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European Journal of Pharmaceutics and Biopharmaceutics 131 (2018) 44–47

Contents lists available at ScienceDirect

European Journal of Pharmaceutics and Biopharmaceutics


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

Technical note

3D printing of tablets containing amorphous aripiprazole by filaments co- T


extrusion

Witold Jamróza, , Mateusz Kureka, Anna Czecha, Joanna Szafranieca,b, Karolina Gawlakb,
Renata Jachowicza
a
Chair and Department of Pharmaceutical Technology and Biopharmaceutics, Faculty of Pharmacy, Jagiellonian University Medical College, 9 Medyczna str., 30-688
Krakow, Poland
b
Department of Physical Chemistry and Electrochemistry, Faculty of Chemistry, Jagiellonian University, 2 Gronostajowa str., 30-387 Krakow, Poland

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

Keywords: Three-dimensional printing is one of the fastest developing technology within pharmaceutical field. With many
3D printing advantages this method can be found as a new dosage form manufacturing technique, however low printing
Hot melt extrusion efficiency stays as one of the major limitations. Therefore, the preparation of filaments as a feedstock and
Amorphization printing of the final dosage forms in pharmacies may by the direction of development for this method. Thus,
Aripiprazole
simple dosage and dissolution profile modification seems to be essential. This can be done in simple way by
Tablet
addition drug-free filament during printing process. In this work the influence of dual co-extrusion process on
the properties of 3D-printed tablets with aripiprazole was evaluated. A ZMorph® 3D printer equipped with
DualPro extruder was employed to produce tablets made from Kollicoat® IR aripiprazole-loaded filament and
commercially available PLA filament used to modify the release profile. Optical and polarized light microscopy
were utilized to evaluate structure of printed objects and X-ray diffraction studies were performed to determine
crystallinity of aripiprazole within filament and tablets. Fast dissolution of aripiprazole resulted from its
amorphization while prolonged drug release was a result of co-extrusion with PLA filament. Importantly, the
drug remained crystalline within the filament and phase transition into disordered system appeared during
printing of tablets. Given the high stability of crystalline materials such feature is especially beneficial for long-
term storage of feedstock filament.

1. Introduction by Pietrzak et al. who reported that the amount of dissolved theo-
phylline changes with the size of the printed tablet [3–5]. This problem
Three-dimensional printing (3DP) is a group of rapid prototyping can be solved using the co-extrusion with the drug-free filament made
techniques that are believed to be the most revolutionary in current from the same polymer what results in the formation of dosage forms
pharmaceutical applications. The great interest of additive manu- characterized by the same size and dissolution behavior but different
facturing is manifested by the first 3D-printed drug - Spritam® that content of an active substance. To achieve this goal it is necessary to use
received U. S. Food & Drug Administration approval in 2015. The print head that allows co-extrusion from two filaments at the same
technique that is very promising for solid dosage form preparation is time. Due to the fact that both filaments are heated simultaneously in
Fused Deposition Modelling (FDM) which is classified as a solid ex- one print head and extruded through one nozzle without mixing,
trusion-based 3D printing method [1]. This approach uses the filament polymers utilized in this technology have to be characterized by similar
that is prepared by hot-melt extrusion from thermoplastic polymers melting temperatures and rheological properties. This approach opens
such as poly(vinyl alcohol) (PVA), poly(lactic acid) (PLA), cellulose or new opportunities in dosage forms development, however it has to be
acrylic acid derivatives and active pharmaceutical ingredient (API) [2]. carefully investigated in terms of material mixing, potential interac-
The filament is melted in the nozzle and subsequently deposited to tions and release mechanism. While classical FDM provides easy mod-
create the three-dimensional object layer by layer. The type of used ification of the internal structure of printed objects and spatial se-
polymer, the geometry of the printed object, drug loading and possible paration of incompatible APIs in compartmentalized dosage form, it
amorphization of API may affect its dissolution characteristics as shown requires the use of different filaments to obtain objects of the same


Corresponding author.
E-mail address: mfjamroz@cyf-kr.edu.pl (W. Jamróz).

https://doi.org/10.1016/j.ejpb.2018.07.017
Received 12 April 2018; Received in revised form 28 June 2018; Accepted 21 July 2018
Available online 23 July 2018
0939-6411/ © 2018 Elsevier B.V. All rights reserved.
W. Jamróz et al. European Journal of Pharmaceutics and Biopharmaceutics 131 (2018) 44–47

shape, size, infill ratio but various concentration of API [6]. The use of
co-extrusion technology allows to apply one drug-loaded filament as a
feedstock material and modify the printed object properties what lead
to the drug content or dissolution rate modifications in the printing
stage without the need of utilization of the new API-loaded filament. It
makes one filament can be easily implemented into the formation of
individualized product series.
The aim of this study is to evaluate the influence of dual co-extru-
sion of drug-loaded soluble filament and insoluble drug-free filament on
the properties of 3D-printed tablets with aripiprazole (ARP) being
practically insoluble antipsychotic drug assigned to BCS class II.
Performed studies confirmed that 3D printing led to drug amorphiza-
tion what positively affected the dissolution of aripiprazole while co-
extrusion with PLA resulted in its prolonged release.

2. Materials and methods

Aripiprazole (HyperChem, China) was used as a model drug.


Kollicoat® IR (BASF®, Germany) was used as matrix forming excipient
to prepare filaments. Commercially available PLA filament (1.75 mm in
diameter, 3DColor®, Poland), based on Ingeo™ Biopolymer 2003D
(Nature Works LLC, USA) was used as modifying agent.

2.1. Drug-loaded filament preparation

Aripiprazole and Kollicoat® IR were mixed and filament with ar-


ipiprazole was prepared with Noztek® Pro filament extruder (England) Fig. 1. DualPro extruder (front).
at 150 °C.
2.5. X-ray diffraction (XRD)
2.2. Filament drug content determination
The crystalline structure of the samples was analyzed using X-ray
Six randomly taken filament samples were weighed and shaken in diffractometer Rigaku Mini Flex II (Japan). Diffraction patterns were
100 mL Erlenmeyer flasks filled with 25 mL of water over 12 h in wa- collected from 3° to 70° with 5°/min step and a step size equal to 0.02.
terbath (Memmert WNB 22, Germany) at 70 °C. After cooling, 50 mL of Monochromatic Cu Kα radiation (λ = 1.5418 Å) at ambient tempera-
ethanol was added and flasks were shaken for another 4 h at room ture was used. The diffraction patterns were collected using a current of
temperature. Drug content was assayed spectrophotometrically at 15 mA and a voltage of 40 kV. The samples were measured as received.
λ = 250 nm using UV-1800 spectrophotometer (Shimadzu, Japan).
2.6. Dissolution studies
2.3. Preparation of 3D-printed tablets
Dissolution studies were performed in accordance to the pharmaco-
Tablet model (cylinder shape, 9 mm in diameter and either 1.8 mm peial apparatus II (Hanson Research SR8 Plus, USA) in sink conditions
or 2.4 mm in height) was designed with Blender® software, transferred (900 mL of 0.1 mol/L HCl with KCl, pH = 1.2 at 37 °C). The paddle ro-
to Voxelizer® slicing software and then printed with ZMorph® 2.0 SX tation speed was 50 rpm. Samples were withdrawn at certain time in-
personal fabricator (Poland) equipped with two material DualPro ex- tervals, filtered and analyzed spectrophotometrically at λ = 250 nm
truder (Fig. 1). The printing process was realized by two independently using a Shimadzu UV-1800 spectrophotometer (Japan). The tests were
working stepper motors which moved API-loaded and placebo filaments carried out in triplicate and presented results represent average amounts
into the single hot end where melting end extrusion by 0.4 mm nozzle of dissolved drug with standard deviations (Mean +/- SD).
occurred. Process was conducted at 208–210 °C at 8–10 mm/s speed.
The plate temperature was 60 °C. The layer height was 0.2 mm, and
path width 0.4 mm. Two types of tablets were prepared: printed with 3. Result and discussion
drug-loaded filament only (1:0) and composed of two types of fila-
ments, i.e. API filament: placebo filament in 4:1 wt ratio. Color (red:- The ARP-loaded filament was opaque and light yellow in color
blue)1 placebo cylinder was printed to visualize and better understand (Fig. 2). The dimension of the filament was 1.4 mm and the drug con-
the mechanism of co-extrusion process. tent 13.68 ± 3.62%.
DualPro print head gives the opportunity for partial mixing and co-
extruding two materials at set temperature. The microscopic in-
2.4. Filament and tablets morphology
vestigation of placebo prints revealed that the two types of filaments
were extruded side by side and mixing zone was limited. During
Tablets morphology were examined using stereoscopic microscope
printing of cylindrical object the filaments paths were twisted and
MST 200 M (Poland) and polarized light microscope Hund Wetzlar
changes in two color pattern were observed (Fig. 3).
H600 (Germany). Digital images were captured by TPL MicroCam
The printed tablets were light yellow (Fig. 4a). Their height varied
5MPx (Poland). Digimatic Micrometer MDC-25SB (Mitutoyo, Japan)
between 1.80 and 1.85 mm (1:0) and 2.41–2.56 mm (4:1) while the
was used to determine dimensions of the filament and tablets.
weight was 80–88 mg and 145–154 mg, respectively. Single layer of the
tablet was transparent and no crystals of ARP were observed in polar-
1
For interpretation of color in Figs. 1–3, the reader is referred to the web ized light (Fig. 4 b and c).
version of this article. X-ray diffraction patterns confirmed amorphization of aripiprazole

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W. Jamróz et al. European Journal of Pharmaceutics and Biopharmaceutics 131 (2018) 44–47

Fig. 2. ARP-loaded filament.

Fig. 5. XRPD diffractogram of filament and 3DP tablets.

Fig. 3. Two color pattern of placebo cylinder.

in 3DP tablets as only a broad amorphous hallo was observed while


characteristic Braggs peaks were visible on the filament diffractogram.
This phenomena is a consequence of filament preparation in the tem-
perature not exceeded aripiprazole melting point, whereas 3D printing
process temperature was above drug melting point (Fig. 5). In our
previous study we showed that FDM method allows to produce or-
odispersible films containing amorphous aripiprazole characterized by
fast dissolution of the API [7].
The printed paths width were not even and observed gaps resulted
from differences in filaments diameter: 1.4 mm of ARP loaded filament
compared to 1.75 mm of placebo filament. It also influenced the drug
content homogeneity which was affected by co-extrusion process as
well. Dissolution data reveals that co-extrusion with insoluble PLA Fig. 6. Dissolution profiles of aripiprazole.
polymer can modify dissolution profile. After 6 h about 70% of ARP was
released from 4:1 formulation whereas over 90% of drug was released
filaments as over 95% of drug dissolved after 60 min [7]. The effect of
after 45 min from 1:0 formulation (Fig. 6). Similar results were ob-
improved dissolution was assigned to drug amorphization and in-
tained for orodispersible films printed from aripiprazole-loaded PVA
creased surface area.

Fig. 4. (a) 3D printed tablets (4:1) and (1:0); (b, c) visible and polarized light microscope images of tablets single layer.

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W. Jamróz et al. European Journal of Pharmaceutics and Biopharmaceutics 131 (2018) 44–47

4. Conclusions financial support (grant Symfonia 3 no 2015/16/W/NZ7/00404).

Performed studies confirmed that dual co-extrusion of aripiprazole- References


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The authors acknowledge Polish National Science Centre for the

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