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INTRODUCTION

   Conventional drug delivery systems (DDS)




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Sustained release and controlled release DDS
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60



50



40
                                               Solution
                                               Dexatrim
30
                                               Acutrim

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10



 0
     0    5     10    15     20    25    30




                                                3
CLASSIFICATION

   Rate- preprogrammed drug delivery systems

   Activation – modulated drug delivery systems

   Feedback- regulated drug delivery systems

   Site- targeting drug delivery systems




                                                   4
Rate- Preprogrammed
drug delivery systems



                    5
RATE- PREPROGRAMMED DDS

   Release of drug molecules from the delivery systems has
    been preprogrammed at specific rate profiles

   Diffusion of drug molecules into the medium is
    controlled

CLASSIFICATION OF RATE- PREPROGRAMMED DDS

A. Polymer membrane permeation-controlled drug
   delivery systems

B. Polymer matrix diffusion-controlled drug delivery systems

C. Micro reservoir partition-controlled drug delivery systems
                                                       6
A. POLYMER MEMBRANE PERMEATION-CONTROLLED
   DDS

   Drug release surface of the reservoir compartment
    is rate-controlling polymeric membrane.

   Polymeric membrane can be
    nonporous, microporous or semi permeable in
    nature.

   Encapsulation of drug in the reservoir is
    accomplished by injection molding, spray
    coating, capsulation or microencapsulation.

   Q/t = [(Km/r Ka/m Dd Dm)/( Km/r Dm hd + Ka/m Dd hm)]
    cR

                                                           7
   Release of drug is controlled by controlling the
    partition coefficient and diffusivity of the drug
    molecule and the thickness of the rate-controlling
    membrane




                                                         8
EXAMPLES:



PROGESTASERT IUD:

reservoir - suspension of progesterone crystals in silicone
medical fluid
Membrane- nonporous membrane of ethylene vinyl acetate
copolymer
Deliver natural progesterone continuously in the uterine
cavity at a daily dosage rate of at least 65 µg/day to
achieve contraception for1 year.




                                                        9
PROGESTASERT




               10
OCUSERT SYSTEM
 thin disk of pilocarpine alginate complex
  sandwiched between two transparent sheets of
  microporous ethylene-vinyl acetate copolymer
  membrane.




                                                 11
   Either 20 or 40 µg/hr of pilocarpine is released

TRANSDERM-NITRO
 Nitroglycerin-lactose triturate in the silicone
  medical fluid
 Micro porous membrane of ethylene-vinyl acetate
  copolymer
 Thin layer of pressure-sensitive silicone adhesive
  polymer is coated




                                                       12
B. POLYMER MATRIX DIFFUSION-CONTROLLED DDS
 Reservoir is prepared by homogenously dispersing drug
   particles in a rate-controlling polymer matrix.




                                                  13
   Q/t1/2 = (2ACRDp)1/2

   release of drug is controlled by controlling the
    loading dose, polymer solubility of the drug, and
    its diffusivity in the polymer matrix

EXAMPLES

NITRO-DUR
 Nitro-glycerine transdermal patch


   for 24 hr to provide a continuous transdermal
    infusion of nitro-glycerine at a dosage rate of 0.5
    mg/cm2/day for the treatment of angina pectoris.


                                                        14
NITRO-DUR




            15
C. MICRORESERVOIR PARTITION- CONTROLLED DRUG
   DELIVERY SYSTEMS
 Micro dispersion of an aqueous suspension of drug using
   a high-energy dispersion technique in a bio-compatible
   polymer,(Eg. silicone elastomers), forms a homogenous
   dispersion of many discrete, unleachable, microscopic
   drug reservoirs.
 device can be further coated with a layer of
   biocompatible polymer to modify the mechanism and
   the rate of drug release




                                                   16
   Release of drug molecules from this type of
    CRDDS can follow either dissolution or a matrix
    diffusion-controlled process depending upon the
    relative magnitude of Sl and Sp

EXAMPLES
NITRODISC SYSTEM
 Nitro-glycerine in silicone elastomer
 0.5mg/cm2 for once-a-day




                                                      17
Activation – modulated
drug delivery systems



                    18
ACTIVATION MODULATED DDS
    Drug   delivery    is   activated   and     controlled    by
     physical,   chemical    or   bio-chemical    processes    or
     facilitated by the energy supplied externally


Classification of activation modulated DDS
    Based on the nature of the process applied or the type
     of energy used


1.   Physical means
2.   Chemical means
3.   Biological means
                                                          19
DDS activated by physical means


a.   Osmotic pressure- activated DDS

b.   Hydrodynamic pressure activated DDS

c.   Vapour pressure activated DDS

d.   Mechanically activated DDS

e.   Magnetically activated DDS

f.   Sonophorosis activated DDS

g.   Iontophoresis activated DDS

h.   Hydration activated DDS


                                           20
1.   Osmotic pressure- activated DDS


    drug reservoir can be a solution contained within an
     impermeable collapsable tube.

    This is covered with osmotic agent place in a rigid semi
     permeable housing with controlled water permeability.

    The rate of drug release is modulated by the gradient of
     osmotic pressure.


                    Q/t = PwAm (πs-πe) /hm

Pw = water permeability
Am = effective surface area
hm =thickness of the semi permeable housing
                                                     21
22
Vasopressin

              23
2. Hydrodynamic pressure activated DDS

   hydrodynamic pressure is used as the source of energy
    to activate the drug release.




                                                   24
Q/t = Pf Am/hm (θs – θe)


Pf = fluid permeability


Am = effective surface area


hm = thickness of the wall with annular openings


θs – θe = difference in hydrodynamic pressure between the
         DDS and the environment

                                                   25
3. Vapour pressure- activated drug delivery systems



   Drug inside infusion compartment is separated from
    pumping compartment by freely movable partition.

   Pumping compartment contains a fluorocarbon
    fluid that vaporizes at body temperature

   The vapour pressure created moves the partition
    upward, forcing the drug to be delivered.

   Eg: INFUSAID implants (heparin)



                                                      26
1. Flow regulator, 2. silicone polymer coating, 3. patrition,
4. Pumping compartment, 5. Infusate compartment, 6.
fluorocarbon fluid filling tube, 7. filter assembly, 8. inlet
septum for percutaneous refill of infusate, 9. needle stop.

                                                         27
Q/t= d4(Ps-P-e)/40.74µl


d & l = the inner diameter and the length of the delivery
  cannula, respectively


Ps-P-e = difference between the vapour pressure in the
        pumping     compartment      and      the   site   of
  implantation.


µ = viscosity of the drug formulation used.
                                                    28
4. Mechanically activated drug delivery system

   Equipped with a mechanically activated pumping system

   A measured dose of drug formulation is reproducibly
    delivered

   The volume of solution delivered is controllable, as small as
    10-100µl

   Volume of solution delivered is independent of the force &
    duration of activation applied as well as the solution volume
    in the container.

   Example is the development of metered dose nebulizer for
    the intranasal administration of a precision dose of buserelin
    (LHRH).

                                                           29
30
5. Magnetically activated drug delivery systems
 Drug reservoir is a dispersion of peptide or protein
   powders in a polymer matrix
   Low rate of delivery is improved by incorporating
    electromagnetically triggered vibration mechanism




                                               31
   Coating polymer can be a ethylene-vinyl acetate
    copolymer or silicon elastomers.

   These systems have been used to deliver protein
    drugs, such as bovine serum albumin

6. Sonophoresis-activated drug delivery systems

   Utilize ultrasonic energy to activate the delivery of the
    drugs from a polymeric drug delivery device

   can be fabricated from either a non degradable
    polymer, such as ethylene-vinyl acetate copolymer,

    a   bio   erodible    polymer      such   as   poly[bis(p-
    carboxyphenoxy)alkane anhydride].
                                                       32
Sonophoresis-activated drug delivery systems




                                               33
7. Iontophoresis-activated drug delivery systems

   uses electrical current to activate and to modulate
    the diffusion of a charged drug molecule across
    the skin in a facilitated rate




                                                   34
   skin permeation rate of a charged molecule i consist of 3
    components

                     Jiisp = Jp+Je+Jc
     Jp = passive skin permeation flux
     Je = electrical current driven permeation flux
     Jc = convection flow-driven skin permeation flux
   IONSYS - fentanyl iontophoretic transdermal system




   Example : development of an iontophoretic DDS of
    dexamethasone sodium phosphate
                                                         35
8. Hydration-activated drug delivery system

   Depends on the hydration induced swelling process to
    activate the release of drug

   Drug reservoir is homogeneously dispersed in a swellable
    polymer matrix fabricated from a hydrophilic polymer

   Release of the drug is controlled by the rate of swelling of
    the polymer matrix.

   Example is VALRELEASE tablet- diazepam in hydrocolloid
    and pharmaceutical excipients.

   In stomach absorbs the gastric fluid & forms colloidal gel
    that starts from the tablet surface and grows inward.

                                                        36
   release of the drug is controlled by matrix diffusion
    through this gel barrier




                                                   37
     In this group of controlled-release drug
    delivery systems the release of drug molecules
    from the delivery systems is activated by a
    triggering agent, such as a biochemical
    substance, in the body and also regulated by
    its concentration via some feedback
    mechanisms.

   The rate of drug release is then controlled by
    the concentration of triggering agent
    detected by a sensor in the feedback-
    regulated mechanism.
   There are 3 different sub-type of this system :

    Bioerosion Regulated Drug Delivery
    System

    Bioresponsive Drug Delivery System

    Self-Regulating Drug Delivery System
 Thefeedback regulated drug delivery
 concept was applied to the
 development of a Bioerosion-
 regulated drug delivery system by
 Heller and Trescony.
   The system consists of drug-dispersed
    bioerodible matrix fabricated from poly(vinyl
    methyl ether) half-ester, which was coated
    with a layer of immobilized urease.

   In a solution with near neutral pH, the polymer
    only erodes very slowly.
   In the presence of urea, urease at the surface
    of drug delivery system metabolizes urea to
    form ammonia.

   This causes the pH to increase and a rapid
    degradation of polymer matrix as well as the
    release of drug molecules.
   In this system the drug reservoir is
    contained in a device enclosed by a
    Bioresponsive polymeric membrane whose
    drug permeability is controlled by a
    concentration of a biochemical agent in
    a tissue where the system is located.
   A typical example of this Bioresponsive
    drug delivery system is the development of
    a glucose-triggered insulin delivery system
    in which the insulin reservoir is
    encapsulated in within a hydrogel
    membrane having pedant –NR2 groups.

   In alkaline solution the –NR2 groups are
    neutral and the membrane is unswollen
    and impermeable to insulin.
   As glucose, a triggering agent, penetrates into
    the membrane, is oxidized enzymatically by the
    glucose oxidase entrapped in the membrane
    to form gluconic acid.

   The –NR2 groups are protonated to form –
    NR2H+ and hydrogel membrane then become
    swollen and permeable to insulin molecules.

   The amount of insulin delivered is thus
    Bioresponsive to the concentration of glucose
    penetrating the insulin delivery system.
Self-Regulating Drug
Delivery System



                       49
    This type of feedback-regulated drug delivery
    system depends on a reversible and competitive
    binding mechanism to activate and to regulate
    the release of drug.

   In this system the drug reservoir is a drug complex
    encapsulated within a semipermeable polymeric
    membrane.

   The release of drug from the delivery system is
    activated by the membrane permeation of
    biochemical agent from the tissue in which the
    system is located.
   Kim et al. first applied the mechanism of
    reversible binding of sugar molecules by lectin
    into the design of self-regulating drug delivery
    system.

   It first involves the preparation of biologically
    active insulin derivatives in which insulin is
    coupled with a sugar and this into a insulin-
    sugar-lectin complex.

    The complex is then encapsulated within a
    semipermeable membrane.
   As blood glucose diffuses into the device and
    competitively binds at the sugar binding sites
    in lectin molecules, this activates the release
    of bound sugar-insulin derivatives.

    The released insulin-sugar derivatives then
    diffuse out of the device, and the amount of
    insulin-sugar derivatives released depends on
    the glucose concentration.

   Thus a self regulating drug delivery is
    achieved.
   However the potential problem exists: that
    is, the release of insulin is non-linear in
    response to the changes in glucose level.

   Further development of the self-regulating
    insulin delivery system utilized the complex
    of glycosylated insulin-concavalin
    A, which is encapsulated inside a polymer
    membrane.
   As glucose, the triggering agent, penetrates
    the system, it activates the release of
    glycosylated insulin from the complex for the
    controlled delivery out of the system.

    The amount of insulin delivered is thus self-
    regulated by the concentration of glucose
    penetrating the insulin delivery system.
THANK YOU

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Rate controlled drug delivery by using rate- preprogrammed drug delivery systems

  • 1.
  • 2. INTRODUCTION  Conventional drug delivery systems (DDS) 2
  • 3. Sustained release and controlled release DDS 70 60 50 40 Solution Dexatrim 30 Acutrim 20 10 0 0 5 10 15 20 25 30 3
  • 4. CLASSIFICATION  Rate- preprogrammed drug delivery systems  Activation – modulated drug delivery systems  Feedback- regulated drug delivery systems  Site- targeting drug delivery systems 4
  • 6. RATE- PREPROGRAMMED DDS  Release of drug molecules from the delivery systems has been preprogrammed at specific rate profiles  Diffusion of drug molecules into the medium is controlled CLASSIFICATION OF RATE- PREPROGRAMMED DDS A. Polymer membrane permeation-controlled drug delivery systems B. Polymer matrix diffusion-controlled drug delivery systems C. Micro reservoir partition-controlled drug delivery systems 6
  • 7. A. POLYMER MEMBRANE PERMEATION-CONTROLLED DDS  Drug release surface of the reservoir compartment is rate-controlling polymeric membrane.  Polymeric membrane can be nonporous, microporous or semi permeable in nature.  Encapsulation of drug in the reservoir is accomplished by injection molding, spray coating, capsulation or microencapsulation.  Q/t = [(Km/r Ka/m Dd Dm)/( Km/r Dm hd + Ka/m Dd hm)] cR 7
  • 8. Release of drug is controlled by controlling the partition coefficient and diffusivity of the drug molecule and the thickness of the rate-controlling membrane 8
  • 9. EXAMPLES: PROGESTASERT IUD: reservoir - suspension of progesterone crystals in silicone medical fluid Membrane- nonporous membrane of ethylene vinyl acetate copolymer Deliver natural progesterone continuously in the uterine cavity at a daily dosage rate of at least 65 µg/day to achieve contraception for1 year. 9
  • 11. OCUSERT SYSTEM  thin disk of pilocarpine alginate complex sandwiched between two transparent sheets of microporous ethylene-vinyl acetate copolymer membrane. 11
  • 12. Either 20 or 40 µg/hr of pilocarpine is released TRANSDERM-NITRO  Nitroglycerin-lactose triturate in the silicone medical fluid  Micro porous membrane of ethylene-vinyl acetate copolymer  Thin layer of pressure-sensitive silicone adhesive polymer is coated 12
  • 13. B. POLYMER MATRIX DIFFUSION-CONTROLLED DDS  Reservoir is prepared by homogenously dispersing drug particles in a rate-controlling polymer matrix. 13
  • 14. Q/t1/2 = (2ACRDp)1/2  release of drug is controlled by controlling the loading dose, polymer solubility of the drug, and its diffusivity in the polymer matrix EXAMPLES NITRO-DUR  Nitro-glycerine transdermal patch  for 24 hr to provide a continuous transdermal infusion of nitro-glycerine at a dosage rate of 0.5 mg/cm2/day for the treatment of angina pectoris. 14
  • 15. NITRO-DUR 15
  • 16. C. MICRORESERVOIR PARTITION- CONTROLLED DRUG DELIVERY SYSTEMS  Micro dispersion of an aqueous suspension of drug using a high-energy dispersion technique in a bio-compatible polymer,(Eg. silicone elastomers), forms a homogenous dispersion of many discrete, unleachable, microscopic drug reservoirs.  device can be further coated with a layer of biocompatible polymer to modify the mechanism and the rate of drug release 16
  • 17. Release of drug molecules from this type of CRDDS can follow either dissolution or a matrix diffusion-controlled process depending upon the relative magnitude of Sl and Sp EXAMPLES NITRODISC SYSTEM  Nitro-glycerine in silicone elastomer  0.5mg/cm2 for once-a-day 17
  • 18. Activation – modulated drug delivery systems 18
  • 19. ACTIVATION MODULATED DDS  Drug delivery is activated and controlled by physical, chemical or bio-chemical processes or facilitated by the energy supplied externally Classification of activation modulated DDS  Based on the nature of the process applied or the type of energy used 1. Physical means 2. Chemical means 3. Biological means 19
  • 20. DDS activated by physical means a. Osmotic pressure- activated DDS b. Hydrodynamic pressure activated DDS c. Vapour pressure activated DDS d. Mechanically activated DDS e. Magnetically activated DDS f. Sonophorosis activated DDS g. Iontophoresis activated DDS h. Hydration activated DDS 20
  • 21. 1. Osmotic pressure- activated DDS  drug reservoir can be a solution contained within an impermeable collapsable tube.  This is covered with osmotic agent place in a rigid semi permeable housing with controlled water permeability.  The rate of drug release is modulated by the gradient of osmotic pressure. Q/t = PwAm (πs-πe) /hm Pw = water permeability Am = effective surface area hm =thickness of the semi permeable housing 21
  • 22. 22
  • 24. 2. Hydrodynamic pressure activated DDS  hydrodynamic pressure is used as the source of energy to activate the drug release. 24
  • 25. Q/t = Pf Am/hm (θs – θe) Pf = fluid permeability Am = effective surface area hm = thickness of the wall with annular openings θs – θe = difference in hydrodynamic pressure between the DDS and the environment 25
  • 26. 3. Vapour pressure- activated drug delivery systems  Drug inside infusion compartment is separated from pumping compartment by freely movable partition.  Pumping compartment contains a fluorocarbon fluid that vaporizes at body temperature  The vapour pressure created moves the partition upward, forcing the drug to be delivered.  Eg: INFUSAID implants (heparin) 26
  • 27. 1. Flow regulator, 2. silicone polymer coating, 3. patrition, 4. Pumping compartment, 5. Infusate compartment, 6. fluorocarbon fluid filling tube, 7. filter assembly, 8. inlet septum for percutaneous refill of infusate, 9. needle stop. 27
  • 28. Q/t= d4(Ps-P-e)/40.74µl d & l = the inner diameter and the length of the delivery cannula, respectively Ps-P-e = difference between the vapour pressure in the pumping compartment and the site of implantation. µ = viscosity of the drug formulation used. 28
  • 29. 4. Mechanically activated drug delivery system  Equipped with a mechanically activated pumping system  A measured dose of drug formulation is reproducibly delivered  The volume of solution delivered is controllable, as small as 10-100µl  Volume of solution delivered is independent of the force & duration of activation applied as well as the solution volume in the container.  Example is the development of metered dose nebulizer for the intranasal administration of a precision dose of buserelin (LHRH). 29
  • 30. 30
  • 31. 5. Magnetically activated drug delivery systems  Drug reservoir is a dispersion of peptide or protein powders in a polymer matrix  Low rate of delivery is improved by incorporating electromagnetically triggered vibration mechanism 31
  • 32. Coating polymer can be a ethylene-vinyl acetate copolymer or silicon elastomers.  These systems have been used to deliver protein drugs, such as bovine serum albumin 6. Sonophoresis-activated drug delivery systems  Utilize ultrasonic energy to activate the delivery of the drugs from a polymeric drug delivery device  can be fabricated from either a non degradable polymer, such as ethylene-vinyl acetate copolymer, a bio erodible polymer such as poly[bis(p- carboxyphenoxy)alkane anhydride]. 32
  • 34. 7. Iontophoresis-activated drug delivery systems  uses electrical current to activate and to modulate the diffusion of a charged drug molecule across the skin in a facilitated rate 34
  • 35. skin permeation rate of a charged molecule i consist of 3 components Jiisp = Jp+Je+Jc Jp = passive skin permeation flux Je = electrical current driven permeation flux Jc = convection flow-driven skin permeation flux  IONSYS - fentanyl iontophoretic transdermal system  Example : development of an iontophoretic DDS of dexamethasone sodium phosphate 35
  • 36. 8. Hydration-activated drug delivery system  Depends on the hydration induced swelling process to activate the release of drug  Drug reservoir is homogeneously dispersed in a swellable polymer matrix fabricated from a hydrophilic polymer  Release of the drug is controlled by the rate of swelling of the polymer matrix.  Example is VALRELEASE tablet- diazepam in hydrocolloid and pharmaceutical excipients.  In stomach absorbs the gastric fluid & forms colloidal gel that starts from the tablet surface and grows inward. 36
  • 37. release of the drug is controlled by matrix diffusion through this gel barrier 37
  • 38.
  • 39. In this group of controlled-release drug delivery systems the release of drug molecules from the delivery systems is activated by a triggering agent, such as a biochemical substance, in the body and also regulated by its concentration via some feedback mechanisms.  The rate of drug release is then controlled by the concentration of triggering agent detected by a sensor in the feedback- regulated mechanism.
  • 40. There are 3 different sub-type of this system :  Bioerosion Regulated Drug Delivery System  Bioresponsive Drug Delivery System  Self-Regulating Drug Delivery System
  • 41.  Thefeedback regulated drug delivery concept was applied to the development of a Bioerosion- regulated drug delivery system by Heller and Trescony.
  • 42. The system consists of drug-dispersed bioerodible matrix fabricated from poly(vinyl methyl ether) half-ester, which was coated with a layer of immobilized urease.  In a solution with near neutral pH, the polymer only erodes very slowly.
  • 43. In the presence of urea, urease at the surface of drug delivery system metabolizes urea to form ammonia.  This causes the pH to increase and a rapid degradation of polymer matrix as well as the release of drug molecules.
  • 44.
  • 45. In this system the drug reservoir is contained in a device enclosed by a Bioresponsive polymeric membrane whose drug permeability is controlled by a concentration of a biochemical agent in a tissue where the system is located.
  • 46. A typical example of this Bioresponsive drug delivery system is the development of a glucose-triggered insulin delivery system in which the insulin reservoir is encapsulated in within a hydrogel membrane having pedant –NR2 groups.  In alkaline solution the –NR2 groups are neutral and the membrane is unswollen and impermeable to insulin.
  • 47. As glucose, a triggering agent, penetrates into the membrane, is oxidized enzymatically by the glucose oxidase entrapped in the membrane to form gluconic acid.  The –NR2 groups are protonated to form – NR2H+ and hydrogel membrane then become swollen and permeable to insulin molecules.  The amount of insulin delivered is thus Bioresponsive to the concentration of glucose penetrating the insulin delivery system.
  • 48.
  • 50. This type of feedback-regulated drug delivery system depends on a reversible and competitive binding mechanism to activate and to regulate the release of drug.  In this system the drug reservoir is a drug complex encapsulated within a semipermeable polymeric membrane.  The release of drug from the delivery system is activated by the membrane permeation of biochemical agent from the tissue in which the system is located.
  • 51. Kim et al. first applied the mechanism of reversible binding of sugar molecules by lectin into the design of self-regulating drug delivery system.  It first involves the preparation of biologically active insulin derivatives in which insulin is coupled with a sugar and this into a insulin- sugar-lectin complex.  The complex is then encapsulated within a semipermeable membrane.
  • 52. As blood glucose diffuses into the device and competitively binds at the sugar binding sites in lectin molecules, this activates the release of bound sugar-insulin derivatives.  The released insulin-sugar derivatives then diffuse out of the device, and the amount of insulin-sugar derivatives released depends on the glucose concentration.  Thus a self regulating drug delivery is achieved.
  • 53. However the potential problem exists: that is, the release of insulin is non-linear in response to the changes in glucose level.  Further development of the self-regulating insulin delivery system utilized the complex of glycosylated insulin-concavalin A, which is encapsulated inside a polymer membrane.
  • 54. As glucose, the triggering agent, penetrates the system, it activates the release of glycosylated insulin from the complex for the controlled delivery out of the system.  The amount of insulin delivered is thus self- regulated by the concentration of glucose penetrating the insulin delivery system.
  • 55.