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Journal of CO₂ Utilization 26 (2018) 212–220

Contents lists available at ScienceDirect

Journal of CO2 Utilization


journal homepage: www.elsevier.com/locate/jcou

Application of Box–Behnken design for processing of mefenamic T


acid–paracetamol cocrystals using gas anti-solvent (GAS) process

Napada Wichianphonga,b,c, Manop Charoenchaitrakoola,b,c,
a
Department of Chemical Engineering, Faculty of Engineering, Kasetsart University, Bangkok 10900, Thailand
b
Center for Advanced Studies in Nanotechnology for Chemical, Food and Agricultural Industries, KU Institute for Advanced Studies, Kasetsart University, Bangkok 10900,
Thailand
c
NANOTEC-KU-Center of Excellence on Nanoscale Materials Design for Green Nanotechnology, Kasetsart University, Bangkok 10900, Thailand

A R T I C LE I N FO A B S T R A C T

Keywords: The present work deals with the preparation of drug–drug cocrystals of mefenamic acid (MEF) with paracetamol
Drug–drug cocrystal (PAR) using gas antisolvent (GAS) process with an aim to improve the dissolution rate of MEF. Box–Behnken
Mefenamic acid experimental design was used to optimize the GAS process variables for minimal dissolution time of MEF. A
Paracetamol mathematical model was developed to study the effects of operating temperature, PAR-to-MEF molar ratio and
GAS process
%MEF saturation in the ranges of 25 °C–45 °C, 3:1–5:1 and 70–90%, respectively. PAR-to-MEF ratio and %MEF
Box–Behnken
saturation were found to be the main parameters affecting the dissolution time. The fastest dissolution time
(t63.2), 11.38 min, was obtained at the optimal conditions of a temperature of 34.9 °C, PAR-to-MEF ratio of 4.3:1
and MEF saturation of 86.8%. Optimized cocrystals by GAS showed that the dissolution rate of MEF improved by
6.0, 5.3 and 2.3-fold when compared to pure MEF, sieved cocrystals prepared by a traditional slow evaporation
technique and sieved marketed combination drugs, respectively. GAS cocrystallization thus offers an efficient
way to enhance the dissolution rate of the poorly water-soluble drug.

1. Introduction from traditional methods used in preparation of cocrystals. Solvent


evaporation, melting cocrystallization, solid grinding or liquid-assisted
Poor water-solubility of drugs is a major problem in the pharma- grinding have been applied for the preparation of drug–drug cocrystals
ceutical industry. A drug with low solubility also has poor dissolution in the literature [6]. Recently, the application of dense CO2 in cocrystal
properties, leading to poor bioavailability and resulting in a low ther- formation has been widely studied. For this, one useful technique is the
apeutic efficacy [1]. Hence, an important challenge now is to find a way gas antisolvent (GAS) process. This technique offers a rapid single-step
to improve drug dissolution rate. The synthesis of cocrystals, i.e. co- process, has low environmental impact and provides an opportunity to
crystallization, is very attractive because it offers opportunities to im- control of important product characteristics, such as particle size and
prove the dissolution performance of poorly water-soluble drugs, morphology, in a more efficient manner. In addition, the use of dense
without changing their molecular structure [2,3]. Pharmaceutical co- CO2 can also reduce thermal and mechanical stress acting on APIs
crystals are normally formed from an active pharmaceutical ingredient compared to grinding methods, as well as reduce organic solvent use
(API) and a cocrystal former in the crystal lattice through noncovalent and reduce residual solvent in cocrystal products compared to a tradi-
interactions, often including hydrogen bonding. The cocrystal former or tional solvent-based cocrystallization [7–9]. It is important to note that
coformer may be an excipient or another active drug. When the pre- the GAS technique has been used to form several drug–coformer co-
paration technique uses two drugs, the resulting cocrystals are termed crystals [8,10–14], however, up until now the use of the technique to
drug–drug or multidrug cocrystals [4]. This class of cocrystal offers form drug–drug cocrystal has not been studied.
potential advantages in terms of enhanced solubility and dissolution Mefenamic acid (MEF, Fig. 1), a derivative of fenamic acid, is a non-
rate of API, greater therapeutic effect (i.e., synergistic and/or additive steroidal anti-inflammatory and analgesic drug used to treat period
effects), reduction of the number of prescriptions and administrative pain and other pains. According to the Biopharmaceutical Classification
costs and an increase in patient compliance [4,5]. System (BCS), MEF is classified as class II, having low water-solubility,
In general, the preparation of drug–drug cocrystals does not differ and consequently its absorption appears to be limited by solubility after


Corresponding author at: Department of Chemical Engineering, Faculty of Engineering, Kasetsart University, Bangkok 10900, Thailand.
E-mail address: manop.c@ku.ac.th (M. Charoenchaitrakool).

https://doi.org/10.1016/j.jcou.2018.05.011
Received 11 February 2018; Received in revised form 9 May 2018; Accepted 10 May 2018
Available online 25 May 2018
2212-9820/ © 2018 Elsevier Ltd. All rights reserved.
N. Wichianphong, M. Charoenchaitrakool Journal of CO₂ Utilization 26 (2018) 212–220

2. Materials and methods

2.1. Materials

Mefenamic acid (MEF) (C15H15NO2, 98%, Sigma) and paracetamol


(PAR) (C8H9NO2, 98%, Tokyo Chemical Industry) were used as re-
ceived. Commercial dual-drug-tablets containing mefenamic acid
Fig. 1. Structural formulas of mefenamic acid (MEF) and paracetamol (PAR). (500 mg) and paracetamol (325 mg) were purchased from a local
market (India) and used as marketed combination drugs. Acetone
administration [15]. Therefore, it is necessary to enhance the dissolu- (99.5%, Quality Reagent Chemical) was used as an organic solvent.
tion rate of this drug. MEF cocrystallization with more soluble co- Carbon dioxide (high-purity grade, TIG) was used as an anti-solvent.
formers (or APIs) is one solution to this problem. Successful MEF co-
crystal formation has been obtained using some coformers, such as 2.2. Physical mixture preparation
nicotinamide (a form of vitamin B3) [16–18] and 4,4′-bipyridyl [19].
Recently, our work [20] demonstrated that mefenamic acid–- Physical mixtures were obtained by gentle mixing of MEF and PAR
nicotinamide (MEF–NIC) cocrystal could be produced successfully at predetermined molar ratios with a spatula for 1 min prior to analysis.
using gas anti-solvent (GAS) process. Box–Behnken design was used to
investigate the effects of operating parameters: temperature, coformer- 2.3. Marketed combination drug preparation
to-drug molar ratio and %drug saturation in the ranges of 25–45 °C, 3–5
and 70–90%, respectively. At a temperature of 45 °C, a coformer-to- Since the marketed combination drugs were originally in the form of
drug ratio of 5 and a %drug saturation of 70% were found to be the tablets, they were gently ground into powder form and then sieved
optimal conditions for achieving the fastest dissolution time. The sieved through a 100-mesh sieve with openings of 150 microns prior to ana-
cocrystals by GAS showed an enhanced dissolution rate 38 times lysis.
greater than that of pure MEF.
Although there is some research on the production of cocrystal of 2.4. Cocrystallization by slow evaporation method
MEF and coformer, fewer drug–drug cocrystals with MEF have been
reported to date. In early studies, Pathak et al. [21] proposed solvent MEF and PAR at predetermined molar ratios and concentrations
evaporation as a method for preparing drug–drug cocrystals of mefe- were dissolved in 5 mL of acetone. The solution was sonicated in an
namic acid with paracetamol, but there have been no reports on MEF ultrasonic bath at 40 °C for 10 min. The clear solution was then allowed
dissolution improvement for this cocrystal. Therefore, there remains a to slowly evaporate at room temperature for 48 h. The resulting solids
challenge to investigate the drug–drug cocrystal. were in the form of large dense plates, therefore they were gently
Paracetamol, acetaminophen or 4-hydroxyacetanilide (PAR, Fig. 1), ground and then sieved through a 100-mesh sieve with openings of 150
is a widely used analgesic and antipyretic drug employed in the treat- microns prior to analysis.
ment of fever, pains, headaches and other minor aches [22]. PAR has
effective functional groups, such as an amide and a hydroxyl group, to 2.5. Cocrystallization by GAS process
form the intermolecular hydrogen bonds required for cocrystal forma-
tion [23]. In a prospective observational clinical study by Rao and A schematic flow diagram of GAS precipitation can be found else-
Sailaja [24], MEF and PAR combination was found to be more effective where [13]. Solutions of MEF and PAR in acetone were prepared at
than paracetamol as an antipyretic (fever reducer) with high sig- predetermined concentrations and molar ratios. The saturated solubi-
nificance (p < 0.05). In addition, MEF in combination with PAR is also lity values of MEF at various temperatures were obtained from a pre-
very useful for the treatment of moderate pains connected with rheu- vious report [26]. In each experiment, 5 mL of prepared solution was
matoid arthritis [25]. From a combination drug perspective, this is an loaded into the precipitation chamber (Jerguson sight gauge series no.
interesting drug–drug cocrystal because MEF–PAR cocrystal may not 32), which was immersed in a temperature-controlled water bath
only have benefits for MEF dissolution rate enhancement, but also ad- having as a component a recirculation heater (Thermoline Unistat 130).
vantages in terms of better antipyresis. Currently, a combination of After the system temperature was stable at the target point (25 °C, 35 °C
paracetamol and mefenamic acid is also marketed through various or 45 °C), carbon dioxide was then introduced by a syringe pump (ISCO
formulations–for example, MEF 50 mg + PAR 125 mg, MEF model 260D) with a constant flow rate of 10 mL/min through a pre-
500 mg + PAR 325 mg and MEF 500 mg + PAR 500 mg. heating coil and a 0.5 μm filter from the bottom of the precipitation
To date, the preparation of MEF–PAR cocrystals using the GAS tech- chamber. The initial pressure prior to feeding CO2 to the system was set
nique and the dissolution improvement of MEF through multidrug co- to be 63 bar for each experiment (as in Ref. [20]). During the pressur-
crystallization have not been investigated in the literature. In this work, ization, volumetric expansion of the liquid occurred, causing the re-
GAS technique was used to produce cocrystals of MEF with PAR in order duction of the solvating power of acetone and thus the precipitation of
to enhance dissolution rate of MEF. The GAS process was employed using the dissolved solute. Precipitated products were trapped onto the filter
acetone as a solvent and carbon dioxide as an anti-solvent. Box–Behnken located at the bottom of the chamber. The system was further pres-
response surface design was chosen to study the influence of process surized up to 90 bar in order to ensure a complete precipitation (as in
parameters–namely, operating temperature, PAR-to-MEF molar ratio and Ref. [20]). Then the solvent in the chamber was removed at a constant
%MEF saturation–on the time at which 63.2% of the drug (i.e., MEF) is pressure of 90 bar by passing 80 mL of CO2 from the top of the chamber
dissolved (t63.2), and the process variables were also optimized so as to and flushing the solvent through the filter. After depressurization, the
obtain the fastest dissolution time (i.e., the minimal value of t63.2). products were collected for further analyses. Note that cocrystals by
Comparative dissolution and morphology studies of optimized cocrystals GAS were used as received, without grinding or sieving.
obtained by GAS, a marketed combination drug and cocrystals prepared
by a traditional slow evaporation method were also performed. Solid-state 2.6. Experimental design for the GAS cocrystallization
characterization techniques, such as differential scanning calorimetry
(DSC), Fourier transform infrared (FT-IR) spectroscopy and powder X-ray Box–Behnken experimental design with response surface metho-
diffraction (PXRD) were used for confirming cocrystal formation. dology is a systematic approach for determination of the importance of
input variables, their interactions and searching for the optimal

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N. Wichianphong, M. Charoenchaitrakool Journal of CO₂ Utilization 26 (2018) 212–220

response [27]. In this study, a three-factor and three-level Box–Behnken disc method. Samples were scanned with a resolution of 1 cm−1 be-
design was used to investigate the dissolution times for different process tween 400 to 4000 cm−1.
conditions. Independent variables and their value range were taken to Powder X-ray diffraction (PXRD) patterns were collected using a
be operating temperature (25–45 °C), PAR-to-MEF molar ratio (3:1–5:1) Shimadzu XRD-6000 diffractometer (40 kV and 30 mA) using Cu Kα
and %MEF saturation (70–90%). Note that from our preliminary stu- radiation. Data were collected from 5° to 60° 2θ at step size of 0.01° 2θ.
dies, the product obtained from low PAR-to-MEF molar ratio (1:1–2:1) MEF content in the sample was measured with a UV–visible spec-
had a similar dissolution rate as those of physical mixture, while using trophotometer (Genesys 10S, Thermo Scientific). Approximately 3 mg
high PAR-to-MEF molar ratio (3:1–5:1) resulted in a significantly en- of dried solid sample was dissolved in 100 mL of phosphate buffer of pH
hanced dissolution rate of MEF. Moreover, %MEF saturation of at least 7.6. The amount of MEF in the solution was then determined by mea-
70% was considered in this work since lower %MEF saturation can suring the absorbance at 335 nm. %MEF content was calculated using
result in lower and insufficient amount of product collected. A tem- the formula shown in Eq. (2):
perature in the range of 25–45 °C was used since the system tempera- mass of the MEF in particles
ture was controlled using a temperature-controlled Perspex water bath. %MEF content = × 100
total mass of particles (2)
Time required to dissolve 63.2% of MEF (t63.2) was considered as an
output variable (response). Note that t63.2 (i.e., mean dissolution time or In vitro drug dissolution tests were conducted to evaluate dissolution
MDT), a characteristic parameter of the Weibull function, is commonly behavior of MEF–PAR cocrystals in comparison with those of un-
employed to describe an in vitro dissolution curve and compare dis- processed MEF, physical mixture, cocrystals by SE and marketed com-
solution performances [28–30]. The ranges and levels of the in- bination drugs. Dissolution studies were performed using 900 mL of
dependent variables employed in the experiments are given in Table 1. sodium phosphate buffer of pH 7.6 at 37 °C and 200 rpm. Samples
There were 15 runs with different settings of parameters generated equivalent to 5 mg of MEF were introduced into the dissolution
from the software Minitab 17. Regression and graphical analysis of medium. A volume of 4 mL of aliquot was withdrawn and then filtered
experimental data were also performed using Minitab 17. Experimental through a syringe filter (0.45 μm) at 5, 10, 15, 20, 25, 30, 60, 90,120,
data were fitted to a mathematical equation in order to express the 150, 180, 210, 240, 300 and 360 min. The amount of dissolved MEF
relationship between independent variables and the corresponding was evaluated by UV spectrophotometric method at 335 nm. The dis-
dependent variable. The quality of the fit of the model was evaluated solution rate profiles were plotted as %MEF release from pure MEF,
using the coefficient of determination (R2), adjusted R2 (R2 (adj)), and physical mixture, marketed combination drugs and cocrystals produced
Analysis of Variance (ANOVA). Contour plots were generated using the by SE and GAS process versus time in minute. %MEF released was
fitted quadratic model. defined as the percentage of MEF dissolved into the dissolution medium
The generalized form of the second-order quadratic polynomial with respect to the amount of MEF loaded. For the purposes of com-
equation commonly used in the response surface [31,32] is presented in parison, the parameter used to evaluate drug dissolution properties of
the following equation: the samples was the time at which 63.2% of MEF was dissolved (t63.2).
The t63.2 was obtained from the dissolution profile using linear inter-
Y= β0 + Σ βi xi + Σ βii x 2i + Σ βij xixj (1) polation between two known dissolution points [33]. Dissolution tests
were conducted in triplicate for each GAS run, and average values of
where Y is the process response or output (t63.2); xi and xj are the un- t63.2 were reported.
coded independent variables; β0 is a constant called intercept term; and
βi , βii and βij are the coefficients of the linear, quadratic (i.e., squared)
3. Results and discussion
and interaction terms, respectively.
3.1. GAS cocrystallization feasibility
2.7. Characterization of cocrystal
Feasibility studies were performed in order to check whether the
Microstructural analysis was carried out using a JEOL JSM-5410LV GAS technique is able to produce MEF–PAR cocrystals. MEF–PAR
scanning electron microscopy (SEM) operated at an accelerating vol- sample produced by the GAS process at an operating temperature of
tage of 10 kV. Samples were mounted on an aluminum stub with 34.9 °C, a PAR-to-MEF molar ratio of 4.3 and a %MEF saturation of
double-sided adhesive tape. A thin coating of palladium was applied to 86.8% was selected as a representative sample for verifying formation
the sample using a Polaron SC7640 sputter coater prior to microscopy. of MEF–PAR cocrystals by DSC, FT-IR and XRD analysis. In addition,
Particle size distributions (PSDs) of the powder were measured by the sample produced via GAS was also compared to those produced by
laser diffraction using a Malvern Mastersizer 3000 particle size ana- slow evaporation (SE) technique and a physical mixture of MEF and
lyzer. Silicone oil was used as the dispersion medium in the measure- PAR containing the same %MEF content as in the GAS product (22%
ment. MEF).
DSC measurements were performed on a Metler Toledo DSC 1 Star
System. Approximately 7–9 mg of sample were placed onto an alu- 3.1.1. Differential scanning calorimetry (DSC)
minum pan which was then covered with a cap with a pin hole in it. The DSC analysis was employed to detect the cocrystal formation from
samples were heated from 25 °C to 300 °C at a scan rate of 5 °C/min the difference in melting point of cocrystal in comparison with its own
under a nitrogen purge (50 cm3/min). constituents by endotherm phase [34]. DSC thermograms of MEF, PAR,
FT-IR spectra were obtained on a Shimadzu IR Prestige-21 using KBr their respective physical mixture and their products obtained by SE and
GAS process are shown in Fig. 2. Melting point comparisons of starting
Table 1 materials and cocrystals are presented in Table 2. The melting point of
Factors and their levels in the GAS crystallization. pure MEF and that of PAR were determined to be 229.46 °C and
Factors Symbols Uncoded levels
168.90 °C, respectively. Meanwhile, the physical mixture (containing
22.3% MEF) showed a sharp endothermic peak at 168.88 °C, corre-
Low Medium High sponding to the melting point of predominant PAR, and a slight en-
dothermic peak at 170.76 °C, resulting from the presence of MEF in the
Temperature (°C) T 25 35 45
mixture. The results indicated that there was no interaction between
PAR-to-MEF ratio R 3:1 4:1 5:1
MEF saturation (%) S 70 80 90 MEF and PAR after simple mixing. Products obtained by GAS and SE
showed new melting points at 165.96 °C and 166.17 °C, respectively.

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diffractogram of cocrystals by SE showed several unique peaks at 2θ


values of 16.38, 25.69, 28.99, 29.45, 36.93 and 37.32 (as indicated by
star marks on Fig. 4), suggesting the formation of a new solid phase and
the cocrystals. However, in the case of cocrystals by the GAS process, no
unique peaks were observed. This could be due to errors associated with
X-ray diffraction determinations of NeH⋯O]C hydrogen bond geo-
metries as previously documented in the literature [36]. It was also
reported that the use of X-ray diffraction may not be able to detect the
cocrystal formation in some cases because suitable X-ray quality co-
crystals cannot always be produced and the exact location of the hy-
drogen atom may be ambiguous [37]. Using a variety of solid-state
characterization techniques, such as DSC and FT-IR combined tech-
nique, also has been recommended [37,38]. In addition, a decrease in
the peak intensities of cocrystals produced by GAS compared to their
respective starting components indicated a loss of crystallinity of co-
Fig. 2. DSC heating curves of (a) MEF, (b) PAR, (c) PM: physical mixture of crystals by GAS. The results also suggested that cocrystals produced by
MEF and PAR, (d) MEF–PAR cocrystals by SE, and (e) MEF–PAR cocrystals by
the GAS process had a lower crystallinity than those processed by SE.
GAS.
Loss of drug crystallinity induced by GAS processing has been pre-
viously reported in the literature. It may occur to the rapid nucleation
Table 2 of particles during GAS precipitation preventing rearrangement of the
DSC parameters of MEF, PAR, physical mixture and MEF–PAR cocrystals by drug molecules into the crystalline structure [8,39].
SE and GAS. Based on the DSC and FT-IR results mentioned above, the MEF–PAR
Samples Endothermic peak (°C) products produced by SE and GAS were evidenced to be cocrystals.
Therefore, the effects of GAS process conditions were further in-
MEF 229.46 vestigated to find optimal conditions for the highest dissolution rate of
PAR 168.90
Physical mixture 168.88, 170.76
MEF in cocrystal in the next section.
MEF–PAR cocrystals by SE 166.17, 168.58
MEF–PAR cocrystals by GAS 165.96, 167.22
3.2. Experimental design and statistical analysis

The new melting points of these products are different from those of the In this study, the first step in application of the Box–Behnken design
respective pure components and indeed correspond to the melting point with response surface methodology is statistically designing experi-
of MEF–PAR cocrystals (160–165 °C) prepared by solvent evaporation ments and collecting data. The next step is to generate a response
method using ethanol as solvent [21]. However, there was a second surface model (i.e., mathematical relationship between the response
endothermic peak for each of cocrystal by GAS and cocrystal by SE, variable and independent variables) by response surface methodology.
found around 167–168 °C. These peaks may result from eutectic melting The objectives of a response surface model are to describe the effects of
of MEF–PAR cocrystals and uncocrystallized PAR or may be due to the independent variables and determine the optimal conditions so as to
melting point of excess uncocrystallized PAR in the final products. achieve the desired response [40].

3.1.2. Fourier transform infrared (FT-IR) spectroscopy 3.2.1. Evaluation of fitted model
FT-IR spectroscopy was used to investigate molecular interactions A design matrix consisting of 15 experimental runs with different
between MEF and PAR molecules in the formation of the cocrystal. The levels of process parameters along with the respective experimental and
formation of cocrystal can be confirmed by shifting of wavenumber or predicted values of t63.2 is summarized in Table 4. All experimental runs
changing in peak intensities of functional groups in comparison with were conducted in triplicate, and the average values of t63.2 are re-
the cocrystal constituents [35]. The FT-IR spectra and lists of relevant ported. The t63.2 values and respective %MEF contents of cocrystals by
IR bands of MEF, PAR, their physical mixture and products obtained by GAS were found to be in the range of 12–24 min and of 19–32%, re-
SE and GAS are presented in Fig. 3 and Table 3, respectively. The IR spectively. By applying regression analysis on the experimental data, a
bands of the physical mixture matched with those of MEF and PAR, fully quadratic model for t63.2 value was developed in terms of uncoded
indicating there was no interaction between MEF and PAR after the factors–namely, T (operating temperature), R (PAR-to-MEF molar ratio)
simple mixing process. However, the IR bands of MEF–PAR cocrystals and S (%MEF saturation)–as shown in Eq. (3). It was observed that this
prepared by SE and GAS processes were different from those of the model was found to fit well, with a coefficient of determination (R2) of
individual components. Peaks at 1657 cm−1 (corresponding to C]O 97.01% and R2 (adj) of 91.63%.
stretching in PAR), 3311 cm−1 (corresponding to NeH stretching in
t63.2 = 172.3 − 2.577 T − 28.18 R − 1.261 S + 0.0491 T*T + 2.867 R*R-
MEF) and 1576 cm−1 (corresponding to NeH bending in MEF) were
+ 0.0086nS*S + 0.0165 T*R − 0.01067 T*S + 0.033 R*S (3)
not observed for the cocrystals. The disappearance of these IR peaks
indicated the intermolecular interaction between MEF and PAR (i.e., The R2 and R2 (adj) values were used to check the degree of fit (i.e., the
the formation of MEF–PAR cocrystals). goodness of fit) of the proposed model. A model with larger values of R2
and R2 (adj) will give better correlation between input parameters and
3.1.3. Powder X-ray diffractometry (PXRD) response [41,42]. Joglekar and May [43] recommended that R2 should
PXRD is a useful technique for identification of a new crystalline be at least 80% for a preferable fit of a model. Consequently, it can be
phase. PXRD spectra of pure MEF, pure PAR, their physical mixture and assumed that this proposed model has high goodness of fit and can give
products obtained by GAS and SE are shown in Fig. 4. It was observed good prediction of experimental results.
that the PXRD pattern of the physical mixture showed a combination of Table 5 shows the ANOVA of the coefficients of the quadratic model
the diffractograms of both pure compounds presented in the mixture, in Eq. (3). The larger the F-values and the smaller the associated p-
although the intensity of the characteristic peaks of MEF was lower due values, the higher is the significance of the corresponding term [44]. A
to the high PAR-to-MEF ratio employed in the formulation. The p-value less than 0.05 indicates that the model terms is statistically

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N. Wichianphong, M. Charoenchaitrakool Journal of CO₂ Utilization 26 (2018) 212–220

Fig. 3. FT-IR spectra of (a) MEF, (b) PAR, (c) PM: physical mixture of MEF and PAR, (d) MEF–PAR cocrystals by SE, and (e) MEF–PAR cocrystals by GAS.

Table 3 Table 4
Wavenumber of functional groups of MEF, PAR, physical mixture and cocrystals Box–Behnken design matrix of three variables and the obtained %MEF content
by SE and GAS. and t63.2 values.
Group MEF PAR physical cocrystals cocrystals by Run T R S MEF content (%) t63.2 (minutes)
mixture by SE GAS
Theoretical actual Experimental Predicted from
NeH stretching 3311 3313 disappeared disappeared Eq. (3)
3325 3324 3325 3325
C]O stretching 1651 1651 1652 1653 1 25 3 80 34.73 31.77 + 1.10 22.56 + 1.43 21.80
1657 1658 disappeared disappeared 2 45 3 80 34.73 30.05 + 3.65 23.40 + 2.01 22.92
NeH bending 1576 1573 disappeared disappeared 3 25 5 80 24.20 22.00 + 0.48 16.97 + 1.82 17.42
1566 1566 1566 1566 4 45 5 80 24.20 19.49 + 2.16 18.47 + 1.50 19.20
5 25 4 70 28.52 25.89 + 1.83 18.19 + 0.69 17.80
6 45 4 70 28.52 23.27 + 1.65 22.04 + 3.00 21.38
7 25 4 90 28.52 26.73 + 1.17 16.78 + 1.51 17.41
8 45 4 90 28.52 24.99 + 4.43 16.36 + 1.06 16.72
9 35 3 70 34.73 24.01 + 1.00 18.82 + 2.19 19.91
10 35 5 70 24.20 21.80 + 1.75 15.33 + 0.62 15.19
11 35 3 90 34.73 31.46 + 1.28 16.61 + 0.32 16.72
12 35 5 90 24.20 23.96 + 1.51 14.44 + 0.63 13.32
13 35 4 80 28.52 21.84 + 0.50 12.77 + 0.51 12.56
14 35 4 80 28.52 21.86 + 1.63 12.43 + 0.33 12.56
15 35 4 80 28.52 22.41 + 0.31 12.52 + 0.61 12.56

Table 5
ANOVA for the response surface model for t63.2 of the cocrystals by the GAS
process.
Source DF Adj SS Adj MS F-value p-value

Fig. 4. PXRD patterns of (a) MEF, (b) PAR, (c) PM: physical mixture of MEF and Model 9 167.331 18.5923 18.04 0.003
T 1 4.162 4.1616 4.04 0.101
PAR, (d) MEF–PAR cocrystals by SE, and (e) MEF–PAR cocrystals by GAS.
R 1 32.724 32.7240 31.75 0.002
S 1 12.980 12.9795 12.59 0.016
T*T 1 88.999 88.9994 86.36 0.000
significant at the 95% confidence level [42,45,46]. The ANOVA of the R*R 1 30.351 30.3514 29.45 0.003
S*S 1 2.728 2.7282 2.65 0.165
quadratic model demonstrates that this model is statistically significant,
T*R 1 0.109 0.1089 0.11 0.758
as is evident from the model F-value of 18.04 and low p-value of 0.003 T*S 1 4.558 4.5582 4.42 0.089
(< 0.05). Two independent variables studied (R and S) and two R*S 1 0.436 0.4356 0.42 0.544
quadratic terms (T*T and R*R) significantly affect the t63.2 values, with Residual Error 5 5.153 1.0306
Lack-of-Fit 3 5.091 1.6970
small p-values (p < 0.05). The other terms are not significant because
Pure Error 2 0.062 0.0310
the p-values are greater than 0.05. Overall, the results show that PAR- Total 14 172.484
to-MEF molar ratio (R) and %MEF saturation (S) are the most sig-
nificant process parameters affecting t63.2 (p < 0.05). The significance Note: S = 1.01519, R2 = 97.01%, R2 (adj) = 91.63%.
for these effects followed the following order: PAR-to-MEF ratio
(R) > %MEF saturation (S). the straight line (R2 = 0.9701), showing that the deviation between the
The model accuracy was also checked through a parity plot showing predicted and experimental values was small and the proposed model
the relationship between the predicted and experimental t63.2 values, as was adequate in predicting t63.2.
presented in Fig. 5. It can be seen that the data points are spread near to

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studied the precipitation of PAR using GAS and reported that an in-
crease in GAS crystallization temperature led to an increase of crystal
size of PAR. Since all the GAS products from this study contained more
than 68% PAR by wt., an increase in temperature could result in a
larger particle size of the product. A larger particle size in turn provides
a lower specific surface area exposed to the dissolution medium, re-
sulting in a lower dissolution time (i.e., higher t63.2).
Fig. 6(b) is the contour plot showing the effects of %MEF saturation
and temperature on the t63.2 at a fixed PAR-to-MEF molar ratio of 4:1.
This contour plot shows a similar trend to the previous plot (Fig. 6(a)).
For middle-range temperatures, the smallest t63.2 (i.e., less than 14 min)
can be obtained using %MEF saturations from 72 to 90%. A possible
reason for this is that a high %MEF saturation (72–90%) promoted
formation of cocrystal, which in turn favored the dissolution rate of
Fig. 5. Plot of predicted versus experimental t63.2 values. MEF. However, reducing %MEF saturation below 72% causes t63.2 to
increase. Moreover, t63.2 also increases with a decrease in temperature
3.2.2. Effects of independent variables on response from 35 °C to 25 °C due to the effect of lower %PAR content in the
The visualization of the model equation can be accomplished by the product at low temperatures (as previously discussed). Also, t63.2 in-
contour plots as presented in Fig. 6. The plots, generated from the creases when increasing the temperature from 35 °C to 45 °C due to the
Box–Behnken design, were used to describe changes in t63.2 values of effect of the larger cocrystal size that occurs at higher temperatures.
cocrystals by GAS in terms of changes in two independent variables, Fig. 6(c) is the contour plot showing the effects of %MEF saturation
while the other independent variable was kept constant. Fig. 6(a) is the and PAR-to-MEF ratio on t63.2 at a fixed temperature of 35 °C. At PAR-
contour plot showing the effects of PAR-to-MEF ratio and temperature to-MEF ratios lower than 4.5:1, a higher PAR-to-MEF ratio together
on the t63.2 at a fixed %MEF saturation of 80%. It can be observed that with high MEF saturation resulted in smaller t63.2. This is most likely
middle-range temperatures provided the smallest t63.2 (i.e., less than because higher %solid concentration promoted more MEF–PAR co-
14 min) over a range of PAR-to-MEF ratio from 3.6 to 5.0. However, at crystal formation, resulting in higher dissolution time of MEF. How-
low PAR-to-MEF ratios (< 3.6) with decreasing PAR-to-MEF ratio, t63.2 ever, increases in PAR-to-MEF ratio beyond a certain value (> 4.5) did
begins to increase. This is most likely because a higher PAR-to-MEF not lead to any further decrease in t63.2, and even caused a small in-
ratio in the starting solution resulted in a higher PAR content (i.e., crease (i.e., an increase of t63.2 from less than 12 min to 12–13.5 min).
lower %MEF content) in the final product (see Table 4). An increase in This is probably because the highest solid concentration in the starting
PAR content in the starting solution may also cause an increase in co- solution may result in fast precipitation of solutes and low cocrystal
crystal formation and hence faster dissolution of cocrystals. PAR, a formation and hence low dissolution rate.
more soluble compound when compared to MEF, is classified as class I
according to the BSC system, as it has high solubility in water [47], and
it can thus enhance the solubility of MEF; therefore the better wett- 3.2.3. Optimization of process and verification of results
ability of cocrystals in the higher PAR content could be linked to faster The optimum value of t63.2 for the studied independent variables
dissolution of the cocrystals. In addition, use of lower or higher tem- was obtained using the response surface methodology. The optimal
peratures than the middle-range temperatures will lead to an increased conditions of the GAS process for the lowest t63.2 value (i.e., fastest
t63.2. The value of t63.2 was found to increase as the temperature was dissolution time) were found to be as follows: operating temperature of
decreased from the middle-range temperatures down to 25 °C. This was 34.9 °C, PAR-to-MEF molar ratio of 4.3:1 and 86.8% MEF saturation.
probably due to the effect of lower PAR precipitation (i.e., higher %MEF Using these conditions, the predicted t63.2 value was 11.82 min, with a
content) at lower temperature. The effect of temperature on the amount desirability value of 1.0000. In order to validate this prediction, ex-
of PAR precipitation was shown in Table 4. A decrease in temperature periments using the predicted optimal conditions were carried out in
from 45 °C to 25 °C resulted in a slight increase of %MEF content from triplicate. The average t63.2value was found to be 11.38 + 0.99 min.
30.05% to 31.77% (run nos. 2 and 1) and from 19.49% to 22.00% (run This experimental value of t63.2 (11.38 min) is close to the predicted
nos. 4 and 3). Moreover, t63.2 was also found to increase when in- value (11.82 min). Such good agreement justifies the validity of the
creasing the temperature from 35 °C to 45 °C. This can be explained by model presented in Eq. (3).
the effect of temperature on the resulting crystal size. Fusaro et al. [48]

Fig. 6. Contour plots of response t63.2 values: (a) PAR-to-MEF ratio versus temperature, (b) %MEF saturation versus temperature, and (c) %MEF saturation versus
PAR-to-MEF ratio.

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Fig. 7. SEM images at ×100 magnification of (a) MEF, (b) PAR, (c) physical mixture of MEF and PAR, (d) sieved marketed combination drugs, (e) sieved MEF–PAR
cocrystals by SE, and (f) MEF–PAR cocrystals by GAS.

3.3. Characterization of cocrystal

The optimized cocrystals produced by GAS were further in-


vestigated for their microstructural and dissolution behaviors. The ob-
tained results were then compared to those of the physical mixture,
sieved cocrystals produced by SE technique and the marketed combi-
nation drugs.

3.3.1. Product morphology


Cocrystal size and morphology are important parameters when
evaluating the properties of cocrystals [49]. SEM analysis was per-
formed for pure MEF, pure PAR, physical mixture, sieved marketed
combination drugs and cocrystals by SE and GAS as shown in Fig. 7. It
was observed that pure MEF has multi-shaped particles with various
sizes, while pure PAR showed cube-like shapes with a large particle size
Fig. 9. PSD graphs of pure MEF, sieved cocrystals by SE and cocrystals by GAS.
of approximately 300–500 μm. For the physical mixture, the char-
acteristic appearances of both MEF and PAR could be found, and some
of the MEF particles were well-dispersed over the PAR particle surface. particle size distribution and a higher specific surface area (average
The sieved market combination drugs have irregularly shaped particles particle size of 71.57 + 1.37 μm and specific surface area of
with rough surfaces. PAR–MEF cocrystals by SE and GAS exhibited a 249.67 + 3.33 m2/kg) when compared to sieved cocrystal produced by
morphology of small plate-like crystals covered with some smaller SE method (average particle size of 110.67 + 1.67 μm and specific
flakes, which is different from those of individual components and the surface area of 171.33 + 2.23 m2/kg) and pure MEF (average particle
marketed drugs. One difference between the GAS and the SE samples size of 93.23 + 2.63 μm and specific surface area of 277.17 + 1.77 m2/
was that the cocrystals by GAS had a smaller particle size, as shown in kg). The presence of smaller particles produced by the GAS process is in
Fig. 8. accordance to SEM images shown in Figs. 7 and 8. Due to the unique
Fig. 9 shows the PSDs of pure MEF, cocrystals by GAS and sieved properties of dense CO2 such as gas-like diffusivity and viscosity, low
cocrystals by SE analyzed using a Malvern Mastersizer. It was observed surface tension, high compressibility combined with liquid-like density,
that the cocrystals by GAS had a smaller particle size with a narrower the expanded solution in the GAS process can reach a degree of

Fig. 8. SEM images at ×500 magnification of (a) sieved marketed combination drugs, (b) sieved MEF–PAR cocrystals by SE, and (c) MEF–PAR cocrystals by GAS.

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dissolution performance of cocrystal was strongly dependent on the


cocrystallization technique applied and also the particle size of the
cocrystal tested. However, cocrystals by SE also showed an enhance-
ment of MEF dissolution, as they released 100% MEF within 5 h,
whereas the dissolution of pure MEF was incomplete even after 6 h.
In addition, it was observed that the dissolution rate of MEF from
the physical mixture was almost 2.2 times higher than that of the pure
drug. This may be due to a better dispersion of MEF particles in the
form of the physical mixture with PAR. The presence of MEF dispersed
over PAR particles was also confirmed by SEM image in Fig. 7(c). This
leads to reduction of the agglomeration of MEF particles during the
dissolution testing and consequently an increase in their specific surface
area exposed to the dissolution medium, aiding in the increase of dis-
Fig. 10. Dissolution profiles of pure MEF, physical mixture of MEF and PAR, solution rate. However, the release of MEF in the physical mixture was
sieved MEF–PAR cocrystals by SE, sieved marketed combination drugs, and incomplete even after 6 h.
MEF–PAR cocrystals by GAS.
4. Conclusion
Table 6
Time required to achieve 63.2% of MEF dissolution for pure MEF, physical Dual-drug cocrystals of MEF–PAR were successfully produced using
mixture, sieved marketed combination drugs, sieved cocrystals by SE and co- the GAS process to obtain an improved dissolution rate of MEF. The
crystals by GAS. study showed that Box–Behnken design was suitable to optimize GAS
Samples Sample form MEF content (%) t63.2 (min) process conditions for minimizing the dissolution time of MEF in the
resulting cocrystals. Statistical analysis showed that the dissolution
Pure MEF Unprocessed 100 68.75 time was significantly influenced by PAR-to-MEF molar ratio and %
Physical mixture Unprocessed 22.30 31.90
Marketed drugs Sieved powder 53.32 + 1.16 26.37
MEF saturation. The PAR-to-MEF ratio can be linked to the obtained
Cocrystals by SE Sieved powder 22.16 + 2.61 60.62 PAR content in the cocrystal product, which leads to promotion of the
Cocrystals by GAS Without sieving 22.38 + 0.57 11.38 dissolution rate of MEF. Higher %MEF saturation may promote more
cocrystal formation, but the highest %MEF saturation resulted in a
rapid precipitation and hence low cocrystal formation. The optimized
supersaturation faster than the SE method, causing a high nucleation cocrystals by GAS showed comparatively higher dissolution rate than
rate. As a result, cocrystal precipitated by GAS was smaller than by the the pure drug and also the marketed combination drug by 6.0 and 2.3-
SE method. fold, respectively. The obtained results indicate that the GAS cocrys-
tallization approach is an effective means to improve the physical
3.3.2. Dissolution studies properties of the product, such as dissolution performance and crystal
In vitro dissolution tests were conducted in order to verify the effect habit of a drug substance, without chemical modification. In compar-
of GAS cocrystallization technique on the enhancement of MEF dis- ison to the use of the physical mixture and the traditional slow eva-
solution rate. The dissolution curves of pure MEF, the physical mixture, poration method, the GAS process was proved to be the best method for
marketed combination drugs and cocrystals by SE and GAS are shown improving MEF dissolution rate through this dual-drug cocrystalliza-
in Fig. 10. Associated dissolution times t63.2 are given in Table 6. The tion, as it provided a smaller primary particle size and a larger specific
obtained results indicated that the cocrystal by GAS showed an im- surface area of cocrystal. The dissolution properties of cocrystal were
provement in dissolution rate of MEF and had the best dissolution found to be dependent on the cocrystallization technique used.
properties with a t63.2 value of 11.38 min. Based on the values of t63.2,
the dissolution rate of MEF in GAS product was found to be 6.0, 2.8, 2.3 Conflict of interest
and 5.3 times greater than pure MEF, the physical mixture, sieved
marketed combination drugs and sieved cocrystals produced by SE, The authors have declared no conflict of interest.
respectively.
The optimized cocrystals by GAS showed a dissolution rate mark- Acknowledgements
edly higher than that of the marketed combination drug and also that of
the pure drug. In fact, MEF in cocrystals by GAS was completely dis- The authors gratefully acknowledge the financial support of the
solved within 60 min, while the sieved marketed combined drugs was Kasetsart University Research and Development Institute (KURDI), the
completely dissolved within 150 min, and the pure MEF was in- National Research University Project of Thailand (NRU), the
completely dissolved even after 6 h. These results indicate that GAS Nanotechnology Center (NANOTEC) and the Thailand Research Fund
cocrystallization is an effective approach for improving the dissolution (Institutional Research Grant IRG5980004).
rate of MEF. Greater dissolution of MEF from cocrystals can be attrib-
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