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European Journal of Pharmaceutical Sciences 135 (2019) 60–67

Contents lists available at ScienceDirect

European Journal of Pharmaceutical Sciences


journal homepage: www.elsevier.com/locate/ejps

Digital light processing (DLP) 3D-printing technology and photoreactive T


polymers in fabrication of modified-release tablets

Hossam Kadrya,b, Soham Wadnapc, Changxue Xuc, Fakhrul Ahsana,
a
Department of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences Center, 1300 Coulter Dr., Amarillo, TX 79106, United States of
America
b
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Al-Azhar University, Cairo 11651, Egypt
c
Department of Industrial, Manufacturing, and Systems Engineering, Texas Tech University, Lubbock, TX 79409-3061, United States of America

A R T I C LE I N FO A B S T R A C T

Keywords: In this study, we assessed the feasibility of using digital light processing (DLP) 3D printers (3DP) in fabrication of
3D printing solid oral dosage forms. The DLP technology uses a digital micromirror device (DMD) that reflects and focuses
PEGDA ultraviolet (UV) light on the surfaces of photoreactive materials that polymerize in a layer-by-layer fashion.
PEGDMA Using poly(ethylene glycol) diacrylate (PEGDA) and poly(ethylene glycol) dimethacrylate (PEGDMA) as pho-
Drug release
toreactive polymers and theophylline as a model drug, we deployed a DLP printer to fabricate tablets. After
Digital micromirror device (DMD)
Photoreactive polymers
optimizing various printing parameters including UV intensity and exposure time, layer thickness, and polymer
concentration, we printed various types of tablets with and without perforation. We then assessed the tablets for
drug content, mechanical strengths, swellability, weight variation, microscopic features, drug-polymer inter-
actions and drug release profiles. The loading of theophylline was 1%, which was independent of tablet weights.
The drug content and weight variation were within the acceptable range, as recommended by the United States
Pharmacopeia (USP). Scanning electronic microscopic (SEM) pictures showed tablets with distinct layers and
smooth outer surfaces. The spectral scans, obtained using Fourier Transform Infrared Spectroscopy (FTIR),
showed no chemical interactions between the drug and polymers. Similarly, drug content determined using a UV
spectrophotometer was the same as that determined by a high performance liquid chromatography (UPLC). The
extent of drug release increased with the increase in the number of perforations in the tablets. Overall, this study
demonstrates that DLP 3DP can be used as a platform for fabricating oral tablets with well-defined shapes and
different release profiles.

1. Introduction 2000; Khaled et al., 2015; Wang et al., 2016). In binder deposition
technology, inkjet printers are used to add drops of binders over a layer
Current studies concerning the application of 3DP technologies in of powder that causes powder particles to adhere and form a predefined
fabrication of pharmaceutical dosage forms revolve around three major 2D shape. On the first layer of powder, a series of powder layers is
areas including (i) use of new printers or technologies (Clark et al., added, and the process is continued until a 3D shape develops (Rowe
2017; Fina et al., 2017; Khaled et al., 2014; Wang et al., 2016), (ii) et al., 2000). First FDA approved 3DP tablet, Spritam®, was fabricated
exploration of new feeding materials (Okwuosa et al., 2016; Sadia et al., using this technique. However, tablets prepared with binder deposition
2016; Zhang et al., 2017), and (iii) optimization of established methods techniques suffer from poor resolution and inadequate mechanical
for fabrication of tablets with better resolution (Gioumouxouzis et al., strength. On the other hand, bioprinters have been used to prepare oral
2017; Goyanes et al., 2015b; Kadry et al., 2018). Other applications of tablets containing one or more drug substances. In bioprinters, a paste
3DP include fabrication of microfluidic devices, printing of cell-laden of drug-polymer mixture is extruded via the printer nozzle, the ex-
organs and many non-medical objects (Kimlinger and Martin, 2018; Liu truded pastes then grow into a given shape, and then the final semisolid
et al., 2018). More specifically, 3DP technologies that have thus far objects undergo a drying step (Khaled et al., 2014). However, this
been used in designing and fabrication of pharmaceutical dosage forms technique requires additional post-processing steps such as drying and
include binder deposition techniques, bioprinters, fused deposition heating for solidification.
modeling, and stereolithography (Goyanes et al., 2015a; Katstra et al., The fused deposition modeling (FDM) technology, on the other


Corresponding author at: 1300 Coulter Dr., Amarillo, TX 79106, United States of America.
E-mail address: fakhrul.ahsan@ttuhsc.edu (F. Ahsan).

https://doi.org/10.1016/j.ejps.2019.05.008
Received 14 September 2018; Received in revised form 18 April 2019; Accepted 12 May 2019
Available online 17 May 2019
0928-0987/ © 2019 Elsevier B.V. All rights reserved.
H. Kadry, et al. European Journal of Pharmaceutical Sciences 135 (2019) 60–67

hand, uses filaments that move through the print head, softens the fi- 2. Materials and methods
laments by heating and prints objects in a layer-by-layer fashion
(Goyanes et al., 2014). The low cost, ease of operation and the avail- 2.1. Materials
ability of a wide variety of feeding materials have generated much in-
terest in using FDM printers for fabrication of pharmaceutical products. Theophylline was purchased from Acros Organics (Pittsburgh, PA).
Further, FDM printers can be integrated with a hot melt extruder for Poly(ethylene gycol)(n) diacrylate (PEGDA 400) and Polyethylene
preparing filaments and printing tablets. The FDM technology allows glycol dimethacrylate (PEGDMA 1000) were purchased from
fabrication of tablets with adequate mechanical strengths and lends the Polysciences, Inc. (Warrington, PA) and the photoinitiator, 2-Hydroxy-
flexibility in preparing tablets with customized drug release profiles just 4′-(2-hydroxyethoxy)-2-methylpropiophenone, was purchased from TCI
by varying the infill density, tablet geometry, or arrangement of drug- America (Portland, OR). The salts used in preparing dissolution media
free versus drug-loaded layers (Goyanes et al., 2014; Goyanes et al., were purchased from Sigma-Aldrich Inc. (St Louis, MO).
2015b; Kadry et al., 2018; Okwuosa et al., 2017). However, this tech-
nology requires elevated temperature for preparation of filaments and 2.2. Preparation of photopolymer solution
printing of tablets and thus is currently used for printing of only ther-
mostable materials. Although using a proper combination of feeding We used PEGDA and PEGDMA as the primary polymers to prepare
materials, FDM printers can be operated at low temperatures and used the photoreactive solution. Dissolving 100 mg of theophylline in deio-
in printing of thermolabile drugs (Kollamaram et al., 2018), these nized water, we added 0.5–2 mL (5–20%, v/v) of PEGDA or PEGDMA
printers still require heat to prepare filaments and print tablets. and vortexed for 1 min. Next, we added the photoinitiator to the mix-
Crosslinkable photopolymers have been used as feeding materials to ture at a concentration of 0.5% (w/v) and adjusted the final volume
overcome the limitations of printing of solid drug products containing with deionized water to 10 mL and vortexed the solution for the pho-
thermolabile drug substance (Clark et al., 2017; Wang et al., 2016). toinitiator to completely dissolve. The final solution, which contained
Because of no involvement of heat and ease of preparation of drug- 80% water and 20% drug-polymer mixture, was kept in light-resistant
laden photopolymers, improved resolution, photo-polymerization containers at ambient temperature.
based techniques have attracted much interest in the fabrication of oral
solid dosage forms. Technologies that use photopolymers as feeding 2.3. Tablets fabrication and processing parameters
materials include inkjet and stereolithography (SLA). In the inkjet
technology, photoreactive polymers are jetted via a printer nozzle, Using a digital light processing 3DP, DLP® Discovery™ 4100 (Dallas,
cured with a light emitting diode (LED) UV lamp, cured polymeric TX) equipped with Omnicure s2000 (Excelitas Technologies Corp.,
drops deposit in successive two-dimensional images over multiple Waltham, MA) as a UV source, we printed the tablets for this study.
layers to form 3D objects (Clark et al., 2017). In the SLA technology, a First we created CAD files for tablets using SolidWorks™ software
single UV laser beam moves along the surface of photoresins in a row by (Dassault Systèmes, France) and saved the file as stereolithography files
row fashion that results in localized polymerization and solidification. (.stl). Then using a slicing software, we sliced STL files into multiple
Solidification is repeated in a layer by layer manner until a solid 3D sections, each corresponding to a single layer, and finally saved the files
object emerges (Arcaute et al., 2010; Melchels et al., 2010). as printer readable JPEG files. An optical element was used to gather
The stereolithography has been modified by incorporating a digital and focus the reflected UV light onto the resin reservoir (Fig. 1). The
micromirror device (DMD) in the optical path of the laser, which JPEG pictures were black and white (Fig. 2A), as any white color gave
eliminates the need for scanning and thus allows creating a complete instructions to the micro-mirrors to be activated and reflect UV light
layer in a single exposure (Lu et al., 2006). DMD consists of thousands and vice versa. Tablets were printed at room temperature with a fixed
of moving micromirrors that switch between on and off positions. Based dimension of 7.5 mm long × 5.4 mm wide × 4 mm height, and a layer
on the loaded images, this technology let light reflect in a defined thickness of 200 μm. We printed the tablets at various printing condi-
pattern, via an optical system, and strike the surface of a resin and cause tions by changing UV exposure time and intensity, and polymer con-
solidification of the desired region. Although originally developed for centration (Table 1). After printing, we stored the tablets in air-tight
the display industry, DMD technology, known as digital light processing containers and thus to prevent any shrinkage due to loss of water.
(DLP) technology, have been used in many other areas including wa-
velength multiplexing (McConnell et al., 2006), hyperspectral imaging 2.4. Physical characterization
(Gibson et al., 2013), and computational imaging (Sun et al., 2013).
Compared with laser-based SLA printers, DLP printers are faster, more 2.4.1. FTIR analysis
efficient, and allow operating at a wide range of wavelengths. Unlike Using a Bruker Optics VERTEX 70 FT-IR spectrometer (Billerica,
laser-based commercially available SLA printers, which do not offer the MA), we conducted spectroscopic analysis of PEGDA, PEGDMA, theo-
flexibility of using very small amount of resins for printing, DLP printers phylline, and printed tablets. All samples were scanned between 4000
are adaptable to customized resin reservoirs and small volumes of and 600 cm−1 at 4 cm−1 resolution, and 64 scans using the Platinum
photoreactive polymers. ATR (Attenuated Total Reflectance) diamond crystal accessory.
Despite the promise of DLP 3DP in printing medical devices and
microneedle-mediated drug delivery systems (Bloomquist et al., 2018; 2.4.2. Scanning electron microscopy (SEM)
Lim et al., 2017), this technology has not yet been deployed in fabri- Using a Hitachi S-3400N scanning electron microscope (Hitachi
cation of solid oral dosage forms. As such, for the first time, here we High-Tech Science Corporation, Japan) and a SESI detector, we ex-
seek to assess the feasibility of deploying DLP 3DP in fabrication of solid amined the surface morphology of the printed tablets at 5 kV accel-
oral dosage forms. Using theophylline as a model drug and two erating voltage under high vacuum. Prior to imaging, samples were
common photoreactive polymers, PEGDA and PEGDMA, we varied the freeze-dried to remove the water, then placed on a metallic stub, and
polymer concentration to produce sturdy tablets with minimum finally coated with a thin layer of Au/Pd for better conductivity.
polymer concentration. With a goal to achieve different drug release
profiles, we also designed and prepared tablets with varying surface 2.5. Evaluation of tablet hardness, swelling ratio and water content
areas. In addition, we assessed the interactions between the drug and
photopolymers using FTIR spectroscopy. 2.5.1. Tablet hardness
The fracture strength, defined as the force required to break a tablet
by radial compression, was measured using a conventional tablet

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Fig. 1. A schematic diagram of the Digital Micromirror Device (DMD) stereolithography setup.

Fig. 2. Design and images of 3D printed theophylline tablets: (A) Design of three types of tablets containing no holes, two or six holes. (B and C) Pictures showing the
top and tilted views of 3DP tablets without perforation and those with two or six holes. (D) Images of tablets printed using opaque PEGDA and transparent PEGDMA.

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Table 1 samples using the above UV spectrophotometric method and the drug
Optimization of tablet printing parameters and tablet properties. concentration was obtained from a standard curve. By plotting % drug
Polymer concentration UV intensity Exposure time Printability released against time, we graphed the release profiles of the tablets.
(%) (mW/cm2) (s) Data are reported as mean ± standard deviation. Using a model in-
dependent method to quantify time-dependent change in drug release
5 6 25 Soft
(Ruiz and Volonté, 2016), we calculated the dissolution efficiency (DE)
5 6 35 Soft
∫t1t 2 % Dt . dt AUC
5 12 25 Soft using the following equation: DE = ·100 = ⎡ % D 0 −TT ⎤·100 .
% Dmax (t2 − t 1 )
5 12 35 Soft ⎣ max ⎦
Here %Dt is percentage dissolved at time t, %Dmax the maximum dis-
10 6 25 Easily break
10 6 35 Easily break solved at the final time point T, AUC0-T is the area under the curve from
10 12 25 Easily break 0 to T. After calculating AUC and DE, we compared the DEs using one-
10 12 35 Breakable way ANOVA.
20 6 25 Not well defined shape
20 6 35 Not well defined shape
20 12 25 Not well defined shape 3. Results and discussion
20 12 35 Adequate
3.1. Tablet fabrication and processing parameters

hardness tester (Tianjin Gouming Medicinal Equipment Co. LTD., In this study, we used for the first time a DLP printer for fabricating
Tianjin, China) (n = 3). solid oral dosage forms using photoreactive polymers. This printer of-
fers fast and efficient printing because it can convert 2D images into 3D
2.5.2. Determination of swelling ratio objects by projecting the light onto a whole layer at once, while SLA or
We determined the swelling ratio, defined as the ratio of the weight laser-based printers print each layer in a line by line fashion. Further,
of the tablets after swelling to that of before swelling, to assess the the UV intensity, exposure time, resin volume and reservoir size can be
propensity of the tablets to imbibe water. For this assessment, soon modified in DLP printers and the resolution of the printers can be as
after printing the tablets, we removed uncured resins from the tablet high as 10 μm. Varying the concentration of photopolymers, UV in-
surfaces using a piece of filter paper and weigh the tablets (n = 3), tensity and exposure time (time to print), we tested the assumption that
denoted as Wi, which was the weight of tablet dry tablets. We then printing conditions influence physical and release properties of the ta-
placed the tablets in a beaker containing deionized water for 24 h, re- blets. True to our assumption, various printing conditions, including
moved the tablets from the beaker, wipe the tablets to remove excess polymer concentrations and UV intensity and exposure time had major
water, recorded the weight of the tablets, denoted as Ws, which was influence on the printability of tablets (Table 1). In order to identify the
considered as weight of swelled tablets. Finally, we calculated the optimal polymer concentration, we started with a minimal concentra-
swelling ratio (SR) using the following equation: SR = Ws Wi . tion of the photopolymers. When we used 5% polymer, the resulting
tablets were too soft to handle and to maintain their shape. Similarly,
2.5.3. Water content when the polymer concentration was 10% and the drug-polymer mix-
To determine the water content, we first took the weight (Wi) of ture was exposed to a UV intensity of 6 mW/cm2 at 25 s/layer, there
freshly prepared tablets (n = 3), placed them in a 60 °C oven for 24 h was not much improvement in the printability and tabletability of the
for the tablets to dry completely and then again took the weight of the drug polymer mixture. Keeping the polymer concentration at 10%,
tablets (Wd). Finally, we calculated the water content (WC) using the when we increased UV intensity and exposure time to 12 mW/cm2 and
( )
following equation: WC = Wi − Wd Wi × 100 . 35 s/layer, respectively, printed tablets even then failed to maintain the
desired shape or underwent deformation. However, increasing photo-
2.6. Determination of drug content and dissolution profiles polymer concentration to 20% and setting UV intensity and exposure
time at 12 mW/cm2 and 35 s/layer, respectively, we obtained tablets
We determined the drug content using both UV spectroscopy and with adequate mechanical strength, which can be crushed using a
ultra-performance liquid chromatography (UPLC). For both methods, conventional hardness tester as discussed below (Table 3). The ex-
we crushed the tablets using a mortar and pestle, transferred the cru- posure time used in this study was relatively longer because the con-
shed tablets into a 100 mL volumetric flask, and then diluted with PBS. centration of the polymer was low. However exposure can be reduced
After sonicating the samples for 30 min, stirring overnight at room by increasing the concentration or type of the photopolymer, which was
temperature (Clark et al., 2017), we aliquoted the samples. For UV not feasible in this study because our model drug, theophylline, had
spectroscopic determination of the drug content, we read the samples at poor loading efficiency for the PEG-based polymer, a limitation of this
270 nm in a UV/VIS 918 Spectrophotometer (GBC Scientific Equipment study. Overall, this optimization study suggests that the concentration
LLC., Hampshire, IL). For chromatographic analysis, we used a Waters of photopolymer and UV intensity/exposure time play important role in
Acquity UPLC chromatographic system (Waters Corp., Milford, MA) the printability of tablets using DLP printers.
and C18 column (100 × 2.1 mm, 1.7 μm; Waters, Dublin, Ireland). The
mobile phase for the validated UPLC system was made of 0.05 M am- 3.2. Physical characterization and drug content
monium acetate (90%) and acetonitrile (10%), which was flowed at
0.3 mL/min at room temperature and eluent was read at 270 nm. Two photopolymers produced tablets with varying degrees of pe-
Following a United States Pharmacopeia (USP) recommended pro- netrability to the room light (Fig. 2B–D). Tablets prepared using
tocol for theophylline tablets (USP, 2015), we conducted the dissolution PEGDMA were translucent, similar to the solution of photoreactive
assay. Using a USP II dissolution apparatus (Vankel 7000 Dissolution polymers before crosslinking. On the other hand, tablets made of
Testing Station, Vankel Technology Group, Cary, NC), we placed one PEGDA were opaque, although the polymer solution was translucent
tablet in each dissolution vessel containing 100 mL PBS (n = 3). Setting before printing. This change in the optical property of the tablets may
the paddle speed at 50 rpm and maintaining the vessel temperature at have resulted from the crosslinking and subsequent changes in the re-
37 ± 0.5 °C, we collected 1 mL sample at various time points (0, 5, 15, fractive index of printed tablets (Zhang et al., 2018). Three different
and 30 min, 1, 1.5, 2, 3, 4, 6, 8, 10, and 12 h). The volume of the sets of tablets were prepared for each photopolymer: Intact non-per-
samples collected each time was replaced with an equivalent amount of forated tablets and tablets with 2 or 6 perforations (Fig. 2C). The drug
PBS to maintain the sink condition. Theophylline was measured in the loading in each tablet was 1% (w/w) because of the high water

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Table 2 contribute to the crosslinking (Killion et al., 2012; Lin and Lee, 2003).
Drug content and weight uniformity of different 3D printed tablets. The FTIR spectrum, which is often considered as the fingerprint of a
Tablets Drug content1 Drug content2 Weight uniformity given chemical compound, suggest that the photopolymers acted as
(% ± SD) (% ± SD) (mg ± SD) inert materials when combined with theophylline or exposed to UV-
light induced crosslinking and as such the spectrum of the drug remain
20% PEGDMA Non- 97.18 ± 0.81 97.30 ± 0.97 165.73 ± 1.43
unaltered.
perforated
2 holes 97.74 ± 0.31 98.78 ± 0.24 151.93 ± 2.75
6 holes 98.10 ± 0.30 98.20 ± 0.35 133.70 ± 0.79 3.4. In vitro release profiles
20% PEGDA Non- 98.75 ± 0.96 98.38 ± 0.55 174.23 ± 2.25
perforated By assessing the dissolution profiles of the tablets, we determined
2 holes 98.57 ± 1.37 98.62 ± 1.12 160.70 ± 2.69
the influence of polymers and tablet design, non-perforated versus
6 holes 97.85 ± 1.21 97.55 ± 0.62 155.27 ± 2.78
perforated tablets, on drug release profiles. The volume of the dis-
Determined by 1UV spectrophotometer and 2ultra-performance liquid chro- solution medium was 100 mL, unlike the USP recommended volume of
matography. 900 mL for studying the dissolution of drug products containing
200–400 mg drug. The rationale for choosing 100 mL dissolution
solubility of theophylline. Based on the tablet weight, the drug content medium was that our test products, i.e. tablets, contained 1–2 mg drug.
in the printed tablets were 1.3 to 1.7 mg per tablet and weight of the As such, similar to the USP recommended method, the sink condition
tablets was between 133.70 mg and 174.23 mg (Table 2), which was was maintained for studying the dissolution of our 3DP tablets. In fact,
97.18–98.75% of the initial amount of the drug mixed with the when the drug amount in an experimental dosage form is smaller than
polymer. Also, there was no significant differences between the drug that in a commercial drug product, the volume of the dissolution media
content that was determined by UPLC versus UV spectrophotometer. In are often reduced to a smaller volume (Lobenberg et al., 2000;
fact, the retention time in UPLC for the drug did not change upon Phanapavudhikul et al., 2008).
crosslinking. The spectrum for the solution of dissolved tablets showed The data presented in Fig. 5, suggest that the intact non-perforated
a small peak, which was distinct from the theophylline peak and might tablets of PEGDMA produced maximum release in 6 h and that 65%
belong to the small amount of polymer or photoinitiator that leached drug was released within an hour. Intact tablets prepared using PEGDA
from the tablets into the solution. This result suggests that no drug showed the same release patterns, but drug release was maximum after
underwent degradation during printing and theophylline was stable at 8 h (Fig. 5A). To increase the surface area and thus to enhance the re-
the used UV intensity and duration. In fact, publish studies also suggest lease rate, we printed tablets containing 2 and 6 perforations. Tablets
that theophylline had no stability problems when exposed to UV light made of either polymers with 2 holes showed the same release patterns;
(Kim and Tanaka, 2009). The weight variation for each set of tablets ≅98% drug was released in 3 h (Fig. 5B). However, PEGDMA-tablets
(Table 2) was less than 5%, complying with the USP specifications containing 6 holes produced 100% drug release in 1.5 h and PEGDA-
(USP, 2015). When stored in tightly closed containers at ambient tablets showed 97% release in 3 h (Fig. 5C), suggesting that PEGDMA
temperature, tablets did not dry or shrink, an indication that tablets are would be better suited for immediate release tablets. Dissolution effi-
likely to maintain their shape in the room environment. ciency (DE) data (Fig. 5D), a model independent approach that gives
The digital pictures and SEM photographs showed smooth upper information concerning the extent of drug release in a given period,
surface of the tablets, suggesting printing of one layer followed by suggest that polymer type, PEGDMA versus PEGDA, and presence or
successive layers (Fig. 3B). SEM pictures show the additive character- absence of holes and number of holes influences the drug release pro-
istics or layer-by-layer features of 3D printing, each layer being 200 μm files. PEGDMA-tablets and presence of six holes produced much faster
thick, similar to the patterns in masonry walls (Fig. 3A). The smooth and pronounced drug release than PEGDA-tablets.
outer surface and glass-like inner surface of the perforated part of the In biomedical research, photoreactive polymers such as PEGDMA
tablets indicate the superior capability of DLP printers for printing ta- and PEGDA have been investigated extensively, especially for their
blets with uniform weights and dimensions (Fig. 3C). various applications in tissue engineering and drug delivery (Lin-Gibson
et al., 2004; Martinez et al., 2017). Because they are available in dif-
ferent molecular weights and are biocompatible, poly(ethylene glycol)
3.3. FTIR diacrylate (PEGDA) and poly(ethylene glycol) dimethacrylate
(PEGDMA) have been widely studied for their potential application in
The IR spectra for PEGDA, PEGDMA, theophylline powder and ta- fabrication of 3DP drug products too. These acrylated PEGs can be used
blets prepared by mixing theophylline with either PEGDA or PEGDMA in fabrication of drug products upon optimizing different factors such as
are presented in Fig. 4. The FTIR profiles help assess the presence of the UV intensity, exposure time, polymer molecular weight, and the con-
drug substance within the printed tablets, the compatibility between centration of photoinitiator (Sabnis et al., 2009). Recently, PEGDAs
theophylline and photopolymers, and the degree of curing of tablets. have been used to prepare sustained release ocular implants, which
The spectrum of crystalline theophylline powder showed characteristic were safe to retinal epithelial cells (McAvoy et al., 2018).
peaks at 3120 cm−1 (NeH stretching), 1710 cm−1 (C]O stretching of The drug release from tablets prepared using two PEG-based pho-
ketone), 1664 cm−1 (C]C stretching), 1564 cm−1 (C]N stretching), topolymers may have occurred via diffusion of the drug through the gel
and 1317 cm−1 (CeO stretching) (Kumar Singh Yadav and Shivakumar, layer produced around the tablets due to penetration of water into the
2012; Sekharan et al., 2011). The distinctive peaks of theophylline, tablets. Because the tablets contained about 80% entrapped water, the
with only subtle differences, were present in the IR spectra of the tablets release of drug from the tablets was much faster (Table 3) unlike tablets
prepared with PEGDA or PEGDMA, suggesting no interactions between that had no entrapped water, as reported in a previous publication
theophylline and the photoreactive polymers. To confirm the poly- (Martinez et al., 2017). In fact, the rate and extent of drug dissolution
merization of PEGDMA and PEGDA after UV curing, we compared the can vary depending on the water content (Martinez et al., 2017). The
IR spectra of the photopolymers before and after UV treatment. The extent of cross linking in a given polymer can also affect the release
uncured PEGDA and PEGDMA spectra had characteristic peaks at pattern. Because of the presence of two -CH3 (methacrylate) sub-
2870 cm−1 (methylene stretching), 1722 cm−1 (C]O stretching) and stituents, the scaffold of PEGDMA is reported to have a denser cross-
1637 cm−1 (acrylate C]C stretching) (Clark et al., 2017; Hwang et al., linked network and thus stronger steric constraint compared with that
2015). After the UV treatment, the peaks at 1637 cm−1 disappeared of PEGDA (Kalakkunnath et al., 2006). As such, the higher water con-
because of the conversion of C]C bonds to CeC bonds, which tent and different levels of crosslinking density are perhaps the reasons

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Fig. 3. SEM images of (A) Intact non-perforated tablets showing the layer-by-layer structure, (B) Top surface of intact non-perforated tablets, (C) Top view of printed
holes showing the inner surface.

for the differences in the release rates from the tablets prepared with Sadia et al., 2016), tablets made of cross-linkable photoreactive poly-
PEGDMA versus those prepared with PEGDA. The presence of a rela- mers, such as PEGDA and PEGDMA, remained intact throughout the
tively higher amount of water in either polymer perhaps played no roles dissolution test (Clark et al., 2017) due to the formation of a gel layer
in drug release from PEGDMA versus PEGDA because there was no surrounding the tablets. Similar to a published study (Martinez et al.,
increase in the swelling ratio when tablets were incubated in water for 2018), here we have also demonstrated that DLP 3D printers can be
24 h (Table 3). Unlike other tablets prepared with biodegradable used to print tablets with varying surface area and thus can fabricate
polymers, which are known to release drugs via polymer erosion and tablets with distinct release profiles.
dissolution (Fina et al., 2017; Goyanes et al., 2014; Kadry et al., 2018; Taken together, this study suggests that DLP 3DP can be used for

Fig. 4. FTIR spectra of the formulation components and theophylline tablets prepared with (A) PEGDMA and (B) PEGDA.

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H. Kadry, et al. European Journal of Pharmaceutical Sciences 135 (2019) 60–67

Fig. 5. Drug release profiles of 3D printed tablets: (A) Intact non-perforated tablets. (B) 3D tablets with 2 holes. (C) 3D tablets with 6 holes. (D) Dissolution efficiency
AUC
(DE), calculated using the following equation: ⎡ % D 0 − TT ⎤ ·100 . Please see the text for details on DE calculation. * compared with intact PEGDMA (p =); # compared
⎣ max ⎦
with intact PEGDA (p =); ψ compared with 6 holes PEGDMA (p =); χ compared with 2 holes PEGDA (p =); ϕ compared with 6 holes PEGDMA (p =).

Table 3 4. Conclusions
Hardness, water content, and swelling ratio of different 3D printed tablets.
Tablets Hardness Water content Swelling ratio In this study, we used a DLP 3D printer, for the first time, to produce
(N) (%) solid oral dosage forms. Unlike other UV based 3D printers, this tech-
nique lends the flexibility to customize various printing parameters
20% PEGDMA Non-perforated 3.54 ± 0.87 78.50 ± 0.84 1.05 ± 0.06 such as UV intensity, exposure time, even UV light source, wavelength,
2 holes 2.20 ± 0.10 77.93 ± 1.02 1.05 ± 0.06
6 holes 1.13 ± 0.06 75.01 ± 1.28 1.10 ± 0.01
and amounts of polymers. Further, photoreactive polymer preparation
20% PEGDA Non-perforated 3.07 ± 0.40 77.03 ± 1.12 1.05 ± 0.01 and printing can be performed at room temperature and thus tech-
2 holes 2.00 ± 0.70 78.62 ± 0.90 1.05 ± 1.01 nology can be used for the production of solid oral dosage forms of a
6 holes 1.30 ± 0.20 78.49 ± 0.79 1.09 ± 0.04 wide selection of thermostable and thermo-labile drugs. This tech-
nology will allow fabrication of tablets with distinct release properties
such as immediate and extended release tablets.
printing both thermostable and thermolabile drugs because unlike
other technologies such as FDM, this technology uses no heat at all
Acknowledgements
during the printing process. However, this 3DP technology is not
without its limitations because the solubility of the drugs in the polymer
This study is supported by a TTUHSC internal fund. We thank Dr.
and stability of drug under UV light may restrict deploying this method
Taslim Al-Hilal for his help in correcting English of parts of the
for printing drug products. Drug loading, for example, for theophylline
manuscript and his enthusiastic discussion concerning the deployment
was rather poor although the drug was soluble in the polymers and thus
of 3DP in fabrication of pharmaceutical dosage forms.
for deploying this technology, drugs should be carefully selected. Other
concerns would be the safety of the photopolymers although PEG based
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