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Pulsatile Drug Delivery
        System
        (PDDS)
Content
 Introduction
 Criteria of Drugs for PDDS
 Different Approaches
 Fabrication
 Recent Advancement
 Marketed Preparations
 Conclusion
 References
1. Introduction
   Why conventional dosage forms???
    ◦ Advantages (Material, Manufacturing,
      Technology, Patient complience)
   Why modified/ controlled dosage forms??
    ◦ Advantages over conventional dosage forms
    ( Chronic Treatment, Patient complience, cost of
      over all treatment)
 What and Why PDDS ? ? ?
      Pulsatile drug delivery system is defined as the rapid and
     transient release of certain amount of drug molecules within a
     short time period immediately after a predetermined off-
     release period, i.e., lag time.
      Pulsatile drug delivery aims to release drug on
     programmed pattern i.e. at appropriate time and at
     appropriate site of action. NOON
                     HIGH ALERTNESS
                                                             BEST COORDINATION
HIGHEST TESTOSTERONE SECRETION
                                                                 FASTEST REACTION TIME
 BOWEL MOVEMENT LIKELY
MELATONIN SECRETION STOPS                                            GREATEST CVS EFFICIENCY & MUSCLE
                                                                     STRENGTH
    SHARPEST RISE
    IN BP



                                                                            HIGHEST BLOOD PRESSURE
                                                                           HIGHEST BODY TEMP
  LOWEST BODY TEMP


                                                                     MELATONIN SECRETION STARTS


                         DEEPEST SLEEP
                                                         BOWEL MOVEMENT SUPPRESSED
                                              MIDNIGHT


                                         Circadian
Necessity of PDDS

  1.   Chronopharmacotherapy of diseases which
       shows circadian rhythms in their pathophysiology.
       1.   asthmatic attacks during early morning
       2.   heart attacks in the middle of the night
       3.   morning stiffness in arthritis
  2.   Avoiding the first pass metabolism e.g. protein
       and peptides
  3.   For which the tolerance is rapidly exists (e.g.
       Salbutamol sulphate)
  4.   For targetting specific site in intestine e.g. colon
       (e.g Sulfasalazine)
  5.   For time programmed administration of hormone
       and drugs,
  6.   For drugs having the short half life (e.g ß-
       blockers)
Advantages
1. Extended daytime or nighttime activity
2. Reduced side effects
3. Reduced dosage frequency
4. Reduction in dose size
5. Improved patient compliance
6. Lower daily cost to patient due to fewer dosage units are
   required by the patient in therapy.
7. Drug adapts to suit circadian rhythms of body functions or
   diseases.
8. Drug targeting to specific site like colon.
9. Protection of mucosa from irritating drugs.
10.Drug loss is prevented by extensive first pass metabolism
Different Approaches
A. PREPLANNED SYSTEMS
  I. Pulsatile system based on capsule
  II. Pulsatile system based on osmosis
  III. Drug delivery system with erodible or soluble
       layer
  IV. Drug delivery system with rupturable layer

B. STIMULI INDUCED PULSATILE SYSTEMS
  I. Temperature induced system
  II. Chemically induced System
  III. Externally stimuli System
A. PREPLANNED SYSTEMS
  I.        Pulsatile system based on capsule
       1.    PULSINCAP®

The Pulsincap® system (Scherer DDS, Ltd) is an example of such a
system that is made up of a water insoluble capsule body filled with
drug formulation (McNeil et al., 1990, Wilding et al., 1992 and Saeger
et al. 2004). The body is closed at the open end with a swellable
hydrogel plug.

The length of plug decides lag time.

The plug material consists of insoluble but permeable and swellable
polymers (eg, polymethacrylates), erodible compressed polymers
(eg,   hydroxypropylmethyl         cellulose,  polyvinyl   alcohol,
polyethylene oxide) (Krögel et al., 1998), congealed melted
polymers (eg, saturated polyglycolated glycerides, glyceryl
monooleate), and enzymatically controlled erodible polymer (eg,
pectin, agar) (Krögel et al., 1999).
Advantages :
• Well tolerated in animals and healthy volunteers, and there
were no reports of gastro-intestinal irritation (Saeger et al.,
2004).

Disadvantages :
• Potential problem of variable gastric residence time, which was
overcome by enteric coating the system to allow its dissolution
only in the higher pH region of small intestine (Binns et al., 1996)
   Development and evaluation of pulsatile drug delivery
    system using novel polymer

The aim of the present investigation was to develop a pulsatile
  drug delivery system based on an insoluble capsule body
  filled with theophylline microspheres and sealed with a
  swellable novel polymer plug isolated from the endosperm
  of seeds of higher plant Delonix regia family-Fabaceae.
  Theophylline microspheres were prepared by solvent
  evaporation method using Eudragit S 100. The swellable
  plugs of varying thickness and hardness were prepared by
  direct compression, which were then placed in the capsule
  opening. The drug delivery system was designed to deliver
  the drug at such a time when it was needed most to offer
  convenience to the chronic patients of asthma. Formulated
  dosage forms were evaluated for an in vitro drug release
  study, which showed that the release might be consistent
  with a release time expected to deliver the drug to the colon
  depending on the thickness and hardness of the hydrogel
  plug. Thus, thickness and hardness of the novel polymeric
  plug plays an important role in controlling the drug release
  from the formulated drug delivery system.
II. Pulsatile System Based On Osmosis
Osmotic system consists of capsule coated with the semipermiable
membrane.In this system for development of osmotic pressure
different techniques are used.

Case 1: Osmotic system containing insoluble plug (eg. PORT
system)
Case 2: Osmotic system based on expandable orifice
technology, Linkwitz et al.
elastomer (eg. Styrene-butadiene copolymer)
Case 3: Osmotic capsule containing micropores, Niwa et al
Fig. Drug release mechanism from Port Capsule



Step1: Cap dissolves off. immediately or modified release dose is
released.
Step 2: Energy source is activated by controlled permeation of GI
fluid.
Step 3: Time-release plug is expelled.
Step 4: Pulse or Sustained release of second dose.
III. Drug delivery system with erodible or soluble
    layer
• In such systems the drug release is controlled by the dissolution
or erosion of the outer coat which is applied on the core
containing drug.

• Time dependent release of the active ingredient can be obtained
by optimizing the thickness of the outer coat
    1. Chronotropic® system
    2. Time Clock® system
    3. Multilayered Tablet


1. Chronotropic® system

 consists   of   a     drug    containing core   coated   by
hydroxypropylmethyl cellulose (HPMC), a hydrophilic swellable
polymer, which is responsible for a lag phase in the onset of
release (Gazzania et al., 1994 and 1995).

 variability in gastric emptying time can be overcome, and a
Chronotropic® system
2.   Time Clock® system

 Consists of a solid dosage form coated with lipidic barriers
containing     carnauba wax and bees‟ wax along with
surfactants, such as span 80 (Pozzi et al., 1992 and Wilding et
al., 1994).

 After a lag time proportional to the thickness of the film, this
coat erodes or emulsifies in the aqueous environment, and the
core is then available for dispersion.

 The lag time increased with increasing coating thickness


                                              Wax +
                      Drug Core               Surfactant
3. Multilayered Tablet
A release pattern with two pulses was obtained from a three-layered
tablet containing two drug containing layers separated by a drug-free
gellable polymeric barrier layer (Conte et al., 1989 and 1992)




                           Multilayered Tablet

a.   Initial rapid release drug layer
b.   Drug – free gellable polymeric barrier layer
c.   Second pulse generating drug layer
d.   Impermeable ethyl cellulose layer (3 – sided)
IV. Drug delivery system with rupturable layer
These systems consist of an outer release controlling water
insoluble but permeable coating subject to mechanically induced
rupture phenomenon.

                                 Ethyl cellulose
        Bicarbonate              coating
        + Citric acid
        + Drug




                        Rupturable
                        polymer layer


                            Superdisintegrating
                            agent + Drug
   Process   and    Formulation   Variables   Affecting   the
    Performance of a Rupturable Capsule‐Based Drug Delivery
    System       with      Pulsatile       Drug        Release

   The objective of this study was to optimize several process and
    formulation parameters, which influence the performance of a
    rupturable, pulsatile drug delivery system. The system consisted
    of a drug‐containing hard gelatin capsule, a swelling layer of
    croscarmellose (Ac‐Di‐Sol®) and a binder, and an outer
    ethylcellulose coating. Polyvinyl pyrrolidone (Kollidon 90F) was
    superior to HPMC and HPC as a binder for the swelling layer
    with regard to binding (adherence to capsule) and
    disintegration properties of the swelling layer. The
    capsule‐to‐capsule uniformity in the amount of swelling layer and
    outer ethylcellulose coating, which significantly affected the lag
    time prior to rupture of the capsule, was optimized by decreasing
    the batch size, and by increasing the rotational pan speed and the
    distance between the spray nozzle and the product bed. The type
    of baffles used in the coating pan also affected the layering
    uniformity. Fully‐filled hard gelatin capsules had a shorter lag time
    with a higher reproducibility compared to only half‐filled capsules,
    because the swelling pressure was directed primarily to the outer
    ethylcellulose coating and not to the inner capsule core. Stability
    studies revealed that the lag time of the capsules was stable over
    a 240‐day period when the moisture content was kept unchanged.
B. STIMULI INDUCED PULSATILE SYSTEMS

I. Temperature induced system
 Thermo-responsive hydrogel systems have been developed for
pulsatile release.
 In these systems the polymer undergoes swelling or deswelling
phase in response to the temperature which modulate drug
release in swollen state. Eg.

 1) Y.H. Bae et al developed indomethacin pulsatile release
pattern in the temperature ranges between 20oC and 30oC by
using reversible swelling properties of copolymers of N-
isopropylacrylamide and butyrylacrylamide.

2) Kataoka et al developed the thermosensitive polymeric micelles
as drug carrier to treat the cancer. They used endfunctionalized
poly(N-isopropylacrylamide) (PIPAAm) to prepare corona of the
micelle which showed hydration and dehydration behavior with
changing temperature.
I. Chemical induced system
 There has been much interest in the development of stimuli-
sensitive delivery systems that release a therapeutic agent in
presence of specific enzyme or protein.
 One prominent application of this technology has been
development of a system that can autonomously release insulin in
response to elevated blood glucose levels.

1. pH dependent system GLUCOSE                       GLUCONIC
                           ACID
                                  Glucose oxidase
                                  immobilized on cross linked
                                  polyacrylamide
          INSULIN

                                  N, N- diethylaminoethyl
                                  methacrylate and 2-hydroxypropyl
                                  methacrylate (DEA-HPMA) formed
                                  the barrier membrane
III. Externally stimuli System
 For releasing the drug in a pulsatile manner, another way can be
the externally regulated systems in which drug release is
programmed by external stimuli like magnetism, ultrasound,
electrical effect and irradiation.

a)   Magnetically Stimulated
b)   Ultrasonically Stimulated
c)   Photo Stimulated
d)   Electrically Stimulated
Evaluation Parameters
 ◦   Hardness
 ◦   Friability
 ◦   Weight uniformity
 ◦   Swelling index
 ◦   Thickness of layer
 ◦   Drug release profile
 ◦   Coating uniformity
Recent Advancement in
PDDS
1.   ACCU-BREAK™ Technology
     Accu-Break Pharmaceuticals, Inc. and
     Azopharma Product Development Group, Inc.
     Accu-Break tablets are manufactured on
     commercially        available       multilayer
     compression     equipment.     Accu-Break™
     Technology is divided in to two types ACCU-
     B™ Technology and ACCU-T™ Technology.
II.SODAS® Technology
 SODAS® (Spheroidal Oral Drug Absorption
   System) is Elan‟s Multiparticulate drug delivery
   system. Based on the production of controlled
   release beads, the SODAS® technology is
   characterized by its inherent flexibility, enabling
   the production of customized dosage forms
   that respond directly to individual drug
   candidate needs.
 Elan‟s SODAS® Technology is based on the
   production of uniform spherical beads of 1-2
   mm in diameter containing drug plus excipients
   and coated with product specific controlled
   release polymers.
 The most recent regulatory approvals for a
   SODAS® based system occurring with the
   launch of once-daily oral dosage forms of
   Avinza™, Ritalin® LA and Focalin® XR.
III. IPDAS® Technology

 The Intestinal Protective Drug Absorption System
  (IPDAS® Technology) is a high density multiparticulate
  tablet technology, intended for use with GI irritant
  compounds.
 Once an IPDAS® tablet is ingested, it rapidly
  disintegrates and disperses beads containing a drug in
  the stomach, which subsequently pass into the
  duodenum and along the gastrointestinal tract in a
  controlled and gradual manner, independent of the
  feeding state.
 Release of active ingredient from the multiparticulates
  occurs through a process of diffusion through the
  polymeric membrane. micromatrix of polymer/active
  ingredient formed in the extruded/spheronized
  multiparticulates.
 Naprelan®, which is marketed in the United States and
  Canada, employs the IPDAS® technology. This
  innovative formulation of naproxen sodium.
IV. CODAS™ Technology

 Elan‟s drug delivery technology can be
  tailored to release drug after a predetermined
  delay. The CODAS™ drug delivery system
  enables a delayed onset of drug release,
  resulting in a drug release profile that more
  accurately compliments circadian patterns.
 Elan‟s     Verelan®     PM      represents    a
  commercialized product using the CODAS™
  technology. The Verelan® PM formulation
  was designed to begin releasing Verapamil
  approximately four to five hours post
  ingestion. This delay is introduced by the
  level of release-controlling polymer applied to
  the drug-loaded beads.
V. PRODAS® Technology
 Programmable Oral Drug Absorption System
  (PRODAS® Technology) is a multiparticulate
  technology, which is unique in that it
  combines    the     benefits of tabletting
  technology within a capsule.

   The PRODAS® delivery system is presented
    as a number of minitablets combined in a
    hard gelatin capsule. Very flexible, the
    PRODAS® technology can be used to pre-
    program the release rate of a drug. It is
    possible to incorporate many different
    minitablets, each one formulated individually
    and programmed to release drug at different
    sites within the gastro-intestinal tract. It is
    also possible to incorporate minitablets of
    different sizes so that high drug loading is
    possible.
VI. TMDS Technology
   TMDS (Time Multiple Action Delivery system)
    Technology provide control release rate of multiple
    ingredient within single tablet in programme
    manner. TMDS Technology allows for more than
    one active ingredient in a single tablet formulation
    provide multiple release profile over extended
    period of time.

VII. DMDS Technology
   DMDS (Dividable Multiple Action Delivery System)
    is designed to provide greater dosing flexibility that
    improve product efficacy and reduces side effects.
    Traditional controlled release tablet often lose their
    controlled release mechanism of delivery once it
    broken. But DMDS technology allows tablet to be
    broken down in half so that each respective portion
    of the tablet will achieve exactly the same release
    profile as the whole tablet. This allows the patient
    and physician to adjust the dosing regimen
    according to the clinical needs without
VIII. PMDS Technology

 PMDS       (Programmed        Multiple-action
  Delivery System) technology is designed to
  provide for the multi-phasic delivery of any
  active ingredient in a more controlled
  fashion as compared to typical controlled
  release technologies.
 This technology allows us to overcome one
  of the technical challenges in the
  development of multi-particulate dosage
  forms – achieving acceptable uniformity
  and reproducibility of a product with a
  variety of release rates. It is designed to
  provide greater dosing flexibility that
  improves product efficacy and may reduce
IX. GEOCLOCK® Technology
   SkyePharma developed a new oral drug
    delivery technology, Geoclock®; that allows the
    preparation of chronotherapy-focused press-
    coated tablets.
   Geoclock® tablets have an active drug inside
    an outer tablet layer consisting of a mixture of
    hydrophobic wax and brittle material in order to
    obtain a pH-independent lag time prior to core
    drug delivery at a predetermined release rate.
    This dry coating approach is designed to allow
    the timed release of both slow release and
    immediate release active cores by releasing
    the inner table first after which time the
    surrounding outer shell gradually disintegrates.
   Using this novel technology, SkyePharma has
    been developing Lodotra™, a rheumathoid
    arthritis drug, on behalf of Nitec Pharma.
    Lodotra™ will deliver the active pharmaceutical
    ingredient at the most suitable time of day to
X. GEOMATRIX™ Technology
 The Geomatrix™ technology is applied to
  achieve customised levels of controlled
  release of specific drugs and can achieve
  simultaneous release of two different drugs
  and different rates from a single tablet.
 The controlled release is achieved by
  constructing a multilayered tablet made of
  two basic key components; 1) hydrophilic
  polymers       such       as     hydroxypropyl
  methycellulose (HPMC) and 2) surface
  controlling barrier layers.
 SkyePharma           manufactures         several
  Geomatrix™ products for its partners, which
  include Sular® for Sciele, ZYFLO CR™ for
  Critical    Therapeutics,      Coruno®        for
  Therabel, diclofenac-ratiopharm® uno for
  ratiopharm and Madopar DR® for Roche.
XI. PULSYS™ Technology
 MiddleBrook™ (Earlier known as Advancis
  Pharmaceuticals)              Pharmaceuticals
  developed PULSYS™, an oral drug delivery
  technology that enables once daily pulsatile
  dosing. The PULSYS™ dosage form is a
  compressed tablet that contains pellets
  designed to release drug at different regions
  in the gastro-intestinal tract in a pulsatile
  manner.
 PULSYS™ Technology‟s Moxatag™ tablet
  contain Amoxicillin is designed to deliver
  amoxicillin at lower dose over a short
  duration therapy in once daily formulation.
  Advancis have also demonstrated that by
  preclinical     studies    which       improved
  bactericidal effect for amoxicillin when deliver
  in pulsatile manner as compared to standard
  dosing regimen even against resistant
XII. IntelliMatrixTM Technology
   IntelliPharmacetical is a pharmaceutical technology
    development company with a suite of proprietary
    tablet technologies.
   IntelliMatrixTM drug delivery platform is unique
    composition of several different „intelligent‟
    polymers such as hydroxy ethylcellulose and a
    channel former as Lactose.

XIII. Eurand’s pulsatile and chrono release System
 Eurand‟s Time controlled pulsatile release system is
    capable of providing one or more rapid release pulses
    at predetermined lag times, such as when
    chronotherapy is required, and at specific sites, such
    as for absorption along the GI tract.
   Eurand has created a circadian rhythm release
    (CRR) dosage form for a cardiovascular drug,
    Propranolol hydrochloride, with a four-hour delay in
    release after oral administration. Administered at
    bedtime, Propranolol is released after the initial delay
    such that maximum plasma level occurs in the early
    morning hours, when the Patient is most at risk.
XIV. Banner’s VersetrolTM Technology
   VersetrolTM Technology is novel innovative
    technology that provides time controlled
    release for wide range of drug. In this
    technology drug is incorporated in lipophilic or
    hydrophilic matrix and that is than incorporated
    in soft gelatin capsule shell. This technology is
    versatile       because       depending       on
    physiochemical properties of drug either
    emulsion or suspension can be developed. For
    lipophilic drugs suspension formulation is
    preferred while for hydrophilic drugs emulsion
    form is utilized. By applying combination of
    lipophilic and hydrophilic matrices desire
    release profile can be achieved.
XV. Magnetic Nanocomposite Hydrogel

   Magnetic nanocomposite of temperature
    responsive hydrogel was used as remote
    controlled     pulsatile      drug     delivery.
    Nanocomposites were synthesized by
    incorporation of superparamagnetic Fe3O4
    particles in negative temperature sensitive
    poly (N-isopropylacrylamide) hydrogels. High
    frequency alternating magnetic field was
    applied to produce on demand pulsatile drug
    release from nanocomposite hydrogel.
    Nanocomposite        hydrogel      temperature
    increase above LCTS so, result in to
    accelerated     collapse    of    gel.  Hence
    Nanocomposites hydrogel are one type of
    On-Off device where drug release can be turn
    on by application of alternative magnteic field.
Marketed Products :
Conclusion
   It can be concluded that pulsatile drug delivery
    systems offer a solution for delivery of drugs
    exhibiting chronopharmacological behavior, extensive
    first-pass metabolism, necessity of night-time
    dosing, or absorption window in GIT.

   A variety of systems based on single or multiple units
    are developed for pulsatile release of drug.

   One major challenge will be to obtain a better
    understanding of the influence of the biological
    environment on the release performance of pulsatile
    delivery systems in order to develop simple systems
    based on approved excipients with a good in vitro-in
    vivo correlation.
References
1.   Ramesh D. Parmar, et al. “Pulsatile Drug Delivery
     Systems: An Overview”, International Journal of
     Pharmaceutical Sciences and Nanotechnology,
     Volume 2, Issue 3, Oct – Dec 2009.

2.   JIGAR D. PATEL, et al.  “PULSATILE DRUG
     DELIVERY SYSTEM: AN "USER-FRIENDLY"
     DOSAGE FORM”, JPRHC, Volume 2, Issue 2, April
     2010, 204-215.

3.   Roland A. Bodmeier, et al. “Drug Delivery: Pulsatile
     Systems”

4.   Recent Techniques For Oral Time Controlled
     Pulsatile Technology, The Internet Journal of Third
     World Medicine™ ISSN: 1539-4646

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Pulsatile Drug Delivery System

  • 1. Pulsatile Drug Delivery System (PDDS)
  • 2. Content  Introduction  Criteria of Drugs for PDDS  Different Approaches  Fabrication  Recent Advancement  Marketed Preparations  Conclusion  References
  • 3. 1. Introduction  Why conventional dosage forms??? ◦ Advantages (Material, Manufacturing, Technology, Patient complience)  Why modified/ controlled dosage forms?? ◦ Advantages over conventional dosage forms ( Chronic Treatment, Patient complience, cost of over all treatment)
  • 4.  What and Why PDDS ? ? ?  Pulsatile drug delivery system is defined as the rapid and transient release of certain amount of drug molecules within a short time period immediately after a predetermined off- release period, i.e., lag time.  Pulsatile drug delivery aims to release drug on programmed pattern i.e. at appropriate time and at appropriate site of action. NOON HIGH ALERTNESS BEST COORDINATION HIGHEST TESTOSTERONE SECRETION FASTEST REACTION TIME BOWEL MOVEMENT LIKELY MELATONIN SECRETION STOPS GREATEST CVS EFFICIENCY & MUSCLE STRENGTH SHARPEST RISE IN BP HIGHEST BLOOD PRESSURE HIGHEST BODY TEMP LOWEST BODY TEMP MELATONIN SECRETION STARTS DEEPEST SLEEP BOWEL MOVEMENT SUPPRESSED MIDNIGHT Circadian
  • 5. Necessity of PDDS 1. Chronopharmacotherapy of diseases which shows circadian rhythms in their pathophysiology. 1. asthmatic attacks during early morning 2. heart attacks in the middle of the night 3. morning stiffness in arthritis 2. Avoiding the first pass metabolism e.g. protein and peptides 3. For which the tolerance is rapidly exists (e.g. Salbutamol sulphate) 4. For targetting specific site in intestine e.g. colon (e.g Sulfasalazine) 5. For time programmed administration of hormone and drugs, 6. For drugs having the short half life (e.g ß- blockers)
  • 6. Advantages 1. Extended daytime or nighttime activity 2. Reduced side effects 3. Reduced dosage frequency 4. Reduction in dose size 5. Improved patient compliance 6. Lower daily cost to patient due to fewer dosage units are required by the patient in therapy. 7. Drug adapts to suit circadian rhythms of body functions or diseases. 8. Drug targeting to specific site like colon. 9. Protection of mucosa from irritating drugs. 10.Drug loss is prevented by extensive first pass metabolism
  • 7. Different Approaches A. PREPLANNED SYSTEMS I. Pulsatile system based on capsule II. Pulsatile system based on osmosis III. Drug delivery system with erodible or soluble layer IV. Drug delivery system with rupturable layer B. STIMULI INDUCED PULSATILE SYSTEMS I. Temperature induced system II. Chemically induced System III. Externally stimuli System
  • 8. A. PREPLANNED SYSTEMS I. Pulsatile system based on capsule 1. PULSINCAP® The Pulsincap® system (Scherer DDS, Ltd) is an example of such a system that is made up of a water insoluble capsule body filled with drug formulation (McNeil et al., 1990, Wilding et al., 1992 and Saeger et al. 2004). The body is closed at the open end with a swellable hydrogel plug. The length of plug decides lag time. The plug material consists of insoluble but permeable and swellable polymers (eg, polymethacrylates), erodible compressed polymers (eg, hydroxypropylmethyl cellulose, polyvinyl alcohol, polyethylene oxide) (Krögel et al., 1998), congealed melted polymers (eg, saturated polyglycolated glycerides, glyceryl monooleate), and enzymatically controlled erodible polymer (eg, pectin, agar) (Krögel et al., 1999).
  • 9.
  • 10. Advantages : • Well tolerated in animals and healthy volunteers, and there were no reports of gastro-intestinal irritation (Saeger et al., 2004). Disadvantages : • Potential problem of variable gastric residence time, which was overcome by enteric coating the system to allow its dissolution only in the higher pH region of small intestine (Binns et al., 1996)
  • 11. Development and evaluation of pulsatile drug delivery system using novel polymer The aim of the present investigation was to develop a pulsatile drug delivery system based on an insoluble capsule body filled with theophylline microspheres and sealed with a swellable novel polymer plug isolated from the endosperm of seeds of higher plant Delonix regia family-Fabaceae. Theophylline microspheres were prepared by solvent evaporation method using Eudragit S 100. The swellable plugs of varying thickness and hardness were prepared by direct compression, which were then placed in the capsule opening. The drug delivery system was designed to deliver the drug at such a time when it was needed most to offer convenience to the chronic patients of asthma. Formulated dosage forms were evaluated for an in vitro drug release study, which showed that the release might be consistent with a release time expected to deliver the drug to the colon depending on the thickness and hardness of the hydrogel plug. Thus, thickness and hardness of the novel polymeric plug plays an important role in controlling the drug release from the formulated drug delivery system.
  • 12. II. Pulsatile System Based On Osmosis Osmotic system consists of capsule coated with the semipermiable membrane.In this system for development of osmotic pressure different techniques are used. Case 1: Osmotic system containing insoluble plug (eg. PORT system) Case 2: Osmotic system based on expandable orifice technology, Linkwitz et al. elastomer (eg. Styrene-butadiene copolymer) Case 3: Osmotic capsule containing micropores, Niwa et al
  • 13. Fig. Drug release mechanism from Port Capsule Step1: Cap dissolves off. immediately or modified release dose is released. Step 2: Energy source is activated by controlled permeation of GI fluid. Step 3: Time-release plug is expelled. Step 4: Pulse or Sustained release of second dose.
  • 14. III. Drug delivery system with erodible or soluble layer • In such systems the drug release is controlled by the dissolution or erosion of the outer coat which is applied on the core containing drug. • Time dependent release of the active ingredient can be obtained by optimizing the thickness of the outer coat 1. Chronotropic® system 2. Time Clock® system 3. Multilayered Tablet 1. Chronotropic® system  consists of a drug containing core coated by hydroxypropylmethyl cellulose (HPMC), a hydrophilic swellable polymer, which is responsible for a lag phase in the onset of release (Gazzania et al., 1994 and 1995).  variability in gastric emptying time can be overcome, and a
  • 16. 2. Time Clock® system  Consists of a solid dosage form coated with lipidic barriers containing carnauba wax and bees‟ wax along with surfactants, such as span 80 (Pozzi et al., 1992 and Wilding et al., 1994).  After a lag time proportional to the thickness of the film, this coat erodes or emulsifies in the aqueous environment, and the core is then available for dispersion.  The lag time increased with increasing coating thickness Wax + Drug Core Surfactant
  • 17. 3. Multilayered Tablet A release pattern with two pulses was obtained from a three-layered tablet containing two drug containing layers separated by a drug-free gellable polymeric barrier layer (Conte et al., 1989 and 1992) Multilayered Tablet a. Initial rapid release drug layer b. Drug – free gellable polymeric barrier layer c. Second pulse generating drug layer d. Impermeable ethyl cellulose layer (3 – sided)
  • 18. IV. Drug delivery system with rupturable layer These systems consist of an outer release controlling water insoluble but permeable coating subject to mechanically induced rupture phenomenon. Ethyl cellulose Bicarbonate coating + Citric acid + Drug Rupturable polymer layer Superdisintegrating agent + Drug
  • 19. Process and Formulation Variables Affecting the Performance of a Rupturable Capsule‐Based Drug Delivery System with Pulsatile Drug Release  The objective of this study was to optimize several process and formulation parameters, which influence the performance of a rupturable, pulsatile drug delivery system. The system consisted of a drug‐containing hard gelatin capsule, a swelling layer of croscarmellose (Ac‐Di‐Sol®) and a binder, and an outer ethylcellulose coating. Polyvinyl pyrrolidone (Kollidon 90F) was superior to HPMC and HPC as a binder for the swelling layer with regard to binding (adherence to capsule) and disintegration properties of the swelling layer. The capsule‐to‐capsule uniformity in the amount of swelling layer and outer ethylcellulose coating, which significantly affected the lag time prior to rupture of the capsule, was optimized by decreasing the batch size, and by increasing the rotational pan speed and the distance between the spray nozzle and the product bed. The type of baffles used in the coating pan also affected the layering uniformity. Fully‐filled hard gelatin capsules had a shorter lag time with a higher reproducibility compared to only half‐filled capsules, because the swelling pressure was directed primarily to the outer ethylcellulose coating and not to the inner capsule core. Stability studies revealed that the lag time of the capsules was stable over a 240‐day period when the moisture content was kept unchanged.
  • 20. B. STIMULI INDUCED PULSATILE SYSTEMS I. Temperature induced system  Thermo-responsive hydrogel systems have been developed for pulsatile release.  In these systems the polymer undergoes swelling or deswelling phase in response to the temperature which modulate drug release in swollen state. Eg. 1) Y.H. Bae et al developed indomethacin pulsatile release pattern in the temperature ranges between 20oC and 30oC by using reversible swelling properties of copolymers of N- isopropylacrylamide and butyrylacrylamide. 2) Kataoka et al developed the thermosensitive polymeric micelles as drug carrier to treat the cancer. They used endfunctionalized poly(N-isopropylacrylamide) (PIPAAm) to prepare corona of the micelle which showed hydration and dehydration behavior with changing temperature.
  • 21. I. Chemical induced system  There has been much interest in the development of stimuli- sensitive delivery systems that release a therapeutic agent in presence of specific enzyme or protein.  One prominent application of this technology has been development of a system that can autonomously release insulin in response to elevated blood glucose levels. 1. pH dependent system GLUCOSE GLUCONIC ACID Glucose oxidase immobilized on cross linked polyacrylamide INSULIN N, N- diethylaminoethyl methacrylate and 2-hydroxypropyl methacrylate (DEA-HPMA) formed the barrier membrane
  • 22. III. Externally stimuli System  For releasing the drug in a pulsatile manner, another way can be the externally regulated systems in which drug release is programmed by external stimuli like magnetism, ultrasound, electrical effect and irradiation. a) Magnetically Stimulated b) Ultrasonically Stimulated c) Photo Stimulated d) Electrically Stimulated
  • 23. Evaluation Parameters ◦ Hardness ◦ Friability ◦ Weight uniformity ◦ Swelling index ◦ Thickness of layer ◦ Drug release profile ◦ Coating uniformity
  • 24. Recent Advancement in PDDS 1. ACCU-BREAK™ Technology Accu-Break Pharmaceuticals, Inc. and Azopharma Product Development Group, Inc. Accu-Break tablets are manufactured on commercially available multilayer compression equipment. Accu-Break™ Technology is divided in to two types ACCU- B™ Technology and ACCU-T™ Technology.
  • 25. II.SODAS® Technology  SODAS® (Spheroidal Oral Drug Absorption System) is Elan‟s Multiparticulate drug delivery system. Based on the production of controlled release beads, the SODAS® technology is characterized by its inherent flexibility, enabling the production of customized dosage forms that respond directly to individual drug candidate needs.  Elan‟s SODAS® Technology is based on the production of uniform spherical beads of 1-2 mm in diameter containing drug plus excipients and coated with product specific controlled release polymers.  The most recent regulatory approvals for a SODAS® based system occurring with the launch of once-daily oral dosage forms of Avinza™, Ritalin® LA and Focalin® XR.
  • 26. III. IPDAS® Technology  The Intestinal Protective Drug Absorption System (IPDAS® Technology) is a high density multiparticulate tablet technology, intended for use with GI irritant compounds.  Once an IPDAS® tablet is ingested, it rapidly disintegrates and disperses beads containing a drug in the stomach, which subsequently pass into the duodenum and along the gastrointestinal tract in a controlled and gradual manner, independent of the feeding state.  Release of active ingredient from the multiparticulates occurs through a process of diffusion through the polymeric membrane. micromatrix of polymer/active ingredient formed in the extruded/spheronized multiparticulates.  Naprelan®, which is marketed in the United States and Canada, employs the IPDAS® technology. This innovative formulation of naproxen sodium.
  • 27. IV. CODAS™ Technology  Elan‟s drug delivery technology can be tailored to release drug after a predetermined delay. The CODAS™ drug delivery system enables a delayed onset of drug release, resulting in a drug release profile that more accurately compliments circadian patterns.  Elan‟s Verelan® PM represents a commercialized product using the CODAS™ technology. The Verelan® PM formulation was designed to begin releasing Verapamil approximately four to five hours post ingestion. This delay is introduced by the level of release-controlling polymer applied to the drug-loaded beads.
  • 28. V. PRODAS® Technology  Programmable Oral Drug Absorption System (PRODAS® Technology) is a multiparticulate technology, which is unique in that it combines the benefits of tabletting technology within a capsule.  The PRODAS® delivery system is presented as a number of minitablets combined in a hard gelatin capsule. Very flexible, the PRODAS® technology can be used to pre- program the release rate of a drug. It is possible to incorporate many different minitablets, each one formulated individually and programmed to release drug at different sites within the gastro-intestinal tract. It is also possible to incorporate minitablets of different sizes so that high drug loading is possible.
  • 29. VI. TMDS Technology  TMDS (Time Multiple Action Delivery system) Technology provide control release rate of multiple ingredient within single tablet in programme manner. TMDS Technology allows for more than one active ingredient in a single tablet formulation provide multiple release profile over extended period of time. VII. DMDS Technology  DMDS (Dividable Multiple Action Delivery System) is designed to provide greater dosing flexibility that improve product efficacy and reduces side effects. Traditional controlled release tablet often lose their controlled release mechanism of delivery once it broken. But DMDS technology allows tablet to be broken down in half so that each respective portion of the tablet will achieve exactly the same release profile as the whole tablet. This allows the patient and physician to adjust the dosing regimen according to the clinical needs without
  • 30. VIII. PMDS Technology  PMDS (Programmed Multiple-action Delivery System) technology is designed to provide for the multi-phasic delivery of any active ingredient in a more controlled fashion as compared to typical controlled release technologies.  This technology allows us to overcome one of the technical challenges in the development of multi-particulate dosage forms – achieving acceptable uniformity and reproducibility of a product with a variety of release rates. It is designed to provide greater dosing flexibility that improves product efficacy and may reduce
  • 31. IX. GEOCLOCK® Technology  SkyePharma developed a new oral drug delivery technology, Geoclock®; that allows the preparation of chronotherapy-focused press- coated tablets.  Geoclock® tablets have an active drug inside an outer tablet layer consisting of a mixture of hydrophobic wax and brittle material in order to obtain a pH-independent lag time prior to core drug delivery at a predetermined release rate. This dry coating approach is designed to allow the timed release of both slow release and immediate release active cores by releasing the inner table first after which time the surrounding outer shell gradually disintegrates.  Using this novel technology, SkyePharma has been developing Lodotra™, a rheumathoid arthritis drug, on behalf of Nitec Pharma. Lodotra™ will deliver the active pharmaceutical ingredient at the most suitable time of day to
  • 32. X. GEOMATRIX™ Technology  The Geomatrix™ technology is applied to achieve customised levels of controlled release of specific drugs and can achieve simultaneous release of two different drugs and different rates from a single tablet.  The controlled release is achieved by constructing a multilayered tablet made of two basic key components; 1) hydrophilic polymers such as hydroxypropyl methycellulose (HPMC) and 2) surface controlling barrier layers.  SkyePharma manufactures several Geomatrix™ products for its partners, which include Sular® for Sciele, ZYFLO CR™ for Critical Therapeutics, Coruno® for Therabel, diclofenac-ratiopharm® uno for ratiopharm and Madopar DR® for Roche.
  • 33. XI. PULSYS™ Technology  MiddleBrook™ (Earlier known as Advancis Pharmaceuticals) Pharmaceuticals developed PULSYS™, an oral drug delivery technology that enables once daily pulsatile dosing. The PULSYS™ dosage form is a compressed tablet that contains pellets designed to release drug at different regions in the gastro-intestinal tract in a pulsatile manner.  PULSYS™ Technology‟s Moxatag™ tablet contain Amoxicillin is designed to deliver amoxicillin at lower dose over a short duration therapy in once daily formulation. Advancis have also demonstrated that by preclinical studies which improved bactericidal effect for amoxicillin when deliver in pulsatile manner as compared to standard dosing regimen even against resistant
  • 34. XII. IntelliMatrixTM Technology  IntelliPharmacetical is a pharmaceutical technology development company with a suite of proprietary tablet technologies.  IntelliMatrixTM drug delivery platform is unique composition of several different „intelligent‟ polymers such as hydroxy ethylcellulose and a channel former as Lactose. XIII. Eurand’s pulsatile and chrono release System  Eurand‟s Time controlled pulsatile release system is capable of providing one or more rapid release pulses at predetermined lag times, such as when chronotherapy is required, and at specific sites, such as for absorption along the GI tract.  Eurand has created a circadian rhythm release (CRR) dosage form for a cardiovascular drug, Propranolol hydrochloride, with a four-hour delay in release after oral administration. Administered at bedtime, Propranolol is released after the initial delay such that maximum plasma level occurs in the early morning hours, when the Patient is most at risk.
  • 35. XIV. Banner’s VersetrolTM Technology  VersetrolTM Technology is novel innovative technology that provides time controlled release for wide range of drug. In this technology drug is incorporated in lipophilic or hydrophilic matrix and that is than incorporated in soft gelatin capsule shell. This technology is versatile because depending on physiochemical properties of drug either emulsion or suspension can be developed. For lipophilic drugs suspension formulation is preferred while for hydrophilic drugs emulsion form is utilized. By applying combination of lipophilic and hydrophilic matrices desire release profile can be achieved.
  • 36. XV. Magnetic Nanocomposite Hydrogel  Magnetic nanocomposite of temperature responsive hydrogel was used as remote controlled pulsatile drug delivery. Nanocomposites were synthesized by incorporation of superparamagnetic Fe3O4 particles in negative temperature sensitive poly (N-isopropylacrylamide) hydrogels. High frequency alternating magnetic field was applied to produce on demand pulsatile drug release from nanocomposite hydrogel. Nanocomposite hydrogel temperature increase above LCTS so, result in to accelerated collapse of gel. Hence Nanocomposites hydrogel are one type of On-Off device where drug release can be turn on by application of alternative magnteic field.
  • 38. Conclusion  It can be concluded that pulsatile drug delivery systems offer a solution for delivery of drugs exhibiting chronopharmacological behavior, extensive first-pass metabolism, necessity of night-time dosing, or absorption window in GIT.  A variety of systems based on single or multiple units are developed for pulsatile release of drug.  One major challenge will be to obtain a better understanding of the influence of the biological environment on the release performance of pulsatile delivery systems in order to develop simple systems based on approved excipients with a good in vitro-in vivo correlation.
  • 39. References 1. Ramesh D. Parmar, et al. “Pulsatile Drug Delivery Systems: An Overview”, International Journal of Pharmaceutical Sciences and Nanotechnology, Volume 2, Issue 3, Oct – Dec 2009. 2. JIGAR D. PATEL, et al. “PULSATILE DRUG DELIVERY SYSTEM: AN "USER-FRIENDLY" DOSAGE FORM”, JPRHC, Volume 2, Issue 2, April 2010, 204-215. 3. Roland A. Bodmeier, et al. “Drug Delivery: Pulsatile Systems” 4. Recent Techniques For Oral Time Controlled Pulsatile Technology, The Internet Journal of Third World Medicine™ ISSN: 1539-4646