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Abstract
Context: Curcumin has a number of beneficial effects, Participants then continued to take the MicroActive
such as functioning as a potent antioxidant,1 anti- Curcumin for >3 mo.
inflammatory,2 and anticancer agent. Because of its Outcome Measures: For the dissolution study, the
poor oral bioavailability, very high oral doses and curcumin was quantified at room temperature using
repeated dosing have been used to obtain effective reverse-phase, high-performance liquid chromatography
plasma levels, with mixed results. High doses of (HPLC) with a Phenomenex Luna column (150 ×
curcumin may cause gastric disturbance, often resulting 4.6 mm, 5 μm) (Phenomenex Inc, Torrance, CA, USA).
in poor patient compliance. For the single-dose and the tolerability studies,
Objective: The objective of this study was to compare the hydrolysis of conjugates and extraction of curcuminoids
relative bioavailability of MicroActive Curcumin—an from the plasma were performed. The curcuminoids
advanced, micronized formulation of curcumin that is were quantified using reverse-phase HPLC with an
25% curcuminoids in a sustained release matrix—with ultraviolet-visible detector as described above.
that of an unformulated, 95% pure curcumin powder. Results: The dissolution study indicated that the
Design: A dissolution study compared the solubility of sustained-release curcumin had greater dissolution for
the formulated and the unformulated curcumin. The 12 h at all points tested, compared with the unformulated
research team also performed a single-dose, 12-h, curcumin. Very little of the unformulated curcumin
crossover uptake study with 10 participants and a high- powder had been released at the end of the 12 h. The
dose tolerability and accumulation study with 3 results of the single-dose uptake study indicated that the
participants, comparing the 2 forms of curcumin. sustained-release formula was 9.7 × more bioavailable
Setting: The study was done in MAZE Laboratories than the unformulated powder (P < .001, paired t test).
(Purchase, NY, USA). Additionally, all participants showed uptake from the
Participants: Ten healthy male and female volunteers, sustained-release formulation. That formulation also
aged 21-66 y, took part in the single-dose study. Three resulted in significant increases in the plasma
participants, 2 female and 1 male aged 40-55 y, took part demethoxylated curcuminoids, but the research team
in the tolerability and accumulation study. The did not observe the same increases for the unformulated
participants were people from the community. curcumin powder. The sustained-release formulation
Intervention: For the dissolution study, the research was well tolerated, without adverse effects in the high-
team filled hard gelatin capsules with unformulated dose tolerability study.
95% curcumin powder and the MicroActive Curcumin Conclusions: Formulation of micronized curcumin in a
powder to the equivalent of 25 mg curcuminoids. For combination of surfactants, oils, and polymers improves
the single-dose study, participants received 500 mg of the absorption of curcumin. In addition, the unique
curcumin in 2 forms. MicroActive Curcumin capsules plasma demethylated curcuminoid profile may enhance
were administered after breakfast, and blood samples the therapeutic effects of MicroActive Curcumin not
were drawn at 1, 2, 4, 8, and 12 h postdose. After a 7-d observed with unformulated curcumin at moderate and
washout period, the protocol was repeated for well-tolerated doses. MicroActive Curcumin was well
unformulated, 95% curcumin powder capsules. For the tolerated, without any adverse effects in a high-dose
tolerability study, the unformulated, 95% curcumin tolerability study. These properties have the potential to
powder was given at a dose that provided 2 g of make high-dose curcumin supplementation more
curcumin for 7 d followed by 5 g of curcumin for an accessible through simplified incorporation into food
additional 7 d. After a washout period of 14 d, the and beverage preparations.
protocol was repeated with MicroActive Curcumin.
24 Integrative Medicine • Vol. 13, No. 3 • June 2014 Madhavi—Bioavailability of MicroActive Curcumin
C
are suitable for use in solid-dosage forms, powder
urcumin is a lipophilic, phenolic compound isolated formulations, and as bulk powder. The current study
from the turmeric (Curcuma longa) rhizome that is compares the dissolution and bioavailability of MicroActive
widely used in traditional medicine, such as in Curcumin with unformulated, 95% curcumin.
ayurveda in India. Commercially available 95% curcumin is
a mixture of 3 curcuminoids, typically containing Materials
approximately 77% curcumin, 17% demethoxycurcumin, High-performance liquid chromatography (HPLC)-
and 6% bisdemethoxycurcumin. Research has shown that grade solvents and other chemicals used in the buffers of
curcumin has a number of beneficial effects, such as the sustained-release formulation were obtained from VWR
functioning as a potent antioxidant,1 anti-inflammatory,2 International (Radnor, PA, USA). Purified standard
and anticancer agent in cell-based and animal studies.3 curcumin, demethoxycurcumin, and bisdemeth-
However, curcumin is also practically insoluble in water oxycurcumin (>98%) purity by HPLC, were provided by
and is rapidly eliminated from the digestive tract, having Chromadex (Irvine, CA, USA). Polysorbate 80,
shown poor oral bioavailability in human and animal β-glucuronidase, and sulfatase were obtained from Sigma-
studies.4 Because of that poor bioavailability, very high oral Aldrich (St Louis, MO, USA). Unformulated, 95% curcumin
doses and repeated dosing have been used to obtain powder was obtained from Maypro Industries (Purchase,
effective plasma levels, with mixed results.5,6,7 High doses of NY, USA).
curcumin may cause gastric disturbance, often resulting in
poor patient compliance.5,6 Methods: Dissolution Test
Several methods of formulation have been developed Procedures
to improve the bioavailability of curcumin, including using The in vitro dissolution study was performed using the
combinations of surfactants, cosurfactants, oils, and/or Varian 7020 dissolution tester (Varian Inc, Cary, North
organic solvents to form microemulsions8 or self- Carolina, USA) with the basket configuration at 37°C and
emulsifying systems9 and nanoparticle colloidal dispersions 100 rpm. The method was based on the US Pharmacopeia
in water-soluble carriers.10,11 These formulations have many (USP) dissolution test for extended-release dosage forms.12
disadvantages for commercial production. Curcumin is The research team filled hard gelatin capsules with the
fully solubilized in a microemulsion or self-emulsifying unformulated 95% curcumin powder and the MicroActive
formulation, and the amount dissolved is limited by the Curcumin powder, to the equivalent of 25 mg curcuminoids.
solubility of curcumin in the surfactant-oil mixtures. Hence, The capsules were introduced into 750 mL of 0.1N
the concentration of curcumin generally is lower than 20% hydrochloric acid (0.1N HCl)—simulated gastric fluid
in such systems. For example, Hu et al8 reported on an without enzymes, maintained at at 37oC. At the end of the
optimal microemulsion system where curcumin solubility studies, which lasted 1 and 2 hours, 3 mL of the sample were
was up to 32.5 mg/mL (3.25% curcumin). withdrawn and filtered through a 10-μ filter. The reduced
When converted further into a powder, the volume was replaced each time with a fresh medium. At the
concentration of curcumin in such formulations is reduced end of 2 hours, the pH of the medium was adjusted to 6.5—
even more, resulting in solid dosage forms. These solid simulating intestinal fluid without enzymes, with 195 mL of
dosage forms, including tablets or capsules, have to be 0.2M tribasic sodium-phosphate solution equal to 37°C.
larger—and a greater number of tablets or capsules is Polysorbate 80 dissolved in 55 mL of water was added to a
needed—to provide the therapeutic dose, which reduces concentration of 0.25% to simulate intestinal fluid. Aliquots
patient compliance. Additionally, if the microemulsions or were withdrawn at 4, 6, 9, and 12 h for analysis, as described
self-emulsifying formulations are not converted into previously, and the removed volume was replaced with
powders, the liquid formulations are limited to fresh medium each time. The aliquots were diluted with
incorporation into soft-gelatin capsules, which makes the methanol for HPLC analysis.
Madhavi—Bioavailability of MicroActive Curcumin Integrative Medicine • Vol. 13, No. 3 • June 2014 25
26 Integrative Medicine • Vol. 13, No. 3 • June 2014 Madhavi—Bioavailability of MicroActive Curcumin
30
Statistical Analysis
Single-dose and Tolerability Studies 20
The amount of curcuminoids in the 10
blood samples for experimental and control
groups was determined using the area under 0
the curve (AUC) calculated with the 0 2 4 6 8 10 12 14
Time (h)
trapezoid rule. The amount of curcuminoids
absorbed by participants under each 95% Curcumin MicroActive Curcumin
condition was compared using the student
t test (repeated measures). Calculations and
analysis were made using Prism 4 for
Macintosh (GraphPad, La Jolla, CA, USA).
Figure 2. Comparison of Uptake of Curcumin for the 10 Participants
Results
in the Single-dose Study
Dissolution Test
Figure 1 presents the dissolution profiles
of MicroActive Curcumin and unformulated
95% curcumin powder. The MicroActive 100
formula showed a higher dissolution at all 90
Plasma Curcumun ng/mL Above Baseline
Single-dose Study 10
Figure 2 presents the average uptake of 0
curcumin from MicroActive Curcumin and
0 5 10 10
95% curcumin powder for the 10 participants
in the single-dose study. MicroActive Time (h)
Curcumin showed higher absorption at all
time points tested, with a Tmax of 4 hours,
followed by sustained release during the 95% Curcumin MicroActive Curcumin
remaining hours. The plasma levels
remained high at 12 hours, indicating
sustained release for more than 12 hours.
Madhavi—Bioavailability of MicroActive Curcumin Integrative Medicine • Vol. 13, No. 3 • June 2014 27
2 500
Curcumin AUC (0-12 h ng/[mL × h])
2 000
1 000
500
0
1 2 3 4 5 6 7 8 9 10
Participants
Abbreviations: AUC = area under the curve.
The average area under the curve (AUC 0-12 h ng/([mL × h]))
Figure 4. AUC for Bisdemethoxycurcumin for Indi- was 887.48 ± 549.98 for MicroActive Curcumin and
vidual Participants in the Single-dose Study When 91.82 ± 50.00 for 95% curcumin. The ratio of MicroActive
Taking MicroActive Curcumin to unformulated 95% curcumin AUC was 9.7. The
results were highly significant (P < .001; paired t test).
160
Figure 3 presents the comparison of AUC of curcumin
for individual participants. All the participants showed
Bisdemethoxycurcumin AUC (0-12 h ng/[mL × h])
28 Integrative Medicine • Vol. 13, No. 3 • June 2014 Madhavi—Bioavailability of MicroActive Curcumin
1.6
1.4
Plasma Curcuminoids (μg/mL)
1.2
1.0
0.8
0.6
0.4
0.2
1 2 3 4 5
Weeks
95% Curcumin MicroActive Curcumin
and bisdemethoxycurcumin were 0.16 μg/mL and 0.022 curcumin. In the dissolution study, the micronized
μg/mL, respectively. After participants started taking curcumin was released in a period of 12 hours, which is
MicroActive Curcumin, the levels of curcumin and indicative of sustained release on oral dosing. In the
bisdemethoxycurcumin were 0.60 μg/mL and 0.75 μg/mL, single-dose study, all participants showed sustained release
respectively, by the end of 14 days. The relative increases of MicroActive Curcumin irrespective of gender and age.
in the levels of plasma curcumin and bisdemethoxycurcumin Also, all participants showed absorption of curcumin from
between week 2 and week 5 were 3.75 × and 34 × the MicroActive Curcumin in the single-dose study, while
unformulated and the formulated versions, respectively. some of the subjects absorbed very little from the
MicroActive Curcumin resulted in a significant unformulated 95% curcumin. The bioavailability of
increase in the plasma bisdemethoxycurcumin, which was curcumin from MicroActive Curcumin was 9.7 × greater
not observed with administration of 95% curcumin. The than that of the unformulated curcumin.
results were further confirmed with HPLC analysis. Two A significant increase also occurred in the plasma
participants who continued supplementing with bisdemethoxycurcumin with MicroActive Curcumin, but
MicroActive Curcumin after the initial 14 days showed the same result was not observed with the unformulated
sustained high levels of all 3 curcuminoids during a period 95% curcumin. In the single-dose study, 9 participants out
of 3 months. The third participant did not continue with of 10 showed an increase in the bisdemethoxycurcumin
the study because of problems with compliance. levels with MicroActive Curcumin. At higher dosage
levels in the accumulation study, a significant increase
Discussion occurred in bisdemethoxycurcumin levels in the plasma.
The objective of this study was to compare the relative With 95% curcumin, only 1 participant showed detectable
bioavailability of an advanced, micronized curcumin levels of bisdemethoxycurcumin in the high-dose
formulation (MicroActive Curcumin) with that of accumulation study.
unformulated 95% curcumin powder. MicroActive The reasons for the increase in bisdemethoxycurcumin
Curcumin, a commercially available form, was formulated are not clear. No differences existed in the composition of
in a proprietary mixture of surfactants, oil, and sustained- the curcuminoids between the formulated and
release polymers to form a micronized dispersion of unformulated curcumin powders, and the dosage of
Madhavi—Bioavailability of MicroActive Curcumin Integrative Medicine • Vol. 13, No. 3 • June 2014 29
30 Integrative Medicine • Vol. 13, No. 3 • June 2014 Madhavi—Bioavailability of MicroActive Curcumin
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