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ISSN- 0975-1491
ReviewArticle
INSITUGELLINGOPHTHALMICDRUGDELIVERYSYSTEM:ANOVERVIEW
*K.S.RATHORE
ReaderinPharmaceutics,B.N.GirlsCollegeofPharmacy,UdaipurRaj.313002Email:kamalsrathore@gmail.com;
kamalsrathore@yahoo.com
Received:29July2010,RevisedandAccepted:30August2010
ABSTRACT
Eyeisthemostvitalorganofbody.Theusualophthalmicdosageformsareaccountfor90%ofcurrentlyaccessibleophthalmicformulations.The
majortroubleencounteredisquickprecorneldrugloss.Toimproveophthalmicdrugbioavailability,thereareconsiderableeffortsdirectedtowards
newer drug delivery systems for ophthalmic administration. Newer research in ophthalmic drug delivery systems is directed towards a
amalgamationofseveraldrugdeliverytechnologies,thatincludestobuildupsystemswhichisnotonlyextendthecontacttimeofthevehicleatthe
ocularsurface,butwhichatthesametimeslowdowntheremovalofthedrug.Therearevariousnewdosageformslikeinsitugel,collagenshield,
minidisc, ocular film, ocusert, nanosuspension, nanoparticulate system, liposomes, niosomes, dendrimers, ocular iontophoresis etc. Conventional
delivery systems often result in poor bioavailability and therapeutic response because high tear fluids turn over and dynamics cause rapid
eliminationofthedrugfromtheeyes.So,toovercomebioavailabilityproblems,ophthalmicinsitugelsweredeveloped.
Keywords: Insitu gel, Novel ocular drug delivery system, pHtriggered insitu system, Ionactivated insitu system, Temperature evident insitu
system,Soltogel.
INTRODUCTION
The main aim of pharmacotherapeutics is the attainment of an
effective drug concentration at the intended site of action for a
sufficient period of time to elicit the response. A major problem
being faced in ocular therapeutics is the attainment of an optimal
concentrationatthesiteofaction.Poorbioavailabilityofdrugsfrom
ocular dosage forms is mainly due to the tear production, non
productiveabsorption,transientresidencetime,andimpermeability
ofcornealepithelium1.
morethan2%ofthemedicationintroducedtotheeyewillactually
beabsorbed.
Bindingbythelachrymalproteins.
Drainageoftheinstilledsolutions;
Lachrimationandtearturnover;
Limitedcornealareaandpoorcorneal
Metabolism;
Nonproductiveabsorption/adsorption;
Tearevaporationandpermeability;
Fig.1:Modeldepictingprecornealandoculardrugmovement
fromtopicalinstilleddose
The rest will be washed away and absorbed through the
nasolacrimal duct and the mucosal membranes of the nasal,
oropharyngeal,andgastrointestinaltract.Fortheremainingportion,
the main biological barrier to penetration is represented by the
cornea, which is very effective. The human cornea is composed of
fivetissuetypeswiththreeofthem,theepithelium,theendothelium,
andtheinnerstroma,beingthemainbarrierstoabsorption5.
VARIOUSAPPROACHESOFINSITUGELATION
Ideally, an insitu gelling system should be a low viscous, free
flowingliquidtoallowforreproducibleadministrationtotheeyeas
drops, and the gel formed following phase transition should be
strong enough to with stand the shear forces in the culdesac and
demonstrated long residence times in the eye. In order to increase
theeffectivenessofthedrugadosageformshouldbechosenwhich
increases the contact time of the drug in the eye. This may then
prolonged residence time of the gel formed in situ along with its
abilitytoreleasedrugsinsustainedmannerwillassistinenhancing
thebioavailability,reducesystemicabsorptionandreducethe need
for frequent administration leading to improved patient
compliance6.
Rathoreetal.
Fig.2:Schematicrepresentationoftheviscositychangeonthe
ocularsurfacewhenusingophthalmicinsitugellingsystems.
These(liquid)vehiclesundergoaviscosityincreaseuponinstillation
in the eye, thus favouring precorneal retention. Such a change in
viscositycanbetriggeredmainlybyachangeintemperature,pHor
electrolytecomposition.
pHtriggered insitu gelation: Polyacrylic acid (Carbopol 940) is
used as the gelling agent in combination with hydroxypropyl
methylcellulose (Methocel E50LV) which acted as a viscosity
enhancing agent. The formulation with pHtriggered insitu gel is
therapeutically efficacious, stable, nonirritant and provided
sustained release of the drug for longer period of time than
conventionaleyedrops.Anotherexamplecelluloseacetatephthalate
(CAP)isapolymerundergoingcoagulationwhentheoriginalpH of
thesolution(4.5)israisedto7.4bythetearfluid79.
Temperaturetriggeredinsitugel:Thesystemisdesignedtouse
Poloxamerasavehicleforophthalmicdrugdeliveryusinginsitugel
formation property. The gelation temperature of graft copolymers
can be determined by measuring the temperature at which
immobility of the meniscus in each solution was first noted. The
bioadhesive and thermally gelling of these graft copolymers
expected to be an excellent drug carrier for the prolonged delivery
to surface of the eye. Other example Poloxamer407 (a
polyoxyethylenepolyoxypropylene block copolymer, Pluronic F
127)isapolymerwithasolutionviscositythatincreaseswhenits
temperatureisraisedtotheeyetemperature1011.
Ionactivated insitu gelation: Alginate (Kelton) is used as the
gelling agent in combination with HPMC (Methocel E50Lv) which
acted as a viscosityenhancing agent. Gelrite gellan gum, a novel
ophthalmic vehicle that gels in the presence of mono or divalent
cations, present in the lachrymal fluid can be used alone and in
combinationswithsodiumalginateasthegellingagent1213.
Workedreviewedinthefieldofinsitugel:
Overthelastdecades,animpressivenumberofnoveltemperature,
pH,andioninducedinsituformingsolutionshavebeendescribedin
the literature. Each system has its own advantages and drawbacks.
IntJPharmPharmSci,Vol2,Suppl4,3034
Rathoreetal.
IntJPharmPharmSci,Vol2,Suppl4,3034
Rathoreetal.
basedontheconceptofpHtriggeredinsitugelation.Polyacrylicacid
(Carbopol 940) was used as the gelling agent in combination with
hydroxypropylmethyl cellulose (Methocel E50LV) which acted as a
viscosity enhancing agent. The developed formulation was
therapeutically efficacious, stable, nonirritant and provided
sustained release of the drug over an 8h period. The developed
systemisthusaviablealternativetoconventionaleyedrops9.
Kaur,I.P., et al., (2000),In order to enhance the bioavailability of
the drug, contact time between the drug molecules and the ocular
surface was increased using high viscosity, water soluble polymers
(PVA, HPMC), and by incorporating acetazolamide into an in situ
forming ophthalmic drug delivery system. Moreover, a penetration
enhancer(EDTA)wasalsousedintheseformulationstoincreasethe
extentofabsorptionofthedrug.Acetazolamideataconcentrationof
10% was used and the formulations (eye drop suspensions) were
evaluated for their in vitro release pattern. The effect of these
formulationsontheIOPinnormotensiveconsciousrabbitswasalso
investigated. These formulations were found to be therapeutically
effective with apeak effectat 2h. AfallinIOP of upto 46.4% was
observed with repeated administration of one of the formulation
containingPVA,EDTAandTween80(MK5).Resultsindicatedthat
atopicaleffectofacetazolamidecanbeobservediftheformulation
(a)containsasuitablepolymertoincreasetheresidencetime;(b)a
penetration enhanceras acetazolamide has a low permeability
coefficient6i.e.4.
Vadnere, et al., (1984), studied a number of pluronic polyols
with the aim of determining factors, which influence the
transitiontemperatureofthehydrogels.Allthepluronicpolyols
studied showed endothermic enthalpy change for the solgel
process 27.
Evaluationsofinsitugelsystem
Thepreparedinsitugelformulationswereevaluatedforclarity,pH
measurement, gelling capacity, drug content, rheological study, in
vitrodiffusionstudy,isotonicity,antibacterialactivity,invivoocular
testinginrabbitsandacceleratedstabilitystudies.ThepHofinsitu
gel solution was found to be 7.4 for all the formulations. The
formulation should have an optimum viscosity that will allow for
easy instillation into the eye as a liquid (drops), which would
undergoarapidsoltogeltransition(triggeredby pH,temperature
orionexchange).
Physicalparameters
The formulated insitu gel solution is tested for clarity, pH, gelling
capacity,anddrugcontentestimation.
Gellingcapacity
The gelling capacity of the prepared formulation is determined by
placing a drop of the formulation in a vial containing 2.0 ml of
freshly prepared simulated tear fluid and visually observed. The
timetakenforitsgellingisnoted7,28.
Rheologicalstudies
The viscosity measurements can be calculated using Brookfield
viscometer, Cone and Plate viscometer. The insitu gel
formulations were placed in the sampler tube. From the
literature it was evident that, the formulation before gelling
should have a viscosity of 5 to 1000 mPas. And after ion gel
activation by the eye, will have a viscosity of from about 50
50,000 mPas 10, 13. The samples are analyzed both at room
temperature at 25C and thermostated at 37C 0.5C by a
circulating bath connected to the viscometer adaptor prior to
each measurement. The angular velocity of the spindle was
increased 20, 30, 50, 60, 100, 200 and the viscosity of the
formulation is measured. All the formulations exhibited
Newtonian and pseudoplastic flow characteristics before and
aftergellinginthesimulatedtearfluidrespectively 6,29.
Invitrodrugreleasestudies
Invitroreleasestudyofinsitugelsolutionwascarriedoutbyusing
Franz diffusion cell. The formulation placed in donor compartment
IntJPharmPharmSci,Vol2,Suppl4,3034
andfreshlypreparedsimulatedtearfluidinreceptorcompartment.
Between donor and receptor compartment dialysis membrane is
placed (0.22m pore size). The whole assembly was placed on the
thermostaticallycontrolledmagneticstirrer.Thetemperatureofthe
medium was maintained at 37C 0.5C. 1ml of sample is
withdrawnatpredeterminedtimeintervalof1hrfor6hrsandsame
volume of fresh medium is replaced. The withdrawn samples are
diluted to 10ml in a volumetric flask with respective solvent and
analyzed by UV spectrophotometer at respective nm using reagent
blank. The drug content calculated using the equation generated
from standard calibration curve. The % cumulative drug release
(%CDR)calculated. The data obtained isfurther subjected tocurve
fitting for drug release data. The best fit model is checked for
Krosmeyers Peppas and Fickinian diffusion mechanism for their
kinetics7.
Textureanalysis
The consistency, firmness and cohesiveness of insitu gel are
assessed by using texture profile analyzer which mainly indicated
gelstrengthandeasinessinadministrationinvivo.Highervaluesof
adhesivenessofgelsareneededtomaintainanintimatecontactwith
mucussurface30.
Isotonicityevaluation
Isotonicity is important characteristic of the ophthalmic
preparations. Isotonicity has to be maintained to prevent tissue
damage or irritation of eye. All ophthalmic preparations are
subjected to isotonicity testing, since they exhibited good release
characteristics and gelling capacity and the requisite viscosity.
Formulations are mixed with few drops of blood and observed
undermicroscopeat45Xmagnificationandcomparedwithstandard
marketedophthalmicformulation31.
Drugpolymerinteractionstudyandthermalanalysis
Interaction study can be performed with Fourier Transform Infra
Red (FTIR) spectroscopy. Duringgelationprocess thenature of the
interacting forces can be evaluated using the technique by
employing KBr pellet method. Thermo gravimetric Analysis (TGA)
canbeconductedforinsituformingpolymericsystemtoquantitate
the percentage of water in hydrogel. Differential Scanning
calorimetry(DSC)conductedtoobserveifthereareanychangesin
thermograms as compared with pure active ingredients used for
gelation30.
Antibacterialactivity
The microbiological growth of bacteria is measured by
concentration of antibiotics and this has to be compared with that
produced by known concentration of standard preparation of
antibiotic. To carryout microbiological assay serial dilution method
isemployed32.
Ocularirritancytest
The Draize irritancy test was designed for the ocular irritation
potentialoftheophthalmicproductpriortomarketing.According
to the Draize test, the amount of substance applied to the eye is
normally 100l placed into the lower culdesac with observation
ofthevariouscriteriamadeatadesignedrequiredtimeintervalof
1hr, 24hrs, 48 hrs, 72hrs, and 1week after administration. Three
rabbits (male) weighing 1.5 to 2kg are used for the study. The
sterile formulation is instilled twice a day for a period of 7 days,
andacrossoverstudyiscarriedout(a3daywashingperiodwith
saline was carried out before the crossover study). Rabbits are
observed periodically for redness, swelling, watering of the
eye 33,34.
Acceleratedstabilitystudies
Formulations are placed in ambient colour vials and sealed with
aluminiumfoilforashorttermacceleratedstabilitystudyat402C
and 755% RH as per International Conference on Harmonization
(ICH) states Guidelines. Samples are analyzed every month for
clarity,pH,gellingcapacity,drugcontent,rheologicalevaluation,and
invitrodissolution31.
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Rathoreetal.
Statisticalanalysis
The results obtained from the experiments of mucoadhesive
strength and release studies were analysed statistically using
multivariate tests. A statistically significant difference was
conducted by using various SPSS software and difference was
consideredtobesignificantatP<0.05.
CONCLUSION
Ophthalmicdrugdeliverysystemisburgeoningfieldinwhichmost
oftheresearchersaretakingchallengestocombatvariousproblems
relatedtothisdelivery.Steadyadvancementintheunderstandingof
principles and processes governing ocular drug absorption and
disposition and continuing technological advances have surely
brought some improvements in the efficacy of ophthalmic delivery
systems.Theprimaryrequirementofasuccessfulcontrolledrelease
product focuses on increasing patient compliance which the insitu
gelsoffer.Exploitationofpolymericinsitugelsforcontrolledrelease
ofvariousdrugsprovidesanumberofadvantagesoverconventional
dosage forms. Sustained and prolonged release of the drug, good
stability and biocompatibility characteristics make the in situ gel
dosageformsveryreliable.Useofbiodegradableandwatersoluble
polymers for the insitu gel formulations can make them more
acceptableandexcellentdrugdeliverysystems3435.
Insitu activated gelforming systems seem to be favoured as they
can be administered in drop form and produce appreciably less
inconveniencewithvision.Moreover,theyprovidebettersustained
release properties than drops. This type of dosage forms are used
now a day in combat glaucoma, dry eye syndrome, Sjogrens
syndrome,ARMD,trachomaetc.3637.
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