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30, Brij
30 and Brij
87-504A
matrix was found to be the best. No signicant alteration in
morphology and assay values were observed during the
physical and chemical stability tests conducted for the
study period of 3 months.
Keywords Donepezil Transdermal drug delivery
Percutaneous penetration Chemical enhancers
Alzheimers disease
Donepezil is a centrally acting reversible acetylcholines-
tearase inhibitor and exerts its therapeutic effect by
increasing acetylcholine concentrations and enhancing
cholinergic function (Rogers and Friedhoff 1998; Sugimoto
et al. 1995). Commercially, donepezil is available in the
form of tablet under the trade name Aricept
. Initial dose is
5 mg per day, which can be increased to 10 mg per day
after an adjustment period of at least 4 weeks (Rogers et al.
1998). In most of the cases, it is not convenient for patients
suffering from Alzheimers disease (AD) to comply with
the self-medication schedule. Moreover, various side
effects including diarrhea, nausea, anorexia, and muscle
convulsion are reported (da Silva et al. 2006). These
adverse effects are mainly due to increase in gastric acid
secretion caused by enhanced cholinergic activity through
the gastrointestinal tract. Donepezil-nanoclay hybrids have
been suggested to reduce the adverse effects of donepezil
(Park et al. 2008). It was reported that clay used in the
study could reduce the acidity by absorbing proton and
control the drug release behavior. As an alternative to oral
delivery, microparticles of donepezil as monthly subcuta-
neous injection has been reported (Zhang et al. 2007). The
microparticles were prepared using poly (D, L-lactide-co-
glycolide) by an oilwater emulsion solvent evaporation
technique. However, due to the better patient compliance,
controlled delivery of drug, ease of administration as well
as termination, a transdermal product of donepezil would
be more appropriate in providing clinical benet of pro-
longed response to patients suffering from AD.
However, due to the barrier function of skin, not all drugs
can be delivered transdermally (Subedi et al. 2010). In many
cases, the absorption may not result in sufcient plasma drug
concentration. Various studies have been conducted, along
with their pros and cons, to develop transdermal product
of donepezil. Matrix based transdermal system has been
R. K. Subedi M.-K. Chun H.-K. Choi (&)
BK21 Project Team, College of Pharmacy, Chosun University,
375 Seosuk-dong, Dong-gu, Gwangju 501-759, South Korea
e-mail: hgchoi@chosun.ac.kr
J.-P. Ryoo C. Moon
NAL Pharmaceuticals Ltd, Monmouth Junction, New Jersey,
USA
1 3
Journal of Pharmaceutical Investigation (2012) 42:17
DOI 10.1007/s40005-012-0002-y
reported for donepezil (Kazunosuke et al. 2008). However,
to achieve the sufcient transdermal ux through hairless
mouse skin, extremely high drug loading (35% w/w) was
used. This may lead to crystallization of drug in the polymer
matrix and may cause problem with adhesive force. Another
study suggested the use of salt form that is converted to the
base form in situ within the matrix type delivery system
(Terahara et al. 2009). Salt form of donepezil precipitates in
the adhesive matrix forming particles in the patch, which
reduces the aesthetic value of the patch. Reservoir type patch
system was also described for delivery of Alzheimers
pharmaceuticals, particularly donepezil (Valia and Rama-
raju 2008). The matrix patches are slimmer and smaller than
the reservoir patch, and are preferred both in terms of ease of
production and better patient compliance. Therefore, there is
a need to explore a commercially viable transdermal matrix
based system for donepezil which can give higher ux at
lower drug load, through proper selection of formulation and
process variables.
The present study was conducted to investigate the
feasibility of developing stable matrix based transdermal
system for donepezil. In vitro permeation studies were
done to characterize passive diffusion with various
adhesives and chemical enhancers. Effect of different
formulation variables on permeation of donepezil was
evaluated.
Materials and methods
Materials
Donepezil hydrochloride was generous gift from Samil
Pharmaceuticals (Seoul, South Korea). Polyglyceryl-3
oleate (Plurol olieque
30 and Brij
nylon mem-
brane lter (13 mm, 0.45 lm) and analyzed by HPLC.
Differential scanning calorimetry (DSC)
Thermal analysis was carried out to characterize donepezil
hydrochloride and base form, using a DSC unit (Pyris 6
DSC, Perkin-Elmer, Netherlands). Indium was used to
calibrate the temperature scale and enthalpic response.
Samples were placed in aluminum pans and heated at a
scanning rate of 5C/min from 25 to 250C.
Stability
Stability studies of the optimized formulation were con-
ducted at three different temperature conditions. Physical
stability of the patches kept in refrigerator (28C), room
temperature (RT) and 40C oven were monitored visually
at different time intervals. Chemical stability was assessed
using previously reported stability indicating analytical
method (Hanatani et al. 2008). HPLC system (Shimadzu
Scientic Instruments, MD), consisting of a UV detector
(SPD-10A), reversed-phase C
18
column (4.6 9 150 mm,
5 lm, Shiseido), a pump (LC-10AD), and an automatic
injector (SIL-10A) was used. Briey, the wavelength of the
UV detector was 271 nm, the column temperature was
maintained at 25C, the ow rate was 1 ml/min and
injection volume was 20 ll. The mobile phase used con-
sisted of sodium1-decansulfonate aqueous solution/Acet-
onitrile/70% perchloric acid = 650/350/1 (volume ratio);
sodium 1-decansulfonate concentration was 10 mM of total
mobile phase.
Results and discussion
Selection of pressure sensitive adhesive matrix
The effect of the PSA matrix on the permeation of do-
nepezil was investigated using silicone, PIB, SBS, acrylic
and acrylic rubber hybrid adhesive matrixes. Permeation
prole of donepezil from various PSA matrices is shown
in Fig. 2. Solubility of donepezil was found to be inad-
equate in silicone and PIB adhesive matrices and some of
donepezil was suspended in the matrix. The glass transi-
tion temperature of PSA, interaction between the drug and
functional group of PSA, adhesive force and many other
properties can inuence ux of drug from PSA across the
skin (Hai et al. 2008; Venkatraman and Gale 1998). The
permeation rate was lowest in the PIB matrix, followed
Time (h)
0 5 10 15 20 25
C
u
m
u
l
a
t
i
v
e
a
m
o
u
n
t
p
e
n
e
t
r
a
t
e
d
(
g
/
c
m
2
)
0
50
100
150
200
250
300 PIB
SBS
Acrylic non functional
Acrylic hydroxy functional
Acrylic rubber hybrid
Acrylic carboxy functional
Silicone
87-2677. This
could be due to the interaction between amine group of
donepezil and carboxyl group of the adhesive. In previous
study, low permeation rate of tacrine was observed due to
the interaction between the amine group of tacrine and
carboxyl group of acrylic adhesive (Kim et al. 2000).
Permeation rate of donepezil in the acrylic rubber hybrid
adhesive matrix, Duro-Tak
7-4302. Fur-
ther study on different kinds of acrylic rubber hybrid
adhesives containing hydroxyl functional group revealed
that Duro-Tak
Time (h)
0 5 10 15 20 25
C
u
m
u
l
a
t
i
v
e
a
m
o
u
n
t
p
e
n
e
t
r
a
t
e
d
(
g
/
c
m
2
)
0
100
200
300
400
87-502 A
87-503 A
87-504 A
Fig. 3 Screening of different rubber acrylic hybrid pressure sensitive
adhesives at 15% w/w drug load. Values are expressed as mean
(n = 3)
Time (h)
0 5 10 15 20 25
C
u
m
u
l
a
t
i
v
e
a
m
o
u
n
t
p
e
n
e
t
r
a
t
e
d
(
g
/
c
m
2
)
0
100
200
300
400
500
60 m
85 m
100 m
120 m
30 2.10
3 Plurol olieque
CC497 1.47
4 Crovol
A 40 1.32
5 Oleyl alcohol 1.37
6 Lauryl alcohol 1.34
7 IPM 1.12
8 Sugar ester P-1670 1.33
9 Limonene 1.06
10 Span
80 1.25
11 Transcutol
1.17
12 IPP 1.17
13 Cineole 1.11
14 Labral
1944 1.09
15 Incrocas
30 1.04
16 Brij
52 1.29
* ER enhancement ratio
4 R. K. Subedi et al.
1 3
CC497, Crovol
80 and Brij
52 signicantly enhanced
the in vitro ux of donepezil from Duro-Tak
87-502A
matrix. The enhancing effect of Brij
30 was compared
between Duro-Tak
87-503A. As
can be seen in Fig. 5, no signicant difference was observed.
Table 2 gives the summary of enhancer screening at
the level of 5% v/w with 10% w/w drug load in Duro-Tak
30, Brij
87-504A
matrices and was chosen for further experiments. Brij
30 is
a surfactant which belongs to the class of polyoxyethylene
(POE) alkyl ethers. The EO chain length and HLB value of
Brij
30
could efciently disrupt the lipid arrangements in SC via
both hydrophilic and lipophilic molecular mechanism,
thereby enhancing the penetration of donepezil (Breuer
1979; Walters et al. 1987).
Effect of combining enhancers
To further increase the transdermal ux of donepezil, effect
of combining selected enhancers at the level of 2.5% v/w
with 5% v/w of Brij
30 as control.
Only combinations of Brij
30 with Brij
52, Crovol
A40
and Plurol olieque
30 alone. Adhesive
properties of patches containing combination of Brij
30
with Plurol olieque
CC497 or Span
80 were found to be
unsatisfactory. Brij
, from Duro-Tak
87-503A
matrices. (n = 3)
Table 2 Effect of penetration enhancers, at the level of 5% v/w, with
10% w/w of drug load in Duro-Tak
CC497
1.02 16 Labrasol 1.19
4 Crovol
A 40 1.20 17 Tween
80 1.09
5 Oleyl alcohol 1.11 18 Limonene 0.97
6 Lauryl alcohol 0.94 19 Glycerol 1.24
7 IPM 1.22 20 Diisopropyl dirrerate 1.13
8 Span
80 1.17 21 Crovol
PK40 1.11
9 Transcutol
52 1.42 25 2-ethylhexyl
hydroxystearate
1.05
13 Alkyl 2-ethyl
hexanate
1.20 26 Diethoxylethyl
succinate
1.32
Table 3 Summary of the results obtained using combination of Brij
30 1.00 Good
Brij
30, Span
80 0.78
Brij
30, Brij
52 1.37
Brij
30, Crovol
A40 1.27
Brij
30, Transcutol
0.70
Brij
30 and Brij
87-503A or Duro-Tak
87-503A[Duro-Tak
87-502A[Duro-Tak
87-504A.
The level of drug loading up to which clear patches could
be made determined the drug loading capacity of the
matrix. Therefore, to obtain superior adhesion and perme-
ation properties, combination of Duro-Tak
87-503A and
Duro-Tak
87-503A
matrix without visible particles. Solutions of PSAs con-
taining 10% w/w drug in Duro-Tak
30 and Brij
52, each
at the level of 5% v/w with 15% w/w drug load in 1:1
combination of Duro-Tak
87-
504A matrix. Patches were checked visually for any
change during the study period. Chemical stability of the
patches was check periodically by using stability indicating
analysis method. Table 4 provides summary of the physical
and chemical stability testing. No change in morphology of
Time (h)
0 5 10 15 20 25
C
u
m
u
l
a
t
i
v
e
a
m
o
u
n
t
p
e
n
e
t
r
a
t
e
d
(
g
/
c
m
2
)
0
200
400
600
800
503A:504A (1:3)
503A:504A (1:1)
503A:504A (3:1)
Fig. 6 Effect of combining Duro-Tak
87-
504A matrices at various ratios on the permeation of donepezil.
Values are expressed as mean (n = 3)
Drug loading (% w/w with respect to dry polymer)
4 6 8 10 12 14 16 18 20 22
I
n
v
i
t
r
o
f
l
u
x
(
g
/
c
m
2
)
200
300
400
500
600
700
800
30 and
5% v/w Brij
87-504A matrix.
Values are expressed as mean (n = 3)
6 R. K. Subedi et al.
1 3
the patch was observed. At 3rd month, patches stored in RT
showed slight decline in the assay value. However, during
content analysis, no peak other than the peak of donepezil
was observed. Chemical stability of patches stored in
refrigerator and 40C did not show signicant decline in
assay values during the study period of 3 months.
Conclusion
The obtained ux and the adhesive properties of the patch
suggest that therapeutic amount of donepezil could be
systemically delivered with a reasonable patch size. Con-
sidering the half life of 70 h for donepezil and high initial
ux obtained from the optimized formulation, it may be
possible to transdermally deliver donepezil for an extended
period of time. Based on daily dose of 4.6 mg and average
ux of approximately 20 lg/cm
2
/h, less than 30 cm
2
active
patch surface area is required to deliver therapeutic amount
of donepezil for a period of 3 days through hairless mouse
skin. However, the permeation rate of donepezil has not
been compared between hairless mouse skin and human
skin. Even if we assume that the hairless mouse skin is two
times more permeable than human skin, it is feasible to
develop multiple day transdermal drug delivery system for
donepezil using a reasonable patch size.
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Table 4 Summary of chemical and physical stability of donepezil patch containing 15% w/w drug, 5% v/w Brij
52 in 1:1
combination matrix of Duro-Tak