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Design, Optimization and Pharmacodynamic Comparison of Dorzolamide Hydrochloride Soluble Ocular Drug Insert Prepared by Using 32 Factorial Design
Design, Optimization and Pharmacodynamic Comparison of Dorzolamide Hydrochloride Soluble Ocular Drug Insert Prepared by Using 32 Factorial Design
A R T I C LE I N FO A B S T R A C T
Keywords: The bioavailability of therapeutic agents from eye drops is usually limited due to corneal barrier functions and
Dorzolamide hydrochloride effective eye protective mechanisms. The current study aimed to enhance ocular bioavailability of dorzolamide
32 factorial design hydrochloride, a potent antiglaucoma drug by preparing novel ophthalmic drug delivery system like soluble
Glaucoma ophthalmic drug inserts (SODI).
Ex vivo permeation
Various batches of dorzolamide hydrochloride Soluble Ocular Drug Insert were prepared using Polyvinyl
Gamma radiation
Alcohol, Poloxamer 407 as polymer with Propylene Glycol as plasticizer by solvent casting method. The drug
Soluble ocular drug insert
inserts were prepared by using 32 factorial designs (version 10). Solvent casting method was used to prepare
drug inserts which were further evaluated for various parameters like drug interaction studies, physicochemical
characteristics, in vitro release studies, transcorneal permeation study by using excised goat cornea. The opti-
mized batch F2 showed 98.50 ± 0.05% drug release at the end of 6 h and has desired physicochemical prop-
erties. The gamma radiation sterilized batch F2 was subjected to sterility test as per Indian Pharmacopeia 2014
and accelerated stability studies as per International Conference on Harmonization stability testing of new drug
substances and products guideline, ex vivo and Pharmacodynamic studies. The comparative pharmacokinetic
result shows that Dorzolamide Hydrochloride SODI is more effective than the marketed formulation. The pro-
mising pharmacokinetic results and possibility of commercial applicability justifies the need of product in
market.
1. Introduction is the second leading cause of world's blindness. It has been reported
that nearly 50% of glaucoma patient discontinued topical ocular
Ocular drug delivery is one of the most fascinating and challenging therapy within six month because of high frequency of instillation.
task faced by pharmaceutical researcher. One of the major barriers of Glaucoma is complex disease characterized by ocular hypertension with
ocular medication is to obtain and maintain a therapeutic level at the a progressive visual loss that could result in blindness due to damage
site of action for prolong period of time [1,2]. It is generally agreed that occurred to the optic nerve. Glaucoma development may be observed
the intraocular bioavailability of topically applied drugs is extremely due to aging, genetic predisposition, exogenous environmental and
poor ranging from 5 to 10% of total dose administered. The normal endogenous factors [5]. Vision loss occurs in some glaucoma patients
capacity of cul-de-sac is 7–10 μl which can be extended upto 30 μl due to uncontrollable intra ocular pressure. Main goal of glaucoma
without blinking. Due to this reason conventional eye drops are therapy is to reduce increased intraocular pressure in order to prevent
eliminated from the precorneal area immediately and only 1–10% of deterioration of the optic nerve and loss of vision. The number of drugs
topically applied drug get absorbed. Moreover, due to tear drainage and new chemical entities with potential for treating glaucoma is
more than 75% of the administered dose passes via nasolacrymal duct steadily increasing [6]. Topical applied carbonic anhydrase inhibitors
into the GI tract, leading to systemic side effects [3] Short residence (e.g. DZH eye drop solutions) has become one of the most widely used
time, poor bioavailability, poor permeability and rapid precorneal medications for glaucoma treatment [7]. Although DZH is commonly
drainage are the major problems for eye drops treatment [4]. Glaucoma used for glaucoma treatment, its conventional eye drops possess poor
Abbreviations: PVA, Polyvinyl alcohol; PG, Propylene glycol; DZH, Dorzolamide hydrochloride; SODI, Soluble ocular drug insert; S. aureus, Staphylococcus aureus; C. albicans, Candida
albicans; CPCSEA, Committee for Purpose of Control and Supervision of Experiments on Animals; IOP, Intra ocular pressure; HPLC, High pressure liquid chromatography
∗
Corresponding author.
E-mail addresses: sayalipatil1305@gmail.com (S.S. Patil), archanabade94@gmail.com (A. Bade), tirupati21@rediffmail.com (A. Tagalpallewar).
https://doi.org/10.1016/j.jddst.2018.05.010
Received 30 June 2017; Received in revised form 4 May 2018; Accepted 6 May 2018
Available online 12 May 2018
1773-2247/ © 2018 Elsevier B.V. All rights reserved.
S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
Table 1
Composition of different batches of DZH SODI.
Name of Ingredients (%) Different batches of dorzolamide hydrochloride SODI
F1 F2 F3 F4 F5 F6 F7 F8 F9
PVA (w/v) 4 4 4 4 4 4 4 4 4
Poloxamer 407 (w/v) 6.5 6.5 6.5 7.5 7.5 7.5 8.5 8.5 8.5
PG (% of dry polymer) 10 15 20 10 15 20 10 15 20
Dorzolamide hydrochloride (mg) 74 74 74 74 74 74 74 74 74
Distilled Water (upto ml) 20 20 20 20 20 20 20 20 20
Table 2 etc. in order to increase ocular residence time of instilled dose and
Experimental design layout of DZH SODI. enhance the ophthalmic bioavailability. These formulations offer some
Run Factor Factor(X2) Response (Y1) Response Response (Y3)
improvement over conventional liquid dosage forms but have draw-
(X1) PG Poloxamer % Cumulative (Y2) Folding backs of ease of administration, lack of patient compliance, commercial
407 Drug Release Thickness Endurance applicability and blurred vision [7]. To overcome these drawbacks one
(mm) of the new class of drug delivery systems has been developed i.e. so-
luble ophthalmic drug insert, which offer many advantages over con-
1 −1 −1 97.19 0.09 222
2 −1 0 98.50 0.10 242 ventional dosage forms, like increased ocular residence, sustained re-
3 −1 +1 93.92 0.11 264 lease, accurate dosing, and reduced dose frequency. Ophthalmic inserts
4 0 −1 96.49 0.10 283 are defined as sterile preparations, with a thin, multilayered, drug‐im-
5 0 0 94.91 0.10 291
pregnated, solid or semisolid consistency devices placed into cul‐de‐sac
6 0 +1 94.98 0.11 314
7 +1 −1 90.78 0.11 322
or conjunctival sac and whose size and shape are especially designed for
8 +1 0 92.87 0.12 333 ophthalmic application [9]. Poloxamer 407 is gelling agent commonly
9 +1 +1 91.07 0.12 342 used in ophthalmic formulations. Poloxamer 407 used in pharmaceu-
tical applications for transdermal, ophthalmic and injectable sustained
drug release systems [10–12]. The objective of this study is to prepare
bioavailability and several adverse effects at high concentration [8]. To and evaluate DZH SODI based on 32 factorial design using different
overcome the limitations of conventional eye drops various novel polymers containing DZH to reduce dose and dosing frequency, in-
ophthalmic drug delivery systems have been developed such as aqueous creased ocular residence, enhanced ocular bioavailability, sustained
gels, liposomes, nanoparticles, soluble ophthalmic drug inserts, den- release of drug, reduced total cost of treatment and increased patient
drimer, nanomicells, implant, contact lenses, nanosuspension, in situ gel compliance. Ex vivo – in vivo characterization for confirmation of sus-
Table 3
Physicochemical evaluation of SODI.
Different Batches Evaluation Parameter
Thickness (mm) Folding Endurance Surface pH Weight Uniformity (mg) Drug Content (%)
F1 0.10 ± 0.012 222.3 ± 2.5 6.5 ± 0.01 2.3 ± 0.05 99.35 ± 0.08%
F2 0.09 ± 0.006 242.0 ± 2.0 6.6 ± 0.06 2.2 ± 0.01 99.91 ± 0.03%
F3 0.11 ± 0.012 264.7 ± 1.5 6.6 ± 0.01 2.3 ± 0.05 99.56 ± 0.03%
F4 0.12 ± 0.015 283.0 ± 2.6 6.5 ± 0.01 2.4 ± 0.01 99.89 ± 0.07%
F5 0.10 ± 0.012 291.0 ± 2.1 6.6 ± 0.06 2.5 ± 0.06 99.57 ± 0.06%
F6 0.12 ± 0.010 314.3 ± 3.2 6.6 ± 0.06 2.4 ± 0.05 99.92 ± 0.04%
F7 0.12 ± 0.012 322.3 ± 2.5 6.7 ± 0.01 2.6 ± 0.06 99.76 ± 0.04%
F8 0.12 ± 0.010 333.0 ± 1.0 6.7 ± 0.05 2.6 ± 0.10 99.39 ± 0.06%
F9 0.12 ± 0.012 342.0 ± 2.0 6.6 ± 0.01 2.8 ± 0.20 99.57 ± 0.06%
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
2.3.1.4. Weight uniformity. From each batch (n = 3), SODI were taken
and weighed individually using digital balance. The mean weight of the
insert was recorded [13].
2. Materials and methods 2.3.1.6. Tensile strength. Tensile strength of the formulation was
checked by Texture Analyzer (CT-3/10,000, Brookfield, USA)
2.1. Materials equipped with a load cell. The SODI of 400 mm2 was randomly
selected and was fixed between the two clamps of probe TA-DGA for
DZH was obtained from FDC Ltd (FDC Ltd. Mumbai, India) and a hold time of 60 s. The lower clamp was held stationary and the SODI
Poloxamer 407 from Sigma-Aldrich Chemicals, Bangalore. PVA pur- was pulled apart by the upper clamp. It was pulled at a speed of
chased from (Qualigens Fine Chemicals Pvt. Ltd Mumbai). All other 2.0 mm/s to a distance of 6 mm with trigger load 0.05 N. The force of
ingredients and reagents were of research grade. the SODI at the point when the film broke was recorded [14]. Tensile
strength of the prepared SODI was calculated according to the following
2.2. Methods equation [15].
N
2.2.1. Preparation of ocular insert Tensile strength =
mm2
Solvent casting method was used to prepare ocular insert. The re- Breaking load N
i.e.
quired quantity of polymer is dissolved in 20 ml of distilled water and Cross sectional area of the sample mm2
stirred for 2 h then weighed quantity of DZH was added and stirred for
2 h on magnetic stirrer to prepare uniform dispersion. After complete
mixing, casting solution was poured on petridish and allowed it to dry. 2.3.1.7. In vitro drug release study. In vitro drug release from the
The dried inserts thus obtained were cut into required size, wrapped in different SODI was studied by using franz diffusion cell and dialysis
aluminum foil and stored for further evaluations. Composition of dif- membrane. The dialysis membrane acted as a corneal epithelium. The
ferent batches is given in Table 1. receptor compartment was filled with freshly prepared artificial tear
fluid. 40 mm2 area of ocular film was placed on the dialysis membrane
2.2.2. Full factorial experimental design and opening of the donor compartment was sealed with a glass cover
For optimization of DZH SODI, 32 randomized full factorial design slip, while the receptor fluid was maintained at 37 ± 0.5 °C with
was selected. The design was applied to study the effect of concentra- constant stirring. 1 ml sample was withdrawn from receptor
tion of poloxamer 407 and PG on formulation. The amount (%) of compartment at various time intervals upto 6 H and was analyzed by
plasticizer, propylene glycol (PG) (X1) The amount (%) of polymer, using reversed phase HPLC. Each sample withdrawn was replaced with
poloxamer 407 (X2) were selected as independent variables. These two equal volume of artificial tear fluid [13].
factors were evaluated at 3 levels as higher, middle and lower levels
with coding +1, 0 and −1 respectively. Levels of X1 10%, 15%, and 2.3.1.8. Ex vivo transcorneal permeation study. Whole eye ball of goat
20%. The dependent or response variables included thickness (Y1), was transported from local butcher shop to the laboratory in cold (4 °C)
folding endurance (Y2), cumulative % drug release (Y3). normal saline within 1 h of slaughtering the animal. The cornea was
carefully excised along with 2–4 mm of surrounding scleral tissue and
2.3. Validation of model was washed with cold normal saline till the washing was free from
proteins. Isolated cornea was mounted by sandwiching surrounding
The optimized compositions of DZH SODI required to obtain desired scleral tissue between clamped donor and receptor compartments of all
responses. Any composition with desirability near to 1 can be chosen as glass modified franz diffusion cell in such way that its epithelial surface
optimized formulation. faced the donor compartment. The receptor compartment was filled
with freshly prepared artificial tear fluid. 40 mm2 area of ocular film
2.3.1. Characterization of prepared dorzolamide hydrochloride ocular was placed on the cornea and opening of the donor compartment was
insert sealed with a glass cover slip, while the receptor fluid was maintained
2.3.1.1. Thickness measurement. Thickness of SODI was determined at 37 ± 0.5 °C with constant stirring, using magnetic stirrer bead. 1 ml
using a caliper (digital vernier caliper) and recorded as the mean of sample was withdrawn from receptor compartment at various time
measurements [13]. intervals upto 6 h and analyzed by using reversed phase HPLC. Each
sample withdrawn was replaced with equal volume of artificial tear
2.3.1.2. Folding Endurance. Folding endurance was determined by fluid [15].
repeatedly folding of SODI at the same place till break it or first sign
of break. Number of time the SODI could be folded at the same place 2.3.1.9. Drug release kinetics. Drug release mechanisms and kinetics are
without breaking gives the folding endurance value [13]. the two important characteristics of a drug delivery system in
describing drug dissolution profile. To describe the kinetics of the
2.3.1.3. Surface pH. The DZH SODI was allowed to swell in closed drug release from optimized SODI, mathematical models such as zero-
petridish at room temperature for 30 min in 1 ml of distilled water. The order, first order, Higuchi, Hixson-Crowell and Korsmeyer-Peppas were
swollen device was removed and solution placed under digital pH meter used. The criteria for selecting the most appropriate model were chosen
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
on the basis of the goodness or fit test. 2.3.1.12Culture media. Alternate thioglycolate medium and soyabean
casein digest medium was used as a culture medium for bacteria (S.
aureus) and fungi (C. albicans) respectively. Culture media were
2.3.1.10. Sterilization of ocular insert. The selected ocular inserts were
prepared according to I.P.2014 and 20 ml was taken in boiling test
sterilized by gamma radiation using the Cobalt-60 source located at
tube, properly plugged with cotton and sterilized by autoclaving at
ISOMED (Baba Atomic Research Center, Mumbai). SODI were packaged
121 °C, 15 lb/inch gauge pressure for 20 min.
in amber glass vials and exposed to a total dose of 2.5 Mrad.
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
from animal ethical committee (SIOP/IAEC/2016/08). Six adult male studies for the optimized batch F2 was carried out to determine the
albino rabbits of weight ranging from 1.5 to 2.0 kg were used in this effect of presence of formulation additives on the stability of the drug
study. During experiments the test animals were kept in individual and also to determine the physical stability of the formulation under
cages with free access to food and water. Isotonic xylocaine solution accelerated storage conditions. The optimized batch F2 was subjected
(2% v/v) instilled into rabbits eyes to anaesthetize the cornea. to long term intermediate, accelerated stability studies for six months at
Ophthalmic insert formulation applied into the right eye of three 40 ± 2 °C/75 ± 5% RH. Samples were withdrawn at the end of 30, 60,
rabbits, while the left eye was used as a control. Marketed 90 & 180 days and evaluated for physical appearance, and drug content
formulation was applied into the right eye of remaining three rabbits, & in vitro drug release.
while left eye was used as a control. After administration of the test
formulation, the IOP of both eyes was measured every 1 h for 6 h using 3. Results
a Schiotz tonometer (Riester, Germany). The percentage decrease in
IOP was determined according to the following equation 3.1. Optimization and experimental design of ocular insert
% Decrease in IOP = IOP control eye – IOP dosed eye / IOP control
Various batches of PVA and poloxamer 407 ocular insert were
eye × 100
prepared. 32 factorial design was estimated by using design expert
software (version 10). The independent variables were poloxamer 407
and PG concentrations. The independent variable and their levels are
2.3.1.15Accelerated stability studies as per ICH guidelines. Stability shown in Table 2. The % cumulative drug release, thickness and folding
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
1 64.4 22 97.40 0.09 222 0.985 Inserts thickness was determined using a caliper (digital vernier
2 84.6 22 97.84 0.10 243 0.984 caliper) and recorded as the mean of measurements. The results are
3 43.2 22 96.21 0.10 256 0.997
4 42.4 22 96.54 0.11 266 0.978
given in Table 3. It indicates, prepared SODI were uniform in thickness
5 85.1 22 94.23 0.11 286 0.995 which is found to be directly related to concentration of polymer [15].
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
From the in vitro drug release it was observed that the batch F2
shows appearance (good and clear), thickness (0.10), folding endurance
3.3. Folding endurance
(242), and cumulative % drug release (98.50%) respectively.
The folding endurance of SODI were recorded which reflects the
flexibility of films. This test ensures that the prepared SODI were sui- 3.10. Fitting data into model
table to produce continuous film without breaking or tearing. All the
patches showed good folding endurance (more than 200 was con- All the responses observed from F1 to F9 were fitted to various
sidered to be good value) [17]. The respective results are given in models using design-expert software.
Table 3.
3.10.1. Response surface plots analysis and contour plots
3.10.1.1. Effect of formulation variable on drug diffusion. The model F-
3.4. Surface pH value of 86.02 implies the model is significant. There is only a 4.63%
chance that an F-value this large could occur due to noise. Values of
The developed formulation should be non irritant after adminis- “Prob > F” less than 0.0500 indicate model terms are significant. In
tration. The surface pH of the prepared SODI was found to be in range this case X2 is a significant model term.
of 6.5 ± 0.1 to 6.7 ± 0.1 indicating safe in chronic treatment of eye The model for response Y1 (% cumulative drug release) is as follows:
infection as shown in Table 3. The pH of therapeutic substances applied
Y1 (% Drug Release) = +95.92–0.98X1-1.52 X2-0.25X1.X2+6.66X12-
to eye can vary from 3.5 to 8.5 [15].
0.76X22 (1)
Table 6
Validation of model.
Variables Predicted value Experimental value % Prediction error
X1 X2 Y1 Y2 Y3 Y1 Y2 Y3 Y1 Y2 Y3
26.5 33.45 98.41 0.10 222 98.11 0.11 226 −0.30 1.09 1.70
25.3 43.54 97.50 0.12 245 98.25 0.10 243 0.76 −1.70 −0.82
24.2 59.21 97.30 0.11 252 96.32 0.12 257 −1.01 1.80 1.90
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
Table 7
Sterility testing for batch F2.
Sr.No. Medium Days Fig. 10. Percentage decrease in IOP after administration of developed SODI and
marketed product.
1. Alternative Thioglycolate 1 2 3 4 5 10 14
Control – – – – – – –
Sterilized film – – – – – – – significant model terms (not counting those required to support
Unsterilized film – – – – – + + hierarchy), model reduction may improve your model. The equation
Positive – – + + + + + in terms of coded factors can be used to make predictions about the
2. Soyabin Casein Digest
response for given levels of each factor. By default, the high levels of the
Control – – – – – – –
Sterilized films – – – – – – – factors are coded as +1 and the low levels of the factors are coded as
Unsterilized films – – – – – + + −1. The coded equation is useful for identifying the relative impact of
Positive – – + + + + + the factors by comparing the factor coefficients.
The model for response Y1 (folding endurance) is as follows:
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
3.13.2. Sterility testing as per IP 2014 Authors are thankful to FDC Mumbai for providing gift sample of
In this study the presence of microorganisms is checked after ster- dorzolamide drug. Authors are grateful to Principal Dr. K. G. Bothara
ilization. SODI were sterilized by gamma radiations. For this study al- for providing excellent facility for research work. (Sayali S. Patil, Dr.
ternative thioglycolate medium (ATGM) was used to analyze presence Amol Tagalpallewar, Archana Bade declare that they have no conflict of
of bacteria and soybean casein digest medium (SBCD) was used for interest).
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S.S. Patil et al. Journal of Drug Delivery Science and Technology 46 (2018) 138–147
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