Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences, University of Karachi, Karachi 75270, Pakistan.
Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences, University of Karachi, Karachi 75270, Pakistan.
Int J Biol Macromol. 2024 Sep;276(Pt 2):133841. doi: 10.1016/j.ijbiomac.2024.133841. Epub 2024 Jul 18.
This study aims to design and optimize ondansetron (OND) gastro-retentive floating minitablets for better and prolonged control of postoperative nausea and vomiting (PONV) with improved patient compliance. Minitablets were directly compressed and encapsulated in a size 2 capsule shell with an overall dose of 24 mg. Central composite design (CCD) was applied keeping one cellulose ether derivative HPMC K15M and Carbopol 971 as variable and used as swelling and rate retarding agents. The other cellulose derivative i.e. sodium carboxymethyl cellulose, along with mannitol, sodium bicarbonate, and talc, were used in fixed quantities. The floating lag time, total floating time, swelling index, in-vitro drug release, and zero-order (RSQ value), were critical quality parameters. The optimized formulation (F) was evaluated for all critical parameters, along with surface morphology, thermal stability, chemical interaction, and accelerated stability. The in silico PBPK modeling was applied to compare the bioavailability of F with reference OND immediate-release tablets. The numerical optimization model predicted >90 % drug release with zero-order at 12 h. In silico PBPK modeling revealed comparable relative bioavailability of F with the reference formulation. The gastroretentive floating minitablets of OND were successfully designed for prolonged emesis control in patients receiving chemotherapeutic agents.
本研究旨在设计和优化昂丹司琼(OND)胃滞留漂浮型小丸,以更好地、更持久地控制术后恶心和呕吐(PONV),并提高患者的顺应性。小丸采用直接压片法,装入 2 号胶囊壳,总剂量为 24mg。采用中心复合设计(CCD),以一种纤维素醚衍生物 HPMC K15M 和 Carbopol 971 为变量,并用作溶胀和缓释剂。另一种纤维素衍生物即羧甲基纤维素钠,与甘露醇、碳酸氢钠和滑石粉一起,以固定的量使用。漂浮迟滞时间、总漂浮时间、溶胀指数、体外药物释放以及零级(RSQ 值)是关键质量参数。对优化配方(F)进行了所有关键参数的评估,包括表面形态、热稳定性、化学相互作用和加速稳定性。应用计算机药代动力学建模比较 F 与参比 OND 即释片的生物利用度。数值优化模型预测 12 小时时药物释放超过 90%,呈零级释放。计算机药代动力学建模显示 F 与参比制剂具有相当的相对生物利用度。成功设计了用于接受化疗药物的患者的延长呕吐控制的 OND 胃滞留漂浮型小丸。