Introduction
Medicated creams and lotions are designed to be easy and
pleasant for the customer to use. The development pathway can be challenging as
these products are often complex mixtures with sophisticated requirements that
are achieved via successful execution of a meticulous formulation program. For
contract research organizations (CROs) that offer formulation development, the
complexity of developing a semisolid formulation is often challenged by
aggressive timelines frequently sought by the customer. Physicochemical
characterization on the drug of interest is often limited or incomplete, an additional
challenge in the development of an effective formulation. This white paper presents
strategies which can be employed to develop a formulation more rapidly. Note
that this may not be the composition of the final
formulation, but can be used to initiate proof-of-concept studies and add
formulation criteria to the development process. This white paper contains two
major sections: a review of the terminology and composition of major semisolid
formulations and a presentation of a CRO’s approach to rapid formulation
development. It aims to inform resource-limited staff at biotechnology or small
pharmaceutical companies with their topical drug development needs following nomination
of compounds suitable for progression into in vitro or preclinical testing. For
successful dermal delivery, the drug must penetrate the stratum corneum (SC), an
approximately pH 5 barrier to the epidermis or dermis layers. Often other
factors associated with the disease state must be considered, such as absence
or excess of SC, as with psoriasis. It is often a complex combination of
excipients required to achieve delivery of the drug in a product that is
pleasant to use by the consumer. The consumer experience of a topical product
must be considered as a product that is unpleasant to use may risk lowering
patient compliance and minimize market capture. This often drives a complex
combination of excipients, each of which must be carefully and rationally
selected based on expected improvements in the drug penetration or other performance
criteria. In addition to dermal, semisolid products can be applied to buccal, nasal,
ophthalmic, otic, rectal or vaginal tissue.
Terminology
There are several major categories of
topical formulation categories: ointments, emulsions, gels, pastes, suppositories.
Ointments are typically petrolatum-based formulation, although may be
water-soluble if formulated with polyethylene glycol. An emulsion formulation
is a suspension in which both phases are (immiscible) liquids; one liquid, the internal phase, is dispersed in the other, which is
called the external or continuous phase. These may be oil-in-water, O/W, or
water-in-oil, W/O. Emulsifying
agents are required to stabilize the formulation. Creams and lotions are
examples of
emulsion formulations, which contain fully dissolved or suspended active
ingredient;
creams are generally more viscous than lotions. Gels can be either aqueous- or
organicbased. Generally, they are either suspensions of (small) inorganic
particles or (large)
organic particles interpenetrated by a liquid. Gels tend to have greater
structure than
ointments or emulsions, imparted by cross-linked matrices which comprise them.
Pastes, with large amounts of finely dispersed solid materials are some of the
thickest
or stiffest semisolid formulations, whereas suppositories essentially seem as
solid, so
the shape is maintained for insertion into a non-oral cavity, such as nasal or
vaginal,
for more systemic exposure.
Table 1 presents components, brief definitions,
and examples of components frequently
encountered in discussion and preparation of semisolid formulations.
The emulsifying agent warrants further discussion as this excipient type is the key to successfully combining two immiscible liquids and maintaining stability of the mixture. They
are employed not only to enable manufacturing processes but maintain the dispersed
phase
in the continuous phase for the claimed shelf-life of the product. They also
strongly influence rheological properties by modulating the interaction of the
aqueous and oil phases.
Emulsifying agents, or surfactants, have a hydrophilic-lipophilic balance (HLB
value) in
the range of 3-6 or 8-18. The desired HLB value would be selected based on O/W
or W/O
composition of the formulation. HLB values are additive and the desired value
can be
obtained by algebraic means; the proportion of each component’s HLB value will
result in
the HLB value of the mixture. This allows combination of two or more excipients
to obtain
the desired amount of surfactant required to obtain a stable emulsion. Note
that other
excipients of agents have the following HLB ranges: wetting agents, 7-9;
detergents, 13-16;
solubilizing agents, 15-20.
Formulations
The type of semisolid formulation selected
will depend on its application site, the physicochemical properties of the
drug, as well as the required physical properties of the formulation. A summary
of four major semisolid formulation bases is presented in Table 2.
Research
on the target product profile will also provide guidelines for the final
product.
Formulation
development will provide the data on which product strength, dosage form,
Table 2. Formulation
Bases
release profile, penetration, cosmetic properties,
and shelf life will be based. The formulation development process includes
evaluating physico-chemical properties such as drug
concentration/recovery, purity, related substances, rheology, pH, viscosity.
Table 3 presents model compositions of each formulation base identified above
and summarizes broad
properties of each that can perhaps guide interest in one base over another.
This a priori
selection may be based on: (1) the site of application; (2) properties of
the active pharmaceutical ingredient, API, such as known solubility in
hydrophobic or hydrophilic vehicles;
(3) release of API from the formulation into the applied area; (4) the need for
a moisture
barrier; (5) the indication itself, as it may have marketed products with which
it needs to
be competitive. Following the development and assessment of prototypes,
stability and
activity of the API in the formulation will be key criteria. It must be
established that excipients required to prepare the formulation and maintain
stability of the composition do
not render the API inactive. Note that the analytical methods in use to this
point must
also be characterized to ensure specificity for analysis of the API.
The CRO Approach
Having looked at the core composition of semisolid formulations, it
is appropriate to
consider the utility of this information with respect to an individual drug
development
program. Formulation CROs are contracted for the execution of the formulation
process
itself, usually to be completed within a compressed time frame. Therefore, to
successfully complete a project, it is absolutely necessary to think first
about the path forward
prior to initiating experiments. A number of factors have been discussed in the
preceding section. These additional experiences and strategies can help save
time
and money:
• Laboratory experience preparing a wide variety of formulation base types
• Sourcing uncommon excipients
• Scale-up experience, from small batch volumes (≤ 100mL) to ≥ 1L
• Development of analytical methods including extraction methods and HPLC-based
methods for drug concentration and purity
• Establishment of preservative efficacy in prototype formulations
• Assessment of prototype formulations in a thermal stability program
Hands-on experience with key prototypes can minimize the time required to
develop a
formulation from its inception, accelerating the timeline to when the testing
of the formulation containing the active pharmaceutical ingredient can be
initiated. This is not a
“one size fits all” strategy, perhaps “one size fits most” is more appropriate.
Additional
testing, of course, is required, such as:
• Discussions with leading dermatologists or other clinical staff regarding
their needs
• Optimizing formulation properties such as rheology, pH, viscosity
• Establish that purity and activity of the API in the formulation are
maintained
• Preparation and replicate execution of compounding procedure
• Dose uniformity
• Short-term accelerated stability testing
• Real-time stability testing, including control as well as conservative and
accelerated condition(s)
• Determination of preservative efficacy of API containing formulations
• Skin permeability and permeation studies (in vitro or ex in vivo)
• Additional in vitro tests based on project, drug, or indication to
assess for product
efficacy and safety
• Determination of therapeutic efficacy, via both pre-clinical and clinical
testing
Determination of Prototype
Stability
In the initial stages of the SP Formulations semisolid development
program, the thermal stability of a wide variety of cream and gel bases was
examined. Typically, finished
products target the range pH 5-6. Therefore, prototypes were adjusted to be
within this
range by the addition of sodium hydroxide or citric acid. Physico-chemical
properties
such as pH, rheology and phase consistency (microscopic/visual) were examined
following 6 weeks incubation at 2-8° C, ambient temperature, and 40° C. From
this screening, several lead prototype formulations were identified (Table 4).
Determination of Preservative Efficacy
Table 4. SP Formulations Lead Formulation Prototypes
Optimization of preservative concentration in
semi-solid formulations is a central part
of formulation development. The minimum acceptable limit of preservatives in a
drug
product must be demonstrated as microbiologically effective by performing a
microbial
challenge assay as specified in USP <51> as well as EP (5.1.3) and
(5.1.4).
As a part of our semisolid formulation development program, the minimum
effective
preservative concentrations in prototype cream and gel base formulation was
established. This is especially important for the evaluation of aqueous-based
gel formulations which are more susceptible to microbial growth due to their
high water content.
Following study of literature and references described in the USP and EP, an
optimized
set of preservatives and select concentrations were tested for the ability to
arrest
microbial growth as per current regulatory requirements. All prototype
oleaginous and
emulsion cream formulations passed the 28-day antimicrobial effectiveness
testing at
concentrations of 0.2% w/w of benzoic acid, methylparaben and propylparaben.
For the
gel formulation prototypes, a concentration of 1.5% w/w benzyl alcohol was
sufficient to
prevent microbial growth over the 28-day test period.
HPLC Assay of Preservatives
During the course of any development program it is essential to
validate the acceptable
preservative concentration due to labeling requirements and to account for any
change
in preservative purity. To address these analytical testing needs, SP
Formulations
developed robust and well-characterized extraction methods for detection of
methyl and
propyl parabens and drugs such as the anti-fungal agent ketoconazole from two
model
semisolid formulations: the cetyl alcohol-cetyl ester cream and the white
petrolatum
cream.
Each prototype was spiked with 0.2% w/w preservative (methylparaben and propylparaben)
along with 1% w/w of ketoconazole. Following a simple organic extraction test
samples were analyzed via RP-HPLC using UV detection.
The extraction method precision was determined by analyzing six replicate cream
samples prepared to contain the target amounts of each preservative and
ketoconazole.
Concentrations for samples were measured by recording the appropriate peak area
by
HPLC and interpreting the result according to an equation of line generated by
standard
solutions for each component. The criteria for each equation of line was
R-squared of at
least 0.999 and bias that was small and random for each calibration point,
within ±5%.
The percent recovery value for each sample was calculated by comparing the
measured
concentration with the nominal concentration; values are presented in Tables 5
and 6
Table 5. Cetyl alcohol-cetyl ester O/W cream
Table 6. White petrolatum W/O cream
The robustness of the analytical methods was
characterized by extracting each spiked
agent from formulations prepared to contain 50, 100 and 150% of the target
concentration. Each sample (containing the paraben preservatives and
ketoconazole) were prepared and analyzed in triplicate, for a total of nine
data points. The average recovery
result and relative standard deviation were as follows: methylparaben, 101.1%
recovery
and 1.1% RSD; propylparaben, 99.2% recovery and 0.5 % RSD; ketoconazole, 101.2%
recovery and 0.9% RSD. The extraction method is considered suitable for a range
of
excipient or active ingredient concentrations in the two cream bases examined.
To facilitate meeting regulatory requirements, stability data on pilot-scale
batches
should include results from microbial challenge studies performed on the drug
product
at specified intervals. This can be accomplished by analysis of preservative
concentration that is known to be effective in inhibiting microbial growth.
This can be done in a
manner similar to that described above or by appropriate microbiological
challenge at
appropriate testing intervals. SP Formulations offers the flexibility of
providing both
testing methods for preservative testing. The advantage of offering both
services is the
time and cost-saving effectiveness of the analytical method, complete within 3
days,
compared to 28 days required for antimicrobial effectiveness testing. This is
of particular import during the post-approval process in which production
batches must be placed
on stability and demonstrate microbial effectiveness.
Conclusion
A well-characterized library of prototype formulations can be used
to obviate, or at
least ameliorate, the need for lengthy ab initio semisolid formulation
development.
Experience in the preparation, handling, and testing of prototype formulations
is an
essential tool by which new active pharmaceutical ingredients can be
incorporated into
prototypes more rapidly and subsequently tested for compatibility. Knowledge of
formulation bases and properties can support the preparation of
“incorporation-ready” bases
with API within several weeks. Shorter timelines may be achieved if some
physicochemical characterization of the API, such as from preformulation
studies on vehicle
solubility, is already complete. It is important not to rush through the
necessary foundational experiments which ensure there are no unwanted
drug-excipient interactions.
However, strategies like those described in this paper, may significantly
reduce the time
and cost required to develop prototype formulations. This may not be the
composition
of the final formulation, but can be used to initiate proof-of-concept studies
and add
formulation criteria to the development process. By applying a combination of
pharmaceutical development knowledge and industry experience both from executed
programs
and applied research, SP Formulations can rapidly incorporate your API(s) of
interest
into a suitable base(s) for initial in vitro testing such as skin
penetration, permeation,
and release testing as well as in vivo efficacy testing.
References
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426-438.
2. Swarbrick, J. Encyclopedia of Pharmaceutical Technology, 3rd ed.
1996.
Marcel Deckker Inc. p. 3257.
3. Chater, SJ. Cooper and Gunn Dispensing For Pharmaceutical Students,
12th ed. 2001. CBS Publication. pp. 192-231.
4. Gennaro, RA. Remington: The Science and Practice of Pharmacy, 19th ed.
1995.
Mack publishing Company. pp. 304-310.
5. Aulton, ME. Pharmaceutics the Science of Dosage Form Design, 1st ed.
1988.
Churchill Livingstone. p. 386.
6. Allen, LV, et al. Ansel’s Pharmaceutical Dosage Forms and Drug Delivery
Systems,
8th ed. p. 2004. Lippincott Williams and Wilkins. p. 276.
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