This action might not be possible to undo. Are you sure you want to continue?
DRUG DELIVERY SYSTEM
Novel Drug Delivery System
Global trends in drug delivery systems
Nasal Drug Delivery System Medical aspects Formulation Development Applications Conclusion
NOVEL DRUG DELIVERY SYSTEM - an overview
with sales of drugs incorporating novel drug delivery systems increasing @ an annual rate of 15% 4 .Novel drug delivery is one of the fastest growing healthcare sectors.
By 2010. the US drug delivery market alone will be worth $30 billion 5 .
There are great opportunities for companies investing in R&D for new. improved drug delivery system. allowing for improved therapeutic absorption and efficacy in patients 6 .
convenience and dose To enhance a product’s life-cycle To improve `patient compliance To target drug delivery To control overall healthcare costs To facilitate biological drug delivery 7 .Why Novel Drug Delivery system? To optimize drug’s therapeutic effect.
sustained release oral dosage forms to reduce dosing frequency Commercially enabling delivery systems that provide viable alternatives for therapeutics that are not fully developed and marketed because there are limited practical means of administration Eg.The Novel Drug Delivery industry is comprised of companies seeking to develop Novel alternatives to existing delivery systems Eg. implantable pumps Enhancements to existing systems Eg. polar organics and other poorly absorbed therapeutics 8 .
Novel drug delivery companies have existed since the late 1960s. promoted the concept and absolute need for specific drug delivery systems for specific diseases 9 . when Alza and Elan pioneered the oral methods of enhanced drug delivery The introduction of hypodermic devices but especially metered dose inhalers & nasal sprays.
Today there are between 300 & 350 companies worldwide with an interest in drug delivery. operating in a fierce environment where the number of drug launches using proven delivery technology is growing More novel technologies such as pulmonary delivery of insulin or needle-less human growth hormone injections are under development and are yet to be commercialized 10 .
Drug Delivery Systems Oral Injectable Mucosal Topical Transdermal Ocular Vaginal/ Anal Needle Needleless Nasal Buccal Pulmonary Active Passive 11 .
Global drug delivery market by administration mode Nasal 2% Ocular 2% Injectable/ Implant 3% Transdermal 8% Inhalation 32% Oral 53% 12 .
Inhalation/pulmonary drug delivery system includes Metered dose inhalers Dry powder inhalers Inhalation solutions & suspensions (for nebulizers) Inhalation nasal sprays 14 .
nasal drug delivery system has received interest since ancient times Therapy through intranasal administration has been an accepted form of treatment in the Ayurvedic system of Indian medicine 15 .Historically.
Nasal Drug Delivery System & Opportunity Annual market growth Development time vis-a-vis new chemical entity Development cost vis-a-vis new chemical entity Merits Limitations 16 .
30% 11% Annual growth of locally acting products Annual growth of systemically acting products 17 .
Drug development time 10 – 14 years New Chemical Entity 2 – 5 years Nasal Drug Delivery 18 .
Drug development cost $300-600 mio New Chemical Entity $50 mio Nasal Drug Delivery 19 .
non-invasive. needle-free administration mode 20 .Merits Avoidance of hepatic first-pass metabolism Rate of absorption comparable to IV medication Rapid onset of pharmacological action User-friendly. painless.
21 ... Inhalation anesthesia. Morphine etc.Merits. better site for rapid onset of action Eg. Lower dose & hence lower side effects Useful for both local & systemic drug delivery For CNS drugs.
Limitations Once administered. rapid removal of the therapeutic agent from the site of absorption is difficult Pathologic conditions such as cold or allergies may alter significantly the nasal bioavailability 22 .
The respiratory tract, which includes the
nasal mucosa hypopharynx large airways & small airways
provides a relatively large mucosal surface area of
approx. 100 m2 (in normal adult) for drug absorption
Cross-sectional view Nasal site of drug spray & absorption Pathways for nasal absorption
a – nasal vestibule b – palate c – inferior turbinate
d – middle turbinate e – superior turbinate (olfactory mucosa) f – nasopharynx
Site of drug spray & absorption 27 .
Pathways for nasal absorption Absorption through the olfactory neurons .transneuronal absorption. Olfactory epithelium is considered as a portal for substances to enter CNS Absorption through the supporting cells & the surrounding capillary bed .venous drainage Absorption into the cerebrospinal fluid 28 .
Transneuronal absorption Olfactory nerve – 1st cranial sensory nerve 29 .
Venous drainage 30 .
. Esterase. •PG of E series was inactivated 15 hydroxyprostaglandin dehydrogenase 31 . •Insulin zinc free was hydrolysed slowly by leusine aminopeptidase.. Oxidoreductase. steroid hydroxylases. nitrosamine progesterone etc. lactic dehydogenase. Lactate dehydrogenase. nasal decongestants. etc.. malic enzymes. cocaine. lysosomal proteinases. Hydrolases. phenacetin. nocotine. •Cytochrome P450 dependent mono oxygenases has been reported to catalyse the metabolism of xenobiotics.Nasal enzymes •Cytochrome P 450 dependent onooxygenases.
.Nasal enzymes – contd. •Progesterone and testosterone were metabolized by several steroid hydroxylases in the nasal mucosa of rats 32 .
5 •Infants and children: 5-6.Nasal pH •Nasal secretion of adult : 5. •Lysozyme in the nasal secretion helps as antibacterial and its activity is diminished in alkaline pH 33 .5-6. acute sinusitis.7 •It becomes alkaline in conditions such as acute rhinitis.
Antibiotics 5.Therapeutic class of drugs 1. Corticosteroids 3. More recently. vaccines 35 . Antifungal 6. Antiviral 4. 2 adrenergic agonists 2.
Ipratropium Bromide . Sodium Chromoglycate – mast cell stabilizer 36 . Salbutamol .anticholinergic 5.corticosteroid 4.2 adrenergic agonist 3. Terbutaline Sulphate . Budesonide .2 adrenergic agonist 2.Drugs commonly administered through pulmonary route include 1.
Formulation Development 37 .
Formulation Development Dosage form Factors affecting drug absorption Formulation considerations Physiological Pharmaceutical 38 .
Dosage forms Liquid drop Liquid spray/nebulizers Aerosol Suspension spray/nebulizers Gel Sustained release 39 .
Drug concentration Factors affecting drug absorption Vehicle of drug delivery Mucosal contact time Degree of drug’s ionization pH of the absorption site Size of the drug molecule Relative lipid solubility 40 .
Physiological effects Drug metabolism in the respiratory tract & reduction of systemic effect Protein binding Mucociliary transport causing increased or decreased drug residence time 41 .
.. - Local toxic effects of the drug Eg.. or altered tissue defenses - Local or systemic effects of propellants. edema. preservatives. cell injury.Physiological effects. or carriers 42 ..
Pharmaceutical - Physico-chemical properties of a drug candidate Methods to enhance drug absorption Spray pump devices 43 .
Effect of solution pH 4. Effect of molecular size 3. Effect of drug lipophilicity 5. Effect of particle size 2. Effect of drug concentration 44 .1.
Effect of particle size (aerodynamic size distribution) .1.Intermediate particles (3 to 7 microns) reach the actual site of action 45 .Access to distal airways is a function of particle size .Small particles (< 3 microns) will be lost in exhaled breathe .Large particles (> 7 microns) will be lost in the gastrointestinal tract .
lower the nasal absorption .A good systemic bioavailability can be achieved for molecules with a molecular weight of up to 1000 Daltons when no absorption enhancer is used 46 . Effect of molecular size .2.Higher the molecular size.
. Effect of molecular size... ..With the assistance of absorption enhancer. a good bioavailability can be extended to a molecular weight of at least 6000 Daltons Absorption enhancers: Polyacrylic acid Sodium Glycocholate Sodium Deoxycholate Polysorbate 80 etc. 47 .2.
Absorption is higher at a pH lower than the dissociation constant (pKa) of the molecule .3.Absorption is lower as the pH increases beyond the dissociation constant 48 . Effect of solution pH .Nasal absorption is pH dependent .
Effect of drug lipophilicity .Lipid soluble drugs are absorbed more rapidly than water soluble drugs 49 .Polar (water soluble) drugs tend to remain on the tissues of the upper airway .Non-polar (lipid soluble) drugs are more likely to reach distal airways .4.
Absorption depends on the initial concentration of the drug .5.The absorption follows first-order kinetics 50 . Effect of drug concentration .
Methods to enhance nasal absorption of drugs Structural modification Salt or ester formation Formulation design 51 .
Unidose .Multidose 52 .Bidose .SPRAY PUMP DEVICES .
Bidose Unidose 53 .
Multidose 54 .
France Becton Dickinson.LEADING PUMP SUPPLIERS Pfeiffer. Spain 55 . Germany Valois. France Nemo.
Applications Delivery of non-peptide pharmaceuticals Delivery of peptide-based pharmaceuticals Delivery of diagnostic drugs 56 .
propranolol . Delivery of non-peptide pharmaceuticals Drugs with extensive pre-systemic metabolism.estradiol .1. such as .progesterone .sodium chromoglyate can be rapidly absorbed through the nasal mucosa with a systemic bioavailability of approximately 100% 57 .nitroglycerin .
Calcitonin. Delivery of peptide-based pharmaceuticals Peptides & proteins have a generally low oral bioavailability because of their physico-chemical instability and susceptibility to hepatogastrointestinal first-pass elimination Eg. Insulin.2. Pituitary hormones etc. Nasal route is proving to be the best route for such biotechnological products 58 .
Delivery of diagnostic drugs Diagnostic agents such as Phenolsulfonphthalein – kidney function Secretin – pancreatic disorders Pentagastrin – secretory function of gastric acid 59 .3.
Nasal route is a part of drug delivery strategy that is emerging to be a fastest growing drug delivery system with an annual growth of 11% for locally acting drugs & 30% for systemically acting drugs 61 .
Nasal drug delivery offers such benefits as Rapid onset of action with lower dose & minimal side effects Has an advantage of site-specific delivery with improved therapeutic effects 62 .
Attractive for delicate molecules allowing systemic administration without significant degradation 63 .
Nasal drug delivery system offers flexibility for multiple formulations ranging from nasal drop to suspension spray 64 .
Recent activities indicate a bright prospect for site-specific delivery of biotechnological products such as Insulin & other hormones 65 .