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Development of hot-melt extrusion as a novel technique for the ...

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1.5 Formulation research and developments to dateDespite <strong>the</strong> fact that initial research developments have focused on <strong>the</strong> effects <strong>of</strong><strong>for</strong>mulation and processing variables on <strong>the</strong> properties <strong>of</strong> <strong>the</strong> final dosage <strong>for</strong>ms,[9, 30, 31, 34, 35]more recent investigations have focused on <strong>the</strong> use <strong>of</strong> HME <strong>as</strong> a <strong>novel</strong> manufacturingtechnology <strong>of</strong> solid molecular dispersions through to <strong>the</strong> development <strong>of</strong> mini-matrices, t<strong>as</strong>tem<strong>as</strong>ked <strong>for</strong>mulations and also sustained rele<strong>as</strong>e <strong>for</strong>mulations <strong>as</strong> well <strong>as</strong> paediatric <strong>for</strong>mulations[26, 48] . Early work by De Brabander et al. (2000) described <strong>the</strong> preparation <strong>of</strong> matrix mini-tabletswhich w<strong>as</strong> followed by fur<strong>the</strong>r investigations into <strong>the</strong> properties <strong>of</strong> sustained rele<strong>as</strong>e minimatricesmanufactured from ethyl cellulose, HPMC and ibupr<strong>of</strong>en [32, 33] . Extruded mini tabletsshowed minimised risk <strong>of</strong> dose dumping, reduced inter- and intra-subject variability. Recently,Roblegg et al. (2011) reported <strong>the</strong> development <strong>of</strong> retarded rele<strong>as</strong>e pellets using vegetablecalcium stearate (CaSt) <strong>as</strong> a <strong>the</strong>rmopl<strong>as</strong>tic excipient processed through HME, where pellets witha drug loading <strong>of</strong> 20% paracetamol rele<strong>as</strong>ed only 11.54% <strong>of</strong> <strong>the</strong> drug after 8 hours due to <strong>the</strong>significant densification <strong>of</strong> <strong>the</strong> pellets. As expected, <strong>the</strong> drug rele<strong>as</strong>e w<strong>as</strong> influenced by <strong>the</strong> pelletsize and <strong>the</strong> drug loading [36] . A microbicide intravaginal ring (IVR) IVR w<strong>as</strong> prepared anddeveloped from polye<strong>the</strong>r urethane (PU) el<strong>as</strong>tomers <strong>for</strong> <strong>the</strong> sustained delivery <strong>of</strong> UC781 (ahighly potent nonnucleoside reverse transcript<strong>as</strong>e inhibitor <strong>of</strong> HIV-1). PU IVRs containingUC781 were fabricated using a <strong>hot</strong>-<strong>melt</strong> <strong>extrusion</strong> process [37] .Moreover, a fourfold incre<strong>as</strong>e in <strong>the</strong> availability <strong>of</strong> propanolol in <strong>the</strong> systemic circulationw<strong>as</strong> observed when <strong>the</strong> HME <strong>for</strong>mulation w<strong>as</strong> compared with a commercially available<strong>for</strong>mulation (Inderal®). Over <strong>the</strong> l<strong>as</strong>t five years HME h<strong>as</strong> been used largely to manufacturegranules, pellets, immediate and modified rele<strong>as</strong>e tablets, transmucosal/ transdermal films andimplantable reservoir devices [3, 4, 9, 35, 38] . For instance, with respect to drug administrationthrough <strong>the</strong> oral route, molecular solid dispersions <strong>of</strong> nifedipine [38] , nimodipine [29] anditraconazole [39, 40, 41] have been successfully produced using HME technology. Amorphousindomethacin dispersions have been manufactured using pharmaceutically acceptablehydrophilic polymers by using HME technology [26, 42, 43] .Fur<strong>the</strong>rmore, HME research developments have driven targeted drug delivery systemsincluding enteric matrix tablets and capsule systems over <strong>the</strong> l<strong>as</strong>t few years [44, 45] . Miller et al.(2007) have demonstrated <strong>the</strong> ability <strong>of</strong> HME to act <strong>as</strong> an efficient dispersive process <strong>for</strong>aggregated, fine engineering particles to improve dissolution rate properties by enhancing8 | P a g e

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