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

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oral and transdermal applications. The growing market in medical devices, includingincorporating drugs into devices such <strong>as</strong> biodegradable stents and drug-loaded ca<strong>the</strong>ters willundoubtedly require HME manufacturing processes. These are required to be commercialisedand perhaps may lead to new are<strong>as</strong> <strong>of</strong> collaboration across pharmaceutical, medical device andbiotechnology research.1.6 HME in commercial productsHME related patents which have been issued <strong>for</strong> pharmaceutical systems have steadilyincre<strong>as</strong>ed since <strong>the</strong> early 1980‘s [69] . So far, <strong>the</strong> USA and Germany hold approximately morethan half (56%) <strong>of</strong> all issued patents <strong>for</strong> HME in <strong>the</strong> market. Despite this incre<strong>as</strong>ed interest, onlya handful <strong>of</strong> commercialized HME pharmaceutical products are currently marketed. Severalcompanies have been recognized to specialize in <strong>the</strong> use <strong>of</strong> HME <strong>as</strong> a drug delivery technology,such <strong>as</strong> PharmaForm and SOLIQS (Abbott). Recently, SOLIQS h<strong>as</strong> developed a proprietary<strong>for</strong>mulation which is known <strong>as</strong> Meltrex® and re-developed a prote<strong>as</strong>e-inhibitor combinationproduct, Kaletra®. Kaletra is mainly used <strong>for</strong> <strong>the</strong> treatment <strong>of</strong> human immunodeficiency virus(HIV) infections. The <strong>for</strong>mulated, <strong>melt</strong> extruded product w<strong>as</strong> shown to have a significantenhancement in <strong>the</strong> bioavailability <strong>of</strong> active substances [70] . Fur<strong>the</strong>rmore, HME Kaletra® tabletswere shown to have significant advantages <strong>for</strong> patient compliance (i.e. reduced dosing frequencyand improved stability) compared to <strong>the</strong> previous s<strong>of</strong>t-gel capsule <strong>for</strong>mulation <strong>as</strong> recognized by<strong>the</strong> FDA decision to f<strong>as</strong>t-track approval. Additionally, Nur<strong>of</strong>en (Meltlets® lemon) is available in<strong>the</strong> market <strong>as</strong> a f<strong>as</strong>t dissolving tablet prepared by similar <strong>technique</strong> to HME [42] . Ibupr<strong>of</strong>en h<strong>as</strong>been used <strong>as</strong> active substance in <strong>the</strong> Meltlets® tablets. Moreover, SOLIQS h<strong>as</strong> also developed af<strong>as</strong>t-onset ibupr<strong>of</strong>en system and a sustained-rele<strong>as</strong>e <strong>for</strong>mulation <strong>of</strong> verapamil (Isoptin® SR-E)through a HME related technology called ‗Calendaring‘ that w<strong>as</strong> <strong>the</strong> first directly shaped HMEproduct in <strong>the</strong> market.1.7 SummaryHME h<strong>as</strong> proven to be a robust method <strong>of</strong> producing numerous drug delivery systemsand <strong>the</strong>re<strong>for</strong>e it h<strong>as</strong> been found to be useful in <strong>the</strong> pharmaceutical industry enlarging <strong>the</strong> scope toinclude a range <strong>of</strong> polymers and APIs that can be processed with or without pl<strong>as</strong>ticizers. It h<strong>as</strong>also been documented that HME is a solvent-free, robust, quick and economy favouredmanufacturing process <strong>for</strong> <strong>the</strong> production <strong>of</strong> a large variety <strong>of</strong> pharmaceutical dosage <strong>for</strong>ms.12 | P a g e

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