PHARMACOKINETIC STUDY IN HUMANS AND IN VITRO EVALUATION OF BIOENHANCED BILAYER SUBLINGUAL FILMS FOR THE MANAGEMENT OF ACUTE MIGRAINE

Authors

  • BHUPINDER BHYAN Department of Pharmaceutical Sciences, Guru Jambheshwar University of Science and Technology, Hisar, Haryana https://orcid.org/0000-0003-4930-6564
  • DINESH CHANDRA BHATT Department of Pharmaceutical Sciences, Guru Jambheshwar University of Science and Technology, Hisar, Haryana
  • SARITA JANGRA Department of Pharmacy Practice, Chitkara College of Pharmacy, Chitkara University, Punjab https://orcid.org/0000-0002-9193-4057

DOI:

https://doi.org/10.22159/ijap.2023v15i3.46684

Keywords:

Bilayer films, Bioenhancers, Migraine pain, Pharmacokinetics, Sublingual films

Abstract

Objective: Long-lasting migraine pain is one of the most disabling neurological disorders and requires a quick onset of action from the administered dosage form. This study aimed to provide sublingual administration of the frequently used combination of NSAID and triptan in order to trigger their action immediately by escaping the first-pass metabolism, simultaneously improving patient compliance.

Methods: In the present research, sublingual bilayer films were developed by joining the two loaded layers with zolmitriptan and piroxicam, respectively. Each layer was prepared and loaded separately using the traditional solvent casting method. Mechanical support was provided by the 1:1 combination of HPMC E-15 and pullulan, which were used as water-soluble film-forming polymers with polyethylene glycol 400 as a plasticizer. Films were evaluated for various physicochemical and mechanical properties. Finally, a pharmacokinetic study was performed on six healthy human volunteers to compare the PK parameters of the best formulation, BSTF-3, with those of a commercially available formulation. Sepitrap 80 and Sepitrap 4000 were used as bio-enhancers to achieve faster systemic delivery.

Results: The thin, flexible bilayer films were observed to provide quick action alone with increase patient compliance by preventing the first-pass metabolism and dysphagia. Sepitrap 80 successfully increased the permeation of both drugs. Approximately 92 percent of zolmitriptan was released from the formed bilayer sublingual thin films within 3 min, whereas 92 percent of piroxicam was released within 4.5 min from the best formulation. Within 30 min of the commencement of the pharmacokinetic investigation, plasma concentrations of the active component began to rise rapidly.

Conclusion: When compared to commercial formulations, the developed films had a greater AUC and Cmax with a shorter Tmax, indicating a faster trigger of action and higher bioavailability.

Downloads

Download data is not yet available.

References

Feigin VL, Nichols E, Alam T, Bannick MS, Beghi E, Blake N. Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):459-80. doi: 10.1016/S1474-4422(18)30499-X.

Stovner LJ, Hagen K, Linde M, Steiner TJ. The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. J Headache Pain. 2022;23(1):34. doi: 10.1186/s10194-022-01402-2. PMID 35410119.

Goadsby PJ, Holland PR, Martins Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: A disorder of sensory processing. Physiol Rev. 2017;97(2):553-622. doi: 10.1152/physrev.00034.2015, PMID 28179394.

Munakata J, Hazard E, Serrano D, Klingman D, Rupnow MF, Tierce J. Economic burden of transformed migraine: results from the American migraine prevalence and prevention (ampp) study. Headache. 2009;49(4):498-508. doi: 10.1111/j.1526-4610.2009.01369.x. PMID 19245386.

Olesen J. Headache classification committee of the international headache society (IHS) the international classification of headache disorders, 3rd. edition. Cephalalgia. 3rd ed. 2018;38(1):1-211. doi: 10.1177/0333102417738202, PMID 29368949.

Raval AD, Shah A. National trends in direct health care expenditures among us adults with migraine: 2004 to 2013. J Pain. 2017;18(1):96-107. doi: 10.1016/j.jpain.2016.10.005. PMID 27789258.

Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the united states: figures and trends from government health studies. Headache. 2018;58(4):496-505. doi: 10.1111/head.13281, PMID 29527677.

Leonardi M, Raggi A. A narrative review on the burden of migraine: when the burden is the impact on people’s life. J Headache Pain. 2019;20(1):41. doi: 10.1186/s10194-019-0993-0, PMID 31023226.

Jayakumari S, Gokul Krishna A. Prescription pattern analysis of anti-inflammatory drugs in general medicine and surgery department at a tertiary care hospital. Int J Pharm Pharm Sci. 2016;8:114-8.

Schytz HW, Bendtsen L. Sumatriptan plus naproxen for acute migraine attacks in adults. Ugeskr Laeger. 2014;176(32):47-55:CD008541. doi: 10.1002/14651858, PMID 25292477.

Gilmore B, Michael M. Treatment of acute migraine headache. Am Fam Physician. 2011;83(3):271-80. PMID 21302868.

Ong JJY, De Felice M. Migraine treatment: current acute medications and their potential mechanisms of action. Neurotherapeutics. 2018;15(2):274-90. doi: 10.1007/s13311-017-0592-1, PMID 29235068.

Tfelt Hansen PC. Delayed absorption of many (paracetamol, aspirin, other NSAIDs and zolmitriptan) but not all (sumatriptan, rizatriptan) drugs during migraine attacks and most likely normal gastric emptying outside attacks. A review. Cephalalgia. 2017;37(9):892-901. doi: 10.1177/0333102416644745, PMID 27330004.

Jenkins B. Migraine management. Aust Prescr. 2020;43(5):148-51. doi: 10.18773/austprescr.2020.047, PMID 33093740.

Nappi G, Manzoni GC, Oliani C. Piroxicam-β-cyclodextrin in the treatment of headache. Drug Invest. 1990;2(S4):79-85. doi: 10.1007/BF03258232.

Nawal AR, Mohammad SJ. Formulation and in vitro evaluation of piroxicam microsponge as a tablet. Int J Pharm Pharm Sci. 2016;8:104-14.

Hoffmann EM, Breitenbach A, Breitkreutz J. Advances in orodispersible films for drug delivery. Expert Opin Drug Deliv. 2011;8(3):299-316. doi: 10.1517/17425247.2011.553217, PMID 21284577.

Karki S, Kim H, Na SJ, Shin D, Jo K, Lee J. Thin films as an emerging platform for drug delivery. Asian J Pharm Sci. 2016;11(5):559-74. doi: 10.1016/j.ajps.2016.05.004.

Bala R, Pawar P, Khanna S, Arora S. Orally dissolving strips: a new approach to oral drug delivery system. Int J Pharm Investig. 2013;3(2):67-76. doi: 10.4103/2230-973X.114897, PMID 24015378.

Ince O, Guncel F, Bakıs B, Ozakar RS. Current overview of oral thin films. 2021;18(1):111-21. doi: 10.4274/tjps.galenos.2020.76390.

Irfan M, Rabel S, Bukhtar Q, Qadir MI, Jabeen F, Khan A. Orally disintegrating films: a modern expansion in drug delivery system. Saudi Pharm J. 2016;24(5):537-46. doi: 10.1016/j.jsps.2015.02.024, PMID 27752225.

Jagtap RS, Doijad R, Mohite S. Enhancement of solubility & dissolution rate of nifedipine by using novel solubilizer sepitrap 80 & sepitrap 4000. J Drug Delivery Ther 2018;8(5-s):293-300. doi: 10.22270/jddt.v8i5-s.2041.

Jagtap S, Magdum C, Jagtap R. Ameliorated solubility and dissolution of flurbiprofen using solubilizer sepitrap 80 and sepitrap 4000. Res J Pharm Technol. 2021;14(1):21-7. doi: 10.5958/0974-360X.2021.00005.6.

Juliano C, Cossu M, Pigozzi P, Rassu G, Giunchedi P. Preparation, in vitro characterization and preliminary in vivo evaluation of buccal polymeric films containing chlorhexidine. AAPS PharmSciTech. 2008;9(4):1153-8. doi: 10.1208/s12249-008-9153-6, PMID 19015998.

Chaudhary H, Gauri S, Rathee P, Kumar V. Development and optimization of fast dissolving oro-dispersible films of granisetron hcl using box–Behnken statistical design. Bull Fac Pharm Cairo Univ. 2013;51(2):193-201. doi: 10.1016/j.bfopcu.2013.05.002.

Adrover A, Varani G, Paolicelli P, Petralito S, Di Muzio L, Casadei MA. Experimental and modeling study of drug release from hpmc-based erodible oral thin films. Pharmaceutics. 2018;10(4):1-24. doi: 10.3390/pharmaceutics10040222, PMID 30423941.

Dinge A, Nagarsenker M. Formulation and evaluation of fast dissolving films for delivery of triclosan to the oral cavity. AAPS PharmSciTech. 2008;9(2):349-56. doi: 10.1208/s12249-008-9047-7, PMID 18431674.

K Mali K, J Dias R, S Ghorpade V, D Havaldar V, K Rupnoor B, S Dhane N. Taste masked oral fast dissolving sublingual strips of rizatriptan benzoate for migraine therapy. Marmara Pharm J. 2017;21(2):235. doi: 10.12991/marupj.300316.

Bhyan B, Jangra S, Kaur M, Singh H. Orally fast dissolving films: innovations in formulation and technology. Int J Pharm Sci Rev Res. 2011;9(2):50-7.

Bhupinder B, Sarita J. Formulation and evaluation of fast dissolving sublingual films of rizatriptan benzoate. Int J Drug Res. 2012;4(1):133-43.

Esim O, Ozkan CK, Kurbanoglu S, Arslan A, Tas C, Savaser A. Development and in vitro/in vivo evaluation of dihydroergotamine mesylate loaded maltodextrin-pullulan sublingual films. Drug Dev Ind Pharm. 2019;45(6):914-21. doi: 10.1080/03639045.2019.1578788, PMID 30714426.

Rimkiene L, Baranauskaite J, Marksa M, Jarukas L, Ivanauskas L. Development and Evaluation of Ginkgo biloba L. extract loaded into carboxymethyl cellulose sublingual films. Appl Sci. 2021;11(1):1-13. doi: 10.3390/app11010270.

Chana Thaworn J, Chanthachum S, Wittaya T. Properties and antimicrobial activity of edible films incorporated with kiam wood (cotyleobium lanceotatum) extract. LWT. 2011;44(1):284-92. doi: 10.1016/j.lwt.2010.06.020.

Bala R, Sharma S. Formulation optimization and evaluation of fast dissolving film of aprepitant by using design of experiment. Bull Fac Pharm Cairo Univ. 2018;56(2):159-68. doi: 10.1016/j.bfopcu.2018.04.002.

Senthilkumar K, Vijaya C. Formulation development of mouth dissolving film of etoricoxib for pain management. Advances in Pharmaceutics. 2015;2015:1-11. doi: 10.1155/2015/702963.

Singh H, Singla YP, Narang RS, Pandita D, Singh S, Narang JK. Frovatriptan loaded hydroxy propyl methyl cellulose/treated chitosan-based composite fast dissolving sublingual films for management of migraine. J Drug Deliv Sci Technol. 2018;47:230-9. doi: 10.1016/j.jddst.2018.06.018.

Mashru RC, Sutariya VB, Sankalia MG, Parikh PP. Development and evaluation of fast-dissolving film of salbutamol sulphate. Drug Dev Ind Pharm. 2005;31(1):25-34. doi: 10.1081/ddc-43947, PMID 15704855.

Huanbutta K, Sriamornsak P, Singh I, Sangnim T. Manufacture of 2D-printed precision drug-loaded orodispersible film prepared from tamarind seed gum substrate. Appl Sci. 2021;11(13):5852. doi: 10.3390/app11135852.

Bala R, Khanna S, Pawar P. Design optimization and in vitro-in vivo evaluation of orally dissolving strips of clobazam. J Drug Deliv. 2014;2014:392783. doi: 10.1155/2014/392783, PMID 25328709.

Singh H, Narang JK, Singla YP, Narang RS, Mishra V. TPGS stabilized sublingual films of frovatriptan for the management of menstrual migraine: formulation, design and antioxidant activity. J Drug Deliv Sci Technol. 2017;41:144-56. https://doi.org/10.1016/jdoi: 10.1016/j.jddst.2017.07.008.jddst.2017.07.008.

El-Samaligy MS, Yahia SA, Basalious EB. Formulation and evaluation of diclofenac sodium buccoadhesive discs. Int J Pharm. 2004;286(1-2):27-39. doi: 10.1016/j.ijpharm.2004.07.033, PMID 15501000.

Fouad SA, Basalious EB, El-Nabarawi MA, Tayel SA. Microemulsion and poloxamer microemulsion-based gel for sustained transdermal delivery of diclofenac epolamine using in-skin drug depot: in vitro/in vivo evaluation. Int J Pharm. 2013;453(2):569-78. doi: 10.1016/j.ijpharm.2013.06.009.

El-Setouhy DA, Basalious EB, Abdelmalak NS. Bioenhanced sublingual tablet of drug with limited permeability using novel surfactant binder and microencapsulated polysorbate: in vitro/in vivo evaluation. Eur J Pharm Biopharm. 2015;94:386-92. doi: 10.1016/j.ejpb.2015.06.006. PMID 26086847.

Shin SC, Kim JY. Enhanced permeation of triamcinolone acetonide through the buccal mucosa. Eur J Pharm Biopharm. 2000;50(2):217-20. doi: 10.1016/S0939-6411(00)00101-6, PMID 10962230.

Shimoda H, Taniguchi K, Nishimura M, Matsuura K, Tsukioka T, Yamashita H. Preparation of a fast dissolving oral thin film containing dexamethasone: a possible application to antiemesis during cancer chemotherapy. Eur J Pharm Biopharm. 2009;73(3):361-5. doi: 10.1016/j.ejpb.2009.08.010, PMID 19735731.

Nishimura M, Matsuura K, Tsukioka T, Yamashita H, Inagaki N, Sugiyama T. In vitro and in vivo characteristics of prochlorperazine oral disintegrating film. Int J Pharm. 2009;368(1-2):98-102. doi: 10.1016/j.ijpharm.2008.10.002. PMID 18992311.

Abdelbary A, Bendas ER, Ramadan AA, Mostafa DA. Pharmaceutical and pharmacokinetic evaluation of a novel fast-dissolving film formulation of flupentixol dihydrochloride. AAPS PharmSciTech. 2014;15(6):1603-10. https://doi. org/10.1208/s12249-014-0186-8doi: 10.1208/s12249-014-0186-8, PMID 25142820.

Choudhary DR, Patel VA, Chhalotiya UK, Patel HV, Kundawala AJ. Development and characterization of pharmacokinetic parameters of fast-dissolving films containing levocetirizine. Sci Pharm. 2012;80(3):779-87. https://doi.org/10.3797/scipharm.1205-15, PMID 23008821.

Mettu SR, Veerareddy PR. Formulation and pharmacokinetics of ketorolac tromethamine fast dissolving tablets. Drug Res (Stuttg). 2013;63(11):586-90. https://doi.org/10.1055/s-0033-1348258, PMID 23780501.

Holstila E, Vallittu A, Ranto S, Lahti T, Manninen A Helsinki. Cities as engines sustain. Compet Eur Urban Policy Pract. 2016. p. 175-89. doi: 10.4324/9781315572093-15.

Zhang Y, Huo M, Zhou J, Xie S. PK Solver: an add-in program for pharmacokinetic and pharmacodynamic data analysis in microsoft excel. Comput Methods Programs Biomed. 2010;99(3):306-14. doi: 10.1016/j.cmpb.2010.01.007. PMID 20176408.

Zaman M, Hanif M, Shaheryar ZA. Development of tizanidine HCl-meloxicam loaded mucoadhesive buccal films: in vitro and in vivo evaluation. Plos One. 2018;13(3):e0194410. doi: 10.1371/journal.pone.0194410. PMID 29566073.

Mashru RC, Sutariya VB, Sankalia MG, Parikh PP. Development and evaluation of fast-dissolving film of salbutamol sulphate. Drug Dev Ind Pharm. 2005;31(1):25-34. doi: 10.1081/ddc-43947, PMID 15704855.

Vinay R, Patel Gerard G, Dumancas Lakshmi C, Bryan John J. Castor oil: properties, uses, and optimization of processing parameters in commercial production. Lipid Insights. 2016;9;S40233:119-25. doi: 10.4137/lPI.

Fu Q, Tan J, Wang F, Zhu X. Study on the synthesis of castor oil-based plasticizer and the properties of plasticized nitrile rubber. Polymers (Basel). 2020;12(11):2584. doi: 10.3390/polym12112584. PMID: 33153151.

Renata P, Herrera B, Fabio Y Brandelero RPH, Yamashita F, Grossmann MVE. The effect of surfactant Tween 80 on the hydrophilicity, water vapor permeation, and the mechanical properties of cassava starch and poly(butylene adipate-co-terephthalate) (PBAT) blend films. Carbohydrate Polymers. 2010;82:(4):1102-9. doi: 10.1016/j.carbpol.2010.06.034.

Shah A, Gao B, Kamal R, Razzaq A, Huang L, Cremin G, Iqbal HShah KA, Gao B, Kamal R, Razzaq A, Qi S, Zhu QN. Development and characterizations of pullulan and maltodextrin-based oral fast-dissolving films employing a box–behnken experimental design. Materials (Basel). 2022;15(10):3591. https://doi.org/10.3390/ma15103591, PMID 35629620.

Bhagawati ST, Chonkar AD, Dengale SJ, Reddy SM, Bhat K. Bioavailability enhancement of rizatriptan benzoate by oral disintegrating strip: in vitro and in vivo evaluation. Curr Drug Deliv. 2016;13(3):462-70. doi: 10.2174/15672018113109990048, PMID 26310617.

Published

07-05-2023

How to Cite

BHYAN, B., BHATT, D. C., & JANGRA, S. (2023). PHARMACOKINETIC STUDY IN HUMANS AND IN VITRO EVALUATION OF BIOENHANCED BILAYER SUBLINGUAL FILMS FOR THE MANAGEMENT OF ACUTE MIGRAINE. International Journal of Applied Pharmaceutics, 15(3), 190–199. https://doi.org/10.22159/ijap.2023v15i3.46684

Issue

Section

Original Article(s)