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CHAPTER 1
INTRODUCTION &
LITERATURE REVIEW
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Table of Contents
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properties of the compounds and design the best suitable formulation that completely
solubilises the compounds. For increasing oral absorption of low soluble compounds a
better formulation design will enable to solubilise the compounds and helps in
screening and short listing active compounds in the series studied.
One of the major challenges for drug discovery researchers is to select vehicles for
invivo studies. Researchers must keenly understand the objectives of the invivo
studies as each vehicle has different type of role and objective in enabling a good
formulation. If the objective of study is to understand the oral exposure of
compounds, then the excipients selected should not interfere with the end point of
measurement, and this can be achieved by preparing solution formulation than
suspension formulation. If the main objective of study is to understand whether the
compounds has developable properties, then a more complex suspension formulations
can be designed (Xue QC et al, 2006).
To identify various vehicles that are optimal for solubilising the compounds, initially
the compounds solubility should be tested in both aqueous and non aqueous systems.
Along with solubility, also the chemical stability should be looked at. Various
strategies are available on hand to increase the solubility of poorly soluble
compounds. pH adjustment can be used to increase solubility, if the compounds are
ionisable in nature. pH adjustment along with cosolvents approach also can be tried if
pH adjustment alone does not produce desired results. The commonly used cosolvents
for solubilisation is polyethyleneglycol 400 (PEG 400) due to its inert nature and
good solubilisation of low soluble compounds that are administered in both oral and
intravenous routes (Raymond CR et al, 2009). Other cosolvents that could be tested
were Labrafil, N-methyl-2-pyrrolidone and vitamin E TPGS (d-alpha tocopheryl
polyethylene glycol 1000 succinate). Apart from use of cosolvents, complexing agents
(cyclodextrins) can be tested to increase the solubility. For drug discovery
programmes with diversity in molecular structures, extra care should be emphasized
to ensure the solubility of all compounds in cyclodextrin solutions.
Intravenous administration of compounds require the compound in solution form
before administration and there are various approaches to solubilise the compounds
beyond its aqueous solubility (Sweetana S et al, 1996). When cosolvents were used
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for solubilisation, extra care needs to be ascertained not to use them beyond toxic
levels. Use of high concentration of cosolvents can cause hemolysis and precipitation
of the compound immediately after administration. An invitro precipitation technique
was developed by yalkowsky and his group to predict the compounds liability to
precipitate after intravenous administration (Johnson JLH et al, 2003).
Majority of drugs are developed to be administered in oral route as solid dosage form.
Due to limited compound availability and amount of time required to prepare solid
dosage form, it is not desired to dose solid dosage forms as it delays the process of
compound screening in drug discovery and is quite costly affair. So instead of solid
dosage forms it is desirable to dose compound in suspension formulation. Suspension
formulations can be prepared by using various excipients such as emulsifying agents,
suspending agents and surfactants.
List of commercially available oral and injectable solution/suspension formulations
(Robert S, 2000) that are used as solubilizing excipients in preclinical formulations
include water soluble organic solvents, non-ionic surfactants, water insoluble lipids,
organic liquids/semisolids, various cyclodextrins, and phospholipids. Apart from the
solubilising excipients, various other chemical techniques to solubilise insoluble drugs
include cosolvents, pH adjustment, micro emulsions, complexation, micelles, self
emulsifying drug delivery systems, emulsions and liposomes.
1.1.3.1 Cremophor EL
polyethoxylated hydrogenated castor oil derivatives is double bond in fatty acid side
chain. Ethoxylated glycerol ricinoleate with 30 to 50 molecules of ethylene oxide is
the main component of cremophor EL (CrEL). In CrEL, the relatively lipophilic
component (glycerol polyethylene glycol ricinoleate) constituents comprise about 80-
83% of the total mixture (Figure 1.1). Unchanged castor oil, fatty acid ester of PEGs
are the minor hydrophobic constituents. Free polyethylene glycols and glycerol
ethoxylates are the main components of hydrophilic part that accounts for 17% of
total CrEL. Cremophor ELP, a purified grade of Cremophor EL is also a polyoxyl 35
castor oil; it has a lower content of water (<0.5%), potassium (<15 ppm), and free
fatty acids (C12C18 <1%), particularly ricinoleic (<0.2%), oleic (<0.1%) and
palmitic (<0.1%) acids, and hence is claimed to contribute to improved stability of
some specific active ingredients. Functionally polyoxyethylene castor oil derivatives
act as emulsifying agent, solubilizing agent and wetting agent. Polyoxyl 35 castor oil
occurs as a pale yellow, oily liquid that is clear at temperatures above 268 oC. It has a
faint but characteristic odour and can be completely liquefied by heating to 268oC.
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increase in molecular weight of PEG. PEGs can be used to adjust the viscosity of
suspending vehicles or themselves can be used as suspending agents. Also when used
along with emulsifiers it can stabilize emulsions. It can also be used as water miscible
solvents in the preparation of soft gelatin capsules, but the only disadvantage is they
can cause hardening of capsule due to moisture absorption from gelatin in the shell.
Poorly soluble compounds aqueous solubility can be increased by making solid
dispersion with relevant PEG. PEGs were used in the oral delivery of insulin, to assist
in aerosilsation, cyclosporine oral bioavailability enhancement, as a drug carrier, as a
bio adhesive in controlled delivery formulations. Polyethylene glycols 200-600 are
liquids; grades 1000 and above are solids at ambient temperatures. PEGs are
chemically stable in solution and in air, whereas grades with molecular weight less
than 2000 are hygroscopic in nature. Polyethylene glycols do not become rancid and
do not support microbial growth. Polyethylene glycol polymers are formed by the
reaction of ethylene oxide and water under pressure in the presence of a catalyst.
PEGs are widely used as an excipient in a variety of preclinical/pharmaceutical
formulations. PEGs can be termed as non irritant and nontoxic materials. (Henry FS et
al, 2006).
Administration of higher doses of PEG in oral administration might result in laxative
effect. Liquid polyethylene glycols will be absorbed when administered orally, but
with increase in molecular weight there is a decrease in absorption from the
gastrointestinal tract. PEGs with low molecular weight are partially metabolised but
the PEGs with high molecular weight are almost excreted unchanged in the urine.
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(Bravo GRC et al, 2002). It has also been studied along with microcrystalline
cellulose to prepare self emulsifying pellets using an extrusion/spheronization
technique to increase the bioavailability of lipophilic drugs. Macrogol 15
hydroxystearate has been incorporated as a solubility-increasing additive in rectal
suppository dosage form to study the increase in bioavailability of poorly water-
soluble drugs. Macrogol 15 hydroxystearate has been investigated as a therapeutic
agent in the preparation of lipid nanoparticles of an anticancer drug, and has also been
shown to be effective for reversing multidrug resistance, with low toxicity in vivo.
In early stages of drug discovery, rat is the most commonly studied animal in
pharmacokinetic and drug metabolism and disposition studies as it is relatively
inexpensive and can be easily acquired and handled (Tse FLS et al, 1991). In a typical
pharmacokinetic (PK) study new chemical entities (NCEs) are administered to rats via
intravenous and oral routes. Serial blood samples are collected and analysed by liquid
chromatography/tandem mass spectrometry (LC-MS/MS). Some NCEs have spiky
plasma concentration profiles and spiky profiles in elimination phase will lead to
inaccurate quantification of PK parameters.
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The other reason for spiky plasma concentration-time profile could be due to
discrepancies in sample handling, sample collection and sample processing. In order
to address the spiky plasma concentration profiles of both these natures, there should
be a quality control check for the in vivo pharmacokinetic assays. For invitro assays
there exists quality control check process to assess if the performance of the assay
system was as per the specifications designed. In this process various known
molecules are selected and validated for the assay systems performance. Based on the
validation data, acceptance criteria can be fixed for the assay systems performance.
This enables the generation of acceptable and quality results from the invitro assay
systems. But, in case of invivo studies its difficult to have a quality control check as
the assay system was not pooled (invitro), instead it was animal specific. Multiple
compounds (both test compound and quality control compound) cannot be dosed to
one animal as it will rise for the potential for drug-drug interaction. Dosing multiple
compounds to one animal will not provide reliable pharmacokinetic results.
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than compared to other ionisation sources namely, APPI or APCI (Jessome LL et al,
2006; King R et al., 2000; Trufelli H et al., 2011). ESI is more prone to ion
suppression effects than APCI (Pommier F et al, 2003; Dams R et al, 2003). Ion
suppression could originate from endogenous compounds such as phospholipids
(Little JL et al, 2006), metabolites, coadministered drugs, internal standards (Sojo LE
et al, 2003), dosing vehicles (Tong XS et al, 2002; Shou WZ et al, 2003;
Schuhmacher J et al, 2003), mobile phase additives (Mallet CR et al, 2004) and
plastic tubes (Mei H et al, 2003).
Apart from the much spoken endogenous components causing matrix effects,
exogenous components (formulation excipients) used in the preparation of
formulations were also concern as they could potentially cause suppression or
enhancement of the analyte and internal standard which in turn will have impact on
the accuracy of measured concentrations. A lot variety of formulation excipients
ranging from cosolvents, complexing agents, lipid based vehicles and surfactants will
be used in the preparation of formulations at preclinical level. Formulation excipients
used at high concentrations to solubilise NCEs in early preclinical pharmacokinetic
screening studies can interfere with analysis. The plasma concentration of excipients
will be high in the initial sampling points. Some formulation vehicles cause 80-90%
ion suppression when administered in both intravenous and oral administration routes
(XU X et al., 2005; Larger PJ et al., 2005; Shou WZ et al., 2003; Tong XS et al.,
2002). The presence of higher concentration of formulation excipient in early time
point samples after intravenous or oral administration can cause significant ion
suppression on the analytes (Tong XS et al, 2002; Shou WZ et al, 2003; Weaver R et
al, 2006). This effect is more pronounced with the use of ultrafast gradients that
causes co-elution of many analytes. Ion suppression effects are complicated to handle
in a drug discovery environment where hundreds of molecules with differing
physicochemical properties (logD7.4, logP, pKa) are handled. These molecules may be
differentially ion suppressed depending on their elution on a typical liquid
chromatography (LC) gradient, compared with ion suppressing agent and their ability
to compete with charge from the suppressing agent. The U.S food and drug
administration (FDA) guidance for industry on bioanalytical method validation insists
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upon the assessment of matrix effects during method validation for quantitative
LC-MS/MS methods (FDA, 2001).
The exact mechanism by which matrix components causes matrix effects is not
known. Matrix effects occur at the interface between the MS system and LC system
(King R et al., 2000).
Various mechanisms by which the matrix components cause ion
suppression/enhancement are as follows:
Charge competition between analyte and matrix components (Bennett P et al.,
2004; Chambers E et al., 2007).
Change in droplet surface tension leading to formation of large droplets and
insufficient desolvation (Bonfiglio R et al., 1999; King R et al., 2000).
Preferential ion evaporation due to matrix components gathering at droplet
surface.
Change in mass of analyte ion due to ion pairing and adduct formation
Co-precipitation with non-volatile matrix components (Van Hout MW et al.,
2003).
Gas phase deprotonation.
In the present thesis various strategies to reduce matrix effects caused by formulation
excipients were studied, which includes a) different sample preparation methods b)
different analytical conditions c) different ionisation sources. The mechanism of ion
suppression by which the formulation excipients cause matrix effects was proposed.
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Annesley T.M. (2007) had tested the effect of methanol from 9 different
sources for ionisation suppression on immunosuppressants. The decrease in
signal for the immunosuppressant drugs was shown to result from differential
ionization associated with the selected methanols. Post column sirolimus
infusion evaluation revealed that a 1000-fold analyte concentration difference
did not affect ionization. Organic solvents used in mobile phases and extract
preparation of biological samples may be associated with ion suppression,
affecting adduct formation and assay sensitivity.
Aurand C. et al., (2009) had evaluated the performance of recently developed
sample prep hybrid SPE precipitation for the purpose of matrix removal and
analyte recovery from spiked samples. Chromatographic run times can be
brought down to a few minutes, instead of longer run times which in turn
increase the throughput of analysis. Good recoveries were obtained by using
this precipitation technique.
Bennett P. et al., (2004) had worked on selective extractions in quantitative
LC-MS/MS for removing phospholipids and reduce the matrix effects. A
major source of matrix effects in positive ESI mode was due to the
phospholipids. Acidic pH organic LLE resulted in higher removal of
phospholipids than at other pHs. SPE types tested (optimized for analyte
recovery) resulted in significantly more phospholipids than LLE. LLE method
with MTBE, hexane or a mixture of these two at pH 2.0 has removed 200
times more phospholipids than commonly used SPE.
Dams R. et al., (2002) had investigated the synergistic effect of sample
preparation type, ionization type and biological fluid in causing the matrix
effect in quantitative LC-MS/MS analysis of drugs. It was demonstrated that
ESI was more susceptible to matrix effects than APCI.
De Nardi C. et al., (2006) described the steps taken to move from a fast to a
ballistic gradient in routine liquid chromatography/tandem mass spectrometry
(LC-MS/MS) analysis of plasma samples from pharmacokinetic (PK) profiling
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1.5 References
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