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modified release technologies. Orodispersible Tablets: A Review & Opportunities September, 2011. What are ODTs?. Solid dosage form. Rapid disintegration on the tongue. Oral route of administration. Fast Dissolve Dosage Form. A stable, oral dosage form
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modified release technologies Orodispersible Tablets: A Review & Opportunities September, 2011
What are ODTs? Solid dosage form Rapid disintegration on the tongue Oral route of administration Fast Dissolve Dosage Form A stable, oral dosage form with the dosing ease of a liquid
Regulatory Definitions • US Definition • Orally Disintegrating Tablet • A solid dosage form containing medicinal substances which disintegrates rapidly, usually within a matter of seconds when placed upon the tongue. • Tablet weight <500mg. In-vitro USP disintegration test <30 seconds. • FDA Guidance for Industry -Orally Disintegrating Tablets (Dec 2008) • EU Definition • Orodispersible tablets • Orodispersible tablets are uncoated tablets intended to be placed in the mouth where they disperse rapidly before being swallowed • Disintegration Test: Orodispersible tablets disintegrate within 3 mins when examined by the test for disintegration……. • European Pharmacopoeia (Ph.Eur.)
Why use ODT? • Clinical ODT Formulation Marketing • New presentation • Extend exclusivity • Broader application • USP • Compliance • Convenience • Stability • Ease of use • Pregastric delivery • Faster onset • Better S&E • Bioequivalence • Local delivery
ODT Technologies • Can be broadly categorised according to method of manufacture: • Lyophilised • Loosely Compressed • Other • Moulded tablets • Spray dried powders • Sugar Floss • Mass Extrusion
Thin Film Strips • Comprise hydrophilic polymers e.g. pullulan • Process is based on liquid casting of polymer solution to form the film • Dosage controlled by concentration of API in bulk solution and film thickness (50 to 200mm) • Once dried film is cut into single unit doses prior to packaging • During manufacture dried film must be protected from heat & humidity • Final pack must protect from moisture • Use of encapsulated API challenging due to particle size
ODTs – How do they compare? *CIMA / Cephalon have also developed Oravescent, on ODT designed to facilitate oral transmucosal delivery.
Zydis® Product Characteristics • Disintegrates in less than 10s, typically less than 5s • Robust, can withstand transport & handling • Typical shelf-life of up to 2 - 3 years (physical & chemical) • Improved stability for some compounds due to freeze drying • Packaging integral part of product design, robustness, stability & child resistance • Applications: • Bioequivalence to conventional tablet • Pre-gastric absorption • Improved onset of action • Topical oral delivery
1 second 2 seconds 3 seconds Rapid Disintegration
Zydis® Technical Review • Basic Formulation Composition
Solution or Suspension matrix filling nozzle freeze freeze dry pores blister rapid water permeation and dispersion drug in minimum volume of liquid The Zydis® Process - Schematic
Zydis® Manufacturing process Mix Form Blister Dose Freeze at low temperature Freeze Dry Seal Pack
Zydis® Formulation & Process - Key considerations Dose and Solubility • Insoluble API ~ 400mg • Soluble API ~ 60mg • Lyopan will increase dose capability Drug particle size • Zydis d90 ~ 30um • Lyopan no limits Stability / Compatibility • Physical & chemical stability considerations Taste Masking Strategies
Formulation - Taste Masking • Flavors • Appropriate selection to mask bitterness and match marketing requirements • Sweeteners • High intensity sweeteners routinely used • Aspartame • Acesulfame K • Sucralose • Ion Exchange Resins • Coated APIs - Lyopan
Zydis® – Taste Masking Example of Ion-Exchange Taste Masking % Drug in Solution vs pH for Cationic Drug : IRP64 Complex (1:3)
Zydis® – Taste Masking Example of Drug Encapsulation for Taste Masking Integrity of Reverse Enteric Coating at pH 8 over 48 hours Aqueous Processing
Zydis® Stability Considerations • Zydis Stability • Must be chemically stable for up to 48 hours in aqueous matrix • Potential for hydrate / polymorphic transitions • Employ pH optimisation to stabilise • Employ low temperature processing conditions ~ 10˚C • Matrix has stabilising affect • Matrix can be optimised to minimize crystal changes
Zydis® Evaluation SEM XRD DSC DVS
Zydis® Process -Technical Considerations • Frozen hold (Mannitol Crystallisation) on Cracking Anneal for 0.25hr Cracking noted Anneal for 30 hr < 0. 4% Cracking Anneal for 8 hr Cracking noted
Zydis® Process -Technical Considerations • Moisture, Tg and Storage Conditions • Product stored at or close to the Tg, matrix loses its strength and product will shrink • Recommend to stored at least 25oC below the Tg • Use Tg to justify moisture content specification with respect to storage temperature • Product X • At 7.5% moisture content, Tg = 61oC • Store at 40oC, propensity for shrinkage • Store at ambient,product physically stable
Zydis® Process –Eutectic Freezing Curve • 5% Mannitol -3.2°C • 5% Potassium chloride -11.0°C • 5% Sodium chloride -21.1°C • 1% Trehalose -28.4°C • 1% Glucose -41.4°C • 1% Fructose -48°C
Zydis® Process –Sublimation • Water: triple point 0.04°C, 6.11 mbar • Menthol: melting point 42-44°C, vapor pressure 1.1 mbar • Ammonium bicarbonate: triple point ~50-60°C, ~500 mbar
Zydis® Process –Freezing Rate • Develop freezing process to optimize crystal structure • Large crystal rapid disintegration, short freeze-drying cycle • Small crystals product strength and robustness • Annealing of crystal structure after freezing • Amorphous structure (soluble actives) crystalline structure • Hold above Tg, glass transition temperature • Small crystal structure • Hold near Te, eutectic melting point
Clinical Considerations • Bio equivalence • Pregastric Delivery • Faster Onset • Better S & E • Nano particle delivery system • Proteins / Peptides / Vaccines
Bioavailability - Bioequivalence Plasma concentration ng/ml
Zydis® Pre-Gastric Absorption • Pre-Gastric Absorption - Efficacy & Safety of Selegiline
Metabolites of Selegiline Mean AUC (Nm.h) Zydis Selegiline (1.25mg) Selegiline Tablets (10mg)
Nanoparticle Formulation using Zydis® Goals: 1. Nanoparticle stabilization during wet milling AND freeze drying 2. Use low conc. of stabilizers that do not have adverse taste 3. Rapid dispersion of nanoparticle solid dosage form
Zydis® for Peptides & Proteins • Solid, unit doses presented in protective pack • Freeze drying – proven technology for stable protein formulations • Low temperature processing minimises potential for manufacturing losses • Solution / suspension dosing achieves good content uniformity • Solid dosage form aids long term stability • Liquid processing facilitates containment of potent drugs in production
Grazax® ODT Case Study: Oral Allergy Vaccine • Product: Oral vaccine alternative to injection • Active: Grass Pollen Extract from Phleum pratense (timothy grass) • Dose: 75,000 SQ-T (Equiv. ~15 mg Phl p5) • Dosing: Zydis® once-daily dosing, start >2 month before allergy season
Grazax® ODT Case Study: Oral Allergy Vaccine • Clinical Data2: • 30% reduction in rhinoconjunctivitis symptoms score & • 38% reduction in medication score compared with placebo. (P<0.0001). 2 Dahl et al J Allergy Clin. Immunol. 2006, 1118, p434
Activity Retained in Zydis® for 36 Months Allergen Activity (Phl p5) in Zydis® vs. Time
What is Lyopan® Fast - Dissolve Technology? • Patented technology covering the manufacture of fast dissolve lyophilized dosage forms • Designed by University Basel and Pantec, a Swiss company linked to Rohrer, the equipment supplier in 2008 • The process involves dosing powder into blisters and then adding a small amount of water, prior to freezing to bind the unit together • It is then frozen and dried like Zydis® Fast Dissolve Tablets 44 July 2011 Lyopan® Fast Dissolve Technology
The Zydis® and Lyopan® Fast-Dissolve Technology Process Zydis ® Technology : Pre-mix liquid & solids Dose Freeze Lyopan ® Technology :Dispense the aqueous mixture and API separately Seal Dry July 2011 Lyopan® Fast Dissolve Technology
Better Treatments with the combined Lyopan® and Zydis® Fast-Dissolve Technologies • Catalent has exclusive rights to Lyopan technology • Patent protected technology • Catalent will be both a development and manufacturing partner • Partnership complements the current Zydis technology • A wider group of molecules can now be formulated as a fast-dissolve lyophilized ODT more molecules • Lyopan adds innovation to proven fast dissolve technology • Both processes produce a fast dissolve which disperses in as little as 10 seconds • Increased options for taste masking • Options for enteric coating or controlled release • Enables formulation of molecules at a higher dose ( >200 mg ) • Potential to improve manufacturing efficiency by reducing cycle times better treatments • Catalent will introduce Lyopan technology in the upcoming months • Pantec will continue to collaborate with Catalent • Non-GMP POC will be available • First GMP line anticipated to be established at the Zydis Swindon UK manufacturing site over next year • reliably supplied 47 July 2011 Lyopan® Fast Dissolve Technology
ODTs – A Review & Opportunities Questions ?
THANK YOU discover more. CATALENT PHARMA SOLUTIONS14 SCHOOLHOUSE ROADSOMERSET, NJ 08873 + 1 866 720 3148 www.catalent.com OSDrC® is a registered trademark of Sanwa Kagaku Kenkyusho Co., Ltd Lyopan® is a registered trademark of Pantec AG