Abstract
The solubility of five poorly soluble drugs was enhanced by using an effervescence assisted solid dispersion (EASD) technique. EASDs were prepared by using modified fusion method. Drug and hydrophilic carrier were melted, and in this molten mixture, effervescence was generated by adding effervescence couple comprising organic acid (citric acid) and carbonic base (sodium bicarbonate). Solubility of drug powders, solid dispersions, and EASDs was determined at 25°C using shake flask method. Atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate were estimated using a spectrophotometer at 246, 280, 260, 230, and 232 nm (λmax), respectively. Solubility of atorvastatin calcium (from 100 to 345 μg/ml), cefuroxime axetil (from 441 to 1948 μg/ml), clotrimazole (from 63 to 677 μg/ml), ketoconazole (from 16 to 500 μg/ml), and metronidazole benzoate (from 112 to 208 μg/ml) in EASDs was enhanced by 3.45-, 4.4-, 10.7-, 31.2-, and 1.8-fold, respectively. Scanning electron micrographs of drug powder, solid dispersion, and EASDs were compared. Scanning electron micrographs of EASDs showed a uniform distribution of drug particles in the carrier matrix. Morphology (size and shape) of cefuroxime axetil particles was altered in solid dispersion as well as in EASD. EASDs showed better solubility enhancement than conventional solid dispersions. The present technique is better suitable for drugs having a low melting point or melt without charring. Effervescence assisted fusion technique of preparing solid dispersions can be employed for enhancing solubility, dissolution, and bioavailability of poorly soluble drugs.
KEY WORDS: dissolution, effervescence, fusion, solid dispersion, solubility
INTRODUCTION
Oral bioavailability of drugs is directly related with their solubility and permeability. According to the biopharmaceutics classification system (BCS) classification, the drugs of class II and IV have low solubility (1). The solubility and bioavailability of poorly soluble drugs has been improved by several techniques including particle size reduction, complex formation, nanotechnologies, solid dispersion, polymeric micelle, salt formation, pro-drugs, polymorphs, and solvates (2–4). Each of these techniques has its pros and cons. Different solubilization techniques may have different influence on the solubility and other physicochemical characteristics of the same drug molecule (3,4). So, there is no universal technology which can be used in all cases of solubility enhancement, while preserving the safety and efficacy of drugs. Among these techniques of solubility enhancement, solid dispersion seems to be an easy and simple technique. In solid dispersion, a poorly soluble drug substance is dispersed in a quickly water soluble solid carrier matrix (4). These water soluble carriers include mannitol, lactose, urea, polyethylene glycol, Gelucire, poloxamer 127, etc. Quickly water soluble carrier dissolved rapidly and exposes the drug particles with increased surface area and augments the rate of dissolution. Selection of a carrier is an important step for preparing solid dispersion since the physical stability of the dispersion depends on the miscibility of drug with carrier matrix (5).
Binary or ternary solid dispersions have been reported to be more successful since they provide physical stability and prevents recrystallization of drug (4,6–9). Use of surfactant with carrier enhances the wettability and solubilization of the drug and also assists in drug release (10–12). Methods for preparing solid dispersion are fusion (melt), spray drying, solvent evaporation, lyophilization, spray congealing, supercritical fluids and twin screw extruder, etc. (4). Physicochemical characteristics of a drug in solid dispersion may be affected by process, process variables, and carrier compositions (13,14). He et al. reported that spray freeze drying process provides physically and chemically stable amorphous solid dispersion of baicalein, while the dispersion prepared by solvent evaporation showed recrystallization of the drug (14). Solid dispersions of indomethacin in mannitol/urea were prepared by fusion and effervescence assisted fusion techniques; the effervescence assisted fusion technique enhances the solubility and dissolution better than the conventional method (15). Solid dispersion of an anticancer compound (T-OA) in polyvinylpyrrolidone (PVP) K-30 prepared by the solvent evaporation method improves the solubility, dissolution, and bioavailability of the compound (16).
Solubility, dissolution, and in vitro antifungal activity of clotrimazole was improved by its solid dispersion in polyvinyl pyrrolidones (K-17, K-25, and K-30) (17). Chen et al. prepared solid dispersions of griseofulvin, felodipine, and ketoconazole in PVP-VA or HPMC-AS. Because of low crystallization tendency and strong drug-carrier interaction, solid dispersion of ketoconazole in HPMC-AS outperformed all others (18). Solid dispersion of ketoconazole in nicotinamide improves its solubility and dissolution (19). Solid dispersions of atorvastatin calcium were prepared in Soluplus® (20), modified locust bean gum (21), polyvinylpyrrolidone vinyl acetate (22), and poly(ethylene glycol) 6000 (23) to improve its solubility, dissolution, and bioavailability. Dissolution of cefuroxime axetil was improved with HPMC 2910/PVP K-30 solid dispersion (24). Solid dispersion of cefuroxime axetil with Gelucire 50/13 and Aerosil 200 showed superior bioavailability compared to its solid dispersion with polyvinyl pyrrolidone, and its amorphous form (25). The reported aqueous solubility of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate was ≥100 μg/ml (26,27), about 300 μg/ml (28), 55 μg/ml (29), 17 μg/ml (30), and 122 μg/ml (http://products.sanofi.com.au/aus_pi_flagylS.pdf), respectively.
The present investigation has modified the solid dispersion technique (fusion) and compared its application on solubility enhancement of poorly soluble drugs with conventional fusion technique. For this comparison, five poorly soluble drugs (atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate) were selected, and their solubility studies were carried out in water.
MATERIALS AND METHODS
Mannitol was purchased from BDH laboratories supplies (England). Citric acid was obtained from Avon-chem (UK). Sodium bicarbonate of BDH laboratory reagents Poole, England, was used. Spectrophotometer was of Jasco V-530. Drug samples were obtained as a gift from Tabuk Pharm. Ltd. Differential scanning calorimeter was of Shimadzu (DSC-60 instrument). Scanning electron microscope was of Zeiss EVO LS10 (Cambridge, UK).
Preparation of Solid Dispersion
Solid dispersions of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate were prepared by melting (fusion) method. Mannitol was melted in a borosilicate glass beaker, and drug powder of each individual drug was added separately to the molten mannitol (drug/mannitol, 1:5 ratio). The molten mixture of drug and carrier was continuously stirred to increase uniform distribution of components. This melted uniform mixture was quickly solidified at low temperature under cold condition (freezer). Cooled solid dispersions were crushed and ground gently using a mortar and pestle. The powdered solid dispersion of each drug was stored in a vacuum desiccator.
Effervescence Assisted Solid Dispersion (EASD)
Carrier (mannitol) was melted in a glass beaker (at 175–180°C), and organic acid (citric acid) was added to the molten mannitol. This mixture of mannitol and organic acid was melted and uniformly mixed by continuous stirring. Powder of poorly soluble drug (atorvastatin calcium or cefuroxime axetil or clotrimazole or ketoconazole or metronidazole benzoate) was added to this molten mixture under continuous stirring. To the molten mixture of carrier–organic acid–drug, the sodium bicarbonate (carbonic base) was added under rapid stirring. The ratio of carbonic base and organic acid was according to their molar reactivity. Since one molecule of citric acid may react with three molecules of sodium bicarbonate, the quantity of citric acid was in 1:3 molar ratio of sodium bicarbonate. After addition of sodium bicarbonate, the effervescence (micro-bubbles) was generated due to acid–base reaction and the molten mixture turns into white froth (except for cefuroxime axetil). This frothy molten mixture was continuously stirred until the effervescence slowed down (about to seize). The froths were cooled down and allowed to solidify at low temperature (freezer). This cooled solid dispersion was crushed and ground gently using a mortar and pestle. Powdered EASD was stored in a desiccator.
Solubility Studies
Solubility measurements were performed by using shake flask method. The solubility studies of drugs, their solid dispersions, and EASD were carried out in water. The excess amount of each powder (drug, solid dispersion, and EASD) was separately added to the 25-ml volumetric flasks comprising water (15 ml), and these flasks were set over shaker water bath for 48 h at 25°C, under continuous shaking (80 rpm). After 48 h, the samples were withdrawn, filtered, and analyzed by using a UV spectrophotometer. The solubility of drugs, their solid dispersions, and EASDs were calculated and compared. The pH values of solubility media (water), mannitol solution (30 mg/ml), and solutions of EASDs (30 mg/ml) of individual drugs were measured at 22°C using a pH meter (Seven Easy pH; Mettler Toledo-AG, Switzerland).
Sample Analysis
Stock solutions of each individual drug (atorvastatin calcium, cefuroxime axetil, ketoconazole, and metronidazole benzoate) in methanol were diluted with water or water/methanol mixture (70:30) to prepare standard solutions. These standard solutions were used for preparing calibration curves. Atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate were estimated at 246, 280, 260, 230, and 232 nm (λmax), respectively. The value of regression coefficient of each calibration curve was higher than 0.998.
Scanning Electron Microscopy
Micrographs of the samples (drug, solid dispersion, and EASD) were taken using a scanning electron microscope (SEM) (Zeiss EVO LS10; Cambridge, UK). Powder samples were fixed on stubs using both sides of an adhesive carbon tape (SPI Supplies, West Chester, USA) and coated under vacuum with gold in a Q150R sputter coater unit from Quorum Technologies Ltd. (East Sussex, UK) in an argon atmosphere at 20 mA for 60 s.
Differential Scanning Calorimetry (DSC)
Thermal analysis was performed for drug powders, solid dispersions, and effervescence assisted solid dispersions of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate using a Shimadzu DSC-60 instrument. The aluminum pans were filled with samples comprising about 2–4 mg of drug. The filled aluminum pans were crimped and hermetically sealed. Nitrogen gas was supplied at a flow rate of 40 ml/min. Samples were heated at the rate of 10°C/min, in the range of 50 to 300°C.
RESULTS AND DISCUSSION
The solubility results of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate; their solid dispersions; and effervescence assisted solid dispersions are presented in Table I. Water solubility of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate at 25°C was observed as 100, 441, 63, 16, and 112 μg/ml, respectively. The investigated solubility of these drugs was approximately close to the reported values (http://products.sanofi.com.au/aus_pi_flagylS.pdf) (26–30). Solid dispersions of atorvastatin calcium, clotrimazole, ketoconazole, and metronidazole benzoate did not show remarkable enhancement in the solubility of these drugs (see Table I). The simple reason for this low effect on solubility may be the insignificant impact of fusion process on the active surface area of dispersed drug particles or on the crystallinity of drugs. Effervescence assisted solid dispersion of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate showed a remarkable enhancement in the aqueous solubility of these drugs. Amplitude of solubility enhancement through effervescence assisted solid dispersion was atorvastatin calcium 3.45-fold (345 μg/ml), cefuroxime axetil 4.4-fold (1948 μg/ml), clotrimazole 10.7-fold (677 μg/ml), ketoconazole 31.2-fold (500 μg/ml), and metronidazole benzoate 1.8-fold (208 μg/ml). The pH values of water and mannitol solution in water were 7.41 and 7.23, respectively. The pH values of EASDs of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate were 7.21, 6.65, 7.57, 7.52, and 6.75, respectively. Since the change in the pH value of solubility media of EASDs was not so extensive that it may significantly affect the solubility of these drugs, it can be concluded that pH of the media is not the real factor behind solubility enhancement of EASDs. Scanning electron micrographs of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate; their solid dispersion; and effervescence assisted solid dispersions are presented in Fig. 1. Scanning electron micrographs of pure drug samples reveal that the particles of these drugs are crystalline with different sizes and shapes. Atorvastatin calcium powder micrograph showed majority of irregular-shaped particles with few rod-shaped crystals (26). Atorvastatin particles were uniformly distributed through EASD, but distribution through conventional solid dispersion was comparatively non-uniform and aggregates of drug particles were observed. Change in shape or size of atorvastatin crystals is not interpreted since the particles were embedded in carrier matrix of EASD. Micrograph of cefuroxime axetil showed small and large disc-shaped particles. The particles of cefuroxime axetil in EASD showed drastic morphological changes by losing their integrated shape, and their size was also reduced (24). Clotrimazole micrograph showed crystalline particles of small size (average particle size <3 μm) (31). Particles of clotrimazole were uniformly distributed through carrier matrix in EASD, but in conventional solid dispersion, few aggregates of small and large particles/crystals were observed. Ketoconazole drug particles were small in size (mean size <2 μm), and the micrograph showed aggregates of particles and some large solid crystals of distinct shape (32). Ketoconazole particles were uniformly distributed through solid dispersion and EASD. These small ketoconazole particles and their clusters were embedded throughout the carrier matrix. The micrographs of ketoconazole solid dispersion and EASD showed only few shaped crystals or aggregates of particles. Micrograph of metronidazole benzoate drug powder revealed a mixture of large rod-shaped crystals and small particles. The crystal shape of metronidazole benzoate powder resembled the monohydrate or dehydrated crystals (33). The drug was distributed throughout the carrier matrix in both the dispersions, and there was no appearance of distinct big size crystal in the carrier matrix.
Table I.
Name of drug | Solubility (μg/ml) | ||
---|---|---|---|
Drug | Solid dispersion | EASD | |
Atorvastatin calcium | 100 | 164 | 345 |
Clotrimazole | 63 | 112 | 677 |
Ketoconazole | 16 | 22 | 500 |
Metronidazole benzoate | 112 | 165 | 208 |
Cefuroxime axetil | 441 | – | 1948 |
The endotherms of differential scanning calorimetric study for atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate drug substances, and their EASDs are presented in Fig. 2. Melting points of atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate were observed at about 160, 88, 148, 151, and 105°C, respectively (data taken from DSC endotherms). The sharp endotherms of these pure drug substances indicate their crystalline nature. DSC thermograms of EASDs of these drugs showed interaction between the drug substance and excipients since their melting point or peak features are different from drug powder. The endotherms of EASDs of clotrimazole and ketoconazole showed remarkable change in features (width and sharpness of peak) and can be interpreted as change (decrease) in the crystallinity of the drugs. Decrease in the crystalline features of a composition may be interpreted as the presence of amorphous form. The thermogram of EASD of cefuroxime axetil showed a distinctly new melting peak, which may be of its decomposed compound. It has been observed that cefuroxime axetil gives creamy-buff color to the composition when it was added to the molten mixture of mannitol and citric acid. The monograph of cefuroxime axetil (PrCeftin®) also reported that cefuroxime axetil decomposes below its melting point (http://www.gsk.ca/english/docs-pdf/Ceftin_PM%20(2014-01-30).pdf).
In EASDs, the uniformly distributed drug particles with reduced particle size (and/or changed crystallinity/salt form) showed improvement in solubility because these small drug particles were coated/confined within the water soluble carrier matrix and their active surface area was increased. On the basis of the above observations, it can be concluded that effervescence assisted solid dispersion is a novel formulation process which can be exploited to improve the solubility of drugs and alter the physicochemical characteristic. Effervescence assisted fusion technique for preparing solid dispersion is suitable for drug which melts without charring or decomposing. Drugs having higher melting point and tendency to degrade and char may not be good candidates for this technique. From the literature, it was also observed that the solubility of some drugs varies according to experimental conditions such as temperature, method, pH of solvent medium, duration of study (for unstable drugs), type of isomer, polymorph, and their ratio. The findings and observations of the present investigation suggested that the effervescence assisted fusion technique can be exploited as an important tool for solubility enhancement.
CONCLUSION
Effervescence assisted solid dispersion technique provides a remarkable increase in the solubility of tested poorly soluble drugs (atorvastatin calcium, cefuroxime axetil, clotrimazole, ketoconazole, and metronidazole benzoate). This technique can also be exploited for other poorly soluble drugs to enhance their solubility, dissolution, and bioavailability.
Acknowledgment
We thank the Research Centre, College of Pharmacy, King Saud University for funding this research project.
Conflict of interest disclosure
The authors declare that they have no competing interests.
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