68

Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Embed Size (px)

Citation preview

Page 1: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References
Page 2: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Page 3: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Introduction:

Fluctuating plasma level in conventional DF.

Development of CR ,SR, TR Etc.

Page 4: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Targeted delivery

It has goal of delivering the drug to specific cell types, tissues or organs.

Page 5: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Controlled release

Assigned to release the DRUG at a PREDETERMINED Rate.

Page 6: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Modulated release

Release of drug at a variable rate controlled by

Environmental conditions, Biofeedback, Sensor input External control device.

Page 7: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Sustained release (SR)

In SR –Drug release is affected by External environment.

- Release is slow than conventional DF.

In CR – Release is dependant on the

design of dosage form.

Page 8: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

DRUG RELEASE MODULATION

ADVANTAGES

DISADVANTAGES

DRUGS UNSUITABLE FOR CR

Page 9: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Different controlled release systems

Time of release

Cumulativerelease

Burst like release

Pulsatile release

Diffusion controlled release

Zero order (linear) release

Lag followed byBurst release

Page 10: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE

DESIGN OF CR DOSAGE FORMS

I. Drug related II. Biological III. Physiological IV. Pharmacokinetic V. Pharmacological

Page 11: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE DESIGN OF CR DOSAGE FORMS

aqueous solubility

protein bindingdrug stability

molecular size

partition coefficient

Drug relatedDrug related

Page 12: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE DESIGN OF CR DOSAGE FORMS

absorption

side effects

margin of safety

elimination

distribution

duration of action

disease state Biological

Page 13: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE DESIGN OF CR DOSAGE FORMS

Physiological

prolonged drug absorption

GI blood flow

variability on GI emptying & motility

Page 14: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE DESIGN OF CR DOSAGE FORMS

Pharmacokinetic

first pass metabolism

variability of urinary pH effect on drug elimination

dose dumping

Page 15: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

FACTORS GOVERNING THE DESIGN OF CR DOSAGE FORMS

Pharmacological

changes in drug effect upon multiple dosing

Sensitivity / tolerance

Page 16: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

BASIC PRINCIPLES OF CR

DIFFUSION

SWELLING

BIODEGRADABLE or BIOERODIBLE

Page 17: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Schematic depiction of various classes of controlled release system

Controlledrelease system Water penetration controlled

Swelling

Chemically controlled

Erodible

Hydrogel

DiffusionSwellingEnvironmental

Ion exchange resin

anioncation

Chemically

Diffusion

Reservoir and monolithic

Matrix

ReservoirDissolution

Encapsulation Matrix

Diffusion and Dissolution

osmotically

Drug linked polymer

Page 18: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

DIFFUSION CONTROLLED SYSTEMS

MONOLITHIC-MATRIX SYSTEMS

Drug +

polymer

Page 19: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

MONOLITHIC-MATRIX SYSTEMS Materials used as retardants in matrix tablet formulations :-MATRIX

CHARACTERISTICSMATERIAL

Insoluble, inert matrix

PolyethylenePolyvinyl chlorideEthylcellulose

Insoluble, erodable

Carnauba wax

Polyethylene glycol

Castor wax

hydrophilic

Methyl cellulose

Carboxypolymethylene

Sodium alginateHPMC

Page 20: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Oral system

RESERVOIR SYSTEMSRESERVOIR SYSTEMS

Page 21: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

RESERVOIR SYSTEMS

First layer Of the drugcrystals

Polymer phase

Diffusion layer

Page 22: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

DIFFUSION CONTROLLED SYSTEMS

Reservoir system

Achievement of zero order is easy

Degradable reservoir systems may be difficult to design

Rupture can result in dangerous dose dumping

Drug inactivation by contact with the polymeric matrix can be avoided

Matrix system

o Achievement of zero order is difficult

Suitable for both degradable & non-degradable systems

No danger of dose dumping

Not all drugs can be blended with a given polymeric matrix

Page 23: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Phase I – outer membrane layers

Phase II – reservoir matrix material

COMBINED RESERVOIR-MONOLITHIC SYSTEMS

Outer membrane layer (phase I)

Dispersed agent in polymer matrix(phase II)

Page 24: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

COMBINED RESERVOIR-MONOLITHIC SYSTEMS

MonolithicMatrix (phase II)

Outer membrane(phase I)

Agent loadedMatrix layer

Agent depletedMatrix layer

Initially the release rate of diffusion through the phase 1 ,as the time progress ,a layer depleted from the active agent is generated in phase 11 reservoir material immediately adjacent to the membrane layer.

Page 25: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

DISSOLUTION CONTROLLED RELEASE SYSTEMS

Two classes:Encapsulation dissolution control

Matrix dissolution control

Page 26: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Matrix Matrix dissolution controldissolution control

Membrane controlledMembrane controlled Polymer erosion controlledPolymer erosion controlled

drugdrug

membranemembrane

Page 27: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

DIFFUSION & DISSOLUTION DIFFUSION & DISSOLUTION CONTROLLED SYSTEMSCONTROLLED SYSTEMS

Release rate is dependent on surface area diffusion coefficient

of drug though pore in coating

conc. of drug in dissolution media.

membrane

drug

Page 28: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

WATER PENETRATION CONTROLLED SYSTEMS

rate control is obtained by penetration of water into the system.

classified into 2 parts.swelling controlled systems

osmotically controlled systems

Page 29: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

SWELLING CONTROLLED SYSTEM

solvent

Swollen matrix Swelling zone

Unswollen polymer matrix

“Non-fickian case II” type diffusion

Page 30: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

CHEMICALLY CONTROLLED SYSTEMS

delivery systems that change their chemical structure , when exposed to biological milieu

This system include biodegradable polymer that degrade within body as a result of natural biological process ,eliminating the need to remove the delivery system after exhausting of active agent from system

Page 31: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

CHEMICALLY CONTROLLED SYSTEMS

The polymer degradation by 2 ways:

Bulk erosion surface erosion

Page 32: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

MECHANISM OF POLYMER EROSION

Type IA – cleavage of cross links

Type IB – disintegration of water soluble polymer backbone

Page 33: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

MECHANISM OF POLYMER EROSION

Type II – Water insoluble macromolecules are converted into water soluble compounds by hydrolysis, ionization or protonation of a pendent group.

hydrolysisIonizationprotonation

Water insoluble molecules Water soluble molecules

Page 34: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

MECHANISM OF POLYMER EROSION

Type III – erosion mechanisim

Water insoluble molecules Water soluble molecules

Hydrolytic

cleavage

Page 35: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

MECHANISM OF DRUG RELEASE

bioactive covalently linked to polymer backbone , scission of the bonds connecting the drug to polymer backbone.

Page 36: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

List of biodegradable polymer

Polylactides (PLA). Polyglycolides (PGA).

Poly(lactide-co-glycolides) (PLGA).

Polyanhydrides. Polyorthoesters.

Page 37: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

HYDROGELS

–Hydrogels are water swollen three dimensional structures composed of primarily hydrophilic polymers.

Page 38: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

HYDROGELS

Classification:-1) Diffusion controlled release

- reservoir- matrix

2) Chemically controlled release - biodegradable polymers- covalently linked drug & polymer

3) Swelling controlled release4) Environmentally responsive hydrogel systems

Page 39: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Swelling controlled release consists of drug dispersion within glassy

polymer matrix. When the system comes in contact with biofluids, it starts swelling.

Drug releaseGlassypolymer

Swollen gel

water

HYDROGELS

Page 40: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Environmentally responsive hydrogel systems

The changes in network structure in response to external environment are reversible in nature.

T

pH pH

T-

-

Page 41: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Type of hydrogel Type of hydrogel

Super porous hydrogel pH sensitive hydrogel Temperature sensitive hydrogel Glucose sensitive system Neutral hydrogel Oral insulin hydrogel

Page 42: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Super porous hydrogelSuper porous hydrogel

Mainly for speedy swelling

Carried out by making very fine particle of dried hydrogel having short diffusion path length

Electronic microscopic fig of super porous hydrogel

Page 43: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Recent application of super Recent application of super porous gel in drug deliveryporous gel in drug delivery

DEVELOPMENT OF GASTRIC

RETENTION DEVICES

Development of fast dissolving tablet

Development per oral peptide delivery system

Page 44: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

ION-EXCHANGE RESINION-EXCHANGE RESIN Zero order release obtained

kinetics Drug release depends only on the ionic environment of the resins containing drug

2 types.- cation exchange resin & anion exchange resin.

Page 45: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

CATION EXCHANGE CATION EXCHANGE RESIN :-RESIN :-

Synthesized by copolymerization of divinyl benzene & styrene.

CH

CH

CH2

CH2

CH CH2

divinyl benzene

styrene

CH

SO3H

CH2 CH CH2

CH

CH

SO3H

CH2 CH2CH CH2

CH

CH

SO3H

CH2

CH

SO3H

CH2 CH

CH

CH2CH2CH2CH CHCH

SO3H CHCH

Page 46: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Anion exchange resinAnion exchange resin is prepared by

chloromethylation of benzene rings of three dimensional styrene-divinyl benzene copolymer network leading to insertion of –CH2Cl groups & forms strong anion exchange resin.

CH

Cl- (CH3)3N+CH2

CH2 CH CH2

CH

CH2 CH2CH CH2

CH

CH2

CH2 CH

CH

CH2CH2CH2CH CH

CHCH

CH2N+(CH3)3Cl-

CH

CH2N+(CH3)3Cl-

CH

CH2N+(CH3)3Cl-

CH

CH2N+(CH3)3Cl-

CH

Page 47: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

INTELLIGENT CONTROLLED RELEASE DRUG DELIVERY SYSTEMS:-

Provide the bioactive in response to the physiological need & should ‘sense’ the changes & manipulate the drug release in response to external stimuli like heat, ultrasound, magnetic field, pH and/or conc. of specific molecules.

Page 48: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

:-

CLASSIFICATION:CLASSIFICATION:

pulsatile systems responsive systems

systems utilizing chelation

systems utilizing enzymes

systems utilizing antibodies

INTELLIGENT CONTROLLED

RELEASE SYSTEMS

electically regulated ultrasonically modulated

magnetically modulated

photoresponsive

Glucose sensitive

inflammation responsive

thermosensitive

pH sensitive

urea responsive

glucose responsive

Page 49: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

PULSATILE SYSTEMS :-

Magnetically modulated systems :-

No applied field

Field turn on Drug release

Page 50: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

RESPONSIVE SYSTEMSRESPONSIVE SYSTEMS Glucose sensitive polymers :-

Glucose in Glycosylated insulin out

Polymer membrane

Glycosylated insulin

glucose

Concavalin A

Sepharose 4B beads

Page 51: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Glucose sensitive polymers :-

insulin

microcapsule

Polymer A Polymer B

release

glucose

RESPONSIVE SYSTEMSRESPONSIVE SYSTEMS

Page 52: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

SYSTEMS UTILIZING ENZYMES

a) Urea responsive delivery systems Urea is converted into NH4HCO3 & NH4OH by the action of urease that increases the pH.

Hydrogel prepared by immobilizing urease In cross-linked bovine serum albumin

N-hyxyl half ester with dispersed drug

Page 53: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

SYSTEMS UTILIZING ENZYMES b) Glucose responsive insulin

delivery :-This system utilizes enzyme-

glucose oxidase which converts glucose into gluconic acid.

Glucose + O2 gluconic acid + H2O

G

G

G

G

HNR2

HNR2

HNR2

HNR2

HNR2

HNR2

GluOx

G

NR2

NR2

NR2

NR2

NR2

NR2

GluOx

GluOx

G NR2

NR2

NR2

NR2

NR2

NR2

GluOx

GluOx

G

G

G

Page 54: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

SYSTEMS UTILIZING ENZYMES

b) Glucose responsive insulin delivery :-

GOD GOD

HOOC COOH

insulin

GOD GOD

-OOC COO-

insulin

glucose

insulin

Page 55: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

An insulin reservoir (like a regular syringe)

A small battery operated pump

A computer chip for control

Combination with Glucose sensors

Examples:

Insulin pump,Gluco

watch

Page 56: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Recent information

Polymer therapeuticscovers natural or synthetic polymers,

which have either inherent therapeutic potential or carry covalently bonded drugs. The covalently bonded drugs have to be released at the desired tissue or cell type. Polymeric therapeutics aree.g. polymeric drugs, polymer-protein conjugates, polymer-DNA complexes, polymer-drug conjugates or polymeric micelles.

Page 57: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Chemo mechanical polymer Chemo mechanical polymer drug delivery systemdrug delivery system

Chemomechanical polymers, developed by Professor Hans-Jorg Schneider and his team at the University of Saarland, Germany, have greatly improved functionality compared to existing expanding / contracting materials used to perform biomedical functions, and could be used in applications such as actuators, implants, drug release systems and drug screening.

Page 58: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

New polymer enables near zero order drug release

Cavilink TMd

Highly porous polymer micro bead

Page 59: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Advance technologies in modified release from dosage form

TIMERx MASRx & COSRx systems

Procise (comprised of a compression coated core) Drug Delivery Systems Based on Geometric Configuration

Ringcap Technology – tablets

Page 60: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Advance technologies in modified release from dosage form

Smartrix system – multiple layered tab. Novel Erosion-Controlled Oral Delivery SystemTheriform Technology – novel method of fabrication based on three dimensional printing, a solid freeform fabrication technology- implantsAccudep technology – layered capsules

Page 61: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

Advance technologies in modified release from dosage form

Threeform technology ,- Meltrex technology – melt extrusion process

Dissocubes –,IDD technology – insoluble drug delivery technology

Zydis oral fast dissolving dosage form. Orasolv & Durasolv – efficient

technologies for production of orally disintegrating tablets.

Page 62: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-

S.P.Vyas, R.K.Khar, Controlled drug delivery- concepts & advances., 1-50, 167

G.S.Banker, Modern Pharmaceutics, 3rd edition, 575 Chien Y.W., Novel fundamentals, developmental

concepts, biomedical assessments. Robinson & Lee, controlled drug delivery:

fundamentals and applications, 2nd edition. Donald L.Wise, Handbook of Pharmaceutical

controlled release technology, 443. Praveen Tyle , drug delivery devices: fundamentals

and applications, Marcel Dekker, 326-363, 376-382. James Swarbrick, James C. Boylan, Encyclopedia of

Pharmaceutical Technology, Marcel Dekker, III, 282, 297-311.

Page 63: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-

Remington: The Science and Practice of Pharmacy, 19th edition, 1660-1675

Leon Lachman, The Theory and Practice of Industrial Pharmacy, third edition, 453.

www.minimed.com www.glucowatch.com Talukdar M. M. , Kinget R., Swelling and drug

release behaviour of xanthan gum matrix tablets, Int. J. Pharm. 120 (1995) 63–72.

Al-Shamkhani A. and Duncan R. Int. J. Pharm. 122(1995) , 107.

Brown L., Edelman E., Fishel Ghodsian F. and Langer R. J.Pharm.Sci. 85 (1996), 1341.

Page 64: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-

Giannos S., Dinh S. and Berner B. J. Pharm. Sci. 84 (1995), 539.

Heller J. and Trescony P.V. J. Pharm. Sci. 68 (1979), 919.

Hoes C. J. Control. Rel. 38(1996),245. Kabanov A. and Alakhov V. J. Control. Rel. 28 (1994),

15. Kallstrand G. and Ekman B. J. Pharm. Sci. 68

(1976),325. Theeuwes F. and Bayne W. J. Pharm. Sci. 66 (1977),

1388. Yokayama M, Okano T., Sakurai Y. and Kataoka K.

J.Control. Rel. 32 (1994), 269. Michael J. Rathbone., Modified Release Drug Delivery

Technology, volume 126, Marcel Dekker., Pages 1, 216.

Page 65: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-

Joseph R. Robinson, Sustained release and controlled release drug delivery systems, volume 6,Marcel Dekker.

R.E. Notari, J. Pharm. Sci.,62, 865 (1973) G.L.Flynn, S.H. Yalkowsky and T.J. Roseman, J.

Pharm. Sci.,63, 479 (1974) S.Motycka and J.G.Naira, J. Pharm. Sci., 67, 500

(1978)

Page 66: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-

Theeuwes F. Elementary osmotic pump. J Pharm Sci. 1975;64:1987-1991.

Zentner GM, Rork GS, Himmelstein KJ. The controlled porosity osmotic pump. J Controlled Rel. 1985;1:269-282.

Swanson DR, Barclay BB, Wong PS, Theeuwes F. Nifedipine gastrointestinal therapeutic systems. Am J Med. 1987;83(suppl 6B):3-9.

Carrigan PJ, Bates TR. Biopharmaceutics of drug administered in lipid- containing dosage forms, part I: GI absorption of griseofulvin from an oil-in-water emulsion in the rat. J Pharm Sci. 1973;62:1477.

Noguchi T, Takahashi C, Kimura T, Muranishi S, Sezaki H. Mechanism of the intestinal absorption of drugs from oil-in-water emulsions. Chem Pharm Bull. 1975;23:775. 6. Constantinides PP. Lipid microemulsions for improving drug dissolution and oral absorption: physical and biopharmaceutical aspects. Pharm Res. 1995;12:156.

Page 67: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:-Wichterle O, Lim, D. Hydrophilic gels for biological use. Nature. 1960;185:117-118. Chen J, Blevins WE, Park H, Park K. Gastric retention properties of superporous hydrogel composites. J Controlled Rel. 2000;64:39-51. Shalaby WSW, Blevins WE, Park K. In vitro and in vivo studies of enzyme-digestible hydrogels for oral drug delivery. J Controlled Rel. 1992;19:131-144. Shalaby WSW, Blevins WE, Park K. The use of ultrasound imaging and fluoroscopic imaging to study gastric retention of enzyme-digestible hydrogels. Biomaterials. 1992;13:289-296. Drews J. Quest of Tomorrow's Medicines. New York, NY: Springer-Verlag; New York; 1999. Dorkoosh FA, Borchard G, Rafiee-Tehrani M, Verhoef JC, Junginger HE. Evaluation of superporous hydrogel (SPH) and SPH composite in porcine intestine ex-vivo: assessment of drug transport, morphology effect, and mechanical fixation to intestinal wall. Eur J Pharm Biopharm. 2002;53:161-166.

Page 68: Introduction Mechanisms of controlled release Intelligent controlled release DDS Examples Recent advances References

References:- Dorkoosh FA, Verhoef JC, Borchard G, Rafiee-Tehrani M, Junginger

HE. Development and characterization of a novel peroral peptide drug delivery system. J Controlled Rel. 2001;71:307-318.

Dorkoosh FA, Verhoef JC, Ambragts MHC, Rafiee-Tehrani M, Borchard G, Junginger HE. Peroral delivery systems based on superporous hydrogel polymers: release characteristics for the peptide drugs buserelin, octreotide, and insulin. Pharm Sci. (In press).

Dorkoosh FA, Verhoef JC, Verheijden JHM, Rafiee-Tehrani M, Borchard G, Junginger HE. Peroral absorption of octreotide in pigs formulated in delivery systems based on superporous hydrogel polymers. Pharm Res. (in press).

Chang R-K, Guo X, Burnside BA, Couch RA. Fast-dissolving tablet. Pharm Technol. 2000;24(6):52-58.

Kallmes DF, Fujiwara NH, Max WF. Angiographic and histologic evaluation of an expandable hydrogel material for aneurysm embolization. Paper 107 presented at the 37th Annual meeting of the American Society of Neuroradiology, April 2-8, 2002; Dallas.

Ciceri EF, Dickerson J, Klueznik RP, Moret J, Mawad ME. Embolization of experimental porcine aneurysms with a combination platinum coils and hydrogel material. Paper 106 presented at 37th Annual Meeting of the American Society of Neuroradiology, April 2-8, 2002; Dallas.