifedipine hollow microspheres. These microspheres were prepared by solvent diffusion-evaporation technique. It was concluded that the release of nifedipine was enhanced by the addition of coexcipients. 13. Sahoo, et al. developed floating microspheres of ciprofloxacin hydrochloride by cross linking technique by dripping. It was concluded that the enhanced buoyancy and controlled release properties of sodium bicarbonate containing microspheres made them an excellent candidate for floating drug dosage forms. 14. Shishu, et al. developed multiparticulate alginate floating beads of 5-flurouracil for stomach specific drug delivery and concluded that the floating type gastroretentive dosage forms of 5-FU showed better response in comparison to other dosage form. 15. Manoj, et al. developed an oral floating matrix tablet of diltiazem hydrochloride using Methocel K 100M CR and Compritol 888 as polymers and concluded that the combination of Methocel K 100M CR and Compritol 888 ATO has resulted in minimal variation in drug release. 16. Patel, et al. prepared floating granules of Ranitidine hydrochloride by using Gelucire 43/01 and concluded that the hydrophobic lipid Gelucire 43/01 is an effective carrier for the design of multiple floating drug delivery system of highly water soluble drugs. Research Envisaged Mostly the drugs for treatment of stomach cancer are given via parentral route. The major problem associated with such delivery is that alongwith cancerous cell, even normal cell are exposed to the drug, resulting in severe side effects. The present work is aimed at development of site specific floating controlled release drug delivery system to affect localized drug delivery of anti-cancer drug for the treatment of stomach cancer. There is no such a system available in the market till date for support the work. The study shall encompass development & Characterization of different novel drug delivery system bearing anticancer drug(s) for localized site specific delivery. PLAN OF WORK The study shall be carried out on the following lines: 1. Pre-formulation studies of selected drug: a) Identification & characterization of the drug. b) Physicochemical properties (i.e. melting point, Solubility, Partition coefficient etc.) c) Drug & polymer compatibility study. 2. Selection/Development of spectroscopic method of analysis for the estimation of drug in formulations and biological fluids. 3. Design and development of targeted drug delivery system and optimization of process variables. 4. Characterization of targeted drug delivery system. 5. Stability studies 6. In-vivo studies Instrument Used UV Spectrophotometer, Single pan balance, Electronic balance, pH-meter, Hot Air oven, Optical Microscope, Fourior transform Infra-red (FTIR), High Performance Liquid Chromatography (HPLC), Magnetic stirrer with hot plate, Digital dissolution rate test apparatus, Lab Incubator, Melting point apparatus, Tray Dryer, REFERENCES 1. Naggar VF, El-Kamel AH, Sokar MS, Al Gamal SS. Preparation and evaluation of ketoprofen floating drug delivery system. Int j Pharm 2001; 220: 13-21. 2. Arora Sweta, Ali Jwed, Ahuja Alka, Khar RK,and Baboota Sanjula. Floating Drug Delivery System: A Review, AAPS PharmaSciTech 2005; 6,: Article 47. 3. Rednick AB, Tucker SJ. Sustained release bolus for animal husbandry. US patent No. 3 507 952; 1970. 4. Singh BN, Kim KH. Floating Drug Delivery Systems: An Approach to Oral Controlled Drug Delivery via Gastric Retention. J Contrl Release 2000; 63: 235–259. 5. Kawashima Y., Niwa T., Takeuchi H., Hino T., Ito Y., Preparation of multiple unit hollow microspheres (microballoons) with acrylic resins containing tranilast and their drug release characteristics (in vivo).J. Controlled Release. 1991, 16, 279-290. 6. Illum L., Ping H., Gastroretentive controlled release microspheres for improved drug delivery. US patent 6 207 197. March 27, 2001. 7. Sopimath K.S., Kulkarni A.R., Aminabhavi T.M., Development of Hollow microspheres as floating controlled release system for cardiovascular drugs: Preparation and release characteristic, Drug Dev. Ind. Phar., 27, 2001, 507515. 8. Joseph N.J., Laxmi S., Jayakrishnan A., A floating type oral dosage from for piroxicam based on hollow microspheres: in-vitro and in-vivo evaluation in rabbits. J. Controlled Release, 2002. 79, 71-79. 9. Sato Y., Kawasima Y., Takeuchi H., Yamamoto H., Eur, J. Pharm. Biopharm., 55, 2003, 297-304. 10. Jain S.K., Awasthi A.M., Jain N.K.,Agrawal G.P., Calcium silicate based microspheres of repaglinide for gastroretentive floating drug delivery: Preparation and in-vitro characterization, J. Controlled Release, 107, 2005, 300-309. 11. Zheng J., Liu C., Bao D., Zhao Y., Ma X., Preparation and evaluation of floating-bioadhesive microparticles containing clarithromycin or the eradication of Helicobacter pylori, J. App. Poly. Sci., 102, 2006, 2226-2232. 12. Sopimath K. S., Aminabhi T.M., Agnihotri S.A., Mallikarjuna N., Kulkarni P.V.,Effect of coexcipients on drug release and floating property of nifedipine hollow microspheres: A Novel Gastro Retentive Drug Delivery System, J. App. Poly. Sci., 100, 2006, 486-494. 13. Sahoo S.K., Mohapatra S., Dhal S.K., Behera B.C., Barik B.B., Formulation of floating microspheres ciprofloxacin hydrochloride by cross-linking technique., The Indian Pharmacist, 6, 2007, 65-68. 14. Patel Dashrath M., Patel Natvarlal M., Patel Viral F., Bhatt Darshini A.,. Floating Granules of Ranitidine Hydrochloride-Gelucir 43/01: Formulation Optimization Using Factorial design., AAPS Pharmascitech, 2007, 8, Article 30. 15. Manoj N., Gambhire, Kshitij W., Ambade, Kurmi Sushma D., Kadam Vilasrao J., Jadhav Kisan R., Development and In Vitro Evaluation of an oral floating Matrix tablet Formulation of Diltiazam hydrochloride., AAPS Pharmascitech, 2007,8, Article 73. 16. Shishu, Gupta N., Aggarwal N., Stomach-specific drug delivery of 5-flurouracil using floating alginate beads., AAPS Pharmascitech, 2007,8, Article 48.