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Enteric-coated alendronate
sodium nanoliposomes: a novel
formula to overcome barriers for
1. Introduction
2. Experimental methods
the treatment of osteoporosis
3. Results Khaled Mohamed Hosny†, Osama Abdelhakim Aly Ahmed &
4. Discussion Rana Tariq Al-Abdali
†
5. Conclusions King Abdulaziz University, Faculty of Pharmacy, Department of Pharmaceutics, Jeddah,
Saudi Arabia
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agents and coated with Eudragit L100. Eudragit-coated NLS (EuC-NLS) were
evaluated for particle size, zeta potential, morphological examination, and
drug release in pH 1.2 and pH 7.4 media. The pharmacokinetic study was
carried out in rabbits.
Results: Spherical NLS were successfully developed with a mean size range
from 70 to 150 nm. EuC-NLS with PC:CH:Lec:dicetyl phosphate (4:3:1:1)
successfully resist the release of ALS in acidic environments and enhanced
the bioavailability in rabbits 12-fold compared with the marketed tablets.
Conclusions: EuC-NLS is a promising novel formula for ALS with higher bio-
availability and a lower dose, avoiding the side effects of esophageal
ulceration.
1. Introduction
10.1517/17425247.2013.799136 © 2013 Informa UK, Ltd. ISSN 1742-5247, e-ISSN 1744-7593 741
All rights reserved: reproduction in whole or in part not permitted
K. M. Hosny et al.
Researchers had shown morning dosing is a major compli- phosphatidylcholine (PC), cholesterol (CH), and lecithin
ance problem with osteoporosis therapy [1,6-8]. Proper ALS (Lec) in gram ratios 4:1:1, 4:2:1, 4:3:1, and 4:4:1, respec-
administration instructions should be given to the patient, tively. Trehalose was selected as the lyoprotectant. The mini-
by the physician, to avoid esophagitis and upper GI tract mal trehalose/lipid ratio tested was 3, in order to avoid
lesions. These instructions include: dose of ALS should be lyophilized cake collapse. NLS lipid components (300 mg)
taken with a full glass of water and the patient should remain either alone or mixed with a positive charge-inducing agent
upright at least 30 min before the first food or beverage of the stearylamine (SA) or negative charge-inducing agent DP
day. Up to 60% of patients stop taking weekly ALS during the were dissolved in 10 ml chloroform and a thin lipid film
first year as a result of its side effects and complicated formed after removal of chloroform by rotary evaporator.
instructions [8]. Different strategies were tried to improve The lipid film was hydrated by 10 ml phosphate buffered
the bioavailability of ALS. These include the utilization of solution (pH 7.4) containing 50 mg ALS and 0.9 mg treha-
nanotechnology to prepare biodegradable ALS nanopar- lose with or without the charge-inducing agents SA and DP.
ticles [9]. Han et al. [10] delayed the residence time of ALS in Subsequently, the suspensions were sonicated using probsoni-
the GI tract through the preparation of a mucoadhesive lipo- cator (VCX750, Sonics & Materials, USA) for a time suffi-
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somal formulation that improved the oral bioavailabilty of cient to obtain nanosized liposomes. The suspensions were
ALS in rats by 2.6-fold. Katsumi et al. [11] developed an centrifuged for 30 min at 15,000 rpm to remove the un-
ALS microneedle array using hyaluronic acid that enhanced entrapped ALS and then the precipitates of certain formulae
ALS bioavailability by 90% in rats. were dispersed in buffer solution (pH 7.4) in which Eudragit
Small liposomes with diameters of the order of 100 nm are L100 was previously dissolved and sonicated for 5 min. The
frequently used as a carrier to utilize their better absorption suspensions were rendered acidic by addition of acidic solu-
and distribution [12]. In addition, NLS have the advantages tion at pH 2 in order to precipitate the Eudragit. The final
of nanoparticles, which improve the adhesion to and absorp- suspensions were centrifuged for 30 min at 15,000 rpm and
tion into the intestinal epithelial cells. In this case, the NLS the EuC-NLS were then subjected to freeze--drying.
delivery system might be a highly effective way to improve
For personal use only.
ALS absorption [13]. The technology of enteric coating is Determination of ALS entrapment efficiency
2.2.2
used for several applications to protect the drug from gastric (EE%) in NLS
fluids and enzymes, or to protect the esophagus and stomach The lyophilized NLS were sonicated with methanol for
from the irritant action of some drugs. Enteric coating pre- 15 min. The concentration of ALS in methanol was measured
vents the drug in nanoparticles from disintegration in the at 333 nm by spectrophotometric method proposed by
stomach and it will increase the intact amount of nanoparticles Al Deeb et al. [16]. EE% was calculated as shown in the
delivered to the duodenum of the small intestine [14], which equation:
improves the bioavailability of ALS and reduces the mucosal (1)
irritant effect. The main objective of this work is to formulate EE% = [ALSE / ALST ] × 100
ALS in the form of NLS to improve the bioavailability of the
drug. NLS are then coated with enteric coating material where ALSE and ALST represent the encapsulated ALS and
(Eudragit L100) to reduce side effects on the esophagus and total ALS amount, respectively.
allow elderly patients to tolerate the drug easily.
2.2.3Examination of surface morphology by scanning
2. Experimental methods electron microscope
Neutral, negatively and positively charged samples of NLS were
2.1 Materials subjected to morphological examination by using SEM. Sam-
ALS was kindly supplied by Saja Pharmaceuticals Co. Ltd. ples were reconstituted with deionized water and spread over
(Jeddah, Saudi Arabia); phosphatidylcholine from egg yolk, carbon tape. Samples were then dried in vacuum and coated
lecithin and cholesterol were purchased from Sigma Chemical with gold and examined under the electron microscope to deter-
Co. (St. Louis, Missouri, USA); stearylamine and dicetyl mine the surface morphology of the optimized lyophilized NLS.
phosphate (DP) were obtained from Fluka Chemical Co.
(Buchs, Germany). Eudragit was kindly supplied by Evonik Size analysis and zeta potential measurement
2.2.4
Industries AG, (Essen, Germany) and trehalose was purchased of NLS
from Caesar and Loretz (Hilden, Germany). Other chemicals The zeta potential and the mean particle size were measured
and reagents were of analytical grade. by using dynamic light scattering particle size analyzer
Zetatrac (Microtrac, Inc., USA).
2.2 Methods
2.2.1 Preparation of enteric-coated NLS In vitro gastro-resistance
2.2.5
NLS were prepared according to the method described by To evaluate the enteric nature of EuC-NLS, equivalent to
Vincourt et al. [15]. Lipid components of NLS were 10 mg of ALS was suspended in 1 ml of 0.1 N hydrochloric
Table 1. EE%, particle size, and zeta potential for different formulations of EuC-NLS.
Formula Lipid composition Ratio EE% Particle size Zeta potential Zeta potential
before coating after coating
A. B. C.
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Figure 1. SEM image of freeze--dried ALS NLS, (A) Neutral NLS, (B) Negatively charged NLS, (C) Positively charged NLS.
acid (pH 1.2) in a glass cylinder with a length of 6 cm and a Program. One-way analysis of variance (ANOVA) was
diameter of 2.5 cm. This cylinder was closed from one end by employed to assess the significance of the difference between
For personal use only.
a presoaked dialysis membrane and suspended in a basket in the tested NLS formulation and the reference at a level
the (USP) dissolution tester containing 900 ml of 0.1 N (p £ 0.05) using the SPSS program [17]. AUC0 -- 24 was calcu-
hydrochloric acid (pH 1.2) maintained at 37 C and lated using the linear trapezoidal rule [18]. AUC0-¥ was deter-
100 rpm. Samples were withdrawn after 0.5, 1, 1.5 and 2 h, mined by adding the last measured plasma concentration
and assayed for ALS. divided by the elimination rate constant (Kel) to AUC0 -- 24.
The relative bioavailability of enteric-coated NLS is calculated
2.2.6In vitro drug release by using the following formula [19].
The in vitro profile for ALS from EuC-NLS was evaluated at (2)
phosphate buffer pH 7.4. ALS-NLS, equivalent to 10 mg of Relative bioavailablity = [AUC NLS × Dose Tablet ] /
ALS, were suspended in 1 ml of phosphate buffer (pH 7.4) in [AUC Tablet × Dose NLS]
a glass cylinder as described in the previous experiment at
75 rpm. A 5 ml sample was withdrawn after 5, 10, 15, 30, 45, 3. Results
60, 90, 120, 150 and 180 min, and assayed for ALS at 333 nm.
3.1 Factors affecting entrapment efficiency
2.2.7 In vivo pharmacokinetics study Results in Table 1 show that the increase in the CH content of
Healthy albino male rabbits weighing 2 -- 2.5 kg were divided NLS without charged additives (DP and SA) up to a ratio of
into two groups, six animals each, and were fasted for 12 h 4:3:1 increased the EE% of the prepared NLS. Above this
before and during the experiment. The in vivo animal studies ratio there was a decrease in the EE% by the increase in CH
protocol was revised and approved by the ethical committee level. Thus, the NLS formed from lipid content in a ratio of
of King Abdulaziz University, Jeddah, Saudi Arabia. An oral 4:3:1 (PC:CH:Lec) was selected in regards to the entrapment
ALS formula of freeze--dried EuC-NLS was given to one efficiency (EE% = 49.39%). Incorporation of SA leads to an
group, and the marketed ALS tablets (10 mg) were given to increase in the EE% from 49.39% (for the neutral NLS)
the other group. The dose of ALS was 1 mg/kg for each ani- to 54.16%. However, the EE% decreases to 41.92% by
mal group. The collection of blood samples was carried out incorporation of DP within the nanoliposomal membrane.
at the following time intervals: 0.5, 0.75, 1, 1.5, 2.5, 3.5, 5,
6, 12, and 24 h. Serum samples were then analyzed by 3.2 Morphology and size analysis of liposomes
HPLC. Pharmacokinetic parameters were calculated and Figure 1 shows the SEM for freeze--dried ALS-NLS prepared
presented as mean ± S.D. Cmax and Tmax after oral adminis- by the lipid film hydration technique by a molar ratio of
tration were calculated directly from the plasma concentra- 4:3:1 (PC:CH:Lec), revealing the presence of homogenous,
tion--time curve using WinNonlin Nonlinear Estimation well-identified spheres, which existed in dispersed and
60
About 30% ALS was released within 15 min, which highlights
the rapid dissolution of the enteric coating material in pH 7.4.
50 In addition, nearly 100% ALS was released within 3 h. These
% ALS released
the tested NLS was 3.5 h ± 0.61 (Table 2). The mean
Figure 2. In vitro release of ALS from EuC-NLS formulae and AUC0-¥ for the marketed ALS tablet was significantly different
marketed ALS product in pH 1.2.
compared with NLS. These results confirmed the enhance-
ment of ALS bioavailability > 12-fold when formulated as
enteric-coated NLS.
100
4. Discussion
80
% of ALS released
Table 2. Pharmacokinetic parameters after oral administration of EuC-NLS and marketed ALS tablet (n = 6).
Formulation Tmax (h) Cmax (ng/ml) AUC0 -- 24 (ng·h/ml) K (h-1) AUC0-` (ng·h/ml)
EuC-NLS 3.5 ± 0.61 24.76 ± 4.43 4280 ± 304.5 0.187 ± 0.02 6875.4 ± 407.2
Marketed ALS tablet 0.75 ± 0.09 5.43 ± 2.54 340.6 ± 31.23 0.672 ± 0.12 570.2 ± 43.15
charged liposomes increases the effective diameter, promotes mediums to avoid the adverse effects of ALS, NLS composed of
curvature changes and creates a more swollen membrane PC:CH:Lec:DP (F6) in molar ratio 4:3:1:1 was selected for fur-
structure. In addition, the increase in particle size is attributed ther evaluations. The mean pharmacokinetic parameter results
to the formation of multilamellar NLS. As the charge- showed a delay in Tmax in case of NLS formula compared
inducing agent makes the liposomal membrane suitable to with marketed ALS tablets that is attributed to the efficient
structural rearrangement due to the repulsion which occurs coating with Eudragit L100, which hinders the release of ALS
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between similarly charged phospholipid head groups, it ulti- in the stomach (acidic pH) and releases the drug later in the
mately leads to structural transformation due to adhesion- intestine. The enhancement in bioavailability, > 12-fold, could
mediated processes such as bilayer rupture and fusion [27,28]. be attributed to the size of NLS (110 nm), which have the
This occurred as a result of cross-linking for the NLS aggre- advantages of nanoparticles, and improve the adhesion to and
gates by the charge-inducing agent. Then, rapid spreading of absorption into the intestinal epithelial cells [30]. In addition,
the contact area deforms the liposomes as they flatten against the liposomal vesicles may promote the uptake by M cells in
each other, which places the bilayer under increased tension, the Peyer’s patches and increase absorption through the lym-
which is relieved by fusion and rupture. Upon bilayer rupture, phatic pathway [31]. Permeation of intact NLS through the
vesicles collapse, flattening against each other to form intestinal epithelia pathway is considered as an additional pos-
multilamellar liposomes that increased the particle size. Simi- sible mechanism for the enhancement in bioavailability of the
For personal use only.
lar findings were also reported for incorporation of charge- prepared NLS formula [32].
inducing agents into azathioprine [29], acetazolamide [21],
and indomethacin liposomes [22]. 5. Conclusions
In the case of negatively charged NLS, an electrostatic attrac-
tion occurred during coating between the positively charged Formulation of negatively charged enteric-coated ALS-NLS,
Eudragit and the negatively charged NLS leading to improved as a novel drug delivery system, provided the maximum
efficiency of Eudragit coating compared with neutral and pos- gastro-resistant ALS release. The oral bioavailability of ALS
itively charged NLS. This efficient coat on negative NLS resists was enhanced by > 12-fold in relation to the commercially
the release of ALS in acidic pH 1.2 medium. This interaction available product. The improved formula of ALS could elim-
was also confirmed by the increase in the zeta potential value inate the major drawbacks of conventionally used tablets, and
of the negatively charged NLS after coating with Eudragit allow osteoporotic patients to tolerate the drug without fear of
from - 21.45 to 4.92 mV. In the case of positively charged esophageal inflammation and/or bleeding.
NLS, the repulsion of the positive charges, for Eudragit and
NLS, reduced the efficiency of the enteric coating and conse- Declaration of interest
quently the gastro-resistance character of the prepared formula
that is considered undesirable in enteric-coated dosage forms. The authors state no conflict of interest and have received no
As the main aim of this work is to prevent ALS release in acidic payment in preparation of this manuscript.
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