| Literature DB >> 35630719 |
Muhammad Israr1, Nicola Pugliese2, Arshad Farid3, Shakira Ghazanfar4, Alessandro Di Cerbo5, Muhammad Muzammal3, Abdulhakeem S Alamri6,7, Syed Mohammed Basheeruddin Asdaq8, Ashfaq Ahmad9, Kamran Ahmad Khan1.
Abstract
Controlled-release effervescent floating bilayer tablets reduce dosage frequency and improve patient compliance with enhanced therapeutic outcomes. Generally, two different tablets of clarithromycin and esomeprazole, respectively, are given for the treatment of Helicobacter pylori infection and it might be worth incorporating both in a single tablet. In the current study, controlled-release floating bilayer tablets of clarithromycin and esomeprazole (F1-F4) were developed with different rates of polymeric materials by a direct compression method. During the formulation, Fourier-transform infrared spectroscopy (FTIR) analysis was performed for possible interactions between drugs and excipients. No interactions between drugs and excipients were noted. Moreover, the bilayer tablets' thickness, diameter, friability, hardness, weight variation, dissolution, and percent purity were found within the acceptable limits. The floating lag time and total floating time of all formulations were found to be < 25 s and 24 h, respectively. The release of both the clarithromycin and esomeprazole started at the same time from the controlled-release floating bilayer tablets by anomalous non-Fickian diffusion, and the polymeric materials extended the drug release rate up to 24 h. In the case of F1, the results approached ideal zero-order kinetics. The dissolution profiles of the tested and reference tablet formulations were compared, but no significant differences were observed. It can be concluded that such controlled-release effervescent floating bilayer tablets can be efficiently used in clinical practice to reduce dosage frequency and increase patient compliance with continuous drug release for 24 h, which ultimately might enhance therapeutic efficacy.Entities:
Keywords: clarithromycin; esomeprazole; floating bilayer tablets
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Year: 2022 PMID: 35630719 PMCID: PMC9143198 DOI: 10.3390/molecules27103242
Source DB: PubMed Journal: Molecules ISSN: 1420-3049 Impact factor: 4.927
Composition of tablets.
| Drugs and Excipients | CR Bilayer Floating Tablets | IR Bilayer Tablet | |||
|---|---|---|---|---|---|
| F1 | F2 | F3 | F4 | ||
| Clarithromycin layer | Clarithromycin | 250 mg | 250 mg | 250 mg | 250 mg |
| Eudragit® RS 100 | 76 mg | 152 mg | --------- | --------- | |
| Carbopol 934 P | 76 mg | --------- | 152 mg | -------- | |
| Talc | 11.8 mg | 11.8 mg | 11.8 mg | 11.8 mg | |
| Mg Stearate | 5.4 mg | 5.4 mg | 5.4 mg | 5.4 mg | |
| Avecil 102 | 40.8 mg | 40.8 mg | 40.8 mg | 192.8 mg | |
| Sodium bicarbonate | 80 mg | 80 mg | 80 mg | 80 mg | |
| Esomeprazole layer | Esomeprazole | 20 mg | 20 mg | 20 mg | 20 mg |
| Eudragit® RS 100 | 30 mg | 60 mg | --------- | ------- | |
| Carbopol 934 P | 30 mg | --------- | 60 mg | ------- | |
| Talc | 2.6 mg | 2.6 mg | 2.6 mg | 2.6 mg | |
| Mg Stearate | 1.3 mg | 1.3 mg | 1.3 mg | 1.3 mg | |
| Avecil 102 | 14.1 mg | 14.1 mg | 14.1 mg | 74.1 mg | |
| Sodium bicarbonate | 32 mg | 32 mg | 32 mg | 32 mg | |
Results of flow characteristics.
| Formulation | Angle of Repose | Hausner Ratio | Compressibility Index (%) |
|---|---|---|---|
| F1 | 28.3 ± 0.16 | 1.124 ± 0.02 | 11.64 ± 0.03 |
| F2 | 26.4 ± 0.18 | 1.132 ± 0.09 | 13.16 ± 0.01 |
| F3 | 27.9 ± 0.15 | 1.143 ± 0.18 | 11.28 ± 0.02 |
| F4 | 30.0 ± 0.06 | 1.138 ± 0.03 | 12.27 ± 0.04 |
Figure 1Graphical representation of (A) clarithromycin and (B) formulation F1 formulation FTIR spectra.
Figure 2Graphical representation of (A) esomeprazole and (B) formulation F1 formulation FTIR spectra.
Results of physical quality control tests.
| Code | Thickness (mm) | Diameter (mm) | Hardness (kg/cm2) | Friability (%) | Weight Variation (mg) |
|---|---|---|---|---|---|
| F1 | 3.56 ± 0.03 | 13.15 ± 0.07 | 6.56 ± 0.26 | 0.04 ± 0.12 | 673.9 ± 0.38 |
| F2 | 3.53 ± 0.10 | 13.15 ± 0.07 | 6.80 ± 0.18 | 0.02 ± 0.08 | 671.6 ± 0.98 |
| F3 | 3.53 ± 0.11 | 13.15 ± 0.01 | 6.57 ± 0.54 | 0.05 ± 0.32 | 674.0 ± 1.45 |
| F4 | 3.56 ± 0.13 | 13.15 ± 0.01 | 6.75 ± 0.21 | 0.06 ± 0.26 | 671.9 ± 0.87 |
Figure 3Graphical representation of the swelling behavior of F1, F2, and F3 formulations.
Floating behavior of CR bilayer floating tablets.
| Formulation | Tablet Density | Floating Lag Time | Total Floating Time |
|---|---|---|---|
| F1 | 0.93 | 20 | >24.0 |
| F2 | 0.91 | 24 | >24.0 |
| F3 | 0.95 | 20 | >24.0 |
| F4 | Immediate release formulation taken as reference | ||
Figure 4Graphical representation of (A) clarithromycin and (B) esomeprazole release profiles from controlled-release floating bilayer tablets and reference formulations.
Content uniformity of Clarithromycin and Esomeprazole.
| Formulation | Content Uniformity (Clarithromycin) | Content Uniformity (Esomeprazole) |
|---|---|---|
| F1 | 98.89 ± 0.087 | 100.83 ± 0.018 |
| F2 | 99.96 ± 0.028 | 99.54 ± 0.049 |
| F3 | 100.73 ± 0.031 | 101.99 ± 0.023 |
| F4 | 101.23 ± 0.026 | 100.77 ± 0.044 |
The release mechanism of Clarithromycin and Esomeprazole.
| Formulations | First-Order Kinetic Model | Zero-Order Kinetic Model | Power Law | |||
|---|---|---|---|---|---|---|
| R2 | R2 | K ± SD | R2 | N | Release Mechanism of Clarithromycin | |
| F1 | 0.568 | 0.991 | 0.0012 ± 0.005 | 0.9189 | 0.9356 | AND |
| F2 | 0.619 | 0.988 | 0.0036 ± 0.08 | 0.9896 | 0.8654 | AND |
| F3 | 0.731 | 0.980 | 0.0056 ± 0.03 | 0.9869 | 0.7863 | AND |
| F4 | 0.993 | 0.457 | 0.0001 ± 0.02 | 0.6776 | 0.3987 | Does not follow a power law |
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| F1 | 0.573 | 0.994 | 0.0145 ± 0.02 | 0.9645 | 0.9653 | AND |
| F2 | 0.645 | 0.991 | 0.0238 ± 0.03 | 0.9854 | 0.8654 | AND |
| F3 | 0.765 | 0.983 | 0.1893 ± 0.16 | 0.9812 | 0.7234 | AND |
| F4 | 0.992 | 0.463 | 0.0002 ± 0.12 | 0.7451 | 0.412 | Does not follow power law |
| AND = Anamolous non-Fickian diffusion | ||||||
Dissolution patterns comparisons.
| Test vs. Reference | f1 | f2 |
|---|---|---|
| Clarithromycin profile comparisons | ||
| F1 vs. F4 (reference) | 32.76 | 38.56 |
| F2 vs. F4 (reference) | 36.45 | 39.09 |
| F3 vs. F4 (reference) | 34.32 | 43.53 |
| Esomeprazole profile comparisons | ||
| F1 vs. F4 (reference) | 38.43 | 18.39 |
| F2 vs. F4 (reference) | 33.65 | 23.34 |
| F3 vs. F4 (reference) | 24.45 | 22.98 |
Paired t-test results.
| Test vs. Reference | ||
|---|---|---|
| F1 vs. F4 (reference) | 7.2134 | 5.1823 |
| F2 vs. F4 (reference) | 6.4453 | 6.2434 |
| F3 vs. F4 (reference) | 4.5446 | 4.3465 |