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Development and evaluation of gastroretentive norfloxacin floating tablets

Development and evaluation of gastroretentive norfloxacin floating tablets Acta Pharm. 59 (2009) 211­221 10.2478/v10007-009-0019-6 Original research paper RAMESH BOMMA1,2 RONGALA APPALA SWAMY NAIDU2 MADHUSUDAN RAO YAMSANI1 KISHAN VEERABRAHMA1* 1 University College of Pharmaceutical Sciences, Kakatiya University Warangal-506009 (A.P.), India Pharma Ltd., Kotthur Mahaboobnagar District, India 2Natco Floating matrix tablets of norfloxacin were developed to prolong gastric residence time, leading to an increase in drug bioavailability. Tablets were prepared by the wet granulation technique, using polymers such as hydroxypropyl methylcellulose (HPMC K4M, HPMC K100M) and xanthan gum. Tablets were evaluated for their physical characteristics, viz., hardness, thickness, friability, and mass variation, drug content and floating properties. Further, tablets were studied for in vitro drug release characteristics for 9 hours. The tablets exhibited controlled and prolonged drug release profiles while floating over the dissolution medium. Non-Fickian diffusion was confirmed as the drug release mechanism from these tablets, indicating that water diffusion and polymer rearrangement played an essential role in drug release. The best formulation (F4) was selected based on in vitro characteristics and was used in vivo radiographic studies by incorporating BaSO4. These studies revealed that the tablets remained in the stomach for 180 ± 30 min in fasting human volunteers and indicated that gastric retention time was increased by the floating principle, which was considered desirable for the absorption window drugs. Keywords: norfloxacin, floating tablets, gastric residence time, gastroretentive drug delivery system Accepted April 22, 2009 Using current release technology, oral delivery for 24 h is possible for many drugs; however, the substance must be well absorbed throughout the whole gastrointestinal tract. A significant obstacle may arise if there is a narrow window for drug absorption in the gastrointestinal tract (GIT), if a stability problem exists in gastrointestinal fluids, or the drug is poorly soluble in the intestine or acts locally in the stomach. Thus, the real issue in the development of oral controlled release dosage forms is not just to prolong the delivery of the drugs for more than 12 h, but to prolong the presence of the dosage * Correspondence; e-mail: vbkishan@yahoo.com R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. forms in the stomach or somewhere in the upper intestine until all of the drug is released over the desired period of time (1). Controlled gastric retention of solid dosage forms may be achieved by the mechanisms of floating systems, swelling and expanding systems, bioadhesive systems, modified shape systems, high density systems or other delayed gastric emptying devices. The principle of buoyant preparation offers a residence time for the dosage form and sustained drug release (2). The various buoyant preparations include microballoons, granules, powders, capsules, tablets, and laminated films (2). Based on the mechanism of buoyancy, two distinctly different technologies, i.e., non-effervescent and effervescent systems, have been utilized in the development of floating systems. Non-effervescent systems commonly use gel-forming or highly swellable cellulose type hydrocolloids, polysaccharides and matrix forming polymers such as polycarbonate, polyacrylate, polymethacrylate, and polystyrene. Effervescent systems utilize matrices prepared with swellable polymers such as methocel or chitosan and effervescent compounds, e.g., sodium bicarbonate and citric or tartaric acid (3), or matrices containing chambers of liquid that gasify at body temperature (4). Chavampatil et al. (5) have developed the gastroretentive drug delivery system (GRDDS) for ofloxacin with different polymers such as psyllium husk, HPMC K100M, crosspovidone and their combinations in order to get the desired sustained release profile over a period of 24 h. Varshosaz et al. (6) developed ciprofloxacin floating and bioadhesive extended release tablets to increase the duration of the drug presence in its absorption area. Norfloxacin is a flouroquinolone, broad spectrum antibiotic, and is used in the treatment of urinary tract infections, prostatitis and gonorrhea. Norfloxacin is least absorbed from the lower part of the gastrointestinal tract and is better absorbed from the stomach. This drug has a repetitive dose schedule (400 mg twice daily) (7), short biological half-life (3­4 h) (8, 9) and reduced bioavailability (30­40 %) (9). Thus, norfloxacin is a candidate for the development of a gastroretentive drug delivery system. In this work, the details of formulation development and evaluation of floating tablets of norfloxacin are described. EXPERIMENTAL Materials Norfloxacin was a generous gift sample from Dr. Reddy's Labs, India. Hydroxypropyl methylcellulose (HPMC K4M and HPMC K100M) and xanthan gum were purchased from Colorcon Asia Pvt. Ltd, and Kanwarlal Industries, India, respectively. All other chemicals used were of analytical grade. Development of tablets Accurately weighed quantities (as specified in Table I) of norfloxacin, HPMC K4M, HPMC K100M, xanthan gum and sodium bicarbonate were passed through a 0.425-mm sieve to get uniform size particles, then they were mixed geometrically for 5 to 10 min212 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table I. Ingredients (mg) of norfloxacin floating tablets HPMC K4M 160 140 100 120 ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ HPMC K100M ­ ­ ­ ­ 120 100 90 80 70 ­ ­ ­ ­ ­ ­ ­ Xanthan gum ­ ­ ­ ­ ­ ­ ­ ­ ­ 140 100 80 80 100 140 130 Sodium bicarbonate 100 100 100 100 80 80 80 80 80 120 120 120 120 120 120 120 Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 F14 F15 F16 DCP 10 20 55 35 5 25 35 45 55 55 95 115 65 45 5 15 PVPK-30 15 25 30 30 30 30 30 30 30 20 20 20 20 20 20 20 Lactose ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ 50 50 50 50 All the tablets contain 400 mg norfloxacin, 7 mg magnesium stearate and 8 mg talc. HPMC ­ hydroxypropyl methylcellulose, PVP ­ polyvinyl pyrrolidone, DCP ­ dicalcium phosphate utes and the mixture was placed in a polyethylene bag and further mixed for 5 minutes to ensure a homogeneous mass. Accurately weighed quantity of PVPK-30 was dissolved in isopropyl alcohol (IPA) to prepare a binder solution. The binder solution was added to the dry blend gradually with constant kneading to form a homogeneous mass. The dough mass was passed through a 2.0-mm sieve and the granular mass was allowed to dry at room temperature. The granules were passed through a 1.18-mm sieve. These granules were lubricated with magnesium stearate and talc and compressed into tablets using a 16-station punching machine (Rimek, India). The tablets were oblong of 16 mm length and a thickness of 5.9­6.1 mm. Characterization of floating tablets The prepared floating tablets were evaluated for mass uniformity (20 tablets), hardness (6 tablets) was measured by a hardness tester (Erweka tester, Germany), thickness (10 tablets) was measured using a vernier caliperse (Mitutoyo Corporation, Japan) and friability was determined (10 tablets) using a Roche friabilator (Germany). The drug content in each formulation was determined by triturating 10 tablets and a quantity of powder equivalent to the mass of one tablet was transferred into a 100-mL volumetric flask. To this, 50 mL of 0.1 mol L­1 HCl was added and then the solution was subjected to sonication for about 2 h. The solution was made up to the mark with 0.1 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. mol L­1 HCl, filtered and suitable dilutions were prepared with 0.1 mol L­1 HCl. The drug content was estimated by recording absorbance at 278 nm by using a UV-Visible spectrophotometer (Shimadzu U.V. ­ 2201, Japan). In vitro buoyancy studies The in vitro buoyancy was determined by the floating lag time. The tablets were placed in a 100-mL beaker containing 0.1 mol L­1 HCl. The time required for the tablet to rise to the surface for floating was determined as the floating lag time and further floating duration of all tablets was determined by visual observation. In vitro drug release studies The in vitro drug release studies were conducted using the USP 28 type II (10) (paddle) dissolution apparatus (TDT-06T, Electrolab, India). Hydrochloric acid (pH 1.2), 750 mL, was used as medium. The study was conducted at 37 ± 0.5 °C and at paddle rotation of 50 rpm. Samples of 5 mL were collected at predetermined time intervals and replaced with fresh hydrochloric acid. The samples were filtered and diluted and the drug content in the samples was estimated at 278 nm. Mathematical models, zero-order, first-order, Higuchi and Peppas were applied to analyze the release mechanism and pattern (11­13). Tablets for in vivo radiographic studies Tablets of 6.103 ± 0.012 mm thickness and of 700 ± 4 mg mass were prepared. To make the tablet X-ray opaque, incorporation of BaSO4 was necessary. For this purpose, 100 mg of the drug was replaced with BaSO4 (100 mg BaSO4 + 300 mg norfloxacin) and all other ingredients were kept constant. The tablets were characterized for hardness, floating lag time and floating duration. In vivo radiographic studies The protocol of radiographic studies on healthy human volunteers was approved by the Human Ethical Committee, University College of Pharmaceutical Sciences, Kakatiya University, India. The study was conducted on four healthy male volunteers, weighing between 55­75 kg and in the age group of 25 ± 2 years. The tablets prepared for radiography (F4) were administered orally with a glass of water. During the study, the subjects were not allowed to eat but water was available ad libitum. After ingestion of F4 floating tablets containing barium sulphate, the volunteers were exposed to X-ray photography in the abdominal region. The X-ray photographs were taken at 0.5, 1.5, 3, 4 and 5 h after administration of the tablets. The mean gastric residence time was calculated. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. RESULTS AND DISCUSSION Characterization of tablets The hardness of formulations F2-F16 was found to be between 8­8.6 kg cm­2, except for F1 with hardness of 9.6 ± 0.2 kg cm­2, indicating satisfactory mechanical strength. The thickness of prepared formulations was between 5.9 and 6.1 mm. The friability was in the range of 0.14­0.27 % for all the formulations, which was an indication of good mechanical resistance of the tablet. The average drug content of tablets (n = 10) varied between 95.5 and 98.9 %, indicating content uniformity of the prepared formulations. In vitro buoyancy studies Norfloxacin tablets were prepared using polymers such as HPMC K4M, HPMC K100M and xanthan gum. Formulations F1-F4, F5-F9 and F10-F16 were prepared with HPMC K4M, HPMC K100M and xanthan gum, respectively. Sodium bicarbonate was added as a gas generating agent. Whitehead et al. (14) have demonstrated good correlation between in vitro and in vivo buoyancy of floating dosage forms. In this study, penetration of water into tablets prepared with xanthan gum was rather slow, causing delayed gel formation and subsequent increase in the floating lag time compared to the tablets prepared with HPMC K4M and HPMC K100M. The best formulation (F4) showed a floating lag time of 35 ± 4 s, hardness of 8.04 ± 0.19 kg, thickness of 6.09 ± 0.01 mm, friability of 0.21 %, content uniformity of 97.3 ± 0.9 % and mass variation of 700 ± 3 mg. Further, it also showed a drug release of 94.3 ± 1.5 % over 9 h. The floating lag time and duration of floating for the tablets are given in Table II. In general, all the prepared tablets floated for 24 h. In vitro dissolution studies The pharmacokinetic parameters of norfloxacin were used to calculate a theoretical drug release profile for a 12-h dosage form (15). The in vitro drug release studies revealed that formulations F1, F2 and F4 showed a release of 69.5, 82.1 and 94.3 %, respectively, in 9 h (Fig. 1a). Formulation F3 showed maximum drug release of 96.5 % in 8 h. The variation in drug release was due to different polymer concentrations in all the four formulations. The immediate release part for sustained release of norfloxacin was calculated and was found to be 77.8 mg (19.5 %) of the drug in 1 hour. It is expected that the developed formulation should have the following theoretical drug release profile, i.e., 20 to 25 % in 1 h, 25 to 45 % in 2 h, 55 to 75 % in 4 h, 65 to 85 % in 6 h and 85 % after 8 h. Formulations F1-F3 failed to meet the needed theoretical drug release profile. Formulation F4 met the needed theoretical drug release profile and floated with a lag time of 35 s; for these reasons, it was considered the best formulation among all the four formulations of this series. Formulations F5-F9, composed of HPMC K100M, showed a release of 60.4, 76.0, 83.7, 87.4 and 96.5 % in 9 h, respectively (Fig. 1b). These variations in drug release were due to changes in polymer concentrations of the tablets. However, formulations F5-F8 failed to meet the required theoretical drug release profile. Formulation F9 met the de215 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. sired theoretical drug release profile and floated with a lag time of 25 s. It was, therefore, considered the best formulation among all the five formulations of this series. Drug release profiles of formulations F10-F16, composed of xanthan gum, are shown in Fig. 1c. The percentage of drug released from formulations F10, F11 and F12 was 66.8, 74.3 and 77.3, respectively, in 9 h. This variation was considered to be due to different polymer concentrations in formulations. Further, these three formulations failed to meet the required theoretical drug release profile. In addition, these formulations showed very long floating lag times. To reduce the floating lag time, lactose was added to the remaining formulations. Formulations F13-F16, composed of xanthan gum and varying ratios of lactose, showed a drug release of 98.6 (5 h), 96.3 (7 h), 85.7 (9 h) and 93.4 (9 h), respectively. Further, formulations F13-F15 failed to meet the needed theoretical drug release profile. However, formulation F16 met the theoretical drug release profile and floated with a lag time of 570 s. Therefore, formulation F16 was considered the best formulation among all the seven formulations of this series. After incorporation of lactose, the drug release was increased due to the capillary action of lactose, which facilitated higher drug release without affecting the matrix. t50 (time required for releasing 50 % of the drug) and DE (%) (dissolution efficiency) are the parameters used to compare the relative efficacy of dosage forms. Decreasing the content of polymers such as HPMC and xanthan gum in tablets, reduced t50 but increased the DE (%) (Table II). a) F1 F3 F2 b) F5 F7 F6 F8 F4 F9 0 0 0 2 4 Time (h) 6 8 10 0 2 4 Time (h) 6 8 10 c) F10 F12 F14 F16 F11 F13 F15 0 0 2 4 Time (h) 6 8 10 Fig. 1. Drug release profiles of norfloxacin floating tablets prepared with: a) HPMC K4M; b) HPMC K100M and c) xanthan gum (mean ± SD, n = 3). R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table II. Physical properties, dissolution efficiency DE and t50 Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 F14 F15 F16 Floating lag timea 70 ± 8 55 ± 8 60 ± 4 35 ± 4 50 ± 2 35 ± 1 30 ± 2 25 ± 2 25 ± 2 1860 ± 29 1500 ± 24 1380 ± 16 510 ± 4 540 ± 10 600 ± 11 570 ± 4 Duration of floatinga 23.65 ± 0.25 24.05 ± 0.30 23.30 ± 0.22 23.45 ± 0.16 24.25 ± 0.15 24.10 ± 0.35 23.35 ± 0.19 24.40 ± 0.10 23.45 ± 0.20 23.35 ± 0.27 23.50 ± 0.26 24.20 ± 0.19 23.37 ± 0.29 23.40 ± 0.09 23.35 ± 0.15 23.45 ± 0.12 DE (%)a 69.7 ± 0.9 82.1 ± 1.3 96.5 ± 1.2 94.3 ± 1.9 60.4 ± 2.1 76.0 ± 0.7 83.7 ± 2.1 87.4 ± 1.0 96.5 ± 0.8 66.8 ± 1.8 74.3 ± 1.2 77.8 ± 2.4 b c t50 (h)a 5.46 ± 0.04 4.86 ± 0.11 3.10 ± 0.07 3.16 ± 0.04 6.30 ± 0.10 5.16 ± 0.02 4.88 ± 0.03 4.20 ± 0.07 2.98 ± 0.18 5.82 ± 0.18 5.28 ± 0.04 4.80 ± 0.18 1.94 ± 0.19 2.22 ± 0.06 3.77 ± 0.18 3.06 ± 0.09 85.7 ± 1.6 93.4 ± 1.6 a Mean ± SD, n = 3. b 98.6 % of the drug was released in 5 h. c 96.3 % of the drug was released in 7 h. Among several methods investigated for dissolution profile comparison, the f2 factor is the simplest and most applicable. Moore et al. (16) proposed a model independent mathematical approach to compare dissolution profiles using two factors, f1 and f2. FDA (17) has set a public standard of f2 value between 50 and 100 to indicate similarity between two dissolution profiles. Optimized formulations from each series (F4, F9 and F16) showed similar in vitro drug release profiles to that of the theoretical drug release profile, which was evident from the calculated factors f1 and f2 values (F4: f1 = 7 and f2 = 66, F9: f1 = 9 and f2 = 63, F16: f1 = 9 and f2 = 63). Drug release kinetics The tablet containing a polymeric matrix builds, on contact with water, a gel layer around the tablet core, which governs the drug release. It is known that the drug release from HPMC matrices is controlled for water soluble drugs by diffusion through the gel layer or, for poorly soluble drugs, by erosion of the outer polymer chains (18). Hence, the kinetics of swelling is important because the gel barrier is formed with water penetration. The drug release rate kinetics was calculated for zero order, first order and Higuchi models (Table III). R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table III. Correlation coefficient (R2) and release exponent (n) values for different kinetic models Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F 10 F 11 F 12 F 13 F 14 F 15 F 16 Zero-order 0.9819 0.9862 0.9321 0.9582 0.9794 0.9897 0.9875 0.9843 0.9492 0.9743 0.9828 0.9723 0.9766 0.9428 0.9561 0.9421 First-order 0.9887 0.9562 0.9732 0.9683 0.9959 0.9927 0.9452 0.9790 0.9531 0.9983 0.9910 0.9811 0.8694 0.9428 0.9686 0.9900 Higuchi 0.9413 0.9578 0.9565 0.9820 0.9808 0.9629 0.9552 0.9522 0.9628 0.9768 0.9696 0.9832 0.9744 0.9973 0.9892 0.9841 n 0.9537 0.7995 0.4596 0.7371 0.916 0.8975 0.803 0.7981 0.7334 0.7547 0.7845 0.6487 0.5464 0.5701 0.6341 0.6828 Drug diffusion through most types of polymeric systems is often best described by Fickian diffusion, but in addition to diffusion, other processes are also important. There is also relaxation of the polymer chains that influences the drug release mechanisms. This process is described as non-Fickian or anomalous diffusion. Release from initially dry, hydrophilic glassy polymers, that swell when added to water and become rubbery, shows anomalous diffusion as a result of the arrangement of macromolecular chains. The thermodynamic state of the polymer and the penetrant concentration are responsible for the different types of diffusion. A third class of diffusion is case II diffusion, which is a special case of non-Fickian diffusion (13). A simple semiempirical equation can be used to analyze data of controlled release of water-soluble drugs from polymer matrices. This equation predicts the mechanism of diffusional release (12): Mt = btn M where Mt is the amount of the drug released at time t, M is the overall amount of the drug (whole drug), b is the constant incorporating structural and geometric characteristics of the controlled release device and n is the release exponent indicative of the drug release mechanism. For tablets of a known geometry (in this case a slab) n = 0.5 means Fickian diffusion, 0.5 < n < 1.0 non-Fickian diffusion, and n = 1.0 case II diffusion (13). Regarding the n values calculated for the studied tablets (Table III), in most cases a non-Fickian mechanism was found to be predominant, which indicated that water diffusion as well as polymer rearrangement played an essential role in drug release. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. The passage of a water-soluble drug through the hydrated gel layer around the matrix tablet is approximately dependent on the square root of time and can be described in the following form (11): Qt = kt1/2 where Qt is the amount of the drug released in time t, k is the kinetic constant. Intra-gastric behavior of floating tablets The BaSO4-containing floating tablets showed a floating lag time of 125 ± 5 s, hardness of 8.16 ± 0.02 kg cm­2 and thickness of 6.103 ± 0.012 mm. The tablets were clearly seen in the GIT at different positions during the study (Fig. 2). The average residence time was found to be 180 ± 30 min (n = 4). Fig. 2. Radiographic images showing the presence of a BaSO4-loaded floating tablet in the stomach at different time periods (the tablet is indicated with an arrow). The tablet altered its position in the stomach. Images were taken after: a) 0.5 h, b) 1.5 h, c) 3 h, and d) 4 h, after tablet administration. CONCLUSIONS Systematic studies were conducted using three different polymers in different concentrations to prepare norfloxacin floating tablets. Optimized formulations F4 and F9 with HPMC floated with a lag time of less than 1 minute and continued to float for 24 h. Formulation F16, with xanthan gum, floated with a lag time of 9 min and continued to float for 24 h. Floating lag time of xanthan gum tablets was reduced by using lactose. In vivo radiographic studies revealed that F4 tablets remained in the stomach for 180 ± 30 min, which indicated that GRT was increased by the floating principle and was considered desirable for improving bioavailability of the absorption window drugs. Acknowledgements. ­ One of the authors, Mr. Ramesh Bomma, acknowledges the financial support received from AICTE, New Delhi, India. The authors acknowledge M/s Natco Pharma Ltd, Mahaboobnagar District for providing the necessary facilities. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Pharmaceutica de Gruyter

Development and evaluation of gastroretentive norfloxacin floating tablets

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Abstract

Acta Pharm. 59 (2009) 211­221 10.2478/v10007-009-0019-6 Original research paper RAMESH BOMMA1,2 RONGALA APPALA SWAMY NAIDU2 MADHUSUDAN RAO YAMSANI1 KISHAN VEERABRAHMA1* 1 University College of Pharmaceutical Sciences, Kakatiya University Warangal-506009 (A.P.), India Pharma Ltd., Kotthur Mahaboobnagar District, India 2Natco Floating matrix tablets of norfloxacin were developed to prolong gastric residence time, leading to an increase in drug bioavailability. Tablets were prepared by the wet granulation technique, using polymers such as hydroxypropyl methylcellulose (HPMC K4M, HPMC K100M) and xanthan gum. Tablets were evaluated for their physical characteristics, viz., hardness, thickness, friability, and mass variation, drug content and floating properties. Further, tablets were studied for in vitro drug release characteristics for 9 hours. The tablets exhibited controlled and prolonged drug release profiles while floating over the dissolution medium. Non-Fickian diffusion was confirmed as the drug release mechanism from these tablets, indicating that water diffusion and polymer rearrangement played an essential role in drug release. The best formulation (F4) was selected based on in vitro characteristics and was used in vivo radiographic studies by incorporating BaSO4. These studies revealed that the tablets remained in the stomach for 180 ± 30 min in fasting human volunteers and indicated that gastric retention time was increased by the floating principle, which was considered desirable for the absorption window drugs. Keywords: norfloxacin, floating tablets, gastric residence time, gastroretentive drug delivery system Accepted April 22, 2009 Using current release technology, oral delivery for 24 h is possible for many drugs; however, the substance must be well absorbed throughout the whole gastrointestinal tract. A significant obstacle may arise if there is a narrow window for drug absorption in the gastrointestinal tract (GIT), if a stability problem exists in gastrointestinal fluids, or the drug is poorly soluble in the intestine or acts locally in the stomach. Thus, the real issue in the development of oral controlled release dosage forms is not just to prolong the delivery of the drugs for more than 12 h, but to prolong the presence of the dosage * Correspondence; e-mail: vbkishan@yahoo.com R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. forms in the stomach or somewhere in the upper intestine until all of the drug is released over the desired period of time (1). Controlled gastric retention of solid dosage forms may be achieved by the mechanisms of floating systems, swelling and expanding systems, bioadhesive systems, modified shape systems, high density systems or other delayed gastric emptying devices. The principle of buoyant preparation offers a residence time for the dosage form and sustained drug release (2). The various buoyant preparations include microballoons, granules, powders, capsules, tablets, and laminated films (2). Based on the mechanism of buoyancy, two distinctly different technologies, i.e., non-effervescent and effervescent systems, have been utilized in the development of floating systems. Non-effervescent systems commonly use gel-forming or highly swellable cellulose type hydrocolloids, polysaccharides and matrix forming polymers such as polycarbonate, polyacrylate, polymethacrylate, and polystyrene. Effervescent systems utilize matrices prepared with swellable polymers such as methocel or chitosan and effervescent compounds, e.g., sodium bicarbonate and citric or tartaric acid (3), or matrices containing chambers of liquid that gasify at body temperature (4). Chavampatil et al. (5) have developed the gastroretentive drug delivery system (GRDDS) for ofloxacin with different polymers such as psyllium husk, HPMC K100M, crosspovidone and their combinations in order to get the desired sustained release profile over a period of 24 h. Varshosaz et al. (6) developed ciprofloxacin floating and bioadhesive extended release tablets to increase the duration of the drug presence in its absorption area. Norfloxacin is a flouroquinolone, broad spectrum antibiotic, and is used in the treatment of urinary tract infections, prostatitis and gonorrhea. Norfloxacin is least absorbed from the lower part of the gastrointestinal tract and is better absorbed from the stomach. This drug has a repetitive dose schedule (400 mg twice daily) (7), short biological half-life (3­4 h) (8, 9) and reduced bioavailability (30­40 %) (9). Thus, norfloxacin is a candidate for the development of a gastroretentive drug delivery system. In this work, the details of formulation development and evaluation of floating tablets of norfloxacin are described. EXPERIMENTAL Materials Norfloxacin was a generous gift sample from Dr. Reddy's Labs, India. Hydroxypropyl methylcellulose (HPMC K4M and HPMC K100M) and xanthan gum were purchased from Colorcon Asia Pvt. Ltd, and Kanwarlal Industries, India, respectively. All other chemicals used were of analytical grade. Development of tablets Accurately weighed quantities (as specified in Table I) of norfloxacin, HPMC K4M, HPMC K100M, xanthan gum and sodium bicarbonate were passed through a 0.425-mm sieve to get uniform size particles, then they were mixed geometrically for 5 to 10 min212 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table I. Ingredients (mg) of norfloxacin floating tablets HPMC K4M 160 140 100 120 ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ HPMC K100M ­ ­ ­ ­ 120 100 90 80 70 ­ ­ ­ ­ ­ ­ ­ Xanthan gum ­ ­ ­ ­ ­ ­ ­ ­ ­ 140 100 80 80 100 140 130 Sodium bicarbonate 100 100 100 100 80 80 80 80 80 120 120 120 120 120 120 120 Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 F14 F15 F16 DCP 10 20 55 35 5 25 35 45 55 55 95 115 65 45 5 15 PVPK-30 15 25 30 30 30 30 30 30 30 20 20 20 20 20 20 20 Lactose ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ 50 50 50 50 All the tablets contain 400 mg norfloxacin, 7 mg magnesium stearate and 8 mg talc. HPMC ­ hydroxypropyl methylcellulose, PVP ­ polyvinyl pyrrolidone, DCP ­ dicalcium phosphate utes and the mixture was placed in a polyethylene bag and further mixed for 5 minutes to ensure a homogeneous mass. Accurately weighed quantity of PVPK-30 was dissolved in isopropyl alcohol (IPA) to prepare a binder solution. The binder solution was added to the dry blend gradually with constant kneading to form a homogeneous mass. The dough mass was passed through a 2.0-mm sieve and the granular mass was allowed to dry at room temperature. The granules were passed through a 1.18-mm sieve. These granules were lubricated with magnesium stearate and talc and compressed into tablets using a 16-station punching machine (Rimek, India). The tablets were oblong of 16 mm length and a thickness of 5.9­6.1 mm. Characterization of floating tablets The prepared floating tablets were evaluated for mass uniformity (20 tablets), hardness (6 tablets) was measured by a hardness tester (Erweka tester, Germany), thickness (10 tablets) was measured using a vernier caliperse (Mitutoyo Corporation, Japan) and friability was determined (10 tablets) using a Roche friabilator (Germany). The drug content in each formulation was determined by triturating 10 tablets and a quantity of powder equivalent to the mass of one tablet was transferred into a 100-mL volumetric flask. To this, 50 mL of 0.1 mol L­1 HCl was added and then the solution was subjected to sonication for about 2 h. The solution was made up to the mark with 0.1 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. mol L­1 HCl, filtered and suitable dilutions were prepared with 0.1 mol L­1 HCl. The drug content was estimated by recording absorbance at 278 nm by using a UV-Visible spectrophotometer (Shimadzu U.V. ­ 2201, Japan). In vitro buoyancy studies The in vitro buoyancy was determined by the floating lag time. The tablets were placed in a 100-mL beaker containing 0.1 mol L­1 HCl. The time required for the tablet to rise to the surface for floating was determined as the floating lag time and further floating duration of all tablets was determined by visual observation. In vitro drug release studies The in vitro drug release studies were conducted using the USP 28 type II (10) (paddle) dissolution apparatus (TDT-06T, Electrolab, India). Hydrochloric acid (pH 1.2), 750 mL, was used as medium. The study was conducted at 37 ± 0.5 °C and at paddle rotation of 50 rpm. Samples of 5 mL were collected at predetermined time intervals and replaced with fresh hydrochloric acid. The samples were filtered and diluted and the drug content in the samples was estimated at 278 nm. Mathematical models, zero-order, first-order, Higuchi and Peppas were applied to analyze the release mechanism and pattern (11­13). Tablets for in vivo radiographic studies Tablets of 6.103 ± 0.012 mm thickness and of 700 ± 4 mg mass were prepared. To make the tablet X-ray opaque, incorporation of BaSO4 was necessary. For this purpose, 100 mg of the drug was replaced with BaSO4 (100 mg BaSO4 + 300 mg norfloxacin) and all other ingredients were kept constant. The tablets were characterized for hardness, floating lag time and floating duration. In vivo radiographic studies The protocol of radiographic studies on healthy human volunteers was approved by the Human Ethical Committee, University College of Pharmaceutical Sciences, Kakatiya University, India. The study was conducted on four healthy male volunteers, weighing between 55­75 kg and in the age group of 25 ± 2 years. The tablets prepared for radiography (F4) were administered orally with a glass of water. During the study, the subjects were not allowed to eat but water was available ad libitum. After ingestion of F4 floating tablets containing barium sulphate, the volunteers were exposed to X-ray photography in the abdominal region. The X-ray photographs were taken at 0.5, 1.5, 3, 4 and 5 h after administration of the tablets. The mean gastric residence time was calculated. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. RESULTS AND DISCUSSION Characterization of tablets The hardness of formulations F2-F16 was found to be between 8­8.6 kg cm­2, except for F1 with hardness of 9.6 ± 0.2 kg cm­2, indicating satisfactory mechanical strength. The thickness of prepared formulations was between 5.9 and 6.1 mm. The friability was in the range of 0.14­0.27 % for all the formulations, which was an indication of good mechanical resistance of the tablet. The average drug content of tablets (n = 10) varied between 95.5 and 98.9 %, indicating content uniformity of the prepared formulations. In vitro buoyancy studies Norfloxacin tablets were prepared using polymers such as HPMC K4M, HPMC K100M and xanthan gum. Formulations F1-F4, F5-F9 and F10-F16 were prepared with HPMC K4M, HPMC K100M and xanthan gum, respectively. Sodium bicarbonate was added as a gas generating agent. Whitehead et al. (14) have demonstrated good correlation between in vitro and in vivo buoyancy of floating dosage forms. In this study, penetration of water into tablets prepared with xanthan gum was rather slow, causing delayed gel formation and subsequent increase in the floating lag time compared to the tablets prepared with HPMC K4M and HPMC K100M. The best formulation (F4) showed a floating lag time of 35 ± 4 s, hardness of 8.04 ± 0.19 kg, thickness of 6.09 ± 0.01 mm, friability of 0.21 %, content uniformity of 97.3 ± 0.9 % and mass variation of 700 ± 3 mg. Further, it also showed a drug release of 94.3 ± 1.5 % over 9 h. The floating lag time and duration of floating for the tablets are given in Table II. In general, all the prepared tablets floated for 24 h. In vitro dissolution studies The pharmacokinetic parameters of norfloxacin were used to calculate a theoretical drug release profile for a 12-h dosage form (15). The in vitro drug release studies revealed that formulations F1, F2 and F4 showed a release of 69.5, 82.1 and 94.3 %, respectively, in 9 h (Fig. 1a). Formulation F3 showed maximum drug release of 96.5 % in 8 h. The variation in drug release was due to different polymer concentrations in all the four formulations. The immediate release part for sustained release of norfloxacin was calculated and was found to be 77.8 mg (19.5 %) of the drug in 1 hour. It is expected that the developed formulation should have the following theoretical drug release profile, i.e., 20 to 25 % in 1 h, 25 to 45 % in 2 h, 55 to 75 % in 4 h, 65 to 85 % in 6 h and 85 % after 8 h. Formulations F1-F3 failed to meet the needed theoretical drug release profile. Formulation F4 met the needed theoretical drug release profile and floated with a lag time of 35 s; for these reasons, it was considered the best formulation among all the four formulations of this series. Formulations F5-F9, composed of HPMC K100M, showed a release of 60.4, 76.0, 83.7, 87.4 and 96.5 % in 9 h, respectively (Fig. 1b). These variations in drug release were due to changes in polymer concentrations of the tablets. However, formulations F5-F8 failed to meet the required theoretical drug release profile. Formulation F9 met the de215 R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. sired theoretical drug release profile and floated with a lag time of 25 s. It was, therefore, considered the best formulation among all the five formulations of this series. Drug release profiles of formulations F10-F16, composed of xanthan gum, are shown in Fig. 1c. The percentage of drug released from formulations F10, F11 and F12 was 66.8, 74.3 and 77.3, respectively, in 9 h. This variation was considered to be due to different polymer concentrations in formulations. Further, these three formulations failed to meet the required theoretical drug release profile. In addition, these formulations showed very long floating lag times. To reduce the floating lag time, lactose was added to the remaining formulations. Formulations F13-F16, composed of xanthan gum and varying ratios of lactose, showed a drug release of 98.6 (5 h), 96.3 (7 h), 85.7 (9 h) and 93.4 (9 h), respectively. Further, formulations F13-F15 failed to meet the needed theoretical drug release profile. However, formulation F16 met the theoretical drug release profile and floated with a lag time of 570 s. Therefore, formulation F16 was considered the best formulation among all the seven formulations of this series. After incorporation of lactose, the drug release was increased due to the capillary action of lactose, which facilitated higher drug release without affecting the matrix. t50 (time required for releasing 50 % of the drug) and DE (%) (dissolution efficiency) are the parameters used to compare the relative efficacy of dosage forms. Decreasing the content of polymers such as HPMC and xanthan gum in tablets, reduced t50 but increased the DE (%) (Table II). a) F1 F3 F2 b) F5 F7 F6 F8 F4 F9 0 0 0 2 4 Time (h) 6 8 10 0 2 4 Time (h) 6 8 10 c) F10 F12 F14 F16 F11 F13 F15 0 0 2 4 Time (h) 6 8 10 Fig. 1. Drug release profiles of norfloxacin floating tablets prepared with: a) HPMC K4M; b) HPMC K100M and c) xanthan gum (mean ± SD, n = 3). R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table II. Physical properties, dissolution efficiency DE and t50 Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 F14 F15 F16 Floating lag timea 70 ± 8 55 ± 8 60 ± 4 35 ± 4 50 ± 2 35 ± 1 30 ± 2 25 ± 2 25 ± 2 1860 ± 29 1500 ± 24 1380 ± 16 510 ± 4 540 ± 10 600 ± 11 570 ± 4 Duration of floatinga 23.65 ± 0.25 24.05 ± 0.30 23.30 ± 0.22 23.45 ± 0.16 24.25 ± 0.15 24.10 ± 0.35 23.35 ± 0.19 24.40 ± 0.10 23.45 ± 0.20 23.35 ± 0.27 23.50 ± 0.26 24.20 ± 0.19 23.37 ± 0.29 23.40 ± 0.09 23.35 ± 0.15 23.45 ± 0.12 DE (%)a 69.7 ± 0.9 82.1 ± 1.3 96.5 ± 1.2 94.3 ± 1.9 60.4 ± 2.1 76.0 ± 0.7 83.7 ± 2.1 87.4 ± 1.0 96.5 ± 0.8 66.8 ± 1.8 74.3 ± 1.2 77.8 ± 2.4 b c t50 (h)a 5.46 ± 0.04 4.86 ± 0.11 3.10 ± 0.07 3.16 ± 0.04 6.30 ± 0.10 5.16 ± 0.02 4.88 ± 0.03 4.20 ± 0.07 2.98 ± 0.18 5.82 ± 0.18 5.28 ± 0.04 4.80 ± 0.18 1.94 ± 0.19 2.22 ± 0.06 3.77 ± 0.18 3.06 ± 0.09 85.7 ± 1.6 93.4 ± 1.6 a Mean ± SD, n = 3. b 98.6 % of the drug was released in 5 h. c 96.3 % of the drug was released in 7 h. Among several methods investigated for dissolution profile comparison, the f2 factor is the simplest and most applicable. Moore et al. (16) proposed a model independent mathematical approach to compare dissolution profiles using two factors, f1 and f2. FDA (17) has set a public standard of f2 value between 50 and 100 to indicate similarity between two dissolution profiles. Optimized formulations from each series (F4, F9 and F16) showed similar in vitro drug release profiles to that of the theoretical drug release profile, which was evident from the calculated factors f1 and f2 values (F4: f1 = 7 and f2 = 66, F9: f1 = 9 and f2 = 63, F16: f1 = 9 and f2 = 63). Drug release kinetics The tablet containing a polymeric matrix builds, on contact with water, a gel layer around the tablet core, which governs the drug release. It is known that the drug release from HPMC matrices is controlled for water soluble drugs by diffusion through the gel layer or, for poorly soluble drugs, by erosion of the outer polymer chains (18). Hence, the kinetics of swelling is important because the gel barrier is formed with water penetration. The drug release rate kinetics was calculated for zero order, first order and Higuchi models (Table III). R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. Table III. Correlation coefficient (R2) and release exponent (n) values for different kinetic models Formulation F1 F2 F3 F4 F5 F6 F7 F8 F9 F 10 F 11 F 12 F 13 F 14 F 15 F 16 Zero-order 0.9819 0.9862 0.9321 0.9582 0.9794 0.9897 0.9875 0.9843 0.9492 0.9743 0.9828 0.9723 0.9766 0.9428 0.9561 0.9421 First-order 0.9887 0.9562 0.9732 0.9683 0.9959 0.9927 0.9452 0.9790 0.9531 0.9983 0.9910 0.9811 0.8694 0.9428 0.9686 0.9900 Higuchi 0.9413 0.9578 0.9565 0.9820 0.9808 0.9629 0.9552 0.9522 0.9628 0.9768 0.9696 0.9832 0.9744 0.9973 0.9892 0.9841 n 0.9537 0.7995 0.4596 0.7371 0.916 0.8975 0.803 0.7981 0.7334 0.7547 0.7845 0.6487 0.5464 0.5701 0.6341 0.6828 Drug diffusion through most types of polymeric systems is often best described by Fickian diffusion, but in addition to diffusion, other processes are also important. There is also relaxation of the polymer chains that influences the drug release mechanisms. This process is described as non-Fickian or anomalous diffusion. Release from initially dry, hydrophilic glassy polymers, that swell when added to water and become rubbery, shows anomalous diffusion as a result of the arrangement of macromolecular chains. The thermodynamic state of the polymer and the penetrant concentration are responsible for the different types of diffusion. A third class of diffusion is case II diffusion, which is a special case of non-Fickian diffusion (13). A simple semiempirical equation can be used to analyze data of controlled release of water-soluble drugs from polymer matrices. This equation predicts the mechanism of diffusional release (12): Mt = btn M where Mt is the amount of the drug released at time t, M is the overall amount of the drug (whole drug), b is the constant incorporating structural and geometric characteristics of the controlled release device and n is the release exponent indicative of the drug release mechanism. For tablets of a known geometry (in this case a slab) n = 0.5 means Fickian diffusion, 0.5 < n < 1.0 non-Fickian diffusion, and n = 1.0 case II diffusion (13). Regarding the n values calculated for the studied tablets (Table III), in most cases a non-Fickian mechanism was found to be predominant, which indicated that water diffusion as well as polymer rearrangement played an essential role in drug release. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221. The passage of a water-soluble drug through the hydrated gel layer around the matrix tablet is approximately dependent on the square root of time and can be described in the following form (11): Qt = kt1/2 where Qt is the amount of the drug released in time t, k is the kinetic constant. Intra-gastric behavior of floating tablets The BaSO4-containing floating tablets showed a floating lag time of 125 ± 5 s, hardness of 8.16 ± 0.02 kg cm­2 and thickness of 6.103 ± 0.012 mm. The tablets were clearly seen in the GIT at different positions during the study (Fig. 2). The average residence time was found to be 180 ± 30 min (n = 4). Fig. 2. Radiographic images showing the presence of a BaSO4-loaded floating tablet in the stomach at different time periods (the tablet is indicated with an arrow). The tablet altered its position in the stomach. Images were taken after: a) 0.5 h, b) 1.5 h, c) 3 h, and d) 4 h, after tablet administration. CONCLUSIONS Systematic studies were conducted using three different polymers in different concentrations to prepare norfloxacin floating tablets. Optimized formulations F4 and F9 with HPMC floated with a lag time of less than 1 minute and continued to float for 24 h. Formulation F16, with xanthan gum, floated with a lag time of 9 min and continued to float for 24 h. Floating lag time of xanthan gum tablets was reduced by using lactose. In vivo radiographic studies revealed that F4 tablets remained in the stomach for 180 ± 30 min, which indicated that GRT was increased by the floating principle and was considered desirable for improving bioavailability of the absorption window drugs. Acknowledgements. ­ One of the authors, Mr. Ramesh Bomma, acknowledges the financial support received from AICTE, New Delhi, India. The authors acknowledge M/s Natco Pharma Ltd, Mahaboobnagar District for providing the necessary facilities. R. Bomma et al.: Development and evaluation of gastroretentive norfloxacin floating tablets, Acta Pharm. 59 (2009) 211­221.

Journal

Acta Pharmaceuticade Gruyter

Published: Jun 1, 2009

References