A NOVEL CHRONOTHERAPEUTIC SYSTEM OF ETORICOXIB FOR TIME SPECIFIC DELIVERY BY MICROSPHERES AND TABLET LOADED CAPSULE SYSTEM

Main Article Content

VR Teja Sruthi Pagadala
M.Lakshmi Surekha

Keywords

Etoricoxib, Chronotherapeutic system, Microspheres, Rheumatoid arthritis

Abstract

The aim of this study was to create an innovative delivery system for Etoricoxib (ET) that offers dual pulse release as a therapeutic approach for rheumatoid arthritis. This system involves the use of microspheres and a tablet-in-capsule arrangement (MT-C).The design of this system involves an impermeable hard gelatin capsule body, inside which a core tablet (the second pulse) is placed at the bottom and sealed with a hydrogel plug (HP). The capsule body is then locked with an enteric-coated cap filled with KT microspheres (the first pulse). The selection of microspheres for the first pulse involved screening different formulations, and ET-M1 was chosen due to its small particle size and high drug loading.The criteria for selecting the second pulse (CT-2) included a disintegration time of 94 seconds and a cumulative drug release (CDR) of 95.56±0.37%. The formulation that met these criteria and achieved the maximum CDR by the end of 6 hours was considered the best.The hydrogel plug (HP) tablet was chosen based on its ability to maintain a lag period of 6 hours. The optimized formulations were then assembled according to the proposed design to create the pulsatile MT-C system, which was evaluated for in vitro release.The MT-C system demonstrated a delayed sustained CDR of 96.25% by the end of 10 hours from the first pulse (microspheres) after a 2-hour lag time. This was followed by a rapid release of ET from the second pulse (core tablet) in simulated colonic fluid within 10 hours.In conclusion, the in vitro pulsatile release system achieved a rational combination of delayed sustained and immediate release of ET. This system has the potential to address pain during the night and morning stiffness associated with rheumatoid arthritis. Incorporating two pulses into one system offers the advantage of reducing the frequency of dosing and improving pain management.

Abstract 102 | PDF Downloads 58

References

1. D. Aletaha, T. Neogi, A.J. Silman, J. Funovits, D.T. Felson, C.O. Bingham, N.S. Birnbaum, G.R. Burmester, V.P. Bykerk, M.D. Cohen, 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative, Arthritis Rheum. 62 (9) (2010) 2569–2581.
2. D.P. Symmons, Epidemiology of rheumatoid arthritis: determinants of onset, persistence and outcome Best, Pract. Res. Clin. Rheumatol. 16 (5) (2002) 707–722.
3. P. Chalan, A. van den Berg, B.-J. Kroesen, L. Brouwer, A. Boots, Rheumatoid arthritis, immunosenescence and the hallmarks of aging, Curr. Aging Sci. 8 (2) (2015) 131–146.
4. A. Gibofsky, Overview of epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis, Am. J. Manage. Care 18 (Suppl. 13) (2012) S295–302.
5. R. Handa, U. Rao, J.F. Lewis, G. Rambhad, S. Shiff, C.J. Ghia, Literature review of rheumatoid arthritis in India, Int. J. Rheum. Dis. 19 (5) (2016) 440–451.
6. B.J. Crielaard, T. Lammers, R.M. Schiffelers, G. Storm, Drug targeting systems for inflammatory disease: one for all, all for one, J. Control. Release 161 (2) (2012) 225–234.
7. W. Grassi, R. De Angelis, G. Lamanna, C. Cervini, The clinical features of rheumatoid arthritis, Eur. J. Radiol. 27 (1998) S18–S24.
8. T. Kanazawa, J. Nishino, S. Tohma, S. Tanaka, Analysis of the affected joints in rheumatoid arthritis patients in a large Japanese cohort, Mod. Rheumatol. 23 (1) (2013) 44–49
9. Sharma S, Pawar A. Low density multiparticulate system for pul satile release of meloxicam. Int J Pharm 2006;313: 150-8. 2. Straub RH, Cutolo M. Circadian rhythms in rheumatoid arthritis: Implications for pathophysiology and therapeutic management. Arthritis Rheum 2007;56:399-408
10. Ong CK, Lirk P, Tan CH, Seymour RA. An evidence-based update on nonsteroidal anti-infl ammatory drugs. Clin Med Res 2007;5:19-34.
11. 8 Bhowmik, D.; Chiranjib, B.; Yadav, J.; Chandira, R.; Kumar, S. Emerging trends of disintegrants used in formulation of soliddosage form. Der Pharm. Lett. 2010, 2, 495–504.
10. American College of Rheumatology Ad Hoc Committee on clinical guidelines: Guidelines for monitoring drug therapy in rheumatoid arthritis. Arthritis Rheum. 1996, 39: 723-731.
11. American College of Rheumatology Ad Hoc Committee on clinical guidelines: Guidelines for the management of rheumatoid arthritis. Arthritis Rheum. 1996, 39: 713-722.
12. Wolfe MM, Lichtenstein DR, Singh G: Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs. N Engl J Med. 1999, 340: 1888-1899. 10.1056/NEJM199906173402407.
13. Fries JF, Williams CA, Bloch DA, Michel BA: Nonsteroidal anti-inflammatory drug-associated gastropathy: incidence and risk factor models. Am J Med. 1991, 91: 213-222.
14. van Riel PLCM, Wijnands MJH, van de Putte LBA: Evaluation and management of active inflammatory disease. In: Rheumatology. Edited by: Klippel JH, Dieppe PA, Arnett FC. 1998, London: Mosby, 14.1-14.2. 2nd
15. Bombardier C, Laine L, Reicin A, et al: Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. New Engl J Med. 2000, 343: 1520-1528. 10.1056/NEJM200011233432103.
16. Schnitzer TJ, Truitt K, Fleischmann R, et al: The safety profile, tolerability, and effective dose range of rofecoxib in the treatment of rheumatoid arthritis. Clinical Therapeutics. 1999, 21: 1688-1702. 10.1016/S0149-2918(99)80048-4.
17. Emery P, Zeidler H, Kvien KT, et al: Celecoxib versus diclofenac in long-term management of rheumatoid arthritis: randomized double-blind comparison. Lancet. 1999, 354: 2106-2111. 1
18. Matsumoto A, Melian A, Mandel DR, et al: A randomized, controlled, clinical trial of etoricoxib in the treatment of rheumatoid arthritis. J Rheumatology. 2002
19. Rodríguez M, Vila-Jato JL, Torres D. Design of a new multiparticulate system for potential site-specifi c and controlled drug delivery to the colonic region. J Control Release 1998; 55:67-77.
20. Leach K, Noh K, Mathiowitz E. Effect of manufacturing conditions on the formation of double-walled polymer microspheres J Microencapsul 1999;16:153-67.
21. Wang G, Cui F, Shi K, Yang L, Wang S, Zhang L. In vivo evaluation of a sustained release multiple unit fl oating system containing nitrendipine. Asian J Pharm 2008;3:151-7.
22. Rafati H, Coombes AG, Adler J, Holland J, Davis SS. Protein loaded PLGA microparticles for oral administration: Formulation, structural and release characteristics. J Control Release 1997;43:89-102.
23. Wissing S, Craig DQ, Barker SA, Moore WD. An investigation into the use of stepwise isothermal high sensitivity DSC as a means of detecting drug-excipient incompatibility. Int J Pharm 2000;199:141-50.
24. Tadros MI. Controlled-release effervescent floating matrix tablets of ciprofloxacin hydrochloride: Development, optimization and in vitro-in vivo evaluation in healthy human volunteers. Eur J Pharm Biopharm 2010;74:332-9.
25. Shah N, Patel M, Shah T, Amin A. Design, development and optimization of colon targeted drug delivery system for Crohn’s disease. Indian J Pharm Educ Res 2011;2:42-50.
26. Shahi P, Kumari N, Pathak K. Microspheres and tablet in capsule system: A novel chronotherapeutic system of ketorolac tromethamine for site and time specific delivery. Int J Pharma Investig 2015;5:161-70.
27. Laity PR, Cameron RE. Synchrotron X-ray microtomographic study of tablet swelling. Eur J Pharm Biopharm 2010;75:263-76.