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Dosage Form Options for the Oral Delivery of Liquid Lipid-based Formulations: Key Considerations for Selection, Benefits, Limitations, and Future Prospects CATALENT PHARMA SOLUTIONS Presentation Outline • Overview of Dosage Form Options — Dosage Form Types, Designs and Compositions — Methods of Manufacture • Key Considerations for the Selection of a Suitable Dosage Form • Summary of Benefits and Limitations • Future Prospects — Targeted Drug Release — Controlled Released of Drugs — Liquid Versus Solid LBDDS 1 Overview of dosage form options Types of Dosage Forms • Soft Elastic Capsules (SECs) — — — — • Seamed SECs using Rotary Die Process Seamless SECs using Drop Formulation Process Gelatin Shells (SGC) Gelatin-free Shells (GF-SEC) • Starch-Carrageenan • Starch Liquid-filled Hardshell Capsules (LFHCs) — — Gelatin Shells (HGC) • Gelatin with plasticizers (PEG) Gelatin-free Shells • Hypromellose (HPMC) • HPMC with gelling aids — — — • • • Carrageenan/KCl Gellan gum/EDTA or Citric Acid Pectin and glycerin Pullalan (Carrageenan/KCl) PVA copolymer (Carrageenan/KCl) Starch SEC and LFHC Dosage Forms: General Benefits • Minimal or no adverse impact on performance properties of encapsulated lipid-based formulations — — • A wide variety of fill formulations with drugs solubilized or suspended in liquid and semi-solid lipid-based excipients can be encapsulated — — • Excellent CU for low dose drugs Better safety and containment Direct filling of lipid-based formulations into capsule (pumpable at RT or with application of heat) … no downstream processing necessary — — • Enhanced bioavailability Improved stability Reduced development times/costs Facilitates easier process scale-up for larger batch sizes Capsule shells are available with gelatin or plant-derived excipients — Global regulatory and consumer acceptance Composition of a SEC GELATIN + Plasticizer water Lipophilic, Hydrophilic, or Mixed Vehicle Colors, Opacifiers Solution, Suspension or highly viscous formula of Drug SEC Method of Manufacture: Rotary Die Process SEC Method of Manufacture: Drop Formation Process Principle of seamless capsule production Vibrator Double Nozzle Fill Gel Overflow of MCT Supply of MCT MCT (Streamline Flow) Seamless capsule Shell Compositions of Commercially Available GF-SEC Technologies • • Starch-carrageenan shells — Vegicaps® Capsule (Catalent) is comprised of modified starch (hydroxypropyl starch)/iota-carrageenan, plasticizer, sodium phosphate dibasic buffer and water — SeaGel™ Capsule (FMC) is comprised of kappa-2-carrageenan or iotacarrageenan, a secondary film former or bulking agent (starch), optionally a plasticizer, and a pH controlling agent Starch shells — VegaGels™ (Swiss Caps) is comprised of an amorphous starch (GT 50% amylopectin), water and at least one organic softener SEC Method of Manufacture: Vegicaps® Capsules SEC Method of Manufacture: SeaGels™ SEC Method of Manufacture: VegaGels™ US Patent 6,790,495 Design & Composition of a LFHC Shell Composition • • LFHC Design Gelatin — Licaps® (Capsugel) — Coni-Snap® (Capsugel) — Qualicaps® Capsules (Shionogi Qualicaps) — EMBROCaps® (Suheung) HPMC — Vcaps Plus® (Capsugel) — Vcaps® (Capsugel) • — Quali-V® (Shionogi Qualicaps) • — HPMC/Gellan gum HPMC/Carrageenan EMBROCaps®-VG (Suheung) • HPMC/Pectin and glycerin Richardson, et al., Tablets & Capsules, Jan 2007 12 Dipping Process for LFHC The Manufacturing Process Jones, 2008 AAPS Presentation, Atlanta,GA Sealing LFHCs: Banding Sealing LFHCs: LEMS Richardson, et al., Tablets & Capsules, Jan 2007 Key considerations in the selection of a suitable dosage form Physical State of the Formulation • • • Liquid fills — Surface tension — Viscosity Viscous liquid and semi-solid fills ⇒ Must be pumpable on the filling equipment — Melting point and viscosity (temperature-viscosity profiles) — Shear thinning or shear thickening Maximum filling viscosity — • Suspensions — • Up to 9,000 to 12,000 cps Maximum particle size ~180 microns Potential process issues — Sealing, stringing at filling nozzle, gravity flow feed systems, thermally labile APIs — LFHC leaking ⇒ fill volume/MOC/equipment contamination Physical State of the Formulation Example: Extremely low viscosity, low surface tension vehicle such as co-solvents and surfactants (n-methyl pyrrolidine) • Potential impact on SEC — • Sealing process ⇒ weak seals and leaking capsules Potential impact on LFHC — Sealing process (banding or LEMS) ⇒ leaking capsules, lower fill volumes — Equipment contamination due to leakage ⇒ sealing problems/material on outside of capsule ⇒ higher rejection rates Example: High melting point fill formulation requiring hot filling such as PEG 6000 (MP 60°C) • Potential impact on SEC • — Gelatin-free shell would be required — Temperature requirements for gravity feed or pumping Potential impact on LFHC — Rapid dissipation of heat to prevent HGC sticking — Temperature requirements for gravity feed or pumping Physical State of Formulation Rheological profiles of high viscosity or high melting point fill formulations PEG 6000 vehicle, 40% Ibuprofen SAIB vehicle, 40% Ibuprofen 80 8 7 G' 70 6 Viscosity 60 Viscosity 50 Pa 5 Pa G' Solid 4 40 3 30 2 20 1 10 0 0 50 55 60 65 70 Temperature, C 75 80 40 45 50 Temperature, C 55 60 Fill Formulation Melting Point: An Important Property Influencing Dosage Form Selection Liquid 40°C Melting Point of Fill Formulation Gelatin SEC 20 Semi-Solid LF HC Gelatin-Free SEC 75°C Fill-Shell Dynamics Fill-shell dynamics increase with fill formulation HLB/polarity (Types II, III and IV) H2O Lipid-Based Formulations Solution or Suspension or Semi-Solid Surfactant Low M.W. H2O Plasticizer Type I Type II Type III A-B Type IV H2O Low Solvent M.W. Solvent Fill-Shell Dynamics • SEC — — • Shell formulation variables (degrees of freedom) to optimize dosage form/mitigate unwanted effects due to fill-shell dynamics • Gelatin or plant polysaccharide – type/amount • Plasticizer – type/amount • Water – amount • All 3 are varied to achieve desired compatibility Fill formulation and process variables (degrees of freedom) to optimize dosage form/mitigate unwanted effects due to fill-shell dynamics LFHC — — Shell formulation variables (degrees of freedom) to optimize dosage form/mitigate unwanted effects due to fill-shell dynamics • Gelatin or HPMC • Capsule design provided by supplier Fill formulation and process variables (degrees of freedom) to optimize dosage form/mitigate unwanted effects due to fill-shell dynamics Fill Formulation Melting Point and Polarity (HLB) As Factors Influencing Dosage Form Selection Liquid Melting Point of Fill Formulation Lipophilic Amphiphilic Hydrophilic 23 Semi-Solid 40°C Gelatin-Free Gelatin LF HC SEC SEC 75°C Fill-Shell Dynamics: Excipient Incompatibilities – Need to Perform Compatibility Studies • Low M.W. or shorter C chain ingredients (co-solvents, cosurfactants) can potentially plasticize the shell • Excipient compatibility varies with shell type (gelatin-based or gelatin-free) and shell formulation • Lipid excipients are often a mixture of components some of which can potentially plasticize the shell • Mechanical aspects (capsule design, shell thickness, seal quality, etc.) of the dosage form and excipients often play an important role in physical stability Excipient Level Excipient SGC GF-SEC HGC HPMC Ethanol Low Low High High Moderate Moderate Low Low Glycerin Low Low Low High Water Low Low Low Low Propylene glycol Excipient Compatibility Studies: HGC Ku, S., et al., International J. of Pharm., 386 (2010) Excipient Compatibility Studies: HPMC Ku, S., et al., International J. of Pharm., 386 (2010) GF-SECs (starch/carrageenan shell) for Type IIIB and IV Lipid Formulations (SEDDS and SMEDDS) Self-emulsifying formulations can be formulated with higher concentrations of “low” m.w. ingredients that plasticize gelatin-based SECs or LFHCs — Co-solvents — Solubilizers — Penetration enhancers Example ingredients: octanoic acid (caprylic acid, C8), propylene glycol, sodium caprate (penetration enhancer), lauric acid and its sodium or potassium salt Gelatin-free versus gelatin SEC with ‘neat’ caprylic acid Chemical Stability Requirements: Oxidation Minimizing oxidation of labile API and fill ingredients • Limit exposure of API and fill ingredients to oxygen — Closed manufacturing process/equipment with inert gas flush — Protective properties offered by SECs and LFHCs • SEC – no headspace and low oxygen transmission rates through shell • LFHC – use inert gas to displace oxygen in capsule headspace and low oxygen transmission rates through shell • Addition of anti-oxidants to the fill formulation • Utilize protective primary packaging Chemical Stability Requirements: Oxidation Oxygen transmission rates: SEC and LFHC Shells • • SEC shell — Plasticizer type and water levels in the shell — Shell thickness: ~500 microns LFHC shell — Proper sealing of body and cap — Shell thickness: ~100 microns SEC (right) has larger channels than HGC, as shown in these freeze etchings taken from a scanning electron microscope (1.6 x 10-6 magnification). Oxygen Transmission Rates: SEC and LFHC Shells • Effect of plasticizer type on oxygen permeability of SEC shells: Glycerol > Sorbitol Special Blend > Polysorb • Oxygen permeability of SEC films (plasticized with glycerol) at a thickness of approximately 500 microns: < 5 ml O2/m2 d bar (20°C/30%RH) • Oxygen permeability of HGC films at a thickness of approximately 100 microns: < 10-20 ml O2/m2 d bar (20°C/30%RH) Commercialized SEC Products Containing APIs That Undergo Oxidation • Vitamin D Analogs • Retinoids • Omega-3 Oils • Other Oxygen Sensitive Vitamins (A, E, etc.) Chemical Stability Requirements : Hydrolysis Minimizing hydrolysis of labile API and fill ingredients • SEC Fill Moisture Content — Oil • fill • During encapsulation ⇒ 0.1-0.3% • Following drying ⇒ 0.1-0.3% LFHC Shell Moisture Content — Gelatin-based — HPMC ⇒ 13-16% ⇒ 2-5% • Lipid or hydrophilic semi-solid fills in a LFHC • Lipid semi-solid fills in a GF-SEC Shell Rupture/Disintegration/Dissolution Times In-vitro • Gelatin-based capsules generally faster than GF-SECs (starch/carrageenan) or LFHCs (HPMC) (37°C) which exhibit a lag time — Disintegration Time: SGC ⇒ 2–8 minutes and GF-SEC (starch/carrageenan) ⇒ 10–20 minutes — Disintegration Time: HGC faster than HPMC • HPMC gelling aids – HPMC fastest, HPMC/carrageenan slower, HPMC/gellan slowest • HPMC disintegration/dissolution media – HPMC lag time greatest in pH 6.8 phosphate buffer, HPMC/carrageenan and HPMC/gellan affected by K and Ca • HGC disintegration/dissolution media temperature – HGC does not dissolve below (30°C) Shell Rupture/Disintegration/Dissolution Times In-vivo • • Human scintigraphic studies (Cole, et al.) — HCG disintegration ⇒ 8–14 minutes — HPMC/gellan disintegration ⇒ 28–41 minutes Human scintigraphic studies (Tuleu, et al.) — HCG disintegration ⇒ 7 minutes — HPMC disintegration ⇒ 9 minutes • No reported human PK profile difference between HPMC/carrageenan and HPMC (Ku, et al.) • No reported dog PK profile difference in fed and fasted state with HPMC (Ku, et al.) Cole, E., Pharm. Res. 21 (2004) Tuleu, C., Eur. J. Pharm. Sci. 30 (2007) Ku, S., et al., International J. of Pharm., 386 (2010) Shell Rupture/Disintegration/Dissolution Times: Cross-linking Minimizing cross-linking in gelatin-based SECs and LFHCs • Fill excipients with low impurity levels (aldehydes, peroxides) • Use high quality gelatin from reliable suppliers • Minimize exposure of fill to oxygen — — Closed manufacturing process/equipment in an inert gas atmosphere Protective properties offered by SECs and LFHCs • SEC – no headspace and low oxygen transmission rates • LFHC – use inert gas to displace oxygen in capsule headspace Eliminating cross-linking potential in SECs and LFHCs • SECs — — • Modified starch/carrageenan Starch LFHCs — — HPMC HPMC/gelling aid LFHC Spontaneous Cracking/Breaking • Failures (cracking/breaking) have been observed in the capsule cap — Capsule design • — Manufacturing room conditions • — High tensile stress areas and stress risers increase the incidence of cracking/breaking Higher RH’s increase the incidence of cracking/breaking Fill formulation composition • Hygroscopic excipients and migration of ingredients into the shell causing plasticization increase the incidence of cracking/breaking LFHC Spontaneous Cracking: The Impact of Cap Shoulder Thickness Cracking observations after 4 hours with 41 percent DMA in Cremophor EL fill Fulper, D., et al., Tablets & Capsules 6, (2009) LFHC Spontaneous Cracking: The Effect of Humidity During Manufacture Effect of humidity on capsule cracking Fulper, D., et al., Tablets & Capsules 6, (2009) LFHC Spontaneous Cracking: A Cascade of Events Moisture gradient across capsule shell wall when filled with hygroscopic material Gelatin plasticity gradient across capsule shell wall when filled with hygroscopic material Fulper, D., et al., Tablets & Capsules 6, (2009) Stress distribution across capsule shell wall when filled with hygroscopic material LFHC Design Considerations Fulper, D., et al., Tablets & Capsules 6, (2009) LFHC Design Considerations Fulper, D., et al., Tablets & Capsules 6, (2009) Fill Capacity/Size & Shape SEC Ovals 2 Oval minims: 1.5-1.8 cc: 0.092-0.1111 12 Oval minims: 8.3-12.0 cc: 0.511-0.739 SEC Oblongs 3 Oblong minims: 2.3-3.0 cc: 0.142-0.185 22 Oblong minims: 18.3-22.0 cc: 1.109-1.355 SEC Rounds 1 Round minims: 0.75-1.00 cc: 0.046-0.062 9 Round minims: 7.0-9.0 cc: 0.431-0.554 LFHCs Size Body volume Liquid-fill capacity Total volume Liquid-fill Air volume 00 0.93 0.84 1.16 0.32 4 0.21 0.19 0.25 0.06 All values in mL: Data Qualicaps API Usage Requirements SEC • Lab-scale encapsulation machine (non-GMP) — • Minimum fill required for Minicap Machine: 250 g • 0.1%(w/w) – 250 mg • 1%(w/w) – 2.5 g • 10%(w/v) – 25 g Full-scale encapsulation machine (GMP) — Minimum fill required for 7th Generation Machine: 750 g • 0.1%(w/w) – 750 mg • 1%(w/v) – 7.5 g • 10%(w/v) – 75 g LFHC • No lower limit Comparison of SGC versus GF-SEC: Benefits and Limitations Gelatin-based SEC Gelatin-free SEC SHELL COMPOSITION • Gelatin, plasticizer, water, etc. • Carrageenan (extract of red seaweed), modified starch, plasticizer, water, etc. FILL FORMULATION OPTIONS • Maximum fill temperature: 35°-40°C (primarily liquids) • Maximum fill temperature: 65°-75°C (viscous liquids and semi-solids) • Fill pH: slightly acidic to slightly basic • Fill pH: slightly acidic to highly alkaline • Type I – IV lipid formulations • Type I – IV lipid formulations (potential improvement for Type IIIB – IV) COMPATIBLITY WITH FILL EXCIPIENTS • Wide range: lipophilic ⇒ hydrophilic • Wide range: lipophilic ⇒ hydrophilic • Potentially fewer limitations: low MW and short-medium C chain lengths (cosolvents/cosurfactants ⇒ SMEDDS) SHELL DISINT./DISSO. • Fast, potential cross-linking • Fast, short lag-time, no potential crosslinking OXYGEN TRANSMISSION RATE • Minimal • TBD SMALL-SCALE MANUFACTURE • Minimum fill required: ~250 g (nonGMP) • Minimum fill required : ~750 g (nonGMP/GMP) • Some limitations: low MW and shortmedium C chain lengths • Minimum fill required : ~750 g (GMP) • 100’s – 1000’s capsules • 100’s – 1000’s capsules RELIABLE LARGESCALE MANUFACTURE • Accepted (Pharma & H&N products) • Accepted (H&N products) NDA APPROVED PRODUCTS • 49 • None – OTC/H&N only Comparison of HGC versus HPMC LFHCs: Benefits and Limitations HGC HPMC SHELL COMPOSITION • Gelain, water (13 – 16%) • HPMC, HPMC/gelling aid, water (2 – 7%) FILL FORMULATION OPTIONS • Maximum fill temperature: 75°C • Maximum fill temperature: 75°C • Fill pH: slightly acidic to slightly basic • Fill pH: acidic to alkaline • Type I – IV lipid formulations • Type I – IV lipid formulations • Wide range: lipophilic ⇒ hydrophilic • Wider range: lipophilic ⇒ hydrophilic • Some limitations: low MW and shortmedium C chain lengths COMPATIBLITY WITH FILL EXCIPIENTS • Some limitations: low MW and shortmedium C chain lengths • Better compatibility with low MW alcohols • Incompatible with low MW alcohols PHYSICAL STABILITY • Potential brittleness/cracking at lower shell moisture contents (environment, hygroscopic fill excipients, capsule design) • Less affected at lower shell moisture contents (environment, hygroscopic fill excipients, capsule design) SHELL DISINT./DISSO. • Fast, potential cross-linking • Fast, short lag-time (varies based on gelling aid), no potential cross-linking OXYGEN • Minimal TRANSMISSION RATE • Minimal (3X HGC) MACHINABILITY • Good machinability – improved quality (tighter dimensional tolerances) with lower reject rates • Moderate machinability – improving quality (dimensional tolerances less controlled) with higher reject rates RELIABLE LARGESCALE MANUFACTURE • Accepted (H&N products) • Accepted (H&N products) NDA APPROVED PRODUCTS • 3 • None – OTC/H&N only Comparison of SEC versus LFHC: Benefits and Limitations SEC LFHC SHELL COMPOSITION • Gelatin/plant polymers, plasticizer, water, • Gelatin/plant polymers, water, etc. etc. FILL FORMULATION OPTIONS • Maximum fill temperature: 40°C (gelatin); • Maximum fill temperature: 75°C 75°C (gelatin-free) • Type I – IV lipid formulations • Type I – IV lipid formulations (GF-SEC potential improvement for Type IIIB – IV) COMPATIBLITY WITH FILL EXCIPIENTS • Wide range: lipophilic ⇒ hydrophilic • Some limitations (fewer for GF-SEC): low MW and short-medium C chain lengths • Better compatiblity with low MW alcohols • Wide range: lipophilic ⇒ hydrophilic • Some limitations (fewer for HPMC): low MW and short-medium C chain lengths • Incompatible with low MW alcohols SHELL FORMULATION OPTIONS • Gelatin/Gelatin-free: Varied depending on • Gelatin/Gelatin-free: Fixed fill • Design differences depending on supplier OXYGEN TRANSMISSION RATE • Minimal • Minimal (3X HGC) IN-HOUSE DEVELOPMENT • Fill formulation – Yes • Yes • Shell/manufacture - No • Advantageous for early, rapid, in-house screening of lipid-based formulations SMALL-SCALE MANUFACTURE • Minimum fill required: ~250 g (nonGMP); minimum fill required : ~750 g (GMP) • No lower limit • 100’s – 1000’s capsules SIZE/SHAPE • Customized; greater maximum fill volume • Fixed; reduced maximum fill volume RELIABLE LARGESCALE MANUFACTURE • Accepted (Pharma & H&N products) • Accepted (H&N products) NDA APPROVED PRODUCTS • 49 • 3 Future prospects Targeted Delivery Targeted delivery using film-coated SECs and LFHCs • Delivery applications — • Post-gastric delivery of poorly soluble and/or poorly permeable compounds Delivery approach — Utilize a functional film coating to deliver the formulation/API to the site of absorption — Following dissolution of the film coat, a rapid release of the formulation to provide a high local concentration of API and permeation enhancers Modified Release Encapsulation of semi-solid matrix for modified release • Delivery applications • — Poorly soluble and/or poorly permeable compounds — Eliminating spikes in blood concentrations to reduce associated side effects — Extending API release to reduce dosing frequency — Providing abuse resistance for controlled substances Delivery approach — Lipid-based semi-solid matrix filled into a GF-SEC — Hydrophilic or lipid-based semi-solid matrix filled into a HGC or HPMC capsule Comparing Liquid LBDDS and Solid LBDDS Liquid LBDDS • Starts with the drug in solution • • Offers a wider range of lipid fill formulation options to enhance bioavailability — In-vivo drug solubilization using digestible lipid excipients — Improving permeation using lipid excipients that increase absorption • via transcellular or paracellular transport • Via modulation of drug transport or metabolism processes Often results in reduced cycle times/costs — Liquids are relatively easy to scale-up — No downstream processing is required Solid LBDDS • Potentially beneficial for drugs unstable in liquid state or extremely sensitive to water (hydrolysis) • Provides the opportunity to utilize in-house development and manufacturing capability and capacity discover more. 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