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PCCA Lipoderm® Feline Vet Study
                     Lipoderm with Tramadol Performs Well in Feline Inner Ear Test

                    Evaluation of the Percutaneous Absorption of Tramadol, In Lipoderm ®, Into
                    Inner Ear Feline Skin, In Vitro, Using the Franz Skin Finite Dose Model

Summary
Cetero Research in Fargo, N.D., conducted this study for PCCA, located in
Houston, Texas. The study was designed to evaluate the percutaneous
absorption pharmacokinetics of Tramadol. Absorption was measured in inner
ear feline skin, in vitro, using the finite dose technique and Franz Diffusion
Cells.

Tramadol 100 mg/gm in Lipoderm was tested on duplicate sections from two
different feline inner ear skin donors, for the percutaneous absorption of
Tramadol over a 48-hour dose period. At pre-selected times after dose appli-
cation, the dermal receptor solution was removed in its entirety, replaced with
fresh receptor solution, and an aliquot saved for subsequent analysis. In addi-
tion, the intact skin was recovered and evaluated for drug content. The sam-
ples were analyzed for Tramadol content by High Performance Liquid
Chromatography (HPLC).


              Introduction
              The in vitro Franz skin finite dose model has proven to be a valuable tool for the study of percutaneous absorption and
               the determination of the pharmacokinetics of topically applied drugs. The model uses ex vivo animal, human cadaver or
                 surgical skin mounted in specially designed diffusion cells that allow the skin to be maintained at a temperature and
                              humidity that match typical in vivo conditions.1 A finite dose (e.g. 4-7 mg/cm2) of formulation is applied to
                                  the outer surface of the skin and drug absorption is measured by monitoring its rate of appearance in
                               the receptor solution bathing the inner surface of the skin. Data defining total absorption, rate of absorp-
                            tion, as well as skin content can be accurately determined in this model. The method has historic precedent
                          for accurately predicting in vivo percutaneous
                        absorption kinetics.2,3                                       FRANZ DIFFUSION CELL


Objective
To characterize the percutaneous absorption pharmacokinetics of Tramadol
in Lipoderm on feline inner ear skin using the in vitro finite dose model.

Methods and Procedures
Study Skin Preparation:
Percutaneous absorption was measured using the in vitro Franz skin finite
dose technique. Ex vivo, feline ventral inner ear skin without obvious signs of
skin disease was used in this study. The feline ear skin was provided by the
study sponsor, via an approved outside laboratory. Prior to use it was thawed             A.   Chamber Chimney (open to environment)
in ~ -37°C water. The skin was then rinsed in tap water to remove any adher-              B.   Skin (nominal 1.0 or 2.0 cm2)
                                                                                          C.   O-ring Seal
ent blood or other material from the surface. The ear skin was transected to              D.   Sampling Port
separate the ventral (inner surface) from the dorsal aspect of the ear. Any               E.   Receptor Solution Compartment
subcutaneous and cartilage tissue, if present, was removed during transection.            F.   Water Jacket



                 1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com
PCCA Lipoderm® Feline Vet Study
                     Lipoderm with Tramadol Performs Well in Feline Inner Ear Test

                                                                           Continued


Skin from a single donor was cut into multiple smaller sections large enough to fit on nominal 0.8 cm2 Franz diffusion cells. The dermal
chamber was filled to capacity with a reservoir solution of phosphate-buffered isotonic saline (PBS), pH 7.4 ± 0.1, and the epidermal
cell (chimney) left open to ambient laboratory conditions. All cells were mounted in a diffusion apparatus in which the dermal bathing
solution was stirred magnetically at approximately 600 RPM and the skin surface temperature maintained at 32.0° ± 1.0°C.

To assure the integrity of each skin section, its permeability to tritiated water was determined before application of the test products.4
Following a brief (0.5-1 hour) equilibrium period, 3H2O (NEN, Boston, MA, sp. Act. ~ 0.5 μCi/mL) was layered across the top of the skin
so that the entire exposed surface was covered (approximately 250 - 500 μL). After 5 minutes the 3H2O aqueous layer was removed. At
30 minutes the receptor solution was collected and analyzed for radioactive content by liquid scintillation counting.

Just prior to dosing, a pre-dose sample was taken and the reservoir solution was replaced with a fresh solution of 0.1x PBS with 0.1%
Volpo. The chimney was removed from the Franz Cell to allow full access to the epidermal surface of the skin. All formulations were
then applied to the skin sections using a positive displacement pipette set to deliver 5 μL formulation/cm2. The dose was spread across
the surface with a glass rod. Five to ten minutes after application the chimney portion of the Franz Cell was replaced. At pre-selected
times after dosing, (2, 4, 8, 12, 24, 32, and 48 hours) the reservoir solution was removed in its entirety, replaced with fresh reservoir
solution, and a predetermined volume aliquot saved for subsequent analysis.

After the last sample was collected, the surfaces were washed twice (0.5 mL volume each) with 80:20 Ethanol:Water to collect un-
absorbed formulation from the surface of the skin. Following the wash, the intact skin was removed from the chamber and extracted in
80:20 Ethanol:Water. Extractions were conducted overnight at room temperature.

Analytical Methods:
Quantification of Tramadol was by High Performance Liquid Chromatography (HPLC/UV). Briefly, HPLC was conducted on a Hewlett-
Packard 1100 Series HPLC system with a diode array detector. A solvent system consisting of A) 70% water (pH 9.5) with 10 mM
Ammonium formate and B) 30% Methanol was run through a Phenomenex Gemini C18 column (3μ, 50 x 3 mm) at a flow rate of 0.4
mL/min.

                                                  DONOR ID        ANIMAL                              SEX          INTEGRITY TEST RESULT*
Donor Demographics:
See table at right.                               C4625           Domestic Short Hair Feline          Female       2.14 ± 2.28

                                                  C4628        Domestic Short Hair Feline         Male         0.94 ± 0.33
Formulation:
Tramadol HCl, in an amount necessary to                                                                  * Results are reported as μL-equ 3H20
result in a concentration of 100 mg/gm, was
added to Lipoderm along with 10% propylene glycol as a wetting agent, and mixed with the aid of an electronic mortar and pestle
(EMP). The formulation was sheared using an ointment mill and remixed with an EMP to achieve accurate content uniformity. Potency
was confirmed through the use of a High Performance Liquid Chromatograph (HPLC) with a photo diode array detector. It should be
noted that the density of the final formulation was 0.726 gm/mL, thus the final tramadol HCl concentration in weight/volume terms was
72.6 mg/mL.

Results and Discussion
The data shows that Tramadol in Lipoderm does penetrate into and through ex vivo feline
inner ear skin using the Franz finite dose model.
                                                                                                                  © 2010 PCCA. All Rights Reserved.


                 1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com
PCCA Lipoderm® Feline Vet Study
                        Lipoderm with Tramadol Performs Well in Feline Inner Ear Test

                                                                                  Continued


Time course of penetration demonstrated a rapid rise
to a peak rate of penetration within 2.5 hours of dose
application, followed by a slow decline in flux there-
after. The rapid absorption is most likely attributable to
the thin stratum corneum found in feline inner ear skin.

Incredibly, the majority of the applied dose penetrated
through the skin into the reservoir solution over the 48-
hour study period. Less than 2% of the applied dose
was found in the skin, and less than 4% was remaining
on the surface. Overall mass balance was very good
with approximately 100% of applied dose accounted
for in analysis. See chart at right and tables below for
synopsis.


Table 1 (Below):
Mean Flux (μg/cm2/hr) Results:
Across Donor Summary
Percutaneous Absorption of Tramadol in Lipoderm® Through Feline Inner Ear Skin Over 48 Hours from a
Single Application. (Mean ± SE, n=2 Donors).

 TIME (hr)*               TRAMADOL IN LIPODERM®
                                                                Table 2 (Below): Total Absorption and Mass Balance
 1.0                           13.57 ± 3.194                    Results Across Skin Donors: Arithmetic Mean
                                                                Percutaneous Absorption        and Penetration of Tramadol in Lipoderm® Into and
 3.0                           15.40 ± 0.705
                                                                Through Intact Feline
 6.0                           13.80 ± 0.537                    Inner Ear Skin Over 48           PARAMETER                          TRAMADOL IN LIPODERM®
                                                                Hours from a Single
 10.0                          14.21 ± 1.731                                                     Total Absorption (μg)                   277.1 ± 11.39
                                                                Application. Mean ±
 18.0                          9.795 ± 1.021                    SE as Percent of                 Surface Wash (μg)                       9.859 ± 0.149
                                                                Applied Dose and Total
 28.0                          4.358 ± 1.053                                                     Skin (μg)                               2.966 ± 0.278
                                                                Mass (μg/cm2).
 40.0                          1.496 ± 0.207
                                                                                                 Total Absorption (%)                    100.4 ± 3.239
* Time as midpoint between samples.
                                                                                                 Surface Wash (%)                        3.648 ± 0.138

                                                                                                 Skin (%)                                1.092 ± 0.074
 REFERENCES
 1 Franz, TJ: Percutaneous absorption: on the relevance of in vitro data. J Invest Dermatol,     Total Recovery (%)                      105.1 ± 3.175
   1975, 64:190-195.
 2 Franz TJ: The cadaver skin absorption mode and the drug development process. Pharmacopeial Forum, 34(5): 1349-1356, 2008.
 3 Franz TJ, Lehman PA, Raney S: Use of excised human skin to assess the bioequivalence of topical products. Skin Pharmacol Physiol, 22:276-286, 2009
 4 Franz TJ, Lehman PA: The use of water permeability as a means of validation for skin integrity in in vitro percutaneous absorption studies. Abst. J Invest
   Dermatol 1990, 94:525.
                                                                                                                            © 2010 PCCA. All Rights Reserved.

                    1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com

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98037_Lipoderm_Feline_PRACTIT

  • 1. PCCA Lipoderm® Feline Vet Study Lipoderm with Tramadol Performs Well in Feline Inner Ear Test Evaluation of the Percutaneous Absorption of Tramadol, In Lipoderm ®, Into Inner Ear Feline Skin, In Vitro, Using the Franz Skin Finite Dose Model Summary Cetero Research in Fargo, N.D., conducted this study for PCCA, located in Houston, Texas. The study was designed to evaluate the percutaneous absorption pharmacokinetics of Tramadol. Absorption was measured in inner ear feline skin, in vitro, using the finite dose technique and Franz Diffusion Cells. Tramadol 100 mg/gm in Lipoderm was tested on duplicate sections from two different feline inner ear skin donors, for the percutaneous absorption of Tramadol over a 48-hour dose period. At pre-selected times after dose appli- cation, the dermal receptor solution was removed in its entirety, replaced with fresh receptor solution, and an aliquot saved for subsequent analysis. In addi- tion, the intact skin was recovered and evaluated for drug content. The sam- ples were analyzed for Tramadol content by High Performance Liquid Chromatography (HPLC). Introduction The in vitro Franz skin finite dose model has proven to be a valuable tool for the study of percutaneous absorption and the determination of the pharmacokinetics of topically applied drugs. The model uses ex vivo animal, human cadaver or surgical skin mounted in specially designed diffusion cells that allow the skin to be maintained at a temperature and humidity that match typical in vivo conditions.1 A finite dose (e.g. 4-7 mg/cm2) of formulation is applied to the outer surface of the skin and drug absorption is measured by monitoring its rate of appearance in the receptor solution bathing the inner surface of the skin. Data defining total absorption, rate of absorp- tion, as well as skin content can be accurately determined in this model. The method has historic precedent for accurately predicting in vivo percutaneous absorption kinetics.2,3 FRANZ DIFFUSION CELL Objective To characterize the percutaneous absorption pharmacokinetics of Tramadol in Lipoderm on feline inner ear skin using the in vitro finite dose model. Methods and Procedures Study Skin Preparation: Percutaneous absorption was measured using the in vitro Franz skin finite dose technique. Ex vivo, feline ventral inner ear skin without obvious signs of skin disease was used in this study. The feline ear skin was provided by the study sponsor, via an approved outside laboratory. Prior to use it was thawed A. Chamber Chimney (open to environment) in ~ -37°C water. The skin was then rinsed in tap water to remove any adher- B. Skin (nominal 1.0 or 2.0 cm2) C. O-ring Seal ent blood or other material from the surface. The ear skin was transected to D. Sampling Port separate the ventral (inner surface) from the dorsal aspect of the ear. Any E. Receptor Solution Compartment subcutaneous and cartilage tissue, if present, was removed during transection. F. Water Jacket 1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com
  • 2. PCCA Lipoderm® Feline Vet Study Lipoderm with Tramadol Performs Well in Feline Inner Ear Test Continued Skin from a single donor was cut into multiple smaller sections large enough to fit on nominal 0.8 cm2 Franz diffusion cells. The dermal chamber was filled to capacity with a reservoir solution of phosphate-buffered isotonic saline (PBS), pH 7.4 ± 0.1, and the epidermal cell (chimney) left open to ambient laboratory conditions. All cells were mounted in a diffusion apparatus in which the dermal bathing solution was stirred magnetically at approximately 600 RPM and the skin surface temperature maintained at 32.0° ± 1.0°C. To assure the integrity of each skin section, its permeability to tritiated water was determined before application of the test products.4 Following a brief (0.5-1 hour) equilibrium period, 3H2O (NEN, Boston, MA, sp. Act. ~ 0.5 μCi/mL) was layered across the top of the skin so that the entire exposed surface was covered (approximately 250 - 500 μL). After 5 minutes the 3H2O aqueous layer was removed. At 30 minutes the receptor solution was collected and analyzed for radioactive content by liquid scintillation counting. Just prior to dosing, a pre-dose sample was taken and the reservoir solution was replaced with a fresh solution of 0.1x PBS with 0.1% Volpo. The chimney was removed from the Franz Cell to allow full access to the epidermal surface of the skin. All formulations were then applied to the skin sections using a positive displacement pipette set to deliver 5 μL formulation/cm2. The dose was spread across the surface with a glass rod. Five to ten minutes after application the chimney portion of the Franz Cell was replaced. At pre-selected times after dosing, (2, 4, 8, 12, 24, 32, and 48 hours) the reservoir solution was removed in its entirety, replaced with fresh reservoir solution, and a predetermined volume aliquot saved for subsequent analysis. After the last sample was collected, the surfaces were washed twice (0.5 mL volume each) with 80:20 Ethanol:Water to collect un- absorbed formulation from the surface of the skin. Following the wash, the intact skin was removed from the chamber and extracted in 80:20 Ethanol:Water. Extractions were conducted overnight at room temperature. Analytical Methods: Quantification of Tramadol was by High Performance Liquid Chromatography (HPLC/UV). Briefly, HPLC was conducted on a Hewlett- Packard 1100 Series HPLC system with a diode array detector. A solvent system consisting of A) 70% water (pH 9.5) with 10 mM Ammonium formate and B) 30% Methanol was run through a Phenomenex Gemini C18 column (3μ, 50 x 3 mm) at a flow rate of 0.4 mL/min. DONOR ID ANIMAL SEX INTEGRITY TEST RESULT* Donor Demographics: See table at right. C4625 Domestic Short Hair Feline Female 2.14 ± 2.28 C4628 Domestic Short Hair Feline Male 0.94 ± 0.33 Formulation: Tramadol HCl, in an amount necessary to * Results are reported as μL-equ 3H20 result in a concentration of 100 mg/gm, was added to Lipoderm along with 10% propylene glycol as a wetting agent, and mixed with the aid of an electronic mortar and pestle (EMP). The formulation was sheared using an ointment mill and remixed with an EMP to achieve accurate content uniformity. Potency was confirmed through the use of a High Performance Liquid Chromatograph (HPLC) with a photo diode array detector. It should be noted that the density of the final formulation was 0.726 gm/mL, thus the final tramadol HCl concentration in weight/volume terms was 72.6 mg/mL. Results and Discussion The data shows that Tramadol in Lipoderm does penetrate into and through ex vivo feline inner ear skin using the Franz finite dose model. © 2010 PCCA. All Rights Reserved. 1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com
  • 3. PCCA Lipoderm® Feline Vet Study Lipoderm with Tramadol Performs Well in Feline Inner Ear Test Continued Time course of penetration demonstrated a rapid rise to a peak rate of penetration within 2.5 hours of dose application, followed by a slow decline in flux there- after. The rapid absorption is most likely attributable to the thin stratum corneum found in feline inner ear skin. Incredibly, the majority of the applied dose penetrated through the skin into the reservoir solution over the 48- hour study period. Less than 2% of the applied dose was found in the skin, and less than 4% was remaining on the surface. Overall mass balance was very good with approximately 100% of applied dose accounted for in analysis. See chart at right and tables below for synopsis. Table 1 (Below): Mean Flux (μg/cm2/hr) Results: Across Donor Summary Percutaneous Absorption of Tramadol in Lipoderm® Through Feline Inner Ear Skin Over 48 Hours from a Single Application. (Mean ± SE, n=2 Donors). TIME (hr)* TRAMADOL IN LIPODERM® Table 2 (Below): Total Absorption and Mass Balance 1.0 13.57 ± 3.194 Results Across Skin Donors: Arithmetic Mean Percutaneous Absorption and Penetration of Tramadol in Lipoderm® Into and 3.0 15.40 ± 0.705 Through Intact Feline 6.0 13.80 ± 0.537 Inner Ear Skin Over 48 PARAMETER TRAMADOL IN LIPODERM® Hours from a Single 10.0 14.21 ± 1.731 Total Absorption (μg) 277.1 ± 11.39 Application. Mean ± 18.0 9.795 ± 1.021 SE as Percent of Surface Wash (μg) 9.859 ± 0.149 Applied Dose and Total 28.0 4.358 ± 1.053 Skin (μg) 2.966 ± 0.278 Mass (μg/cm2). 40.0 1.496 ± 0.207 Total Absorption (%) 100.4 ± 3.239 * Time as midpoint between samples. Surface Wash (%) 3.648 ± 0.138 Skin (%) 1.092 ± 0.074 REFERENCES 1 Franz, TJ: Percutaneous absorption: on the relevance of in vitro data. J Invest Dermatol, Total Recovery (%) 105.1 ± 3.175 1975, 64:190-195. 2 Franz TJ: The cadaver skin absorption mode and the drug development process. Pharmacopeial Forum, 34(5): 1349-1356, 2008. 3 Franz TJ, Lehman PA, Raney S: Use of excised human skin to assess the bioequivalence of topical products. Skin Pharmacol Physiol, 22:276-286, 2009 4 Franz TJ, Lehman PA: The use of water permeability as a means of validation for skin integrity in in vitro percutaneous absorption studies. Abst. J Invest Dermatol 1990, 94:525. © 2010 PCCA. All Rights Reserved. 1-800-331-2498 or (281) 933-6948 • fax 1-800-874-5760 or (281) 933-6627 • www.pccarx.com