Calcitonin poster

1
4 th year, Section 6 (class 201 Department of Pharmaceuti Calcitonin ~ New Delivery Systems Through Nasal Route ~ A little Introduction on Nasal Route Nasal drug administration has been used as an alternative route for the systemic availability of drugs restricted to intravenous administration . This is due to the large surface area, porous endothelial membrane, high total blood flow, the avoidance of first-pass metabolism . 1 - Particle size : Optimum particle size to not swallow the drug or lose it with exhaled breath is 3-7 micron . 2 - Molecula r weight : For good absorpti on without enhancer s up to 1000 Dalton . 3 - pH: Absorpti on is higher at a pH lower than the dissocia tion constant (pKa) of the molecule . 4 - Lipophil icity: More lipophil ic drugs are absorbed better . 5 - Drug Conc.: Absorpti on follows 1 st order kinetics , hence it depends on the initial drug Conc . Effect of Physicochemical Properties on Nasal DD Overview on Challenges for Nasal Route Problem Challenge Solution Enzymatic degradation Inhibit nasal enzymes Enzyme inhibitor, prodrugs Mucociliary clearance Overcome it Deposit formulation in anterior cavity Less permeation Enhance drug permeation, modify the membrane Permeation enhancer, Prodrugs Poor physic- chemical properties of drug Improve it Prodrugs, cosolvents Methods To Improve Absorption Permeation enhancers : Fatty acids, bile salts, phospholipids, surfactants, cyclodextrins. Nasal enzymes inhibitors : Enzymes inhibitor like protease and peptidase are used as for the formulation of peptide and protein molecules. Mucoadhesion : Mucoadhesive polymers make intimate contact with biological membrane and penetrate into the tissue surface. A little Introduction on Calcitonin Calcitonin is a 32-amino acid linear polypeptide hormone that is produced in humans by C- cells of the thyroid. It regulates calcium levels in body and is involved in bone building. When taken by shot or nasal spray, it slows the rate of bone thinning. It also relieves pain ofspinal compression fracture. Calcitonin was extracted from the ultimobranchial glands (thyroid-like glands) of fish, particularly salmon. Salmon calcitonin resembles human calcitonin, but is more active. At present, it is produced either by recombinant DNA technology or by chemical peptide synthesis . 1 - Osteoporosi s in women who are 5 years past menopause . 2 - Corticoster oid induced Osteoporosi s . 3 - Paget’s disease . 4 - Hypercalcem ia states (e.g. neoplasm) . Uses R a p i d o n s e t P a i n l e s s d e l i v e r y m e t h o d E s c a p e f i r s t p a s s h e p a t i c m e t a b o l i s m C o m p l i a n c e n o t a n i s s u e e a s y a n d f a s t t o d e l i v e r t o p a F a s t t r a n s f e r a s n a s a l c a v i t y c o v e r e d b y a t h i n m u c o s a a n d o n o s e ( r h i n i t i s / e p i s t a x i s / r e d n e s s / s t u f f y n o s e / m u c o s a l a l t e r a t F l u s h i n g o f f a c e H y p e r s e n s i t i v i t y r e a c t i o n s ( A n a p h y l a x i s ) H y p o c a l c e m i a H e a d a c h e D i z z i n e s s Advantages and Limitations Stability As mentioned before Calcitonin is a 32-amino acid linear polypeptide. Its relatively small size makes it quite stable for formulation. Other than adjusting the pH and ionic strength it doesn’t require the addition of cosolvents . Storage Conditions of the Nasal Spray : Store unassembled nasal spray bottles (at 2-8 degrees C). Don’t freeze . Store bottles that are in use (at 15-30 degrees C) . BAV of Nasal Spray Compared To Injection The bioavailability of current FDA-approved nasal salmon Calcitonin products is poor, averaging only 3% compared to the bioavailability achieved via the alternate subcutaneous injection route. The advent of highly effective and non- irritating absorption enhancement agents n- Dodecyl-beta-Maltoside, affords a practical opportunity to improve its BAV and broaden its uses specially in analgesia. BAV of Nasal Spray with and without Dodecylmaltoside Compared To Injection It is provided as a solution for nasal administration. (Calcitonin – salmon) 2200 I.U per ml NaCl (adjust isotonicity). Benzalkonium chloride (Preservative mainly- could act as penetration enhancer). Hydrochloric acid (adjust pH). Purified water. Example for Marketed Product: Miacalcin ® Assembling the Nasal Spray 1 . Text book of Novel Drug Delivery System by Chien, 2 nd Edition 2 . Webmd.com 3 . Nasal route and drug delivery systems - Pharm World Sci. - by: Türker S . Onur E, Ozer Y 4 . Mayoclinic.org 5 . Drugs.com 6. Highly Bioavailable Nasal Calcitonin - Potential for Expanded Use in Analgesia - Drug Delivery Technology January 2010 Vol 10 No 1. 7 . Design of salmon calcitonin particles for nasal delivery using spray-drying and novel supercritical fluid-assisted spray-drying processes - Int J Pharm – by: Cho W et al . 8. Modern encroachment and provocation in nasal drug delivery system – by: P.R. Patil, V.K. Salve, R.U. Thorat, P.K. Puranik and S.S. Khadabadi. References

Transcript of Calcitonin poster

Page 1: Calcitonin  poster

4th year, Section 6 (class 2016)Department of Pharmaceutices

Calcitonin ~ New Delivery Systems Through Nasal Route ~

A little Introduction on Nasal RouteNasal drug administration has been used as an alternative route for the systemic availability of drugs

restricted to intravenous administration .This is due to the large surface area, porous endothelial membrane, high total blood flow, the avoidance of first-pass metabolism.

1 -Particle size :

Optimum particle size

to not swallow the drug or lose

it with exhaled

breath is 3-7 micron.

2 -Molecular

weight :For good

absorption without

enhancers up to 1000

Dalton .

3 -pH: Absorption is higher at a pH lower

than the dissociation

constant (pKa) of the

molecule.

4 -Lipophilicit

y: More lipophilic drugs are absorbed

better.

5 -Drug Conc.:

Absorption follows 1st

order kinetics, hence it

depends on the initial drug Conc.

Effect of Physicochemical Properties on Nasal DD

Overview on Challenges for Nasal RouteProblem Challenge Solution

Enzymatic degradation Inhibit nasal enzymes Enzyme inhibitor, prodrugs

Mucociliary clearance Overcome it Deposit formulation in anterior cavity

Less permeationEnhance drug permeation, modify the membrane

Permeation enhancer, Prodrugs

Poor physic-chemical properties of drug Improve it Prodrugs, cosolvents

Methods To Improve AbsorptionPermeation enhancers: Fatty acids, bile salts, phospholipids, surfactants, cyclodextrins.Nasal enzymes inhibitors: Enzymes inhibitor like protease and peptidase are used as for the formulation of peptide and protein molecules.Mucoadhesion: Mucoadhesive polymers make intimate contact with biological membrane and penetrate into the tissue surface.

A little Introduction on CalcitoninCalcitonin is a 32-amino acid linear polypeptide hormone that is produced in humans by C-cells of the thyroid. It regulates calcium levels in body and is involved in bone building. When taken by shot or nasal spray, it slows the rate

of bone thinning. It also relieves pain ofspinal compression fracture. Calcitonin was extracted from the ultimobranchial glands (thyroid-like glands) of fish, particularly salmon. Salmon calcitonin resembles human calcitonin, but is more active. At present, it is produced either by recombinant DNA technology or by chemical peptide synthesis.

1 -Osteoporosis in women who

are 5 years past menopause .

2 -Corticosteroid induced

Osteoporosis.

3 -Paget’s disease.

4 -Hypercalcemia

states (e.g. neoplasm).

Uses

Rapi

d onset

Pai

nl

ess

delivery

method

Escape

first

pass

hepatic

metabolis

m

Co

mpli

ance

not

an

issue

easy

and

fast

to

deliver

to

pati

ents

Fast

transfer

as

nasal

cavity

covered

by

a

thi

n

mucosa

and

well

vascul

arized

Rel

ated

to

nose

(rhi

ni

tis/epistaxis/redness/stuffy

nose/

mucosal

alterati

ons)

Fl

ushi

ng

of

face

Hypersensi

tivity

reacti

ons

(Anaphyl

axis)

Hypocalce

mi

a

Headache

Dizzi

ness

Advantages and Limitations

StabilityAs mentioned before Calcitonin is a 32-amino acid linear polypeptide. Its relatively small size makes it quite stable for formulation. Other than adjusting the pH and ionic strength it doesn’t require the addition of cosolvents.Storage Conditions of the Nasal Spray :Store unassembled nasal spray bottles (at 2-8 degrees C). Don’t freeze .

Store bottles that are in use (at 15-30 degrees C).

BAV of Nasal Spray Compared To InjectionThe bioavailability of current FDA-approved nasal salmon Calcitonin products is poor, averaging only 3% compared to the bioavailability achieved via the alternate subcutaneous injection route.The advent of highly effective and non-irritating absorption enhancement agents n-Dodecyl-beta-Maltoside, affords a practical opportunity to improve its BAV and broaden its uses specially in analgesia.

BAV of Nasal Spray with and without

Dodecylmaltoside Compared To Injection

It is provided as a solution for nasal administration. (Calcitonin – salmon) 2200 I.U per mlNaCl (adjust isotonicity).Benzalkonium chloride (Preservative mainly-could act as penetration enhancer).Hydrochloric acid (adjust pH).Purified water.

Example for Marketed Product: Miacalcin®

Assembling the Nasal Spray

1 .Text book of Novel Drug Delivery System by Chien, 2nd Edition2 .Webmd.com

3 .Nasal route and drug delivery systems - Pharm World Sci. - by: Türker S. Onur E, Ozer Y 4 .Mayoclinic.org

5 .Drugs.com6. Highly Bioavailable Nasal Calcitonin - Potential for Expanded Use in Analgesia - Drug Delivery Technology January 2010 Vol 10 No 1.

7 .Design of salmon calcitonin particles for nasal delivery using spray-drying and novel supercritical fluid-assisted spray-drying processes - Int J Pharm – by: Cho W et al.

8. Modern encroachment and provocation in nasal drug delivery system – by: P.R. Patil, V.K. Salve, R.U. Thorat, P.K. Puranik and S.S. Khadabadi.

References