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ORIGINAL ARTICLE
Characterisation of DM-b-cyclodextrin:prednisolone complexesand their formulation as eye drops
Andre Sa Couto • Joana Vieira • Helena F. Florindo •
Mafalda A. Videira • Helena M. Cabral-Marques
Received: 20 December 2013 / Accepted: 13 May 2014
� Springer Science+Business Media Dordrecht 2014
Abstract Several ocular treatment options have been
developed to overcome a broad range of ocular infections
and corneal pathologies. Even though, commonly used
ophthalmic formulations are only able to promote a short
therapeutic effect, demanding a frequent dosing regimen.
This study took advantage of dimethyl-b-cyclodextrin to
overcome prednisolone low water solubility through com-
plexes formation. These complexes were characterized by
phase-solubility studies (Ks = 732; CE = 0.864), 1H-
NMR, Differential Scanning Calorimetry and Fourier
Transform Infrared Spectroscopy. Particle size distribution,
prednisolone assay, rheology and osmolality were assessed
to evaluate dimethyl-b-cyclodextrin and HPMC influence
on the eye formulation main physicochemical properties.1H-NMR studies showed a 1:1 molar ratio complexes’
stoichiometry; and the other physical characterisation
methods (FTIR spectra and DSC thermograms) proved a
successful interaction between prednisolone and dimethyl-
b-cyclodextrin. Dimethyl-b-cyclodextrin promoted a sta-
tistical significative water solubility increase of drug and
the particle size of all suspensions prepared presented a d90
lower than 90 lm. The presence of dimethyl-b-cyclodex-
trin did not change the pseudoplastic behaviour of this
HPMC-based suspension, but a lower viscosity was
obtained in the presence of the complexes. As the final
formulation was hypotonic its osmolality was adjusted with
NaCl. Overall, dimethyl-b-cyclodextrin:prednisolone
complexation in the presence of hydrophilic polymer
HPMC appears to be an advantageous approach for the
ocular administration of this drug.
Keywords Complex formation � Ocular drug delivery �Dimethyl-b-cyclodextrin � Prednisolone � HPMC
Introduction
Several ocular preparations have been developed to address
different eye conditions, disorders or pathologies, such as
external infections and intraocular diseases, namely corneal
pathologies like glaucoma and uveitis [1, 2].
Most of the commercial ophthalmic formulations are for
topical application being a well-accepted route of admin-
istration for the treatment of various eye disorders. These
formulations are mostly presented as eye drop solutions/
suspensions and ointments [3, 4].
However, the efficient and complex structure of the eye
promotes the maintenance of eye physiological integrity by
preventing eye desiccation and the adherence/invasion of
the ocular surfaces by external agents. In addition, blink-
ing, baseline and reflex lachrymation, and drainage ensure
the rapid elimination of foreign substances (drugs inclu-
ded), preventing not only its therapeutic effect by low
bioavailability, but also leading to possible adverse side
effects in the gastrointestinal tract, due to its systemic
absorption via the conjunctiva or the nasolacrimal duct [4].
Even in the case of aqueous-based systems, the viscosity
inherent to those formulations causes loss of vision for a
reasonable period of time [4, 5]. Therefore, the design of
alternative ocular viscous therapeutic systems must take
into consideration those challenging barriers resultant from
the particular ocular anatomy and physiology, in order to
increase drug residence time and to control drug
A. S. Couto � J. Vieira � H. F. Florindo �M. A. Videira � H. M. Cabral-Marques (&)
Faculdade de Farmacia, Instituto de Investigacao do
Medicamento (iMed.ULisboa), Universidade de Lisboa, Av.
Prof. Gama Pinto, 1649 - 003 Lisbon, Portugal
e-mail: [email protected]
123
J Incl Phenom Macrocycl Chem
DOI 10.1007/s10847-014-0420-8
elimination rate. These major disadvantages may be over-
came using newer drug delivery systems, for example,
liposomes, in situ gel, microemulsions, nanoparticles,
nanosuspensions, complex formation, etc. that will increase
drugs bioavailability in a sustained and controlled manner
[4, 6]. The use of polymers for ophthalmic instillation is
intended to be administered as liquid (either suspensions or
solutions) and then undergo to a gel after getting in contact
with the eye. In fact, those polymers have led to better
release profiles due to their ability to increase the formu-
lations viscosity [6].
Corticosteroids, namely the synthetic glucocorticos-
teroid prednisolone (PRD), constitute one of the major
molecules used for ocular treatment. PRD (Fig. 1) has
been used for several decades and is still studied using
different formulation approaches and for different ocular
diseases [7–11]. Even though, the development of simple
and safe aqueous ocular formulations containing this
drug is impaired by its low solubility in water. Cyclo-
dextrins (CyDs) can be used to overcome those major
limitations, since they improve drug solubility, chemical
stability, dissolution rate and prevent drug interactions
that may cause eye irritation and discomfort [12–18].
Due to their lypophilic cavity and hydrophilic external
surface, these cyclic oligosaccharides are able to solubi-
lise poorly water-soluble drugs via non-covalent inter-
actions. Being hydrophilic molecules, CyDs are not
likely to overcome biological membranes and thus a
considerable reduction in adverse side effects can be
expected [12, 13].
Thus, this study took advantage of CyDs, namely
dimethyl-b-cyclodextrin (DM-b-CyD) for the preparation
of an eye drop dosage form. The structural features of DM-
b-CyD, namely cavity size and aqueous solubility (57 g/
100 mL at 25 �C for DM-b-CyD and 1.85 g/100 mL at
25 �C for b-CyD) are expected to allow higher complex-
ation efficiencies in comparison to b-CyD [19], and thus
DM-b-CyD was chosen to investigate the formation of
PRD complexes and further characterisation.
Materials
DM-b-CyD was a generous gift from Wacker Chemie AG
(Burghausen, Germany). Micronized PRD and hydroxy-
propyl methycellulose (HPMC) were purchased from
Fluka, UK. Tween 20 was purchased from Vaz Pereira,
Portugal. Purified water used for the experiments met the
Eur. Ph. requirements for purified water [20]. All other
reagents were of analytical grade.
Methods
Preparation of PRD and DM-b-CyD binary systems
Binary systems of PRD and DM-b-CyD (Table 1) were
prepared i) as physical mixtures of both entities at different
DM-b-CyD ? PRD molar ratios (1:1, 2:1, 4:1 and 6:1) for
10 min using a glass mortar and pestle and ii) by kneading
[21] at the same ratios (DM-b-CyD:PRD), which were
further dried at 40 �C for 12 h.
Phase-solubility studies
Phase-solubility studies were carried out to characterise
DM-b-CyD:PRD complexes according to Higuchi and
Connors [22].
An excess of PRD was added to DM-b-CyD (0, 0.0125,
0.025, 0.0375 and 0.05 M) water solutions. The suspen-
sions were kept in a water bath at 37 �C for 6 days under
constant agitation. Samples were collected at predeter-
mined periods of time (1, 2, 5 and 6 days), and PRD
concentration was assessed, after filtration, by UV spec-
trophotometric method (Hitachi U-200 UV–visible spec-
trophotometer) at 254 nm.
Thus, complexes apparent stability constant (Ks),
complexation efficiency (CE) and drug:cyclodextrin
molar ratio (D:CD molar ratio) values were determined
in order to evaluate the solubilising ability of DM-b-CyD
[23].
Fig. 1 Prednisolone (PRD) chemical structure
Table 1 Weights of DM-b-CyD and PRD needed to prepare the
binary systems (physical mixtures and complexes)
Molar ratio (DM-b-CyD:PRD) DM-b-CyD (g) PRD (g)
1:1 0.7845 0.2155
2:1 0.8792 0.1208
4:1 0.9357 0.0643
6:1 0.9562 0.0438
All the presented weights were calculated to 1 g of complex
J Incl Phenom Macrocycl Chem
123
Proton nuclear magnetic resonance (1H-NMR)
Proton Nuclear Magnetic Resonance (1H-NMR) spectros-
copy has been employed to examine the interaction mode
of the DM-b-CyD with PRD. This technique is based on
the observation of the CyD proton chemical shifts as a
result of the PRD influence in different molar ratios (1:1,
2:1, 4:1, 6:1). Spectra were performed on a Bruker AMX
using residual solvents as internal reference: H = 7.26
(CHCl3) at 300 MHz.
Differential scanning calorimetry (DSC)
The thermal behaviour was investigated on a TA instru-
ments DSC Q200 calorimeter, using 4 mg samples of each
sample (DM-b-CyD:PRD physical mixture, DM-b-
CyD:PRD complex, PRD and DM-b-CyD) in open alu-
minium pans at a heating rate of 10 �C/min from 30 to
270 �C.
Fourier transform infrared spectroscopy (FTIR)
Infrared spectra (IR) were performed on a spectropho-
tometer (Shimadzu IRAffinity-1) using the KBr disk
method and scanned from 4,000 to 400 cm-1.
Effect of HPMC on drug solubility
The effect of a water-soluble polymer (HPMC) on the
solubilising ability of PRD either pure or as DM-b-CyD
complex (1:1 molar ratio) was further evaluated. Thus, 4
systems were prepared with equal amounts of each corre-
sponding excipient (PRD ? H2O; PRD ? 0.25 % (w/v)
HPMC; DM-b-CyD:PRD complex ? H2O; DM-b-
CyD:PRD complex ? 0.25 % (w/v) HPMC) and kept for
48 h in a water bath at 24 �C under constant agitation. PRD
concentration in all suspensions was then analysed by UV
spectroscopy as described above.
Particle size distribution
Particle size analysis of the different suspensions
(PRD ? H2O; PRD ? HPMC; DM-b-CyD:PRD ? H2O;
DM-b-CyD:PRD ? HPMC) were performed using puri-
fied water [20] by laser diffraction spectroscopy (LDS;
Mastersizer Hydro 2000S, Malvern Instruments, UK). The
influence of Tween 20 in the particle size distribution of the
latter suspensions was also assessed.
Rheological analysis
The rheological properties of both PRD ? HPMC and
DM-b-CyD:PRD ? HPMC suspensions were studied
using a controlled speed Brookfield DVII? rotational vis-
cometer/rheometer (Brookfield engineering laboratories,
INC; USA).
Osmolality
The osmolality of different ocular suspensions
(PRD ? HPMC; DM-b-CyD ? HPMC; DM-b-
CyD:PRD ? HPMC) was determined by its direct mea-
surement in a Knaur automatic osmometer using NaCl (400
mOsM/kg) as a reference.
Results and discussion
Phase-solubility studies
The main goal of the phase-solubility studies was to assess
the ability of DM-b-CyD to promote the solubilisation of
an active substance slightly soluble in water.
The phase-solubility curves (Fig. 2) were classified as
AL-type according to Higuchi and Connors [22], which
0.000
0.005
0.010
0.015
0.020
0.025
0 0.01 0.02 0.03 0.04 0.05 0.06
[Pre
dnis
olon
e] (
M)
[DM-β-CyD] (M)
24h48h120h144h
Fig. 2 Phase solubility diagrams of DM-b-CyD:PRD (Mean ± SD;
n = 3)
Table 2 Phase-solubility studies of PRD complexation with DM-b-
CyD according Higuchi and Connors [22]
Time
(h)
R2 Slope Ks (M-1)
[23]
CE
[23]
D:CD ratio
[23]
24 0.9827 0.353 461 0.544 2.84
48 0.9556 0.464 732 0.864 2.16
120 0.9892 0.455 707 0.834 2.20
144 0.9857 0.402 570 0.673 2.49
J Incl Phenom Macrocycl Chem
123
shows a linear increase in solubility of the drug with
increasing DM-b-CyD concentration. Considering Ks and
the CE values (Table 2), 48 h seem to be the optimal time
for complex formation, under the used conditions.
Based on curve trend-lines slope values (\1) it could be
assumed that only a 1:1 complex is formed, however,
having in consideration the obtained Ks and the CE, D:CD
molar ratio [23] was calculated (Table 2) pointing to higher
ratios than 1:1. In order to make sure of the most probable
cyclodextrin:drug ratio it was decided to perform 1H-NMR
studies covering a wider range, i.e., between 1:1 and 6:1
ratios.
Proton nuclear magnetic resonance (1H-NMR)
DM-b-CyD has primary and secondary OH groups
crowning opposite ends of its torus: H-3 and H-5 directed
towards the interior, H-6 on the rim and H-1, H-2 and H-4
located to the exterior. It is expected that if inclusion does
occur, protons located within or near the cavity (e.g. H-3,
H-5 and H-6) should be strongly shielded whereas protons
located on the exterior of the torus should be relatively
unaffected [24]. In the present case it seems that the
association takes place in both surfaces, the inner cavity
and the exterior of the CyD. This assumption is shown by
the more significant shifts on the protons (H-3, H-2 and
H-4) compared to the other protons, probably the com-
plexes formed are a mixture of inclusion and non-inclusion
types. Figure 3 presents the most relevant DM-b-CyD
proton shifts plotted against the different molar ratios,
showing the highest shifts for the CyD:PRD molar ratio of
1:1. For this reason further studies were performed with 1:1
molar ratio binary systems.
Differential scanning calorimetry (DSC)
The DSC thermogram of PRD (Fig. 4a) shows a sharp
endothermic peak at 247.43 �C, which is not in accordance
with its melting point described in literature (237 �C). This
difference can be attributed to the presence of impurities or
to high heat rate used for this analysis. DM-b-CyD DSC
thermogram (Fig. 4b) presents a peak at 66.12 �C due to
the expected water release from the inner cavity of this
molecule. In addition, DM-b-CyD did not melt until
270 �C and does not show any noticeable thermal event.
The DSC thermogram of DM-b-CyD ? PRD (1:1)
physical mixture (Fig. 4c) presents a similar peak at
65.31 �C that can be also attributed to the loss of water
from this sample. Additionally, it would be expected to
observe a peak at 247.43 �C, corresponding to PRD.
However, this was not observed, which may predict the
formation of CyD complex by simple physical mixing of
the drug with DM-b-CyD may be due to the heat generated.
The absence of PRD characteristic peak can also be due to
the low mass proportion of DM-b-CyD ? PRD (75 %/
25 %, w/w) used.
Regarding the DSC thermogram of DM-b-CyD:PRD
complex (Fig. 4d), prepared by kneading method, it is
possible to observe the presence of an endothermic water-
related peak at 63.92 �C. This endothermic peak is smaller
than the one obtained by physical mixture (Fig. 4c) or DM-
b-CyD (Fig. 4b), as expected due to its incubation at 40 �C
for 12 h during complex preparation procedures. Despite
this small difference, the PRD endothermic peak was not
present, similarly to what have been observed for the
physical mixture thermogram (Fig. 4c). Thus, it is possible
to predict the successful formation of the DM-b-CyD:PRD
complex.
Nevertheless, to confirm the formation of DM-b-
CyD:PRD complexes, FTIR was used to corroborate and
support the above data.
Fourier transform infrared spectroscopy (FTIR)
The FTIR spectrum of PRD shows three characteristic
bands at 1,710.87 and 1,654.46 (C=O bond) and
1,612.99 cm-1 which relates to the conjugated double
bond and those were used to analyse the interaction
between this drug molecule and DM-b-CyD (Table 3). But,
DM-b-CyD characteristic bands (Fig. 5) obtained at its IR
spectrum were 3,411.62 (O–H bonds), 2,927.48 (C–H
bonds), 1,086.90, 1,045.43 and 1,157.78 cm-1. Besides
being present at both the physical mixture and the complex
FTIR spectra, 888.71 cm-1 band does not seem to repre-
sent PRD characteristic stretching vibrations.
Fig. 3 Representation of the H-NMR chemical shifts for the DM-b-
CyD:PRD complexes in several molar ratios
J Incl Phenom Macrocycl Chem
123
None of the CyD-based formulations presented addi-
tional bands to those observed on PRD and DM-b-CyD
FTIR spectra and therefore there was no formation of
covalent bonds neither in DM-b-CyD ? PRD physical
mixture nor in DM-b-CyD:PRD complexes (Fig. 5). Even
though, some of the drug and CyD characteristic bands
were shifted towards higher frequencies (Table 3). How-
ever, besides being more prominent in complexes IR
spectra, none of those shifts are significant, in opposition to
peak intensities. Interestingly, physical mixture IR spec-
trum evidenced higher peak intensities for both PRD and
CyD-associated bands, while the opposite trend was shown
in the IR analysis of the complex. The presence of those
characteristic bands at nearly the same frequencies indi-
cates that most probably there was no interaction between
CyD internal cavity and groups responsible for IR
absorption. Even though, the lower intensity referred above
suggests that the PRD complexation by DM-b-CyD prob-
ably occurred.
Effect of HPMC on drug solubility
Regarding the pure PRD it can be seen an increase of 30 %
of its solubility in HPMC compared to water. In Fig. 6 it
can also be seen that HPMC also increases the PRD sol-
ubility as complex, but in less extent (19 %). This increase
is less noticeable due to the huge increase in the water
solubility caused by complex formation in comparison to
the pure drug (more than 700 fold). All 4 systems
(PRD ? H2O; PRD ? 0.25 % (w/v) HPMC; com-
plex ? H2O; complex ? 0.25 % (w/v) HPMC) PRD sol-
ubility is significant and statistically different from each
other.
Fig. 4 DSC thermogram of
(a) PRD, (b) DM-b-CyD,
(c) DM-b-CyD ? PRD (1:1)
physical mixture and (d) DM-b-
CyD:PRD (1:1) complex. Heat
flow endothermic down (mW)
versus temperature
Table 3 PRD, DM-b-CyD, DM-b-CyD ? PRD physical mixture and DM-b-CyD:PRD complex IR data
PRD DM-b-CyD Physical mixture DM-b-CyD ? PRD DM-b-CyD:PRD complex
Wavenumber (cm-1) Intensity Wavenumber (cm-1) Intensity Wavenumber (cm-1) Intensity Wavenumber (cm-1) Intensity
1,710.87 43.743 1,710 nd (1) 1,711.84 59.258
1,612.99 28.932 1,612.99 69.165 1,613.47 64.075
1,654.46 10.381 1,651.56 60.151 1,653.01 19.515
888.71 44.157 888.71 80.589 888.71 66.919
3,411.62 26.695 3,415.00 44.124 3,415.96 18.788
2,927.48 47.887 2,928.83 59.699 2,929.41 31.701
1,045.43 12.126 1,042.05 31.671 1,040.06 6.256
1,086.90 16.466 1,087.38 36.792 1,087.38 9.18
1,157.78 28.646 1,158.26 47.519 1,158.75 16.636
The intensity of the band t 1,710 cm-1 could not be displayed since this area in the spectrum suffered interferences that prevented the
identification of value intensity
J Incl Phenom Macrocycl Chem
123
These findings suggest the benefit of this polymer to
potentiate the complexation of this drug by using DM-
b-CyD. Similar trends were reported by other studies,
which evidenced that hydrophilic polymers as HPMC,
polyvinylpirrolidone (PVP) and polyethileneglycol
(PEG) promote complexation and higher solubilising
efficiencies of different drugs as hydrocortisone [25],
piroxicam [26], finasteride [27] and pioglitazone [28],
using CyDs. In addition, in the study herein under
discussion, HPMC seems to allow the use of DM-b-
CyD lower concentrations to deliver equivalent thera-
peutic amounts of PRD.
Particle size distribution
Particle size analyses were carried out in order to study the
influence of HPMC polymer in the particle size distribution
(d10/d50/d90, corresponding to percentiles 10, 50, 90 %;
for example d10 means that 10 % of the measured particles
are below the given value) of free drug and complex, in
comparison with water (Table 4). Particle size distribution
(d10, d50, d90) was also assessed in the presence of Tween
20 to predict the existence of aggregates in the suspension.
In fact, there were not significant changes in particle size
distribution of PRD in the presence of this surfactant.
Fig. 5 IR spectra
correspondent to PRD (a) and
DM-b-CyD:PRD 1:1 molar
ratio complex (b)
J Incl Phenom Macrocycl Chem
123
The complexes formed between PRD and DM-b-CyD
present significantly lower diameters in water than in
HPMC, but in the presence of Tween 20 no significant
difference was noticed neither in water nor in HPMC
(Fig. 7).
However, for pure PRD in both suspensions (water and
HPMC) the Tween 20 promoted a statistical significant
decrease in the particle size (Fig. 8).
It can be assumed that PRD alone in suspensions forms
aggregates being the latter dispersed by the addition of the
surfactant leading to smaller particles. Probably the com-
plexes are physically stable entities (at least in terms of
size) as the Tween 20 did not promote any significant
effect on the particles’size (Fig. 8). Despite of the com-
plexes particle sizes in water are slightly smaller than in
HPMC, the formulation is prepared with this polymer
because size is still acceptable and it has the advantage to
increase the viscosity of the system (as it will be discussed
below).
Anyway in all suspensions the d90 was lower than
90 lm (higher Pharmacopoeial limit for ocular dosage
forms) [29] which is an important finding for ocular ther-
apy, namely to increase the contact time of drug with
ocular surface due to higher surface area. These are
important features for topical applications and/or to allow
drug amounts at therapeutic levels for prolonged periods of
time in the case of systemic applications [30].
Rheological analysis
HPMC, a bioadhesive and viscosity-enhancer polymer was
used to address the desired mechanical and pharmaceutical
properties of the suspensions developed to be used for
ocular delivery of PRD. The dispersion of this type of
polymers confers certain rheological properties to these
suspensions that may promote or improve drug contact
and/or permeation through ocular surfaces, mainly due to
their adhesive properties. Thus, the HPMC rheological
effect on several suspensions was assessed.
Regarding these analysis, both PRD ? HPMC (Fig. 9)
and DM-b-CyD:PRD ? HPMC (Fig. 10) suspensions
presented a pseudoplastic rheological profile, as presented
lower viscosity at higher shear rates.
Even though, the formulation containing DM-b-
CyD:PRD complex presented lower viscosity than that
obtained when the free drug was suspended in exactly the
same viscous phase (Table 5).
In fact, once within aqueous polymeric solution, the
internal cavity of CyD is expected to complex with the
hydrophobic portion of polymer chains, which will not be
then available to be dispersed in the aqueous phase. These
observations are in accordance with previous studies that
showed that CyD has the ability to decrease the viscosity of
aqueous polymeric solutions. In addition, those findings
were corroborated by the addition of surfactants to the
polymeric solution, as those compete with hydrophobic
portion of water-soluble polymers for their inclusion in
CyD hydrophobic cavity [31, 32].
Note: PRD corresponds to pure prednisolone; Complex corresponds to 1:1 molar ratio DM-β-CyD : PRD.
0.30 0.39
2.51
2.99
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
H2O+PRD HPMC+PRD H2O+Complex
HPMC+Complex
PR
D w
ater
sol
ubili
ty (
mg/
mL
)
Fig. 6 Influence of HPMC on the PRD water solubility when pure
and as CyD complex (Mean ± SD; n = 3)
Table 4 Particle size
distribution for the studied
systems (mean ± S.D.; n = 3)
d10/d50/d90 corresponds to
percentiles 10, 50, 90 %: for
example, d10 means that 10 %
of the measured particles are
below the given value. Particle
size distribution expressed as
mean ± S.D. (n = 3)
Formulation Particle size distribution (lm)
d (10) d (50) d (90)
PRD ? H2O 1.60 ± 0.08 20.15 ± 0.54 49.90 ± 3.54
PRD ? HPMC 2.40 ± 0.36 20.22 ± 0.75 54.24 ± 2.39
DM-b-CyD:PRD ? H2O 4.07 ± 0.35 24.34 ± 0.15 50.15 ± 1.61
DM-b-CyD:PRD ? HPMC 3.94 ± 0.30 24.69 ± 0.43 69.79 ± 2.65
PRD ? H2O ? Tween 20 1.19 ± 0.07 17.46 ± 0.81 44.06 ± 1.71
PRD ? HPMC ? Tween 20 2.58 ± 0.55 20.56 ± 1.04 48.19 ± 1.13
DM-b-CyD:PRD ? H2O ? Tween 20 3.71 ± 0.33 23.58 ± 0.59 49.72 ± 2.82
DM-b-CyD:PRD ? HPMC ? Tween 20 6.33 ± 0.32 25.65 ± 0.15 72.40 ± 2.92
J Incl Phenom Macrocycl Chem
123
Osmolality
Osmolality is a physical property usually associated to
ocular irritation resultant upon instillation. The lacrimal
fluid presents an osmolality of about 308 mOsmol/kg
(value attributed to the tonicity of a 0.9 % (w/v) NaCl
solution). The desired osmolality values for ophthalmic
suspensions range from 255 to 315 mOsmol/kg [26].
The influence of free PRD, DM-b-CyD, HPMC and
DM-b-CyD:PRD complex in the osmolality of the for-
mulation under study must be evaluated as only isoto-
nicity or hypertonicity are allowed for ophthalmic
preparations.
Nevertheless, none of the developed formulations pre-
sented values within the accepted osmolality range, and the
following equation has been used to determine the exact
Fig. 7 Comparison of the effect
of HPMC/water on the particle
size distribution of DM-b-
CyD:PRD complex (a) and
effect of Tween 20 on the latter
complexes (b)
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
Par
ticl
e si
ze (
μm)
Fig. 8 Comparison between the
d90 values of the different
systems
J Incl Phenom Macrocycl Chem
123
amount of NaCl that should be added to increase the sus-
pension osmolality, and thus address the required proper-
ties for ocular administration of drugs:
Excipient osmolalityðmOsmol=kgÞ¼Weightðg/Lþmolecular weight � number of ions
� 1; 000Þ
According to the above equation, the sum of the
osmolality value of all excipients (49.73 mOsmol/kg) was
subtracted from 308 mOsmol/kg, yielding 258.27 mO-
smol/kg. Given the molecular weight of NaCl (58.44 g/
mol), it is required to add 15.09 g/L of NaCl to the
formulation.
This amount of NaCl was added to a suspension of the
PRD:DM-b-CyD complex in HPMC and the osmolality
obtained was 490 mOsmol/kg (Table 6). This value is
within the accepted limits of tonicity for ophthalmic
preparations intended to avoid marked discomfort for the
eye [33].
Conclusion
Eye drops of PRD complexed with DM-b-CyD were for-
mulated as viscous suspension with particle size and
osmolality within accepted ophthalmic criterion.1H-NMR studies proved that the most probable stoi-
chiometry for the complex is a 1:1 molar ratio. IR spectra
and DSC thermograms have revealed the successful inter-
action of PRD with DM-b-CyD, showing the existence of
molecular bounds between both molecules.
DM-b-CyD improved PRD solubilisation in both aque-
ous and polymer solutions although was not possible to
solubilise the total PRD amount. The best size profile was
obtained for the complex in water; however HPMC was
chosen in order to increase the system viscosity. As this
formulation was hypotonic, osmolality was adjusted with
NaCl.
The therapeutic outcome of ocular preparations is
expected to be considerably improved by the development
of alternative viscous systems (e.g. HPMC) that would not
only prolong the residence time at the ocular surface, but
also decrease drug elimination rate and in addition would
stabilise the complex and physically stabilise the
suspension.
The dispersion of DM-b-CyD:PRD complex in HPMC
solution constitutes a promising approach for the applica-
tion of water-insoluble molecules in ocular delivery.
IncreasingDecreasing
0.005.00
10.0015.0020.0025.0030.0035.0040.0045.00
0 2 4 6 8 10 12
η (P
a.s)
(Pa
.s)
D (s-1)
Fig. 9 Rheological profile/viscosity behaviour (viscosity (g) vs shear
rate (D)) of PRD dispersed in a HPMC-based suspension
Increasing
Decreasing
0.00
5.00
10.00
15.00
20.00
25.00
0 2 4 6 8 10 12
D (s-1)
η (P
a.s)
(Pa
.s)
Fig. 10 Rheological profile/viscosity behaviour (g vs D) of DM-b-
CyD:PRD complex dispersed in a HPMC-based suspension
Table 5 PRD effect on viscosity (Pa s) of HPMC-based suspensions
Shear rate (s-1) Viscosity (Pa s)
PRD ? HPMC DM-b-CyD:PRD ? HPMC
0.13 39.991 19.996
0.22 21.115 14.877
0.66 11.518 9.278
1.32 10.478 8.238
2.64 9.558 7.118
5.50 9.156 6.546
8.80 8.818 6.515
11.0 8.753 6.354
Table 6 Osmolality values for HPMC-based formulations
Formulation Osmolality (mOsmol/kg)
HPMC 3
PRD ? HPMC 50
DM-b-CyD ? HPMC 27
DM-b-CyD:PRD ? HPMC 29
DM-b-CyD:PRD ? HPMC ? NaCl 490
J Incl Phenom Macrocycl Chem
123
Acknowledgments The financial support provided by the FCT,
Fundacao para a Ciencia e Tecnologia (PTDC/SAU-FCF/098733/
2008) and the Portuguese NMR Network (IST-UTL Center) for
providing access to the NMR facility are gratefully acknowledged.
The authors also thank Stephanie Monod for technical assistance.
References
1. Bejjani, R.A., Behar-Cohen, F., Benezra, D., Gurny, R., Delie, F.:
Polymeric nanoparticles for drug delivery to the posterior seg-
ment of the eye. Chimia 59, 344–347 (2005)
2. Ahmed I.: The noncorneal route in ocular drug delivery. In: Mitra
AK, Ophthalmic drug delivery systems (pp. 335–363). Marcel
Dekker, New York (2003)
3. Loftsson, T., Hreinsdottir, D., Stefansson, E.: Cyclodextrin mi-
croparticles for drug delivery to the posterior segment of the eye:
aqueous dexamethasone eye drops. J. Pharm. Pharmacol. 59,
629–635 (2007)
4. Tangri, P., Khurana, S.: Basics of ocular drug delivery systems.
Int. J. Res. Pharm. Biomed. Sci. 4, 1541–1552 (2011)
5. Bourlais, C., Acar, L., Zia, H., Sado, P., Needham, T., Leverge,
R.: Ophthalmic drug delivery systems—recent advances. Prog
Retin Eye Res. 17, 33–58 (1998)
6. Sasaki, H., Yamamura, K., Nishida, K., Nakamura, J., Ichikawa,
M.: Delivery of drugs to the eye by topical application. Prog.
Retin. Eye Res. 15, 583–620 (1996)
7. Elbialy, N.S., Abdol-Azim, B.M., Shafaa, M.W., El Shazly, L.H.,
El Shazly, A.H., Khalil, W.A.: Enhancement of the ocular ther-
apeutic effect of prednisolone acetate by liposomal entrapment.
J. Biomed. Nanotechnol. 12, 2105–2116 (2013)
8. Gaafar, P.M., Abdallah, O.Y., Farid, R.M., Abdelkader, H.:
Preparation, characterization and evaluation of novel elastic
nano-sized niosomes (ethoniosomes) for ocular delivery of
prednisolone. J. Liposome Res. (2014). doi:10.3109/08982104.
2014.881850
9. Agrawal, S., Ranjan, S., Mishra, A.: Ocular myocysticercosis: an
unusual case of ptosis. Nepal J. Ophthalmol. 10, 279–281 (2013)
10. Zach, H., Cetin, H., Hilger, E., Paul, A., Wuschitz, B., Jung, R.,
Auff, E., Zimprich, F.: The effect of early prednisolone treatment
on the generalization rate in ocular myasthenia gravis. Eur.
J. Neurol. 4, 708–713 (2013)
11. Ang, M., Yan, P., Zhen, M., Foo, S., Venkatraman, S.S., Wong,
T.T.: Evaluation of sustained release of PLC-loaded predniso-
lone acetate microfilm on postoperative inflammation in an
experimental model of glaucoma filtration surgery. Curr. Eye
Res. 12, 1123–1128 (2011)
12. Loftsson, T., Stefansson, E.: Effect of cyclodextrins on topical
drug delivery to the eye. Drug Dev. Ind. Pharm. 23, 473–481
(1997)
13. Loftsson, T., Stefansson, E.: Cyclodextrins in eye drop formu-
lations: enhanced topical delivery of corticosteroids to the eye.
Acta Ophthalm. Scand. 80, 144–150 (2002)
14. van den Hoven, J.M., Metselaar, J.M., Storm, G., Beijnen, J.H.,
Nuijen, B.: Cyclodextrin as membrane protectant in spray-drying
and freeze-drying of PEGylated liposomes. Int. J. Pharm. 438,
209–216 (2012)
15. Tongiani, S., Ozeki, T., Stella, V.J.: Sulfobutyl ether–alkyl ether
mixed cyclodextrin derivatives with enhanced inclusion ability.
J. Pharm. Sci. 12, 4769–4780 (2009)
16. Torres Marques M., Baptista A. M. J., Cabral-Marques H. M.,
Chitas I. J., de Carvalho RM.: Metodo para aumentar a solu-
bilidade e a estabilidade do cloranfenicol, atraves da formacao de
complexos de inclusao com ciclodextrinas, solucoes contendo o
referido complexo de inclusao e processo para separacao dessas
solucoes. Portuguese Patent n8. 101.446 (submitted: 24.1.1994,
conceded: 20.8.1996)
17. Palanisamy, M., Khanam, J.: Cellulose-based matrix micro-
spheres of prednisolone inclusion complex: preparation and
characterization. AAPS PharmSciTech. 12, 388–400 (2011)
18. Tiwari, G., Tiwari, R., Rai, A.K.: Cyclodextrins in delivery
systems: applications. J. Pharm. Bioallied Sci. 2, 72–79 (2010)
19. Duchene, D., Wouessidjewe, D.: Pharmaceutical uses of cyclo-
dextrins and derivatives. Drug Dev. Ind. Pharm. 16, 2487–2499
(1990)
20. 7th European Pharmacopoeia: General monographs. Purified
water \0008[. 01/2009:0008. pp. 3224–3225
21. Salustio, P.J., Feio, G., Figueirinhas, J.L., Pinto, J.F., Cabral-
Marques, H.M.: The influence of the preparation methods on the
inclusion of model drugs in a b-cyclodextrin cavity. Eur.
J. Pharm. Biopharm. 2, 377–386 (2009)
22. Higuchi, T., Connors, K.: Phase-solubility techniques. Adv. Anal.
Chem. Inst. 4, 117–212 (1965)
23. Loftsson, T., Brewster, M.E.: Cyclodextrins as functional excip-
ients: methods to enhance complexation efficiency. J. Pharm. Sci.
101, 3019–3032 (2012)
24. Cabral-Marques, H.M., Hadgraft, J., Kellaway, I.W., Pugh, W.J.:
Studies of cyclodextrin inclusion complexes. Part II. Molecular
modelling and 1H-NMR evidence for the salbutamol-b-cyclo-
dextrin complex. Int. J. Pharm. 63, 267–274 (1990)
25. Loftsson, T., Matthıasson, K., Masson, M.: The effects of organic
salts on the cyclodextrin solubilization of drugs. Int. J. Pharm.
262, 101–107 (2003)
26. Jug, M., Becirevic-Lacan, M.: Multicomponent complexes of
piroxicam with cyclodextrins and hydroxypropyl methylcellu-
lose. Drug Dev. Ind. Pharm. 30, 1051–1060 (2004)
27. Almeida, H.M., Cabral-Marques, H.M.: Physicochemical char-
acterization of finasteride:PEG 6000 and finasteride:Kollidon
K25 solid dispersions, and finasteride:b-cyclodextrin inclusion
complexes. J. Incl. Phenom. Macrocycl. Chem. 70, 397–406
(2010)
28. Gajare, P., Patil, C., Kalyane, N., Pore, Y.: Effect of hydrophilic
polymers on pioglitazone complexation with hydroxypropyl-b-
cyclodextrin. Dig. J. Nanomater. Bios. 4, 891–897 (2009)
29. 7th European Pharmacopoeia: Dosage forms. Eye preparations.
Eye Drops. 01/2008:1163. pp. 11
30. Gaudana, R., Ananthula, H.K., Parenky, A., Mitra, A.K.: Ocular
drug delivery. AAPS J. 12, 348–360 (2010)
31. Liao, D., Dai, S., Tam, K.: Influence of anionic surfactant on the
rheological properties of hydrophobically modified polyethylene-
oxide/cyclodextrin inclusion complexes. J. Rheol. 53, 293–308
(2009)
32. Kumar, R., Raghavan, S.R.: Thermothickening in solutions of
telechelic associating polymers and cyclodextrins. Langmuir 26,
56–62 (2010)
33. USP. USP 36 – NF 31: Osmolality and osmolarity \785[.
Rockville, MD: USP; 2013:345–347
J Incl Phenom Macrocycl Chem
123