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Formulation and Evaluation of Matrix Tablets for Colon Specific Delivery of Mebendazole M.Pharm Dissertation Protocol Submitted to the Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore. By Mr. Mahantesh Kavatekar B.Pharm Under the guidance of Dr. Chandrashekar C. patil M.Pharm., Ph.D. Professor Department of Pharmaceutical Technology B.L.D.E.A’s College of Pharmacy, Bijapur-586103 2012-2013 Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore ANNEXURE II PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION 1. 2. Name of the Candidate and Address (In block letters) MR. MAHANTESH KAVATEKAR Name of the Institution B.L.D.E.A’s College of Pharmacy, BLDE University campus ,Bijapur-586 103 3. Course of study and subject M.Pharm in Pharmaceutical Technology 4. Date of admission to Course 10/12/2011 5. Title of the Topic Formulation and Evaluation of Matrix Tablets for Colon Specific Delivery of Mebendazole 6. 7. Brief resume of the intended work : 6.1 Need for the study Enclosure-I 6.2 Review of literature Enclosure-II 6.3 Objectives of the study Enclosure-III Material and Methods : 7.1 Source of data : Enclosure-IV 7.2 Method of collection of data (including sampling procedure, if any) : Enclosure-IV 7.3 Does the study require any investigations or interventions to be conducted on patients or other humans or animals? If so, please describe briefly. : Enclosure-V 7.4 Has ethical clearance been obtained from your institution in case of 7.3 : YES 2 8. List of References (about 4-6) 9. Signature of candidate 10. Remarks of the guide 11. Name & Designation of (in block letters) 11.1 Guide 11.2 Signature : Enclosure-VI : Enclosure-VII Dr. CHANDRASHEKAR .C. PATIL Professor Department of Pharmaceutical Technology B.L.D.E.A’s College of Pharmacy, BIJAPUR-586 103 --11.3 Co-Guide (if any) 11.4 Signature 11.5 Head of Department 11.6 Signature 12.1 Remarks of the principal 12.2 Signature --- 12. Dr. RAGHAVENDRA. V. KULKARNI Professor & Head Department of Pharmaceutical Technology, B.L.D.E.A’s College of Pharmacy, BIJAPUR-586 103 : This study can be carried out in our laboratory 3 ENCLOSURE-I 6) Brief resume of the intended work 6.1. Need for the study Oral controlled-release formulations for the small intestine and colon have received considerable attention in the past 25 years for a variety of reasons including pharmaceutical superiority and clinical benefits derived from the drug - release pattern that are not achieved with traditional immediate (or) sustained - release products1.Targeted drug delivery into the colon is highly desirable for local treatment of a variety of bowel diseases such as ulcerative colitis, Crohn’s disease, amebiosis, colonic cancer, local treatment of colonic pathologies, and systemic delivery of protein and peptide drugs.2 The colon specific drug delivery system (CDDS) should be capable of protecting the drug en route to the colon i.e. drug release and absorption should not occur in the stomach as well as the small intestine, and neither the bioactive agent should be degraded in either of the dissolution sites but only released and absorbed once the system reaches the colon.3 The colon is believed to be a suitable absorption site for peptides and protein drugs for the following reasons; (i) less diversity, and intensity of digestive enzymes, (ii) comparative proteolytic activity of colon mucosa is much less than that observed in the small intestine, thus CDDS protects peptide drugs from hydrolysis, and enzymatic degradation in duodenum and jejunum, and eventually releases the drug into ileum or colon which leads to greater systemic bioavailability.4 And finally, because the colon has a long residence time which is up to 5 days and is highly responsive to absorption enhancers.5 Oral route is the most convenient and preferred route but other routes for CDDS may be used. Rectal administration offers the shortest route for targeting drugs to the colon. However, reaching the proximal part of colon via rectal administration is difficult. Rectal administration can also be uncomfortable for patients and compliance may be less than optimal.6 Mebendazole is a highly effective broad spectrum antihelmintic indicated for the treatment of nematode infestations, including roundworm, whipworm, threadworm, and 4 hookworm. When administered orally, only around 10% of the mebendazole is absorbed 7 with peak plasma concentrations after 1 or 2 hours. It has a short plasma half-life of 2.5 to 5.5 hours8, but this drug is less absorbed in the stomach and has the extensive hepatic metabolism. Therefore, it requires to be formulated in the improved form to get the improved bioavailability of drug and to reduce the frequency of dosing. Hence, the present work is aimed at the formulation of matrix tablets for colon specific delivery of mebendazole. 5 ENCLOSURE-II 6.2. Review of literature 1. Mura et al., have developed enteric-coated calcium pectinate microspheres (MS) aimed for colon drug delivery by using theophylline as a model drug. The influence of pectin type (amidated or non-amidated) and MS preparation conditions (CaCl2 concentration and crosslinking time) was investigated upon the drug entrapment efficiency and its release behaviour. Drug stability and drug– polymer interactions were studied by Differential Scanning Calorimetry, thermogravimetry, X-ray diffractometry and FTIR spectroscopy. Enteric coating with Eudragit S100 enabled maintenance of MS integrity until its expected arrival to colon. The coating was also useful to improve the stability of MS during storage, avoiding morphologic changes observed for uncoated MS stored under ambient conditions. Entrapment efficiency increased by reducing cross-linking time, and (only in the case of non-amidated pectin) by increasing CaCl2 concentration. On the other hand, release tests performed simulating the gastrointestinal pH variation evidenced an inverse relationship between CaCl2 concentration and drug release rate, whereas no influence of both pectin type and cross-linking time was found. Unexpectedly, addition of pectinolytic enzymes to the colonic medium did not give rise to selective enzymatic degradation of MS. Notwithstanding this unforeseen result, coated MS prepared at 2.5% w/v CaCl2 concentration were able to adequately modulate drug release through a mixed approach of pH and transit time control, avoiding drug release in the gastric ambient, and reaching the colonic targeting where 100% release was achieved within less than 24 h9. 2. Hiorth et al., have reported that the biopolymers such as pectin, alginate, and chitosan have a great potential in colon drug delivery. The aim of their study was to produce pellets with calcium and chitosan in the core and then by an interfacial complexation reaction coat the cores with pectin or alginate in combination with 6 calcium or chitosan. Pellets with calcium in the core acted as a reference. The drug release was investigated in environments mimicking the stomach and the small intestine. The morphology of the coatings indicated a more wrinkled and irregular structure for coatings composed of pectin or alginate in combination with chitosan compared to the coat consisting of alginate in combination with calcium. The results from the drug release experiments showed that all the investigated coatings, especially with alginate, slowed down the drug release compared to the uncoated cores. The release from the chitosan-containing pellets was higher than the reference. The swelling studies revealed a high degree of swelling of the core consisting of chitosan. This probably explains the higher drug release from the coated chitosan pellets10. 3. Das et al., have developed Zinc–pectin–chitosan composite microparticles as colon-specific carrier. Resveratrol was used as model drug due to its potential activity on colon diseases. Formulations were produced by varying different formulation parameters (cross-linking pH, chitosan concentration, cross-linking time, molecular weight of chitosan, and drug concentration). Single-step formulation technique was compared with multi-step technique. Effect of these parameters was investigated on shape, size, weight, weight loss (WL), moisture content (MC), encapsulation efficiency (EE), drug loading (L), and drug release pattern of the microparticles. The formulation conditions were optimized from the drug release study. In vivo pharmacokinetics of the zinc-pectinate particles was compared with the zinc–pectin–chitosan composite particles in rats. Formulations were spherical with 920.48–1107.56 m size, 21.19–24.27mg weight of 50 particles, 89.83–94.34% WL, 8.31–13.25% MC, 96.95–98.85% EE, and 17.82– 48.31% L. Formulation parameters showed significant influence on drug release pattern from the formulations. Formulation prepared at pH 1.5, 1% chitosan, 120 min cross-linking time, and pectin:drug at 3:1 ratio demonstrated colon-specific drug release. Microparticles were stable at 40C and room temperature. 7 Pharmacokinetic study indicated in vivo colon-specific drug release from the zinc–pectin–chitosan composite particles only11. 4. Bhawna et al., have studied colon targeted system for metronidazole using guar gum and xanthan gum. Matrix formulations containing various proportions of guar gum and xanthan gum were prepared by wet granulation technique using 10% starch paste. Later on, multilayer tablets were prepared by using 50 mg and 100 mg of guar gum as release controlling layer on either side of (M5) guar gum matrix tablets of metronidazole. All the formulations were evaluated for in-process quality control tests. The in-vitro drug release study was undertaken at 37±0.5°C in 0.1N HCl for 2 h; followed by pH 7.4 phosphate buffer (3h) finally in, simulated colonic fluid pH 6.8 phosphate buffer containing 4%w/v rat ceacal content for 15 h. Results indicated that guar gum was alone failed to control drug release. M5 (GG: XG, 0:100) formulation seems to quiet promising for colonic drug delivery and only 12.3% drug is released in first 5h wherease, other matrix tablets released 12-33% of metronidazole in physiological environment of stomach and small intestine. When studies were continued in colonic fluids, matrix tablets released almost 100% drug. whereas, metronidazole multilayer formulations did not release drug in stomach and small intestine, but delivered drug to the colon resulting in slow absorption of the drug and making drug available for local action in the colon12. 8 ENCLOSURE-III 6.3. Objectives of the study The present work is planned with the following objectives. 1. To prepare matrix tablets by wet granulation technique using polymers like pectin, guar gum, xanthan gum, Eudragit etc. 2. To examine the granules for angle of repose, compressibility index, bulk density etc. 3. To evaluate the tablets for hardness, weight variation, uniformity in drug content, drug-polymer interactions, nature of drug in the formulations and surface morphology. 4. To study the in vitro drug release from the prepared tablets in simulated colonic fluid using dissolution tester. 5. To carry out the Roentgenographic studies. 6. To carry out the stability studies on the prepared formulations. 9 ENCLOSURE-IV 7) MATERIALS AND METHODS 7.1. Source of data The data will be collected by performing various laboratory experiments, referring journals, text books and other literature. 7.2. Method of collection of data The whole data is planned to collect from laboratory experiments which includes the following, 1) The colon targeted matrix tablets will be prepared by wet granulation method using polymers like pectin, guar gum, xanthan gum, Eudragit etc. 2) The granules will be evaluated for angle of repose, compressibility index and bulk density. 3) The formulations will be characterized by Differential scanning calorimetry (DSC), Infrared Spectroscopy (FTIR), x-ray Diffraction Studies (XRD), Scanning Electron Microscopy (SEM) and data will be collected. 4) The effects of formulation variables on the drug release will be studied by conducting dissolution experiments in simulated colonic fluid and data will be collected. 5) The stability studies of the formulations will be carried out as per ICH guidelines and data will be collected. 10 ENCLOSURE-V 7.3. This study is aimed to carry out the following animal studies. 1) Drug release in simulated colonic fluid: The caecum will be excised from the rat digestive system and the contents of the caecum will be used to perform drug release study (No of rats required: 10, Sex: Either, Weight: 250-300 gm). 2) Roentgenographic study: The prepared tablet will be subjected for roentgenography to know the colon targeting of the tablets (No of rabbits required = 03). 7.4. Animal ethical clearance has been obtained to carry out the above said animal Experiments? Applied for IAEC permission and meeting expected to be held in the month of August 2012 11 ENCLOSURE-VI 8) List of References 1. Philip A.K., Dabas S., Pathak K. 2005 “Optimised prodrug approach: A means for achieving enhanced anti-inflammatory potential in experimentally induced colitis”. J Drug Targ., 17: 235-241. 2. Oluwatoyin A.O., John T.F. 2005 “In vitro evaluation of khaya and albizia gums as compression coating for drug targeting to the colon”. J Pharm Pharmacol., 57: 63168. 3. Akala E.O., Elekwachi O., Chase V., Johnson H., Marjorie L., Scott K. 2003 “Organic redox initiated polymerization process for the fabrication of hydrogel for colon specific drug delivery”. Drug Ind Pharm., 29: 375-386. 4. Chourasia M.K., Jain S.K. 2003 “Pharmaceutical approaches to colon targeted drug delivery systems”. 6: 33-66. 5. Basit A., Bloor J. 2003 “Prespectives on colonic drug delivery, Business briefing”. Pharmtech., 185-190. 6. Watts P., Illum L. 1997 “Colonic drug delivery”. Drug Dev Ind pharm., 23: 893-913. 7 Rieto J G., Justel A., Del E Tal J L., Barrio J P., Alvarez A I. 1991,” Comparative study on gastric absorption of albendazole and mebendazole in rats”, Comp. Biochem. Physiol.100c, No. 3:397-400 8 http://en.wikipedia.org/wiki/Mebendazole 9 Maestrelli F., Cirri M., Corti G., Mennini N., Mura P. 2008 “Development of entericcoated calcium pectnate microspheres intended for colonic drug delivery”. Eur J Pharm and biopharm., 69: 508-518. 10 Hiorth M., Skoien T., Sande S.A. 2010 “Immersion coating of pellet cores consisting of chitosan and calcium intended for colon drug delivery”. Eur J Pharm and biopharm., 75: 245-253. 12 11 Das S., Chaudhury A., Yun Ng K. 2011 “Preparation and evaluation of zinc-pectinchitosan composite particles for drug delivery to the colon: Role of chitosan in modifying in vitro and in vivo drug release”. Int J Pharm., 406: 11-20. 12 Bhawna G., Singh S.K., Mishra D. 2011 “Formulation and evaluation of colon targeted oral drug delivery systems for metroindazole in treatment of amoebiasis”. Int J Drug Dev., 3: 503-512. 13 ENCLOSURE-VII 10) Remarks of the Guide The present work is aimed to formulate the matrix tablets for colon specific delivery of mebendazole. Mebendazole is a highly effective broad spectrum antihelmintic indicated for the treatment of nematode infestations, including roundworm, whipworm, threadworm, and hookworm. When administered orally only 10% of the mebendazole is absorbed with peak plasma concentrations after 2 or 5 hours. It has a short plasma half-life of 2.5 to 5.5 hours, but this drug is less absorbed in the stomach and small intestine before reaching the colon sites. Therefore, it is preferable to deliver the drug site-specifically to the colon. The proposed study can be carried out in the laboratory. Dr. C. C. Patil Professor (Research Guide) 14