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Print version ISSN 1516-9332
Rev. Bras. Cienc. Farm. vol.44 no.3 São Paulo July/Sept. 2008
Desenvolvimento e avaliação in vitro de comprimidos a base do antichagásico benznidazol
José Lamartine Soares SobrinhoI; Luciana Neiva Antunes LimaI; Diego Cavalcanti PerrelliI; Jeckson Luiz da SilvaI; Flávia Patrícia Morais de MedeirosI, II; Mônica Felts de La Roca SoaresI; Pedro José Rolim Neto1, *
ILaboratory of Medicine Technology (LTM), Pharmaceutical Sciences Department, Federal University of Pernambuco
IIState of Pernambuco Pharmaceutical Laboratory (LAFEPE)
This work aimed to verify the interferences caused by the use of excipients for immediate release tablets based on benznidazole obtained by direct compression and the accomplishment of a comparative study between the tablets developed and the reference medicine RochaganTM, obtained by wet granulation. Seven small-scale batches (SSB) were developed and aspects such as compressibility, powder flow, mean weight, friability, disintegration, hardness, assay, content uniformity, kinetic of release in vitro (dissolution) and drug/excipients physical-chemical compatibility were evaluated. Based on the obtained results it can be verified that the analyzed powders presented adequated characteristics for the direct compression process, beyond the inexistent evidence of a physical-chemical interaction between the drug and the tested excipients. The tablets obtained from SSB I and III were chosen for the comparative study with the reference medicine, demonstrating similarity with the statistically treated obtained results, becoming an alternative option of a medicine product for the treatment of Chagas' disease with reduced cost and satisfactory quality.
Uniterms: Benznidazole; Excipients; Direct compression; Tablet; Chagas' Disease
O trabalho teve como objetivo a verificação das possíveis interferências dos excipientes utilizados na obtenção do comprimido de liberação imediata à base de benznidazol por meio do processo de compressão direta e realização de estudo comparativo entre os comprimidos obtidos e o medicamento de referência Rochagan®, obtido por meio da granulação por via úmida. Sete lotes de bancada (LB) foram produzidos e aspectos, tais como compressibilidade, fluxo do pós, peso médio, friabilidade, desintegração, dureza, teor, dissolução, uniformidade de conteúdo, cinética de liberação in vitro (dissolução) e compatibilidade físico-química fármaco/excipiente foram avaliados. Diante dos resultados obtidos pode-se verificar que os pós analisados apresentaram características adequadas para o processo da compressão direta, além da comprovação da não existência de interação de natureza físico-química entre o fármaco e os excipientes testados. Os comprimidos obtidos a partir do LB I e III foram escolhidos para o estudo comparativo frente ao medicamento de referência, demonstrando semelhança com os resultados observados, tratados estatisticamente. Torna-se, assim, uma alternativa para a produção de medicamento destinado ao tratamento da doença de Chagas com um custo reduzido e qualidade satisfatória.
Untermos: Benznidazol. Excipientes. Compressão Direta. Comprimido. Doença de Chagas.
In Latin America the morbidity and mortality rates associated with Chagas' disease possess a greater magnitude than that reached with malaria, schistosomiasis and leishmaniasis, constituting one of the biggest public health problems of developing nations (Lamas et al., 2006). Less than 1% of 1300 new medicines developed in the last 25 years have been developed for the neglected diseases (MSF, 2001). Benznidazole is not only the drug of choice for Chagas' disease treatment, but nowadays it is also the only one available on the world market (Coura, Castro, 2002; Schofield, Jannin, Salvatella, 2006).
Benznidazole (BNZ) was introduced in Chagas' disease therapy in 1972 by the Pharmaceutical Company RocheTM with the commercial name RochaganTM. On march 3rd, 2003, this company donates your patent rights of the product explore to the Brazilian Government, that passes the privilege to produce this medicine for the State of Pernambuco Pharmaceutical Laboratory (LAFEPETM) and this company receive the responsibility to be the world medicine producer for this disease therapy.
RochaganTM manufacturing technique consists by a wet granulation technique, which possess in the formulation, corn starch and talc powder, as the main excipients. This formulation was developed over 30 years ago and the LAFEPETM researchers in partnership with the LTM-UFPE researchers decided to reformulate this medicine, with the purpose of improve this product, giving it a low manufactory cost and adding it a technological valor and simplicity.
The development of pharmaceuticals forms has diverse stages, such as the pre-formulation and the formulation studies. The direct compression method offers many advantages over the conventional technique, the method by wet granulation, such as simplicity, economy, and reduction of manufacture stages and increase of stability (Lin, Lin, Li, 2001; Wanczinski et al., 2002). The adequate use of excipients has been producing great advances in tablets obtained by the direct compression process (Mccormik, 2005).
The majority of drugs, including benznidazole, do not present flow properties and high compressibility necessary for direct compression, requiring addition of excipients, which strengthens the weak linkings between particles, facilitating the cohesion of the material and, consequently, the compression (Maarschalk et al., 1999). However, with the advance of new available excipients to the pharmaceutical market, the use of the direct compression technique for many drugs of inadequate flow characteristics is becoming possible.
The currently available excipients contribute, mainly, to making the cohesion between particles, the flowing powder of the product in the machines used and the disintegration of compressed tablets possible, without the previous necessity of granulation, reducing the manufacturing time and, consequently, reducing the product's final cost (Baracat et al., 2001).
Based on the above, the objective of this work was to verify the possible interferences between the excipients used in the direct compression process to manufacture benznidazole tablets, as well as carrying out a comparative study between the developed medicines by direct compression and the reference product obtained by wet granulation.
MATERIAL AND METHODS
The raw-materials used were: Microcrystalline Cellulose (MC) 102 (CompecelTM, batch 70337), MC 250 (BlanverTM, batch 12155/06), Anhydrous Lactose (Pharma NostraTM, batch 10301215), Spray-dried Lactose (DMV Fonterra ExcipientTM, batch BQ030012) and Magnesium Stearate (ValdequímicaTM, batch 1478) as excipients; Benznidazole as drug (Roche Pharmaceutical, batch BS0204002) and as final product the developed tablets by direct compression and the reference medicine RochaganTM from RocheTM, obtained by wet granulation, as well as the working standard, for the analytical methods, supplied for the same industry.
Seven small-scale batches (SSB) of 1 kg were obtained using the excipients cited above (Table 1). The preparation technique of the developed product consists in weigh out all raw material separately in a Denver Instrument APX-3202 precision balance and after that passes to a 30 mesh metal screen to prevent grume that could influences the homogenity. The mix process has two steps; firs step was constitution the mix of the drug with diluents for 10 minutes in a Lawes twing-shell blender of 1 kg capacity and the second step was to add a diluent to this mixture in the same equipment for 2 minutes. To finish the process the mixture powder was compressed in a compression machine (Neuberger, MN-16), with 16 punches of 9 mm diameter.
Some aspects were observed such as: compressibility (Hausner factor and Carr index), powder flow, grain size distribution, mean weight, friability, disintegration, hardness, assay, content uniformity, kinetic of release in vitro (dissolution) and the drug/excipient physical-chemical compatibility.
Determination of angle of repose and draining speed
The evaluation of the angle of repose (±) and speed flow was determined in accordance with the United States Pharmacopeia (USP, 2006; Viana et al., 2006).
Hausner factor and Carr index
The evaluation of the Hausner factor and Carr index was determined in accordance with Rolim Neto (1992). The Hausner factor was determined through the relation between the apparent and compact densities, determined by a Tap Density Tester (Vankel, 230).
The Carr index or Compressibility index was determined by the quotient between the apparent and compact densities in percentage. The compressibility percentage indirectly gives an idea of the cohesion, size uniformity and surface area of powders or their mixtures.
Grain size distribution
The determination of the grain size distribution was carried out in accordance with the method described in the Brazilian Pharmacopeia (1988). A sample of 30 g was placed on the upper sieve and it was submitted to sift for 30 minutes.
Study of drug/excipient physical-chemical compatibility
Analyses were carried out to verify the possible physical-chemical interactions between the drug and excipients of the two best developed formulations. The DTA thermogram of benznidazole, excipients and respective binary mixture was obtained by a DTA-50 cell Shimadzu using alumina crucibles with about 8.0 mg of samples, under a flow dynamic nitrogen atmosphere at 50 mL. min-1 and heating rate of 10 ºC.min-1 until 500 ºC and 30 ºC.min-1 until 900 ºC. The DTA cell was calibrated initially with indium (m.p. 156.6 ºC; ΔHfus.= 28.54J.g-1) and then zinc (m.p. 419.6 ºC) (Bazzo, Silva, 2005).
Evaluation of developed tablets and reference medicine
Mean Weight: the method used is described in the Brazilian Pharmacopeia (1988), with tolerance range of 5% for tablets with mean weight above 350 mg. Hardness: the determination of tablet hardness was carried out using a Vankel® K 200 hardness tester. The minimum hardness established for tablets is 4 Kgf in accordance with the Brazilian Pharmacopeia (1988). Friability: the friability of the tablets was determined in accordance with Brazilian Pharmacopeia (1988) and the acceptable value must be inferior of 1.5% of the established weight. Disintegration: the disintegration test was carried out by the method described in the Brazilian Pharmacopeia (1988), by a Nova Ética® disintegrator, with the maximum time specification of 15 minutes. Assay: a spectrophotometer method described by Soares Sobrinho et al. (2006) was developed and validated. The method uses a wavelength of 324 nm for BNZ, water as blank and a final solute concentration of 20 µg/mL. Dissolution: according to a method supplied by the pharmaceutical company LAFEPETM, that uses artificial non enzymatic gastric juice as dissolution medium (HCl 0.1 M), medium volume of 1000 mL at 37ºC ± 0,5ºC; apparatus 1 (basket) and rotation of 100 rpm, carried out by a VarianTM Dissolutor, Model VK-7000, 7010 and 750D with automatic collector, model VK-8000. The quantification of the BNZ dissolution percent was carried out in Micronal B582 Spectrophotometer in a 324 nm wavelength and artificial non enzymatic gastric juice as the blank. The results may present according specification method: Qe"60% of drug dissolved in 60 minutes and Qe"80% of drug dissolved in 120 minutes.
Kinetic of in vitro release
The tablets kinetics of release from SSBI, SSBIII and reference medicine, RochaganTM, follows the method used for dissolution tests, being the times of collection 10, 30, 45, 60 and 120 minutes. The results were used to calculate the dissolution efficacy (DE) and later compared with the variance analysis (ANOVA) (Aguiar et al., 2005; Anderson et al., 1998; Khan, 1975; Khan, Rhodes, 1972).
RESULTS AND DISCUSSION
Quality Control of the SSB developed
The grain size distribution (Figure 1) showed a high percentage of fine powder in the drug analysis, a factor that characterizes a powder with poor rheological properties of flow. It can also be observed that the mixture of these excipients with the drug improves significantly the grain size distribution of the mixture giving a flow to the powders.
Generally the small-scale batches presented very similar rheological advantages in comparison with the isolated drug material, a fact that can be correlated with the angle of repose (with the exception of SSB V) and flow speed (Table II). SSB I, III, IV and VII resulted in the best grain size distribution from the technological point of view, presenting themselves as more homogeneous.
The flow characteristics (angle of repose and flow speed) and the compressibility aptitude (Hausner factor and Carr index) demonstrated that some of the seven tested formulations had not obtained results in the range of the specifications in accordance with the United States Pharmacopeia (2006), specifically the SSB II, IV and VII.
However, due to the small differences in the obtained results the compression of all the previously formulated SSB was undertaken. The first evaluated aspect after the compression process was the mean weight of the tablets, also taking into consideration the standard deviation of each obtained batch. In this stage of choice an ideal formulation, it was noted that the majority of the SSB presented results inside the specifications (± 5%), however batches II, IV, V, VI and VII presented a high standard deviation.
For the rest of physical-chemical tests there were not differences in results between the tested SSB. In the friability analyses, disintegration, hardness, assay, content uniformity and dissolution test the SSB gave results in the range of the specifications with the exception of LB IV in the hardness test (Table II). Based on the obtained results two formulations (LB I and III) were chosen for carrying out the drug/excipient interaction study and posterior kinetic of release, to compare the results with the reference medicine RochaganTM from Roche Pharmaceutical.
Drug/excipients physical-chemical compatibility study
DTA curves of benznidazole show an endothermic process characteristic of melting in the range of 187.68 to 198.88 ºC, with melting peak at 191.1 ºC and enthalpy value of 144.96 J.g-1, which corresponds to the melting range the literature (Farmacopéia Brasileira, 1988) and exothermic process characteristic of decomposition at the range of 259.94 to 285.16 ºC, with decomposition peak in 278.62 ºC and enthalpy value of 975.77 J.g-1 (Figure 2).
The results obtained with the DTA technique showed that the association of benznidazole with the tested excipients does not show evidence of any significant physical interaction, due to the values of reaction and fusion enthalpy, when the value of the melting peak of benznidazole remains uncharged for all the binary mixtures around 191 ºC (Table III e Figure 2). Also they do not show evidence of any significant chemical interaction, the discrete displacement evidenced retarding the decomposition peak of the drug in the binary mixtures thermogram and the reduction of decomposition enthalpy value can be explained at the moment benznidazole melts and the microcrystalline cellulose continues to be solid and incorporates it. Therefore, the cellulosis does not show a process of fusing and its decomposition occurs at approximately 370 ºC. Generally chemical interactions reactivity, characterized for the displacement of the decomposition peak, potentially occur when two compounds are in liquid form.
The results prove that the pharmaceutical form tablets of immediate release based on benznidazole is possible, using the tested excipients, with stability, a requirement that could be confirmed and correlated in the stability test following the international guidelines for pharmaceutical forms. This makes the continuity of the pharmaceutics development in a rational form possible.
The magnesium stearate, even though it was part of the two selected formulations, was not tested because of the possibility of physical-chemistry interactions due to the small percentage of the excipient in the formulation (1%).
After the confirmation that there was no physical or chemical interaction between the drug and the two tested excipients, selected by the best two small-scale batch (SSB I and III), the dissolution profile tests of the elected SSB were carried out together with the reference medicine, making it possible to observe in accordance with the dissolution efficacy (DE) of SSB I (58.02), SSB III (56.11) and the reference medicine (54.89). The similarity between the studied profiles (Figure 2), the variance analysis (ANOVA) demonstrated with level of 5% of probability an insignificant value of F, and a value of p bigger than the probability level. Therefore, the averages showed to be statistically equal (calculated F = 3.9255 and priced F = 4.2564).
The BNZ drug is characterized by the manufacturer (RocheTM) as poorly soluble in water and very permeable, however the data available in the scientific papers published are confuse and dubious related to the drug solubility, because some of them classified the drug as soluble in water (Lindenberg, Kopp, Dressman, 2004; Kasim et al., 2004). For this reason it is not possible to propose a correlation in vivo-in vitro using the published drug data, but it could be proposed for a drug with this characteristics that the dissolution step will be the critical factor in the drug biodisponibility. Therefore, the pharmacokinetics profile of the developed medicine could be similar to the commercialized one, once the in vitro profile of dissolution is considered statistically equal.
The presented results comprised the characterization of the flow and compressibility properties of seven small-scale batches mixtures and drug/excipient physical-chemical compatibility, as well as the confirmation of quality of the two batches chosen from the in vitro similarity with the reference medicine kinetics release.
Based on the the results the developed formulations are considered alternatives for the production of immediate release tablet based on benznidazole, using the technology of direct compression. It is a fast process, of practical attainment and production reduced cost, and the developed product has the quality demanded for oral solid pharmaceutical form.
To CAPES, CNPq and LAFEPE for the financial support for accomplishment of the research.
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Recebido para publicação em 30 de maio de 2007
Aceito para publicação em 05 de julho de 2008
P. J. Rolim Neto
Laboratório de Tecnologia dos Medicamentos - LTM
Departamento de Ciências Farmacêuticas
Universidade Federal de Pernambuco
Av. Prof. Arthur de Sá, S/N - Cidade Universitária
50740-521 - Recife - PE, Brasil