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Preparation and characterization of controlled release poly-ε-caprolactonemicroparticles of isoniazid for drug delivery through pulmonary route
Rajesh Parikh, Sonali Dalwadi
PII: S0032-5910(14)00407-0DOI: doi: 10.1016/j.powtec.2014.04.077Reference: PTEC 10238
To appear in: Powder Technology
Received date: 1 October 2013Revised date: 3 April 2014Accepted date: 20 April 2014
Please cite this article as: Rajesh Parikh, Sonali Dalwadi, Preparation and characteriza-tion of controlled release poly-ε-caprolactone microparticles of isoniazid for drug deliverythrough pulmonary route, Powder Technology (2014), doi: 10.1016/j.powtec.2014.04.077
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TITLE PAGE
Preparation and characterization of controlled release poly-ɛ -caprolactone
microparticles of isoniazid for drug delivery through pulmonary route
Rajesh Parikh1, Sonali Dalwadi*
1
1Ramanbhai Patel College of Pharmacy,
Charotar University of Science and Technology,
CHARUSAT Campus, Changa 388 421,
Ta. Petlad, Dist. Anand,
Gujarat, India
*Corresponding Author’s E-mail: [email protected]
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ABSTRACT
In the present investigation inhaled isoniazid microparticles (IM) and isoniazid polymeric
microparticles (INH-PM) using poly-ɛ -caprolactone polymer were prepared through spray
drying techniques. The purpose of this investigation is to evaluate lung deposition of IM and
INH-PM through cascade impaction study. The drug release of IM and INH-PM was studies
using simulated lung fluids at pH 7.4 representing the interstitial site and at pH 4.5
representing phagocomal site after alveolar macrophage uptake. The kinetic models had also
been applied providing the drug release kinetics for IM and INH-PM in simulated lung fluids
at pH 7.4 and at pH 4.5. The results of the particles size and surface characteristics showed
the spherical shape and 1 - 5µ size of IM and INH-PM prepared using spray drying which can
be suitable for pulmonary drug delivery. The cascade impaction study with mass median
aerodynamic diameter ranging from 1.9 – 4 µ confirmed the inhaled characteristics of IM and
INH-PM with providing the deep lung deposition where tubercular bacilli reside. From in
vitro drug release studies done using simulated lung fluids and goodness of fit with kinetic
model applications, it can be concluded that the prepared poly-ɛ -caprolactone microparticles
of isoniazid provided the advantage of controlled release characteristics deep inside the lung
where tubercular bacilli reside and as suitable for pulmonary drug delivery it may help in
improving treatment of tuberculosis through direct administration to site of action.
Keywords: isoniazid; polymer; pulmonary; inhaled; tuberculosis; microparticles
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1. INTRODUCTION
Pulmonary route is widely employed to deliver drugs to the respiratory epithelium for the
treatment of local and systemic diseases. Drugs like antibiotics, antiviral agents, mucoactive
agents, corticosteroids, peptides, proteins and enzymes can be delivered through inhalation.
Pulmonary drug delivery may offers advantages like reduction in side effect as well as
enhanced therapeutic effect. Furthermore, the lungs can be targeted for delivery to specific
lung cells, such as alveolar macrophages1, for treatment of diseases such as tuberculosis
2.
However, the particles with aerodynamic diameter between 1 and 5 μ can only effectively
reach deep in the lungs to target alveolar macrophages. Devices used to deliver aerosolized
therapeutic agents are based on one of three platforms: pressurized metered-dose inhaler
(pMDI), nebulizer and dry powder systems3. Medication using dry powder inhalation can
result in high local levels of drug in epithelial lining fluid of the airways and lower
respiratory tract.
Tuberculosis (TB) is a chronic infectious disease. Lung is the primary site of infection. The
causative agent Mycobacterium tuberculosis (MTB) resides in Alveolar Macrophage (AM).
The conventional treatment of TB involves systemic delivery of antitubercular drugs (antiTB)
through oral route. The major disadvantage associated with oral treatment is undesirable side
effects and toxic effects due to high doses. Delivery of antiTB drugs directly to the primary
infection site through pulmonary route may help in reduction of side effects as well as toxic
effects and provide an advantage of dose reduction 4-9
. Particulate systems are considered as
foreign bodies and are phagocytised by macrophages, this natural immunological response
can be utilized for targeting drugs to macrophages through their entrapment into particulate
systems10
. Microparticles for delivery of antitubercular drug through pulmonary route should
provide optimum deposition to deep lungs where the alveolar macrophages reside. The work
has been reported on antiTB drugs delivery system through pulmonary route are:
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microspheres employing PLG 7,11
and PLGA6,4
, nanoparticles employing alginate 12
, solid
lipid nanoparticles13
, liposomes formulated using Egg PC-and Chol- based liposomes14
,
Lung-specific stealth liposomes 15
, dry powder ‘porous nanoparticle-aggregate particle’
(PNAP) 16
. AntiTB drugs are always to be used in combination to avoid the chances of drug
resistance17
. In any combination of antiTB drugs, isoniazid is always recommended as first
line agent as per WHO guidelines. Isoniazid can be delivered through pulmonary route either
as polymeric or non-polymeric micro/nano particles18,19
or pro-liposome formulation20
.
Microparticles can be prepared using a variety of techniques like emulsion-solvent
evaporation21
, lyophilisation, supercritical fluid technique; spray drying 22
. Isoniazid and
poly-ɛ -caprolactone microspheres and nanospheres have been investigated by emulsion
solvent evaporation and freeze drying using tween80 as surfactant and ethyl acetate as
organic solvent21
. As compared to freeze drying, spray drying is one of the most preferred
techniques as it offers several advantages like easy scalability, wide applicability, reliability
under production conditions, the reproducibility, and the possible control of particles size
with potential to provide application for development of particles for nasal and pulmonary
delivery23
. The reports are not available for inhaled spray dried polymeric and non-polymeric
microparticles of isoniazid with inclusion of in vitro drug release studies using simulated lung
fluids. So, in the present investigation isoniazid microparticles (IM) and isoniazid polymeric
microparticles (INH-PM) using poly-ɛ -caprolactone polymer were prepared through spray
drying techniques. The inhaled characteristics of prepared formulations are important to
deposit the particles to deep lung where the alveolar macrophage resides. The mass median
aerodynamic diameter (MMAD) and the fine particle fraction (FPF) are important aerosol
properties for effective deposition of particles to target site22,24
. Thus the challenge to
formulation is to design a powder mass which meets required aerosol properties or qualities
for deposition of particles to appropriate site within lungs. The purpose of this investigation is
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to evaluate lung deposition of IM and INH-PM through cascade impaction study. The drug
release of IM and INH-PM was studied using simulated lung fluids at pH 7.4 representing the
interstitial site and at pH 4.5 representing phagosomal site after alveolar macrophage uptake.
The kinetic models have also been applied providing the drug release kinetics for IM and
INH-PM in simulated lung fluids at pH 7.4 and at pH 4.5.
2. MATERIALS AND METHODS
2.1 Materials
Isoniazid is gifted by IPCA, India. Poly-caprolactone was purchased from Sigma, USA.
Methanol, dichloromethane (DCM), poly vinyl alcohol AR grade (PVA), sodium
taurocholate, lecithin, pepsin, sodium chloride, hydrochloric acid, sodium hydroxide,
magnesium chloride, disodium hydrogen phosphate, sodium sulphate, calcium chloride
dehydrate, sodium citrate dehydrate, citric acid, glycine, sodium tartrate dehydrate, sodium
lactate, sodium pyruvate and phosphate buffer saline pH 7.4 (PBS) were purchased from
Merck Chemicals, India. All the chemicals and ingredients utilized for studies were of AR
grade. Double distilled water was utilized throughout the study.
2.2 Preparation of Isoniazid Microparticles (IM) through Spray Drying Process
Isoniazid solution (5%w/v) in double distilled water was prepared and subjected to drying
using Spray Dryer with high efficiency cyclone separator (LU-222 advanced, Labultima,
Mumbai, India) under following conditions: inlet temperature 45ºC, aspiration 45 Nm3/hr,
feed rate of 1mL/min. The powder in high efficiency cyclone separator was collected,
weighed (AUX220, Shimadzu, Japan) and stored in light resistant container till further
analysis.
2.3 Preparation of Polymeric Microparticles of Isoniazid using Poly-ɛ -caprolactone
The polymeric microparticles of isoniazid were prepared by double emulsification method
and the microparticles were obtained using spray drying process. The weighed amount of
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polymer was dissolved completely in 5mL of DCM. Isoniazid (500mg) was dissolved in
double distilled water (3mL). The solution of INH was dispersed in polymer solution using
syringe with 23G needle to obtain w/o emulsion. This emulsion was again dispersed in
1.5%w/v PVA solution and homogenized for 1minute using high speed homogenizer at
10500rpm. The prepared w/o/w emulsion was spray dried to prepare INH-PM at following
conditions: Inlet temperature 120C, feed rate 2mL/min and aspiration rate 60Nm3/hr. The
microparticles were collected from high efficiency cyclone separator, weighed and stored at
room temperature and in air tight light resistant contained till further analysis.
2.4 22 Full Factorial Designs
22 full factorial designs was adopted to develop the optimized formulation. Using this design
one can determine the effect of independent variables - drug: polymer ratio (X1) and volume
of PVA (X2)on dependent variables - the particle size (µm) (Y1), drug entrapment (%w/w)
(Y2) and yield (%w/w) (Y3). As per the 22 factorial Design, total four batches of
microparticles were formulated having independent and dependent variables as shown in the
Table 1. Experimental trials of four batches were performed in triplicate using all possible
combinations as per the design layout shown in Table 2. The results obtained from the
experiment were statistically analyzed for response variables using Design Expert Version
8.0.7.1. Each experimental response can be represented by the following polynomial equation
(1) of the response surface.
Y = b0 + b1 X1 + b2 X2 + b12X1X2 [equation (1)]
Where, Y is the measured response; X1 & X2 are the experimental factors; b0 is the intercept;
b1, b2 & b12 are the coefficients of respective variables and their interaction terms.
2.5 Evaluation of Microparticles
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The pure INH, IM and optimized formulation of polymeric microparticles of isoniazid (INH-
PM) were evaluated for particle size, surface characteristics, entrapment efficiency, in vitro
aerosol performance and in vitro drug release.
2.5.1 Particle Size Analysis
The particle size analysis for 500 particles was performed using high resolution microscope
(Axio Lab.A1, Carl Zeiss MicroImaging, GmbH and Gottingen). The images were taken
using 3megapixel camera coupled with high resolution microscope. The image analysis was
carried out using the software [Biovis Image Plus (P+) V4.56 (Expert Vision Labs Pvt. Ltd.,
Mumbai, India)] and particle size as well as perimeter ratio or roundness of particles as
morphological character were determined.
2.5.2 Surface Characteristics through Scanning Electron Microscope
The surface characteristics were studied by scanning electron microscope (Model JSM-5610
LV, JEOL, Japan) from 100x to 2000x magnifications. The powder sample was sprinkled
onto the carbon tape affixed on aluminium stubs. The aluminium stubs were placed in the
vacuum chamber and observed for morphological characterization.
2.5.3 Entrapment Efficiency
The entrapment of drug in prepared INH-PM was determined. The particles equivalent to
2mg of INH was dispersed in double distilled water. The solution was sonicated for 5minutes
and then filtered through 0.5µ membrane filter. The filtrate was analyzed at 263nm for
estimation of INH.
2.5.4 Cascade Impaction Study
The in vitro aerosol performance of IM and INH-PM were evaluated using cascade impactor.
A turbuhaler type inhalation device was used for introduction of samples. A hydroxyl propyl
methylcellulose (HPMC) capsule (size no. 2) filled with equivalent to 5 mg of each samples
was used. The inhalation test was performed at an inhalation rate of 60 L/min for 4 s. Before
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inhalation study, the flow rate was calibrated several times with the inhaler containing an
empty HPMC capsule size no. 2. After aspiration, the particles that were deposited on the
capsule, device, throat, pre-separator, and each stage of cascade impactor were rinsed off
with double distilled water. The INH solution for each stage was diluted with double distilled
water to 10 mL. The amount of INH in the solutions was estimated at 263nm using uv-
vissible spectrophotometer (Model 1800 uv-vissible spectrophotometer, Shimadzu, Japan).
The fine particle fraction, which is the total percentage deposition at stages 3–6 of the
cascade impactor, was used to evaluate the aerosol performance. A higher fine particle
fraction deposition is thought to indicate a higher in vitro aerosol performance.
2.5.5 In vitro Drug Release
A USP Type II tablet dissolution test apparatus (TDT-08L, Electrolab, Mumbai, INDIA) was
used for in vitro drug release. The stirring speed was kept 150rpm25
. A dialysis membrane (
Himedia, molecular weight cut-off > 900 kDa) was cut into equal pieces of about 6
cm×2.5cm and pre-treated as suggested by the manufacturer. Equivalent to 5mg each of INH,
IM and INH-PM were dispersed in 1ml of PBS pH 7.4 and filled in the pre-treated dialysis
membrane and sealed with clips. The pouch thus formed was attached to the paddles of the
apparatus using rubber bands wound over the clips. Nine-hundred millilitres of Gamble’s
solution pH 7.4 and Alveolar Lung Fluid pH 4.5 (ALF) were used for the study. The
composition of Gamble’s solution and ALF are shown in Table 3. Gamble’s solution
represents the interstitial fluid deep within the lung while ALF is analogous to the fluid with
which inhaled particles would come in contact after phagocytosis by alveolar macrophages26
.
Samples of 5ml were drawn and 5ml fresh medium was replaced at each time interval 5, 10,
15, 30, 45, 60, 90, 120 min, 12 hr and 24hr. The drug was estimated at 263 nm using uv-
vissible spectrophotometer (Model 1800 uv-vissible spectrophotometer, Shimadzu, Japan).
All the samples were tested in triplicates. The drug release profiles were evaluated for drug
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release kinetics and compared by regression value of the kinetic model using functions of
Microsoft Office Excel 2007 27
.
3. RESULT AND DISCUSSION
3.1 Effect of Formulation Variables on Response Variable
A polynomial model was individually fitted to all the response variables. In order to make
prediction, the responses were measured and polynomial equations were derived by ANOVA
and regression analysis (Table 4). The polynomial equations obtained are as follow:
Y1 (Particle Size)= 8.455 + 2.728X1 - 3.505X2 - 1.745X12 (R2
= 0.9958; p < 0.0001)
[equation (2)]
Y2 (Drug Entrapment)= 76.083 + 7.25X1 + 0.5833X2 + 5.083X12 (R2 = 0.9366; p <
0.0001) [equation (3)]
Y3 (Yield)= 22.33 -7.4 X1 + 11.68X2 – 8.6 X12 (R2 = 0.982; p <0.0001) [equation (4)]
Where, Y1, Y2 and Y3 are dependent variable. The main effect X1 (drug:polymer ratio) and
X2 (volume of PVA) represent the average results of changing one factor at a time from its
low to high value. The interaction (X12) shows how the response changes when two factors
are changed simultaneously. Co-efficient with one factor represents the effect of that
particular factor on responses. Positive sign in front of the terms indicates synergistic effect
while negative sign indicates antagonistic effect upon the responses.
For response Y1 (Particle Size (µ)), the effect of X1 and X2 was found significant as p was
less than 0.05. From the polynomial equation (2), it can be qualitatively concluded that X1
had synergistic effect on the response of Y1, which indicated that X1 (drug : polymer ratio)
was a more important parameter for particle size. While the antagonistic effect was found of
X2 (volume of PVA). It can be inferred that to decrease the particle size the drug : polymer
ration should be kept minimum and the volume of PVA should be kept at maximum level. As
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drug: polymer ratio increases, the particle size increases and as volume of PVA increases, the
particle size decreases28
.
For response Y2 (% Drug Entrapment), the main effect X1 was found significant as p was less
than 0.05. The X2 was found insignificant as p was more than 0.05. Further, from the
coefficient values, all formulations variable had synergistic effect over the response Y2
[equation (2) and Table 4]. As drug: polymer ratio decreases, the drug entrapment decreases
because it increases the viscosity of polymer phase which prevents the drug diffusion into the
droplet28
.
For response Y3 (yield), the main effect X1 and X2 was found significant as p was less than
0.05. The X1 had antagonistic effect while X2 had synergistic effect over yield [equation (3)
and Table 4]. It can be inferred that as drug: polymer ratio decreases and as volume of PVA
increases, the yield increases.
The validation of polynomial equation model was performed through check point analysis
using Design Expert Version 8.0.7.1. The check point batch (C1) was prepared and observed
responses were compared to that of predicted responses. The results showed that there was no
significant difference (p > 0.05) between predicted and experimentally performed responses -
particle size, drug entrapment and yield during check point analysis (Table 5). It can be
inferred that the polynomial equation model obtained were found to be valid for responses.
The optimization of formulation was carried out using desirability function on the Design
Expert software. The result showed that the desirability factor for optimized formulation
obtained was 0.849. The optimized formulation (INH-PM) was prepared and observed
responses were compared to that of predicted responses. The results (Table 5) showed that
there was no significant difference (p>0.05) found between the observed responses and
predicted responses for optimized formulation. Therefore, the optimized formulation (Table
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5) was utilized for further evaluations considering as optimum formulation of polymeric
particles of isoniazid (INH-PM).
3.2 Particle Size Analysis
Particle size for INH, IM and INH-PM were found to be 20.6 µ, 4.3 µ and 3.8 µ, respectively.
The Figure 1 shows the photo micrographs obtained using high resolution microscope for
INH, IM and INH-PM respectively. The morphological evaluation suggested that the IM and
INH-PM prepared using spray dryer were of spherical in shape with shape factor 0.82 and
0.91, respectively. This indicated that being spherical in shape and with size less than 5 µ,
they may phagocytose by AM 29-31
. The size less than 5 µ also depicted that the particles were
also suitable for delivery through pulmonary route.
3.3 Entrapment Efficiency
The percentage drug entrapment of INH-PM was found to be 64.83%w/w. The yield ~drug
content obtained for IM was 60%w/w.
3.4 Surface Characteristics through SEM
Figure 2 shows the SEM photomicrographs of INH, IM and INH-PM respectively. INH was
found of rod and columnar shape crystalline particles. The particles of INH-PM and IM were
found with smooth and spherical in shape. From SEM photomicrographs it can be depicted
that the polymeric microparticles of smooth surface characteristics spheres were produced
using spray drying. SEM photomicrographs of IM depicted the agglomeration of particles
which were found to be spherical in shape. It can be inferred that the spherical particles may
likely to be favourably taken up by AM by phagocytosis30
.
3.5 Cascade Impaction Study
Figure 3(A) and 3(B) show the results of in vitro aerosol performance of IM and INH-PM.
Figure 3(C) and 3(D) show the plot of cumulative percentage deposition of emitted dose vs
cut-off diameter of stages of cascade impactor for IM and INH-PM respectively. The mass
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median aerodynamic diameter (MMAD) calculated from the plot were 1.9 and 3 for IM and
INH-PM respectively. The fine particle fraction (%FPF<4µm) and emitted dose (%ED) of the
IM was 54.85% and 57.17% while %FPF<4µm and %ED of INH-PM was 51.83% and 26.9%,
respecively. The lower MMAD and high FPF may be obtained due to spray drying process
used for preparation of particles with lower density32,33
. The results showed that IM and INH-
PM were found to be compatible with dry powder for inhalation, as evident from MMAD.
The %FPF<4 depicted that the larger dose was available to the lungs after inhalation. Though
the deposition was found over the throat (Figure 3(A) and (B)) which may be due to
agglomeration of particles (Figure 2), the favourable MMAD and FPF depicted the retention
of drug over stages 4-5-6 suggested the deep lung deposition can be possible. These may help
to target the alveolar macrophage cells where the tubercular bacilli reside34
.
3.6 In vitro drug release study using simulated lung fluids
Figure 4(A), 4(B) and 4(C) show the drug release profile of INH-PM, IM and INH in
Gamble’s solution pH 7.4. For IM and INH-PM the 50% drug release was found at about 300
minutes and 10 minutes respectively in Gamble’s solution pH 7.4. The release of INH and IM
was significantly higher (p < 0.05) as compared to that of INH-PM. Figure 4(D), 4(E) and
4(F) show the drug release profile of INH, IM and INH-PM in Alveolar Lung Fluid pH4.5.
For INH-PM and IM the 50% drug release was found at 90 minutes and 15 minutes
respectively in ALF. The release profile for INH was found irregular in Alveolar Lung Fluid
pH 4.5. From the in vitro drug release study, it can be inferred that INH-PM showed higher
drug release in Alveolar Lung Fluid pH 4.5 representing the phagosomal site as compared to
drug release in Gamble’s solution pH 7.4 representing the cytosol. IM showed significantly
higher drug release in Gamble’s solution pH 7.4 as compared to that in Alveolar Lung Fluid
pH 4.5. Therefore, it can be depicted that INH-PM provided the drug release inside AM at
phagosomal pH where the tubercular bacilli resides. Further for polymeric particles the drug
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release is dependent on polymer degradation. The drug release kinetic models has been
applied to the drug release profile27
. The results of kinetic model and goodness of fit showed
that IM followed zero order drug release kinetic while that of INH-PM followed HIGUCHI
model of diffusion in both Gamble’s solution and in ALF (Table 6). It can be concluded that
INH-PM releases drug inside AM at late phagosomal phase of phagocytosis in controlled
manner by erosion mechanism which may help in reduction in dosing frequency of drug35
.
3. CONCLUSION
From the results of experimental design it can be concluded that optimized formulation can
be obtained from low number of experimental trial with having significant effect over
dependant / response parameters. From the particles size and surface characteristics, it can be
concluded that the spherical particles of IM and INH-PM were of 1 - 5µ can be prepared
using spray drying which can be suitable for pulmonary drug delivery. The cascade impaction
study confirmed the inhaled characteristics of IM and INH-PM with providing the deep lung
deposition where tubercular bacilli reside. From in vitro drug release studies using simulated
lung fluids, it can be concluded that the prepared poly-ɛ -caprolactone microparticles of
isoniazid provided the advantage of controlled release characteristics deep inside the lung
where tubercular bacilli reside and with suitable for pulmonary drug delivery it may help in
improving treatment of tuberculosis. In future prospect, the in vivo experimentation should be
required to study the target potential of prepared microparticles of isoniazid.
DECLARATION OF INTEREST
There is no declaration of interest
REFERENCES
1. Misra A, Hickey AJ, Rossi C, Borchard G, Terada H, Makino K, Fourie PB, Colombo
P 2010. Inhaled drug therapy for treatment of tuberculosis. Tuberculosis (Edinb):1-11.
ACC
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ANU
SCR
IPT
ACCEPTED MANUSCRIPT
14
2. Sung JC, Pulliam BL, Edwards DA 2007. Nanoparticles for drug delivery to the
lungs. Trends in Biotechnology 25(12):563-570.
3. Boer AHd, Molema G, Frijlink HW. 2001. Pulmonary Drug Delivery: Delivery to and
Through the Lung. In Molema G, Meijer DKF, editors. Drug Targeting Organ-Specific
Strategies, ed., NY: Wiley-VCH Verlag GmbH. p 53-88.
4. O'Hara P, Hickey AJ 2000. Respirable PLGA microspheres containing rifampicin for
the treatment of tuberculosis: manufacture and characterization. Pharmaceutical research
17(8):955-961.
5. Sung JC, Padilla DJ, Garcia-Contreras L, VerBerkmoes JL, Durbin D, Peloquin CA,
Elbert KJ, Hickey AJ, Edwards DA 2009. Formulation and pharmacokinetics of self-
assembled rifampicin nanoparticle systems for pulmonary delivery. Pharmaceutical research
26(8):1847-1855.
6. Suarez S, O'Hara P, Kazantseva M, Newcomer CE, Hopfer R, McMurray DN, Hickey
AJ 2001. Airways delivery of rifampicin microparticles for the treatment of tuberculosis.
Journal of Antimicrobial Chemotherapy 48(3):431-434.
7. Sharma R, Saxena D, Dwivedi AK, Misra A 2001. Inhalable microparticles
containing drug combinations to target alveolar macrophages for treatment of pulmonary
tuberculosis. Pharmaceutical research 18(10):1405-1410.
8. Vyas S, Kannan M, Jain S, Mishra V, Singh P 2004. Design of liposomal aerosols for
improved delivery of rifampicin to alveolar macrophages. International Journal of
Pharmaceutics 269(1):37-49.
9. Tewes Fdr, Brillault J, Couet W, Olivier J-C 2008. Formulation of rifampicin-
cyclodextrin complexes for lung nebulization. Journal of Controlled Release 129(2):93-99.
10. du Toit LC, Pillay V, Danckwerts MP 2006. Tuberculosis chemotherapy: current drug
delivery approaches. Respir Res 7:118.
ACC
EPTE
D M
ANU
SCR
IPT
ACCEPTED MANUSCRIPT
15
11. Barrow ELW, Winchester GA, Staas JK, Quenelle DC, Barrow WW 1998. Use of
Microsphere Technology for Targeted Delivery of Rifampin to Mycobacterium tuberculosis-
Infected Macrophages. Antimicrob Agents Chemother 42(10):2682-2689.
12. Zahoor A, Sharma S, Khuller GK 2005. Inhalable alginate nanoparticles as
antitubercular drug carriers against experimental tuberculosis. International journal of
antimicrobial agents 26(4):298-303.
13. Pandey R, Khuller GK 2005. Solid lipid particle-based inhalable sustained drug
delivery system against experimental tuberculosis. Tuberculosis (Edinb) 85(4):227-234.
14. Vyas SP, Kannan ME, Jain S, Mishra V, Singh P 2004. Design of liposomal aerosols
for improved delivery of rifampicin to alveolar macrophages. International Journal of
Pharmaceutics 269(1):37-49.
15. Deol P, Khuller GK, Joshi K 1997. Therapeutic efficacies of isoniazid and rifampin
encapsulated in lung-specific stealth liposomes against Mycobacterium tuberculosis infection
induced in mice. Antimicrob Agents Chemother 41(6):1211-1214.
16. Sung J, Padilla D, Garcia-Contreras L, VerBerkmoes J, Durbin D, Peloquin C, Elbert
K, Hickey A, Edwards D 2009. Formulation and Pharmacokinetics of Self-Assembled
Rifampicin Nanoparticle Systems for Pulmonary Delivery. Pharmaceutical Research
26(8):1847-1855.
17. Blomberg Br, Spinaci S, Fourie B, Laing R 2001. The rationale for recommending
fixed-dose combination tablets for treatment of tuberculosis. Bulletin of the World Health
Organization 79:61-68.
18. Verma RK, Kaur J, Kumar K, Yadav AB, Misra A 2008. Intracellular Time Course,
Pharmacokinetics, and Biodistribution of Isoniazid and Rifabutin following Pulmonary
Delivery of Inhalable Microparticles to Mice. Antimicrobial agents and chemotherapy
52(9):3195-3201.
ACC
EPTE
D M
ANU
SCR
IPT
ACCEPTED MANUSCRIPT
16
19. Tiwari S, Chaturvedi AP, Tripathi YB, Mishra B 2011. Macrophage-specific targeting
of isoniazid through mannosylated gelatin microspheres. AAPS PharmSciTech 12(3):900-
908.
20. Rojanarat W, Changsan N, Tawithong E, Pinsuwan S, Chan H-K, Srichana T 2011.
Isoniazid Proliposome Powders for Inhalation—Preparation, Characterization and Cell
Culture Studies. International journal of molecular sciences 12(7):4414-4434.
21. Durá N, De Oliveira AF, De Azevedo MMM 2006. In Vitro Studies on the Release
of Isoniazid Incorporated in Poly(ε-Caprolactone). Journal of Chemotherapy 18(5):473-
479.
22. Chow AL, Tong HY, Chattopadhyay P, Shekunov B 2007. Particle Engineering for
Pulmonary Drug Delivery. Pharmaceutical research 24(3):411-437.
23. Ré M-Is 2006. Formulating drug delivery systems by spray drying. Drying
Technology 24(4):433-446.
24. El-Gendy N, Bailey MM, Berkland C. 2011. Particle Engineering Technologies for
Pulmonary Drug Delivery. Controlled Pulmonary Drug Delivery, ed.: Springer. p 283-312.
25. Muttil P, Kaur J, Kumar K, Yadav AB, Sharma R, Misra A 2007. Inhalable
microparticles containing large payload of anti-tuberculosis drugs. European Journal of
Pharmaceutical Sciences 32(2):140-150.
26. Marques MR, Loebenberg R, Almukainzi M 2011. Simulated biological fluids with
possible application in dissolution testing. Dissolution Technol 18(3):15-28.
27. Costa P, Sousa Lobo JM 2001. Modeling and comparison of dissolution profiles.
European Journal of Pharmaceutical Sciences 13(2):123-133.
28. Dhakar RC 2012. FROM FORMULATION VARIABLES TO DRUG
ENTRAPMENT EFFICIENCY OF MICROSPHERES: A TECHNICAL REVIEW. Journal
of Drug Delivery and Therapeutics 2(6).
ACC
EPTE
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SCR
IPT
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29. Sharma G, Valenta DT, Altman Y, Harvey S, Xie H, Mitragotri S, Smith JW Polymer
particle shape independently influences binding and internalization by macrophages. Journal
of Controlled Release 147(3):408-412.
30. Champion JA, Katare YK, Mitragotri S 2007. Particle shape: A new design parameter
for micro- and nanoscale drug delivery carriers. Journal of Controlled Release 121(1–2):3-
9.
31. Verma RK, Singh AK, Mohan M, Agrawal AK, Misra A 2011. Inhaled therapies for
tuberculosis and the relevance of activation of lung macrophages by particulate drug-delivery
systems. Therapeutic Delivery 2(6):753-768.
32. Sansone F, Aquino RP, Gaudio PD, Colombo P, Russo P 2009. Physical
characteristics and aerosol performance of naringin dry powders for pulmonary delivery
prepared by spray-drying. European Journal of Pharmaceutics and Biopharmaceutics
72(1):206-213.
33. Vehring R 2008. Pharmaceutical particle engineering via spray drying.
Pharmaceutical research 25(5):999-1022.
34. Barrow EL, Winchester GA, Staas JK, Quenelle DC, Barrow WW 1998. Use of
microsphere technology for targeted delivery of rifampin to Mycobacterium tuberculosis-
infected macrophages. Antimicrobial agents and chemotherapy 42(10):2682-2689.
35. Coowanitwong I, Arya V, Kulvanich P, Hochhaus Gn 2008. Slow release
formulations of inhaled rifampin. The AAPS journal 10(2):342-348.
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Figure 1: Photomicrograph of (A) INH, (B) IM and (C) INH-PM at 40x using high resolution
microscope and 3MP camera
Figure 2: SEM photomicrograph of (A) INH, (B) IM and (C) INH-PM
Figure 3: (A) Percent mass deposited of drug over the cascade stages from total emission of
INH-PM, (B) Percent mass deposited of drug over the cascade stages from total emission of
IM, (C) The plot of cummulative percent drug deposition against the cut-off diameter for
INH-PM and (D) The plot of cummulative percent drug deposition against the cut-off
diameter for IM
Figure 4: (A)Drug Release Profile of INH-PM in Gamble’s Solution, (B) Drug Release
Profile of IM in Gamble’s Solution, (C) Drug Release Profile of INH in Gamble’s Solution
(D)Drug Release Profile of INH-PM in ALF, (E)Drug Release Profile of IM in ALF and (F)
Drug Release Profile of INH in ALF
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Table 1: Independent and Dependent variables of 22 Full Factorial Design
Independent Variables Levels
Low (-1) High (+1)
Drug: Polymer ratio X1 1:1 1:5
Volume of PVA(mL)X2 25 75
Dependent Variables Particle size(µ) (Y1), Drug Entrapment(%w/w) ( Y2) and Yield(%w/w) (Y3)
Table 2: 22 Full Factorial Design Matrix with Response Variables
X1:Drug to
Polymer ratio
X2:Volume of
PVA(mL)
Y1:Particle Size
(µ)
Y2:Drug Entrapment
(%w/w)
Y3:Yield
(%w/w)
-1 -1 7.16 70 9.3
-1 -1 7.5 75 10
-1 -1 7.8 75 9
1 -1 16 80 12
1 -1 16.5 75 11
1 -1 16.8 78 12.5
-1 1 4.1 60 45
-1 1 4 65 50
-1 1 3.8 68 55
1 1 5.5 89 16
1 1 5.8 90 20
1 1 6.5 88 18
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Table 3: Composition of Simulated Lung Fluids -Gamble’ Solution and Alveolar Lung Fluid
for In Vitro Drug Release Study
Composition of Simulated Lung Fluid (g/L)
Materials Gamble’s Solution pH 7.4 Alveolar Lung Fluid pH 4.5
Magnesium Chloride 0.095 0.050
Sodium Chloride 6.019 3.21
Potassium Chloride 0.298 -
Disodium Hydrogen Phosphate 0.126 0.071
Sodium Sulphate 0.063 0.039
Calcium Chloride Dihydrate 0.368 0.128
Sodium Acetate 0.574 -
Sodium Hydrogen Carbonate 2.604 -
Sodium Citrate Dihydrate 0.097 0.077
Sodium Hydroxide - 6.000
Citric Acid - 20.8
Glycin - 0.059
Sodium Tartrate Dihydrate - 0.090
Sodium Lactate - 0.085
Sodium Pyruvate - 0.086
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Table 4: Results of ANOVA and Regression Statistics for 22 Full Factorial Design
ANOVA of 22 Full Factorial Design
Y1(Particle Size) Y2 (Drug Entrapment) Y3(Yield)
R Square 0.995973 0.936566 0.981589
Adjusted R Square 0.994462 0.912778 0.974685
Standard Error 0.371663 2.828427 2.731605
Observation 12 12 12
Regression Statistics for responses of 22 Full Factorial Design
Responses
Co-efficient
Intercept b1 b2 b12
Y1 8.455 2.738 -3.705 -1.745
P <0.0001(Model significance) <0.0001 <0.0001 <0.0001
Y2 76.08333 7.25 0.58333 5.08333
p <0.0001(Model significance) <0.0001 0.4953 0.0003
Y3 22.31667 -7.4 11.6833 -8.6
p <0.0001(Model significance) <0.0001 <0.0001 <0.0001
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Table 5: Results of Responses of Check Point Batch and Predicted Optimized Formulation
Check point batch
(C1)
Optimized batch
(INH-PM)
Drug: Polymer Ratio X1 0.5 1:1
Volume of PVA (mL) X2 0.75 75
Predicted Response of Particle Size (µ) Y1 6.53 4.05
Observed Response of Particle Size (µ) Y1’
6.25* 3.8
*
Predicted Response of Drug Entrapment (%w/w) Y2 82.05 64.5
Observed Response of Drug Entrapment (%w/w)Y2’
82± 64.83
±
Predicted Response of yield (%w/w)Y3 24.15 48.86
Observed Response of yield (%w/w)Y3’
25# 50.3
#
*indicates no significant difference (p > 0.05 ) between observed particle size (µ) and predicted particle size (µ) of C1 and INH-PM.
± indicates no significant difference (p > 0.05 ) between observed drug entrapment (%w/w) and predicted drug entrapment (%w/w) of C1
and INH-PM.
# indicates no significant difference (p > 0.05 ) between observed yield (%w/w) and predicted yield (%w/w) of C1 and INH-PM.
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Table 6: Regression for Drug Release Kinetic Model Application to In vitro Drug Release
Profile of INH, IM and INH-PM in Gamble’s Solution and in Alveolar Lung Fluid
(A) Regression (r2) for Drug Release Kinetic Model Application for Gamble’s solution pH 7.4
Zero order First order Hixson Crowel Higuchi Krosmeyer-Peppas
INH 0.956 0.9673 0.933 0.916 0.9135
IM 0.9774 0.3292 0.837 0.833 0.8055
INH-PM 0.8705 0.5898 0.8592 0.9815 0.8793
(B) Regression (r2) for Drug Release Kinetic Model Application for Alveolar Lung Fluid pH 4.5
Zero order First order Hixson Crowel Higuchi Krosmeyer-Peppas
INH 0.9459 0.8548 0.9333 0.9545 0.9653
IM 0.9574 0.8408 0.9519 0.8355 0.901
INH-PM 0.8424 0.7825 0.8575 0.9688 0.8912
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HIGHLIGHTS FOR REVIEW
Spray dried poly-ε-caprolactone microparticles of isoniazid provided the advantage of
controlled release characteristics deep inside the lung where tubercular bacilli reside and due
to inhaled characteristics suitable for pulmonary drug delivery it may help in improving
treatment of tuberculosis through direct administration to site of action.