Nanocrystals: Current Strategies and Trends - International Journal ...
Nanocrystals: Current Strategies and Trends - International Journal ...
Nanocrystals: Current Strategies and Trends - International Journal ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
_________________________________________Research Paper<br />
<strong>Nanocrystals</strong>: <strong>Current</strong> <strong>Strategies</strong> <strong>and</strong> <strong>Trends</strong><br />
Sanjay Bansal 1 *, Meena Bansal 1 <strong>and</strong> Rachna Kumria 2<br />
1 M.C.P. College, Jal<strong>and</strong>har, Punjab, India.<br />
2 MMCP, MMU, Mullana, Ambala, Haryana, India.<br />
___________________________________________________________________________<br />
ABSTRACT<br />
With the advent of modern technologies, a large number of drugs have been discovered which have a better<br />
efficiency but their clinical application is restricted due to poor water solubility. Nearly 40% of the drugs in the<br />
pipeline <strong>and</strong> around 60% of compounds coming directly from synthesis have poor solubility. Poor water<br />
solubility has become a leading challenge for the formulation of these compounds. Poor solubility is generally<br />
associated with poor bioavailability. <strong>Nanocrystals</strong> have the potential to overcome this issue. Change of<br />
materials into the nanodimension dramatically changes its physical properties. Drug nanocrystals are crystals<br />
with a size in the nanometer range (mean diameter < 1000nm). This review article outlines the various<br />
pharmaceutical advantages of nanosization, industrially relevant production technologies available currently<br />
with advantages <strong>and</strong> disadvantages of each <strong>and</strong> the various dosage forms developed using nanocrystals. The<br />
nanocrystal products in the market/pipeline will be briefly reviewed <strong>and</strong> the advantages of these as compared<br />
to traditional products would be highlighted.<br />
Key Words: <strong>Nanocrystals</strong>, high pressure homogenization, pearl milling, drug nanocrystals, dissocubes.<br />
1. INTRODUCTION<br />
With progress in high throughput screening<br />
methods <strong>and</strong> also with 60% of the drugs coming<br />
directly from synthesis the number of poorly<br />
soluble drugs is increasing 1 . Research efforts are<br />
being focused on the approaches to increase drug<br />
solubility e.g. solubilisation using surfactants,<br />
formation of micro emulsions , complex formation,<br />
formation of self emulsifying drug delivery system<br />
(SEDDS), solid dispersions, etc. Micronization of<br />
drug powders to size between 1-10 μm, in order to<br />
increase surface area <strong>and</strong> dissolution rate is not<br />
sufficient to overcome bioavailability of BCS Class<br />
II drugs. The next step towards solubilization is<br />
nanonization. <strong>Nanocrystals</strong> are crystals having size<br />
less than 1μm . As the particle size of a crystal is<br />
decreased to about 100 nm there is a drastic change<br />
in the properties of the material. The decreased size<br />
increases the surface area <strong>and</strong> solubility of drug<br />
manifolds <strong>and</strong> there is proportionate increase in the<br />
bioavailability of poorly soluble drugs.<br />
Nanonization has an additional effect when<br />
compared to micronisation. It increases not only<br />
the surface area, but also simultaneously the<br />
saturation solubility. The solubility of normally<br />
sized powders is a compound specific constant,<br />
depending only on the temperature <strong>and</strong> the solvent.<br />
However, when the particle size of a crystal is less<br />
than 1-2 μm, the saturation solubility is also a<br />
function of particle size. The dissolution pressure<br />
increases due to the strong curvature of the<br />
particles leading to an increase in saturation<br />
solubility. The theoretical background is provided<br />
by the Ostwald–Freundlich <strong>and</strong> the Kelvin<br />
equations 2 .<br />
The increase in saturation solubility has two<br />
effects:<br />
a) An increase in saturation solubility leading to an<br />
increase in dissolution rate.<br />
b) Formation of a supersaturated solution which<br />
in-turn increases the concentration gradient<br />
between the lumen of the gut <strong>and</strong> the blood. This<br />
would hasten drug diffusion promoting absorption.<br />
<strong>Nanocrystals</strong> offer a quick action onset due to<br />
faster dissolution <strong>and</strong> rapid absorption. This is<br />
advantageous particularly for drugs where a quick<br />
action is desired e.g. naproxen for relief of<br />
headache. The bio-availability of various drugs has<br />
been found to increase significantly when<br />
administered in the form of nanocrystals. A study<br />
was conducted by Liversidge <strong>and</strong> Conzentino<br />
(1995) 3 on the bioavailability of naproxen, when<br />
naproxen was administered as a conventional<br />
tablet, a suspension <strong>and</strong> as a nanosuspension. It<br />
was found that the area under the curve (AUC) of<br />
blood levels for analgesic naproxen was 32.7 mgh/l<br />
for conventional tablet, 44.7 mgh/l as Naprosyn ®<br />
suspension <strong>and</strong> the AUC increased to 79.5 mgh/l<br />
when naproxen was administered as<br />
nanosuspensions. Another study was conducted on<br />
the gonadotropin inhibitor danazol when<br />
administered as macrosuspension <strong>and</strong> as a<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 406
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
nanosuspension. The relative bio-availability was<br />
found to be 5.1% when danazol was administration<br />
as a microemulsion. Bioavailability of Danazol<br />
nanosuspension on the other side was found to be<br />
82.3% 4 . Due to their small size, nanosuspension<br />
can be injected intravenously leading to a 100%<br />
bio-availability. Thus any drug can be made 100%<br />
bio-available using the nanocrystal technology.<br />
<strong>Nanocrystals</strong> can show a strong adhesion because<br />
of the increased contact area for van der Waals<br />
attraction. The adhesiveness of the nanoparticles to<br />
the gut wall after oral administration enhances<br />
absorption <strong>and</strong> thereby increases the<br />
bioavailability. Lamprecht (2001) 5 observed<br />
differential uptake/ adhesion of polystyrene particle<br />
to inflamed colonic mucosa, with the deposition<br />
5.2%, 9.1%, <strong>and</strong> 14.5% for 10-mm, 1000-nm, <strong>and</strong><br />
100-nm particles, respectively. The behavior of<br />
polymeric nanoparticles in GIT is influenced by<br />
their bio-adhesive properties. Therefore, lectins<br />
have been shown to improve muco-adhesion of the<br />
drug 6 .<br />
<strong>Nanocrystals</strong> may be able to reduce the dose to be<br />
administered, provide a sustained drug release <strong>and</strong><br />
increase patient compliance. de Waard et al.<br />
(2010) 7 prepared nanocrystals of ibuprofen <strong>and</strong><br />
fenofibrate. He claimed that shape of the crystals<br />
increases the drug absorption to a great extent. So,<br />
Waard claims that doses of poorly soluble drugs<br />
such as ibuprofen <strong>and</strong> cholesterol reducing<br />
fenofibrate can be reduced if they are administered<br />
in nanocrystal form. The increased bio-availability<br />
leads to reduction in dosing frequency which may<br />
improve patient compliance. P<strong>and</strong>ey et al. (2003) 8<br />
demonstrated that the nanoparticles provided<br />
sustained release of the anti-tubercular drugs<br />
(rifampin, isoniazid <strong>and</strong> pyrazinamide) <strong>and</strong><br />
considerably enhanced their efficacy after oral<br />
administration. This solves the problem of patient<br />
non-compliance <strong>and</strong> thus reduces the incidence of<br />
relapse of the disease. Shegokar et al. (2010) 9<br />
prepared prolonged release formulation for dermal<br />
use incorporating nanocrystals of poorly water<br />
soluble lidocaine. <strong>Nanocrystals</strong> can be incorporated<br />
in various dosage forms which make administration<br />
by various routes feasible. Due to better solubility<br />
<strong>and</strong> bioavailability, nanocrystals can be supplied in<br />
patient friendly oral solid dosage forms such as<br />
tablets <strong>and</strong> capsules. <strong>Nanocrystals</strong> of poorly soluble<br />
drugs can also be incorporated in cosmetic products<br />
where they provide high penetration power through<br />
dermal application. A very small size of<br />
nanoparticles (200-400 nm) even smaller than the<br />
size of the smallest blood capillaries allows the<br />
nanosuspensions to be injected intravenously. This<br />
provides 100% bio-availability <strong>and</strong> simultaneously<br />
avoids the use of toxic surfactants or co solvents to<br />
dissolve the drug. Pulmonary <strong>and</strong> ophthalmic drug<br />
delivery of nanocrystals has also been achieved<br />
with better efficiency. Nanosuspensions can be<br />
used for targeted delivery because their surface<br />
properties <strong>and</strong> changing of the stabilizer can easily<br />
alter in-vivo behavior. Nanosuspensions afford a<br />
means of administering poorly soluble drugs to<br />
brain with decreased side effects. Different<br />
approaches can be used to target drugs to the site of<br />
action. One method is direct injection of<br />
nanoparticles at the target site e.g. injection into<br />
cancer tissue.<br />
The drug nanocrystals are a smart delivery system,<br />
a universal principle, which can be applied to any<br />
drug because any drug can be diminuted to<br />
nanocrystals. Furthermore, both lipophilic <strong>and</strong><br />
hydrophilic drugs can be incorporated as<br />
nanocrystals. Another essential prerequisite for<br />
entry to the pharmaceutical market is the<br />
availability of large scale production methods at<br />
sufficiently low cost <strong>and</strong> simultaneously meeting<br />
the regulatory requirements. The nanocrystals<br />
technology fulfills this criterion also. The pearl<br />
milling <strong>and</strong> high pressure homogenization can be<br />
extended for commercial production of<br />
nanocrystals <strong>and</strong> are accepted by the regulatory<br />
authorities.<br />
2. Nanocrystal technology<br />
Drug nanocrystals can be produced by bottom up<br />
techniques (precipitation methods) or top down<br />
techniques (size reduction by milling or high<br />
pressure homogenization). In case of bottom-up<br />
technologies, one starts with molecules in the<br />
solution <strong>and</strong> moves via association of these<br />
molecules to form solid particles, i.e. it is a<br />
classical precipitation process. The top down<br />
techniques are based on size reduction of relatively<br />
large particles into smaller particles by mechanical<br />
attrition. For industrial production, all products are<br />
prepared by top down technique. The basic<br />
techniques currently used by different companies<br />
are:<br />
2.1.Bottom-up technique (Precipitation method)<br />
2.2 Top down techniques<br />
2.2.1. Pearl/Ball milling (Nanosystems /Élan<br />
technology)<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 407<br />
4, 10<br />
2.2.2 High Pressure Homogenization (HPH)<br />
2.2.2.1 Micro fluidizer technology (IDD-P TM<br />
technology)<br />
2.2.2.2 Piston gap homogenization in water<br />
(Dissocubes® technology)<br />
2.2.2.3 Piston gap homogenization in water<br />
mixtures or in non-aqueous medium<br />
(Nanopure® technology) 11-15<br />
2.2.3 Combination technology<br />
2.2.3.1. NANOEDGE® Technology<br />
2.2.3.2. SmartCrystal® Technology<br />
2.1 Bottom-up technique (Precipitation<br />
method): This is also known as hydrosol<br />
technology. This was developed by Sucker <strong>and</strong> the<br />
intellectual property is owned by S<strong>and</strong>oz
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
(nowadays Novartis) 16, 17 . In this technique the drug<br />
is dissolved in a solvent <strong>and</strong> then this solution is<br />
added to a non solvent leading to the precipitation<br />
of the finely dispersed drug nanocrystals. The<br />
precipitation technique is simple <strong>and</strong> requires low<br />
cost equipments. For example, the solvent can be<br />
poured into the non-solvent with a constant<br />
velocity in the presence of a high-speed stirrer.<br />
Main approaches include the use of static mixers or<br />
micro-mixers, which simulate the precipitation<br />
conditions in a small volume (i.e., simulating labscale<br />
conditions). In the case of micro-mixers,<br />
scaling up can be performed in a simple way by<br />
arranging many micro-mixers in parallel. This<br />
equipment is relatively simple <strong>and</strong> of relatively low<br />
cost (this is not necessarily valid for the micromixers).<br />
The drawbacks of this technique are that the drug<br />
needs to be soluble in at least one solvent. This<br />
however, is problematic for newly developed drugs<br />
which are generally insoluble in both aqueous <strong>and</strong><br />
organic media. Secondly, this solvent needs to be<br />
miscible with at least one non solvent. Solvent<br />
residues need to be removed, thus increasing<br />
production costs.<br />
In case of nanocrystals, care needs to be exercised<br />
to ensure that the crystals do not grow in size <strong>and</strong><br />
remain stabilized at the nanosize. Spray drying <strong>and</strong><br />
lyophilization are the techniques recommended to<br />
preserve the particle size in nano range 18 . Another<br />
alternative to preserve the size of nanocrystals is<br />
the use of polymeric growth inhibitors. Various<br />
stabilizers like sodium dodecyl sulfate (SDS),<br />
polyvinyl alcohol (PVA), tween® 80 <strong>and</strong><br />
polyxamer® 188 have been employed to prepare<br />
nanocrystals 19 .<br />
Nanomorphs: Another precipitation method has<br />
been developed by Soliqs/Abbott, to enhance<br />
dissolution rate <strong>and</strong> solubility. Carotene<br />
nanoparticles were developed for food industry<br />
e.g., Leucarotin® or Lucantin® (BASF) 20 . For<br />
preparation of these, a solution of the Carotenoid<br />
<strong>and</strong> surfactant in digestible oil was mixed with a<br />
suitable aqueous solvent. To this a protective<br />
colloid was added. Carotenoid was stabilized <strong>and</strong><br />
localized in the oily phase of this o/w emulsion.<br />
This emulsion was then lyophilized. X-ray analysis<br />
of the lyophilized product revealed that about 90%<br />
of the carotenoid was in the amorphous state. These<br />
particles were called nanomorphs (Nanomorph®).<br />
These were found to have higher saturation<br />
solubility when compared to crystalline material.<br />
At present, there is no pharmaceutical product in<br />
the market based on this technology.<br />
2.2 Top-down techniques<br />
2.2.1 Pearl/Ball milling: In this technique, the<br />
drug along with the milling media, dispersion<br />
media (generally water) <strong>and</strong> the stabilizer is fed<br />
into the milling chamber. Milling balls or small<br />
pearls are used as milling media. The movement of<br />
milling media generates high shear forces <strong>and</strong><br />
forces of impact which leads to particle size<br />
reduction. This technology was developed by<br />
Merisko-Liversidge et al. (2003) 21 . The pearls or<br />
balls comprise of ceramic (cerium or yttrium<br />
stabilized zirconium dioxide), glass, stainless steel<br />
or highly cross-linked polystyrene resin coated<br />
beads. The two basic principles of milling are<br />
employed. Either the milling material can be<br />
moved by an agitator or the complete container<br />
may be moved in a complex movement. In the<br />
latter method large batches are difficult to process,<br />
so mills using agitators are generally preferred for<br />
large batches. Milling time, however, depends upon<br />
various factors such as hardness of the drugs,<br />
surfactant contents, viscosity, temperature, energy<br />
input <strong>and</strong> size of the milling media. The milling<br />
time can last from 30 minutes to several hours 21 .<br />
Advantages of Pearl milling include low cost,<br />
simple technology <strong>and</strong> ability for large scale<br />
production. The disadvantages associated with this<br />
process are erosion from the milling material<br />
leading to product contamination, adherence of the<br />
product to the inner surface of the mill <strong>and</strong> to the<br />
surface of the milling pearls, long milling times(in<br />
case of hard drugs), potential growth of germs in<br />
the water phase (when milling for a longtime), time<br />
<strong>and</strong> costs associated with the separation procedure<br />
of the milling material from the drug nanoparticle<br />
suspension, especially when producing parenteral<br />
sterile products.<br />
Buchmann et al (1996) 22 reported the formation of<br />
glass micro particles when using glass beads as the<br />
milling media. The erosion from the glass beads<br />
could be reduced when these were coated with<br />
highly cross linked polystyrene resin 23 . The<br />
wastage of the drug due to adherence to milling<br />
surface is of significance in case of very expensive<br />
drugs, particularly when very small quantities are<br />
processed.<br />
The first four marketed products containing<br />
nanocrystals such as Rapamune®, Emend®,<br />
Tricor®, Megace ES® were prepared by Pearl mill<br />
technology by Elan nanosystems.<br />
2.2.2 High Pressure Homogenization Technique<br />
This Technique has been applied for many years<br />
for the production of emulsions <strong>and</strong> suspensions. A<br />
distinct advantage of this technology is its ease for<br />
scale up.<br />
There are three important technologies for<br />
producing nanocrystals using homogenization<br />
methods:-<br />
2.2.2.1. Microfluidizer technology (IDD-P TM<br />
technology)<br />
2.2.2.2. Piston gap homogenization in water<br />
(Dissocubes® technology)<br />
2.2.2.3. Piston gap homogenization in water<br />
mixtures or in non-aqueous medium<br />
(Nanopure® technology)<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 408
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
2.2.2.1 Microfluidizer technology:<br />
(Microfluidics TM Inc. USA) This technology is<br />
based on the jet-stream principle. Two streams of<br />
liquid with high velocity (upto 1000 m/sec) collide<br />
frontally under high pressures (upto 1700 bars) 24 .<br />
The particle size is reduced due to high shear force<br />
particle collision <strong>and</strong> cavitation 25 . The same can be<br />
achieved using jet stream homogenizers such as<br />
micro-fluidizer (Microfluidizer® Microfluidics<br />
Inc.). The collision chamber can be either Y-type<br />
or Z-type in shape. Surfactants or phospholipids are<br />
required to stabilize the desired particle size 26, 27 .<br />
Microfluidizer can be used for the production of<br />
drug nanosuspensions for soft drugs. However, this<br />
technique is not very convenient for large scale<br />
production as a large number of cycles (50 to 100<br />
passes) are required for sufficient particle size<br />
reduction 28, 29 . This technique is being utilized by<br />
SkyePharma Canada Inc. for production of<br />
submicron particles of poorly soluble drugs <strong>and</strong><br />
named it IDD-P TM (Insoluble Drug Delivery-<br />
Particle technology).<br />
2.2.2.2 Piston gap homogenization in water<br />
(Dissocubes® technology). Piston gap<br />
homogenization technology was developed by<br />
Müller et al., <strong>and</strong> acquired by SkyePharma in<br />
1999 14,30 . In this technique, powdered drug is<br />
dispersed in an aqueous surfactant solution which<br />
is then forced by a piston through tiny<br />
homogenization gap under high pressure. The gap<br />
width is adjusted according to the viscosity of the<br />
suspension <strong>and</strong> the applied pressure <strong>and</strong> is<br />
generally in the size range of 5 to 20 μm 31 .<br />
According to Bernoulli equation the resulting high<br />
streaming velocity of the suspension causes an<br />
increase in the dynamic pressure which is<br />
compensated by a reduction in the static pressure.<br />
The static pressure in the gap falls below the<br />
vapour pressure of water at room temperature 32 . So<br />
water starts boiling in the gap at room temperature<br />
leading to the formation of gas bubbles. The<br />
formation of gas bubbles leads to pressure waves<br />
disintegrating the crystals. When the liquid leaves<br />
the homogenization gap, the static pressure<br />
increases to normal air pressure <strong>and</strong> gas bubbles<br />
collapse. This process of formation <strong>and</strong> implosion<br />
of gas bubbles is called cavitation. There is particle<br />
size diminution due to high shear forces, turbulent<br />
flow <strong>and</strong> the enormous power of these shock<br />
waves 33 . This technique has been used for<br />
production of nanosuspension of artemisinin <strong>and</strong><br />
quercetin using Tween 80 as a stabilizer (0.5- 2.5<br />
% w/w) 34, 35 .<br />
The use of water as dispersion medium has certain<br />
disadvantages such as hydrolysis of water sensitive<br />
drugs <strong>and</strong> problems during drying step. In case of<br />
thermolabile drugs or drugs having low melting<br />
point, removal of water necessitates the use of<br />
techniques such as lyophilization which are quite<br />
expensive. Dissocubes® technology therefore is<br />
most suitable when aqueous suspensions of<br />
nanocrystals are to be formulated for drugs that are<br />
poorly soluble in both aqueous <strong>and</strong> organic<br />
media 14 . Another advantage of this method is that it<br />
allows aseptic production of nanosuspensions for<br />
parenteral use 36 . Nanocrystal suspensions of<br />
cyclosporine, paclitaxel, amphidicolin,<br />
bupravaquone, azodyecarbonamide <strong>and</strong><br />
prednisolone have been prepared using this<br />
technique.<br />
The two main drawbacks associated with this<br />
method are high installation <strong>and</strong> maintenance cost<br />
of equipments <strong>and</strong> requirement of preprocessing of<br />
the drugs (e.g. micronization).<br />
2.2.2.3 Piston-gap homogenization in water<br />
reduced mixtures or non-aqueous medium<br />
(Nanopure® technology): Another approach using<br />
piston-gap homogenizer is the Nanopure®<br />
technology which is owned <strong>and</strong> developed by<br />
Pharmasol GmbH in Berlin. This technology uses<br />
non-aqueous phase or phases with reduced water<br />
content as dispersion media. Use of non aqueous<br />
media is advantageous for drugs which undergo<br />
hydrolysis in water. The different media used for<br />
homogenization include oils, water-glycerol<br />
mixtures, polyethylene glycols, water- alcohol<br />
mixture etc. These dispersion media have low<br />
vapor pressure. The static pressure in the<br />
homogenization gap does not fall below the vapor<br />
pressure of the liquid, so the liquid does not boil<br />
<strong>and</strong> cavitation does not occur. Even without<br />
cavitation, sufficient size reduction to nano range<br />
takes place 11, 12, 37 . The forces responsible for size<br />
diminution are particle collision <strong>and</strong> shear forces<br />
occurring in highly turbulent fluid in the gap 38 .<br />
Homogenization using Nanopure® technology is<br />
similar or more efficient at lower temperature, i.e.<br />
temperature below the freezing point of water.<br />
Melted non aqueous matrices such as PEG 6000<br />
that are solid at room temperature can also be used<br />
as a medium for homogenization. This leads to<br />
fixation of drug nanocrystals in the solid matrix<br />
<strong>and</strong> minimizes crystal contact <strong>and</strong> subsequent<br />
crystal growth. Drug nanocrystals dispersed in<br />
liquid PEG’s (such as Miglyol 812 or 829) or oils<br />
can be directly filled as drug nanosuspension into<br />
gelatin or HPMC capsules 39 . <strong>Nanocrystals</strong> have<br />
been used as powder for the production of solid<br />
dosage forms such as tablets <strong>and</strong> pellets.<br />
Preparation of solid oral dosage forms from the<br />
nanocrystal suspension requires the removal of<br />
dispersion media from the nanocrystals. Dispersion<br />
medium is removed by either freeze drying or<br />
spray drying. Nanopure Technology offers<br />
advantage in this case since evaporation is faster<br />
<strong>and</strong> takes place at lower temperature due to the use<br />
of non aqueous medium or water reduced mixtures.<br />
This is useful for thermolabile drugs.<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 409
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
Isotonic drug nanosuspensions for parenteral<br />
administration can be obtained by homogenization<br />
in water-glycerol mixtures (2.25 % of water free<br />
glycerol). Amphotericin-B powder was dispersed<br />
in liquid PEG-400 <strong>and</strong> in melted PEG 1000<br />
respectively <strong>and</strong> homogenized at 1500 bar up to 25<br />
homogenization cycles 38 .<br />
Thus, High Pressure Homogenization has a number<br />
of advantages to offer (a) it is a continuous process,<br />
(b) there is a limited contamination from the<br />
production equipment (e.g. contamination with iron<br />
was found to be less than 1 ppm ), (c) its ability for<br />
scaling up, even up to production level (d)<br />
possibility of production even without water.<br />
A comparative study on the performance of two<br />
different techniques of nanonization namely, HPH<br />
<strong>and</strong> milling was carried out on Ibuprofen by<br />
Mauludin et al. 19 . Particle size distribution of the<br />
nanocrystals formed was compared. It was found<br />
that the performance of the nanonization technique<br />
depends strongly on the drug properties. In case of<br />
Ibuprofen, which consists of hard crystals, HPH<br />
was superior to the ball milling technology.<br />
Increasing the milling time could not further reduce<br />
the particle size distribution.<br />
Advantages <strong>and</strong> disadvantages of different<br />
nanonization techniques have been listed in Table<br />
1.<br />
2.3. Combination Technologies<br />
The term combination technology has been used<br />
for technologies which combine a pre-treatment<br />
step followed by a high energy homogenization.<br />
2.3.1. NANOEDGE® Technology-<br />
(Microprecipitation <strong>and</strong> Homogenization).<br />
NANOEDGE® Technology was introduced by<br />
Baxter, <strong>and</strong> this involves a combination of<br />
precipitation followed by annealing process.<br />
Annealing process is carried out using high energy<br />
such as high shear forces <strong>and</strong>/or thermal energy 40 .<br />
When drug nanoparticles are produced by<br />
precipitation method alone, the precipitated<br />
nanoparticles have a tendency to grow. Also, the<br />
precipitated particles may be amorphous or<br />
partially amorphous. Upon keeping, the amorphous<br />
particles may re-crystallize <strong>and</strong> this may lead to a<br />
decreased bioavailability of the drug. Combination<br />
technology on the other h<strong>and</strong> has the potential to<br />
overcome these problems, firstly, by prevention of<br />
crystal growth <strong>and</strong> secondly by reducing the<br />
uncertainty of formation of either crystalline or<br />
amorphous state as the annealing process converts<br />
all precipitated particles to crystalline state.<br />
Nanoedge TM technology is particularly suitable for<br />
drugs that are soluble in non-aqueous media<br />
possessing low toxicity, such as N-methyl-2pyrrolidinone.<br />
But the drawback of this method is<br />
its cost especially in case of preparation of sterile<br />
parenteral products.<br />
2.3.2. SmartCrystal® technology This technology<br />
was first developed by PharmaSol GmbH <strong>and</strong> was<br />
later acquired by Abbott. It is a tool-box of<br />
different combination processes in which process<br />
variations can be chosen depending upon the<br />
physical characteristics of the drug (such as<br />
hardness). The process H42 involves a combination<br />
of spray-drying <strong>and</strong> HPH. Drug nanocrystals can<br />
be produced much faster in one to a few<br />
homogenization cycles. Process H69 (Precipitation<br />
<strong>and</strong> HPH) <strong>and</strong> H96 (lyophilization <strong>and</strong> HPH) yield<br />
nanocrystals of amphotericin B within a size range<br />
of about 50 nm 41 .<br />
S. Kobierski et al. (2008) 42 produced nanocrystals<br />
in a two-step process i.e. pre- milling followed by<br />
high pressure homogenization (HPH).<br />
Nanosuspensions of cosmetic active hesperidin<br />
were produced by ball-milling process <strong>and</strong> with<br />
combination process. Both the prepared<br />
nanosuspensions were kept for storage.<br />
Nanosuspension prepared using SmartCrystal®<br />
technology was found to be of a smaller size<br />
indicating better physical stability. Also<br />
combination technique is faster <strong>and</strong> more<br />
economical as compared to HPH alone.<br />
Möschwitzer <strong>and</strong> Müller 43 (2005) prepared spraydried<br />
hydrocortisone acetate powder from<br />
nanosuspension produced by HPH with a micron<br />
LAB 40 <strong>and</strong> planetary monomill “pulverisette 6”.<br />
The number of cycles required could be distinctly<br />
reduced. Additionally, a smaller particle size <strong>and</strong><br />
better particle size distribution could be obtained.<br />
Another finding of the study was that the<br />
application of different homogenization pressures<br />
(e.g. 300 <strong>and</strong> 500 bar) was equally efficient.<br />
Therefore, during large scale production, low<br />
homogenization pressures (300 bars) may be<br />
preferred to reduce wearing of the machine 44 .<br />
3. Processing of nanosuspension to form<br />
nanocrystals<br />
The nanonization of drugs by various techniques<br />
generally results in a liquid product called<br />
nanosuspension. But these nanosuspensions are<br />
directly used as a final product only in some special<br />
cases e.g. as pediatric or geriatric dosage forms. In<br />
most of the cases, a dry dosage form (particularly<br />
for oral administration) is preferred, may be a) for<br />
convenience, b) to achieve a controlled drug<br />
delivery, c) to prevent drug degradation, d) to<br />
enable better drug targeting, e) to increase the<br />
physical stability for long term storage <strong>and</strong> f) to<br />
obtain a fine non-aggregated suspension in the<br />
gastro-intestinal tract after oral administration. In<br />
such cases, the nanosuspension needs to be<br />
transformed into solid forms, which may be<br />
crystalline (<strong>Nanocrystals</strong>) or amorphous<br />
(Nanomorphs). Various techniques are used for this<br />
purpose like spray drying, freeze drying,<br />
pelletization or granulation.<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 410
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
3.1 Spray Drying: Spray drying is a simple <strong>and</strong><br />
inexpensive method <strong>and</strong> is therefore suitable for<br />
industrial production. This method is used for drug<br />
nanosuspension produced by high pressure<br />
homogenization <strong>and</strong> is an aqueous solution of<br />
water-soluble matrix materials e.g. polymers (PVP,<br />
long chained PEG’s or polyvinyl alcohol), sugars<br />
(saccharose, lactose) or sugar alcohols like<br />
mannitol <strong>and</strong> sorbitol. In the subsequent step, the<br />
aqueous drug nanosuspension can be spray dried<br />
under adequate conditions. The resulting dry<br />
powder consists of drug nanocrystals embedded in<br />
a water- soluble matrix. The loading capacity of the<br />
solid powder with drug nanocrystals can be<br />
adjusted by varying the concentrations of<br />
surfactants in the original aqueous nanosuspension.<br />
Advantages of this method are that drug<br />
nanocrystals remain fixed within the matrix. Their<br />
physical contact is avoided so the chances of longterm<br />
physical instabilities like aggregation <strong>and</strong><br />
Ostwald ripening are minimized. Exceeding a<br />
certain maximum loading capacity of the matrix<br />
with drug nanocrystals has an increasing negative<br />
effect on crystal growth <strong>and</strong> release as fine<br />
dispersion. The spray dried nano sized powder can<br />
be filled into hard gelatin capsules or sachets or can<br />
used for making tablets. Drug nanoparticles<br />
produced in PEG 600 or Miglyol can directly be<br />
filled into soft gelatin capsules.<br />
3.2. Freeze drying: Another method for removing<br />
water from formulation is freeze drying. This<br />
however, is a complex <strong>and</strong> expensive process <strong>and</strong><br />
the product obtained is highly sensitive to process<br />
parameters. This method is not suitable for<br />
industrial production.<br />
A new technique based upon freeze drying was<br />
developed by de Waard (2010) [7] . In this technique<br />
a mixture of the drug, solvent, <strong>and</strong> mannitol is<br />
cooled rapidly, resulting in separation of drug in a<br />
nanocrystal form encased by a matrix of mannitol.<br />
This matrix increases the stability of the<br />
nanocrstallized drug without which the crystals<br />
may stick together <strong>and</strong> form one large crystal. de<br />
Waard also developed a spray-freeze-drying<br />
method which enables the process to be applied on<br />
an industrial scale. Another method developed by<br />
the same author was a spray-freeze-drying method<br />
which could make industrial application of this<br />
process simpler.<br />
Lyophilization of drug nanoparticles produced in<br />
water-reduced media can be used to produce FDDS<br />
(Fast Dissolving Drug Delivery Systems). For<br />
parenteral application Nanopure can be lyophilized<br />
<strong>and</strong> reconstituted prior to injection with isotonic<br />
media (e.g. water with glycerol).<br />
3.3. Pelletization: A number of pelletization<br />
techniques are known, but the most commonly<br />
used techniques are a) extrusion-spheronization <strong>and</strong><br />
b) drug coating onto sugar spheres. The<br />
pelletization technique is selected on the basis of<br />
the required drug content, properties of the drug<br />
<strong>and</strong> the available equipment. A multi-particulate<br />
dosage form such as coated pellet system is<br />
obtained irrespective of the pelletization technique<br />
applied. These multi-particulate dosage forms show<br />
distinct advantages over single unit dosage forms<br />
such as faster <strong>and</strong> more predictable gastric<br />
emptying <strong>and</strong> more uniform drug distribution in<br />
GIT within different individuals.<br />
3.3.1. Production of pellets containing drug<br />
nanocrystal-loaded matrix cores: The drug<br />
nanosuspension obtained by high-pressure<br />
homogenization is mixed with matrix material<br />
(fillers such as MCC, Lactose or Starch). Pellets<br />
are produced by extrusion-spheronization <strong>and</strong> can<br />
be subsequently coated with polymers to modify<br />
the drug release properties.<br />
Mucoadhesive budenoside nanocrystals were<br />
prepared using extrusion-spheronization. The<br />
obtained pellets were coated with Eudragit L 30 D-<br />
55 to obtain enteric coating <strong>and</strong> delayed drug<br />
release [44] . Another type of modified release pellets<br />
were prepared by Mauludin et al. [45] (2005). These<br />
effervescent pellet formulations containing<br />
ibuprofen drug nanocrystals were produced by<br />
HPH. These ibuprofen containing pellets loaded<br />
with nanocrystals of the drug dissolved completely<br />
within 30 minutes from both formulations.<br />
Spray coated pellets of hydrocortisone acetate were<br />
prepared (enteric coated) from mucoadhesive<br />
nanosuspension of this poorly soluble drug. The invitro<br />
dissolution tests showed an accelerated<br />
dissolution rate <strong>and</strong> an increased drug release for<br />
the pellets containing drug nanocrystals [46] .<br />
3.3.2. Production of pellets by Nanosuspension<br />
layering onto sugar cores: The drug<br />
nanosuspension obtained by HPH is directly<br />
layered onto sugar beads <strong>and</strong> subsequently coated<br />
with polymers using the same equipment to modify<br />
the drug release properties.<br />
4. Advanced Techniques for Production of Solid<br />
<strong>Nanocrystals</strong><br />
There are many alternative technologies that are<br />
industrially less relevant. These are discussed<br />
below.<br />
4.1. Solution Enhanced Dispersion by the<br />
Supercritical fluids (SEDS): The SEDS method<br />
was developed <strong>and</strong> patented by the University of<br />
Bradford [47] . This technique uses an antisolventbased<br />
recrystallization process. CO2 is used as<br />
antisolvent. The substances are atomized into a<br />
chamber containing compressed CO2. As two<br />
liquids collide, intense atomization into micronized<br />
droplets occurs, subsequently drying of micro<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 411
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
droplets occur as the solvent(s) <strong>and</strong> CO2 mix.<br />
Nanoparticles are formed because the two way<br />
mass transfer ie extraction of organic solvent <strong>and</strong><br />
CO2 diffusion into the droplets occurs [48] .<br />
It is important to enhance the mass transfer rate<br />
between the droplets <strong>and</strong> the anti solvent before the<br />
droplets coalesce to form large size drops.<br />
This technique has produced a new polymorph of<br />
flucticasone propionate. It also enabled control<br />
over the particle size <strong>and</strong> shape of formed particles.<br />
This polymorph exhibited improved drug delivery<br />
characteristics in a metered dose inhaler (MDI)<br />
formulation compared to conventional <strong>and</strong><br />
micronized drugs [49] .<br />
4.2. Spray Freezing into Liquid (SFL): The<br />
University of Texas (Austin) was the first to<br />
develop <strong>and</strong> patent the SFL method in 2003.This<br />
technique was first commercialized by Dow<br />
Chemical Company (Midl<strong>and</strong>, MI).The drug<br />
present in an aqueous /organic /aqueous organic cosolvent<br />
solution, aqueous organic emulsion or<br />
suspension is atomized directly into either a<br />
cryogenic liquid (e.g. argon, nitrogen or halocarbon<br />
refrigerants) or a compressed gas (e.g. CO2, ethane,<br />
propane or helium).<br />
The fed solution is atomized through a nozzle<br />
positioned at a distance above the boiling<br />
refrigerant. The droplets gradually solidify while<br />
passing through the cold halocarbon vapor, <strong>and</strong><br />
freeze completely as contact is made with the<br />
boiling refrigerant liquid. These frozen particles are<br />
then lyophilized to obtain free-flowing <strong>and</strong> dry<br />
micronized powder [50] . The SFL powder showed<br />
better results such as highly effective wettability,<br />
high surface area <strong>and</strong> enhanced dissolution rates.<br />
Unfortunately, this process may result in broad<br />
particle size distributions <strong>and</strong> non-micronized<br />
particles because agglomerates of the solution<br />
droplets are solidified while passing through the<br />
vapor phase <strong>and</strong> settle onto the surface of the<br />
cryogenic liquid [49] .<br />
4.3. Rapid Expansion of Supercritical Solution<br />
(RESS): The principle of the RESS process is to<br />
induce a fast nucleation of the supercritical fluid of<br />
dissolved drugs in the presence of surfactants. This<br />
results in particle formation with a desirable size<br />
distribution in a very short time. The surfactants<br />
serve to stabilize the formed small particles <strong>and</strong><br />
suppress any tendency towards particle<br />
agglomeration or particle growth while they are<br />
being formed. The rapid intimate contact with the<br />
surface modifier is achieved by having the surface<br />
modifiers dissolved in the supercritical fluid<br />
containing the dissolved drugs. A rapid intimate<br />
contact between the surfactant <strong>and</strong> the newly<br />
formed particles inhibits the crystal growth of the<br />
newly formed particle [49,51] .<br />
This technique successfully produced cyclosporine<br />
nanocrystals with a size of 500–700 nm.<br />
Cyclosporine could be stabilized at drug<br />
concentrations as high as 6.2 <strong>and</strong> 37.5 mg/mL in<br />
1.0% <strong>and</strong> 5.0% (w/w) Tween 80 solution,<br />
respectively [49,52] . The dissolution of griseofulvin<br />
was two times higher than conventional micronized<br />
preparation [53] .<br />
Combination of RESS technique followed by highpressure<br />
homogenization was used by Pace (2001)<br />
[51]<br />
to prepare stable nanosuspensions of poorly<br />
soluble drugs.<br />
Young (1999) [54] developed a process based on<br />
supercritical fluids, rapid expansion from the<br />
supercritical to the aqueous solution (RESAS).<br />
4.4. Rapid Expansion of Supercritical Solution<br />
into Aqueous Solution (RESSAS): In contrast to<br />
RESAS, the RESSAS process utilizes a<br />
supercritical fluid which is exp<strong>and</strong>ed into an<br />
aqueous solution containing a stabilizer. This<br />
technique was used by Turk et al. to produce<br />
phytosterol particles with a diameter less than 500<br />
nm. The surfactants or stabilizers are dissolved in<br />
the aqueous phase, not in the supercritical fluid [55] .<br />
4.5. Evaporative Precipitation into Aqueous<br />
Solution Process (EPAS): The evaporative<br />
precipitation into aqueous solution (EPAS) applies<br />
rapid phase separation to nucleate <strong>and</strong> grow<br />
nanoparticles <strong>and</strong> micro particles of poorly watersoluble<br />
drugs. The EPAS was developed <strong>and</strong><br />
patented by the University of Texas at Austin in<br />
2001 <strong>and</strong> commercialized by the Dow Chemical<br />
Company [49] . The drug is dissolved in a low<br />
boiling point organic solvent.<br />
The drug solution is pumped through a tube where<br />
it is heated under pressure at a temperature above<br />
the solvent’s boiling point. It is then sprayed<br />
through a fine atomizing nozzle into heated<br />
aqueous solution. This process results in an<br />
amorphous suspension. Surfactants are added for<br />
efficient particle formation <strong>and</strong> stabilization. The<br />
stable aqueous drug suspension is dried by<br />
lyophilization or spray drying. A variety of<br />
hydrophilic surfactants are added to the solution to<br />
diffuse to surface of the growing particles rapidly<br />
enough to prevent growth of particles. The EPAS<br />
technique has produced cyclosporine-A<br />
nanosuspension with particle size ranging from 130<br />
to 460 nm [56] .<br />
5. Applications of <strong>Nanocrystals</strong> by various<br />
routes of administration:-<br />
5.1 Oral administration: - Enhancement in<br />
bioavailability of poorly soluble drugs after oral<br />
administration is well documented in the literature<br />
[3, 10, 21 ] . Besides it has also been proved by various<br />
drug nanocrystal products placed in the market. A<br />
faster onset of action <strong>and</strong> decreased gastric<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 412
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
irritancy has been reported when naproxen was<br />
formulated as nanosuspension [3, 57] . Due to fast<br />
dissolution of nanocrystals, the drug solubility is<br />
enhanced, making it bioequivalent in fed <strong>and</strong><br />
fasting conditions. The bioadhesive nature of<br />
nanocrystals offers additional advantage of<br />
increased stay in the gastro-intestinal tract which<br />
enhances bioavailability [58, 59] . The nano size can<br />
be exploited for better drug targeting as reported<br />
for lymphatic drug uptake [60] or for inflammatory<br />
tissues [5] . Nanosuspensions can be formulated as<br />
more concentrated <strong>and</strong> less viscous. Patient has to<br />
take lesser dose of easily swallowed formulation<br />
(e.g. Megace ES). Nanoparticles provided<br />
sustained release of anti-tubercular drugs –<br />
rifampin, isoniazid <strong>and</strong> pyrazinamide <strong>and</strong><br />
considerably improved their efficacy after oral<br />
administration [8] . Amphotericin B administered<br />
orally as a nanosuspension showed dramatically<br />
improved bioavailability as compared to its<br />
conventional oral commercial products such as<br />
Fungizone, AmBisome <strong>and</strong> micronized<br />
Amphotericin B [33, 62] . Aqueous nanosuspensions<br />
can be used directly in a liquid dosage form or<br />
incorporated in a dry dosage form such as tablets,<br />
capsules <strong>and</strong> fast melts by means of st<strong>and</strong>ard<br />
manufacturing technologies. Ketoprofen<br />
nanosuspensions have been successfully<br />
incorporated into pellets to release the drug over a<br />
period of 24 hrs.<br />
[63] . Oral Fenofibrate<br />
nanosuspensions showed better bioavailability as<br />
compared to conventional micronized drug<br />
suspensions [64] .<br />
5.2 Parenteral administration:- The conventional<br />
parenteral preparations (particularly for intravenous<br />
administration) of poorly soluble drugs are<br />
formulated by dissolving the drug with the help of<br />
cosolvents, surfactants, liposomes or cyclodextrins<br />
which is often associated with toxic effects <strong>and</strong><br />
large injection volumes. Aqueous nanosuspensions<br />
are an ideal formulation to overcome these<br />
problems e.g. Paclitaxel nanosuspensions cause<br />
less toxicity as compared to Taxol with<br />
Chremophor EL [65] . The parenteral administration<br />
of Clofazimine, an anti-tubercular drug was<br />
restricted due to its poor solubility. Clofazimine<br />
nanosuspension consisting only of the drug <strong>and</strong> a<br />
minimum amount of surfactant was injected<br />
intravenously, which showed better stability <strong>and</strong><br />
efficacy over liposomal Clofazimine in M. avium<br />
infected mice [66] . An intravenous nanosuspension<br />
of Itraconazole was reported to enhance the anti<br />
fungal effect in comparison to its solution dosage<br />
form in rats [67] . Due to higher loading capacity<br />
with nanosuspensions, the injectable dose can be<br />
distinctly reduced, compared to solutions [36] . Drug<br />
nanosuspensions can be sterilized by autoclaving,<br />
using gamma radiations or by sterile filtration using<br />
0.22 mm filter [68, 69] . <strong>Nanocrystals</strong> above 200nm<br />
dissolve slowly <strong>and</strong> are taken up by macrophages<br />
of the liver. This causes potentially targeted<br />
toxicity to the liver. <strong>Nanocrystals</strong> with size well<br />
below 100 nm dissolve much faster. The injection<br />
of nanosuspensions containing smaller particles<br />
resembles the intravenous injection of solutions<br />
<strong>and</strong> reduces the uptake by the liver. The targeting<br />
of clofazimine nanosuspension to the lung, liver,<br />
spleen <strong>and</strong> reticulo-endothelial system was<br />
comparable to the liposomal formulation [66] .<br />
Intravenous administration of nanosuspensions has<br />
further advantage of passive drug delivery to<br />
inflammatory sites where endothelium becomes<br />
permeable due to pathological processes. The<br />
passive accumulation in such sites with leaky<br />
vasculature was found to be more effective with<br />
long circulating nanoparticles [70] . Flexibility of<br />
nanosuspensions was further demonstrated by<br />
effective subcutaneous treatment of mice infected<br />
with M. tuberculosis [71] .<br />
5.3 Pulmonary drug delivery: - Poorly soluble<br />
drugs can be delivered directly to the lungs by<br />
nebulizing the aqueous nanosuspensions using<br />
mechanical or ultrasonic nebulizers. Using<br />
nanoparticles, drug is more evenly distributed in<br />
droplets. All aerosol droplets are likely to contain<br />
drug nanocrystals. Budenoside, poorly water<br />
soluble corticosteroid, has been successfully<br />
prepared as a nanosuspension for pulmonary<br />
delivery. It showed long term stability. No particle<br />
growth <strong>and</strong> aggregates formed over a period of one<br />
year [72] . In addition, Buparvaquone<br />
nanosuspension was formulated for an alternative<br />
treatment of lung infection (pneumonia) to deliver<br />
the drug at the site of lung infection using<br />
nebulization [73] . Administration to infected guinea<br />
pigs of nebulized rifampin, isoniazid <strong>and</strong><br />
pyrazinamide encapsulated in wheat germ<br />
agglutinin-functionalized PLG nanoparticles was<br />
much more effective. Three doses administered<br />
fortnightly for 45 days were sufficient to produce a<br />
sterilizing effect in lungs <strong>and</strong> spleen [74] . Drug<br />
nanocrystals showed an increased mucoadhesiveness<br />
leading to a prolonged residence time<br />
at the lung mucosa [73] .<br />
5.4 Dermal application: - Dermal<br />
nanosuspensions are mainly of interest if<br />
conventional approaches fail. <strong>Nanocrystals</strong> can<br />
increase the penetration of poorly soluble cosmetic<br />
<strong>and</strong> pharmaceutical substances into skin. This<br />
happens because increased saturation solubility<br />
increases the concentration gradient. Juvena<br />
launched first four Nanocrystal cosmetic products<br />
with rutin. Petersen (2006) [75] reported that rutin<br />
Nanocrystal formulation possesses 500 times<br />
higher bioactivity (measured as Sun Protection<br />
Factor,SPF) compared to water-soluble rutin-<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 413
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
glycoside . Dermal application of nanocrystals is<br />
protected by a US <strong>and</strong> PCT patent application.<br />
Shegokar et al. (2011) [76] reported that both rutin<br />
<strong>and</strong> hesperidin nanocrystals increased the SPF by<br />
36% <strong>and</strong> 59% respectively. This proves that<br />
nanocrystals increase the penetration into the skin.<br />
Shaal et al. (2010) [77] prepared apigenin<br />
nanocrystals <strong>and</strong> reported that UV skin protective<br />
potential can be significantly increased by<br />
decreasing the particle size from micrometer to the<br />
nanometer range.<br />
5.5. Ophthalmic drug delivery: -<br />
Nanosuspensions can prove beneficial for drugs<br />
that have poor solubility in lachrymal fluids.<br />
Nanosuspensions offer advantage of prolonged<br />
retention time in the eye, most likely due to their<br />
adhesive properties. Another advantage of<br />
nanosuspensions is high drug loading which avoids<br />
high tonicity created by water soluble drugs.<br />
Pignatello (2002) [78] developed a polymeric<br />
nanosuspension of ibuprofen for ophthalmic drug<br />
delivery. Ophthalmic nanosuspensions of glucocorticoid<br />
drugs; hydrocortisone, prednisolone <strong>and</strong><br />
dexamethasone show increased rate <strong>and</strong> extent of<br />
drug absorption <strong>and</strong> also prolonged duration [79] .<br />
5.6 Targeted drug delivery: - <strong>Nanocrystals</strong> can<br />
have deep excess to the human body because of<br />
particle size <strong>and</strong> control of surface properties. So<br />
they can also be used for targeted drug delivery.<br />
Kayser (2000) [80] developed a nanosuspention of<br />
aphidicolin to improve drug targeting against<br />
Leishmania-infected macrophages. He<br />
demonstrated that aphidicolin was highly active at<br />
a concentration in the microgram range. Similarly<br />
peptide dalargin was successfully targeted to the<br />
brain by employing surface modified poly(butyl )<br />
cyanoacrylate nanoparticles [81] .<br />
Nanoparticles offer a promising new cancer<br />
treatment that may one day replace radiation <strong>and</strong><br />
chemotherapy. Kangius RF therapy attaches<br />
microscopic nanoparticles to cancer cells <strong>and</strong> then<br />
cooks tumors inside the body with radio waves that<br />
heat only the nanoparticles <strong>and</strong> the adjacent<br />
cancerous cells.<br />
Muco-adhesive pellets or nanoparticles have been<br />
used as specific carrier systems for oral<br />
administration [82-84] . Cevc et al. (1998) [85] used<br />
transferosomes for targeted topical delivery.<br />
Bupravaquone nanosuspension was successfully<br />
used for targeting of Cryptosporidium parvum, (the<br />
organism responsible for cryptosporidium) by<br />
altering the mucoadhesive properties [86] .<br />
Amphoterecin B as pulmonary nanosuspension was<br />
used to target conditions such as pulmonary<br />
asperigillosis [87] .<br />
6. Marketed products <strong>and</strong> products in the<br />
pipeline<br />
The first four marketed products containing<br />
nanocrystals were prepared by Pearl mill<br />
technology by Elan nanosystems. Rapamune® was<br />
the first marketed product containing sirolimus<br />
nanocrystals introduced in 2000 by Wyeth. The<br />
main advantages of nanocrystal technology in the<br />
coated tablets of Rapamune® nanocrystals are<br />
more convenient dosage form <strong>and</strong> a 21% higher<br />
bioavailability as compared to the Rapamune<br />
solution. A smaller particle size leads to greater<br />
solubility <strong>and</strong> larger surface area consequently<br />
increased dissolution velocity <strong>and</strong> thus greater<br />
bioavailability<br />
Emend®, the second product incorporating<br />
nanocrystal technology was introduced in 2003 by<br />
Merck. Emend® is a capsule containing pellets of<br />
Aprepitant, drug used for the treatment of emesis.<br />
Aprepitant shows a narrow absorption window i.e.<br />
absorbed in the upper gastrointestinal tract only. In<br />
this case, large increase in surface area due to<br />
nanonisation leads to rapid in-vivo dissolution, fast<br />
absorption <strong>and</strong> increased bioavailability.<br />
Tricor® was launched in December 2004 by<br />
Abbott Laboratory. The active ingredient is<br />
fenofibrate. The normal size fenofibrate is absorbed<br />
when taken with a meal. The nanocrystal<br />
technology makes the bioavailability of fenofibrate<br />
independent of meals.<br />
Megace ES® (Megestrol acetate) (ES st<strong>and</strong>s for<br />
Enhanced Stability).<br />
Megace ES® was introduced by Par<br />
Pharmaceutical companies, Inc. The nanocrystal<br />
technology leads to several advantages. The<br />
<strong>Nanocrystals</strong> offer enhanced bioavailability which<br />
reduces the amount of single dose. The patient has<br />
to take less volume. Another advantage is that there<br />
is no need of increasing viscosity to prevent<br />
sedimentation. Decreased dose <strong>and</strong> reduced<br />
viscosity lead to better patient compliance.<br />
Products already in the market or in the pipeline are<br />
listed in table 2 <strong>and</strong> table 3 respectively.<br />
7. Limitations of drug nanocrystal technology:-<br />
Many nanoparticulate delivery systems are under<br />
academic investigation. But only few made it to the<br />
market. This may be due to missing nanotoxicity<br />
<strong>and</strong> cytotoxicity data, lack of regulatory accepted<br />
status of the excipients, lack of large scale<br />
production lines which can be validated <strong>and</strong><br />
acceptable by the regulatory authorities.<br />
Nanotoxicity may be attributed to the small size<br />
(below about 150 nm) of nanocrystals, due to<br />
which they can have access to any cell of the body<br />
via pinocytosis. This increases the risk of<br />
cytotoxicity.<br />
Moreover, this technology requires expensive<br />
equipments which increase the cost of the final<br />
product. The use of this technique is restricted to<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 414
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
BCS class II drugs only. Furthermore, the<br />
production of nanocrystals <strong>and</strong> their stability is<br />
dependent on the molecular structure of the drug.<br />
Due to this, only certain categories of drugs will be<br />
suitable c<strong>and</strong>idates for this technique.<br />
8. Conclusion<br />
Nanocrystal technology seems to be a promising<br />
tool for the formulation of poorly soluble drugs.<br />
The nanocrystals despite being poorly soluble just<br />
dissolve <strong>and</strong> disappear in the presence of large<br />
amount of water. They have been successfully<br />
employed to improve the bioavailability, better<br />
drug targeting with minimum side effects, reduced<br />
drug dosage <strong>and</strong> hence better patient compliance.<br />
They can be incorporated in solid dosage forms<br />
like tablets <strong>and</strong> capsules which are more patient<br />
friendly. Nevertheless their nanotoxicity needs to<br />
be assessed <strong>and</strong> more authenticated therapeutic<br />
data is awaited.<br />
However, nanocrystals hold promise to appear in<br />
many future products, not only pharmaceutical but<br />
also cosmetic. They can be seen as a ray of hope in<br />
the targeted treatment of cancer.<br />
Declaration of interest<br />
The authors state no conflict of interests <strong>and</strong> have<br />
received no payment in the preparation of this<br />
manuscript.<br />
Acknowledgement<br />
The authors are thankful to Dr. R.H. Müller for<br />
providing the requisite reference material.<br />
Table 1: Advantages <strong>and</strong> disadvantages of different methods for the production of nanocrystals<br />
Technology Advantages Disadvantages<br />
Precipitation a. Finely dispersed drug<br />
b. Better control of desired size<br />
c. Low-energy technique<br />
Milling a. Low-energy technique<br />
b. Proven by first four marketed<br />
products<br />
High Pressure<br />
Homogenization<br />
a. Universally applicable<br />
b. Large scale production possible<br />
c. Fast method (several minutes<br />
possibly<br />
d. Continuous process<br />
a. Particle growth on keeping<br />
b. Organic solvent residue<br />
c. Not universally applicable, only drugs with<br />
certain properties are possible (e.g., soluble in at least one<br />
solvent)<br />
d. Needs to be stabilized<br />
a. Impurity due to erosion from milling material<br />
b. Can be a slow process (several days)<br />
c. Wastage of the drug due to adherence to the<br />
pearls<br />
d. Large scale production difficult due to size of<br />
milling chamber<br />
a. High-energy technique<br />
b. Great experience required<br />
Table 2: List of marketed products containing nanocrystals<br />
Trade name Drug Company Applied technology<br />
Rapamune® Rapamycin Wyeth Ball milling<br />
Emend® Aprepitant Merck Ball milling<br />
Tricor® Fenofibrate Abbott Ball milling<br />
Megace ES® Megestrol Par Pharmaceutical Companies Ball milling<br />
Avinza® Morphine sulfate King Pharmaceutical Ball milling<br />
Focalin® XR Dexmethylphenidate hydrochloride Novartis Ball milling<br />
Zanaflex CapsulesTM Tizanidine hydrochloride Acorda Ball milling<br />
Triglide® Fenofibrate Sciele Pharma Inc. HPH (Microfluidizer)<br />
Ritalin® LA Methylphenidate hydrochloride Accorda Ball milling<br />
Table 3: Products under clinical trial<br />
Trade name Drug Company<br />
Semapimod® Guanylhydrazone<br />
Cytokine Pharma<br />
sciences<br />
Paxceed® Paclitaxel<br />
Angiotech<br />
Pharmaceuticals Inc<br />
Theralux® Thymectacin Celmed BioSciences Inc<br />
Nucryst® Silver Nucryst Pharmaceuticals<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 415
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
REFERENCES<br />
1. Merisko-Liversidge E. 2002. <strong>Nanocrystals</strong>:<br />
resolving pharmaceutical formulation issues<br />
associated with poorly water-soluble<br />
compounds. Particles; April 20–23; Orl<strong>and</strong>o,<br />
Florida, USA.<br />
2. Grant, D.J.W., Brittian, H.G., 1995. In:<br />
Brittian, H.G. (Ed.), Physical Characterisation<br />
of Pharmaceutical Solids. Marcel Dekker, New<br />
York.<br />
3. Liversidge, G.G., Conzentino, P. 1995. Drug<br />
particle size reduction for decreasing gastric<br />
irritancy <strong>and</strong> enhancing absorption of<br />
naproxen in rats. Int. J. Pharm. 125,309–313.<br />
4. Liversidge G.G., Cundy K.C.1995. Particle<br />
size reduction for improvement of oral<br />
bioavailability of hydrophobic drugs: Absolute<br />
oral bioavailabilty of nanocrystalline danazol<br />
in beagle dogs. Int. J. Pharm. 125, 91-97.<br />
5. Lamprecht, A., Ubrich, N., Yamamoto, H., et<br />
al. 2001. Biodegradable nanoparticles for<br />
targeted drug delivery in treatment of<br />
inflammatory bowel disease. J. Pharmacol.<br />
Exp. Ther. 299 (2), 775–781.<br />
6. Gabor, F., Bogner, E., Weissenboeck, A.,<br />
Wirth, M. 2004. The lectin-cell interaction <strong>and</strong><br />
its implications to intestinal lectin- mediated<br />
drug delivery. Adv. Drug. Deliv. Rev. 56, 459–<br />
480.<br />
7. de Waard, H., De Beer, T., Hinrichs, W.L.J.,<br />
Vervaet, C., Remon, J.P.,Frijlink, H.W., 2010.<br />
Controlled crystallization of the lipophilic drug<br />
Fenofibrate during freeze-drying: Elucidation<br />
of the mechanism by in- line Raman<br />
spectroscopy. The AAPS <strong>Journal</strong> 12(4), 569-<br />
575.<br />
8. P<strong>and</strong>ey R., Zahoor A., Sharma S., Khuller<br />
G.K. 2003. Nanoparticle encapsulated<br />
antitubercular drugs as a potential oral drug<br />
delivery system against murine tuberculosis.<br />
Tuberculosis (Edinb); 83, 373–378.<br />
9. Shegokar,R., Al Shaal,L., Müller, R.H., 2010.<br />
Local Anaesthetic nanocrystals as prolonged<br />
release formulation. First Combined Annual<br />
Meeting of <strong>International</strong> Pharmaceutical<br />
Federation, PSWC <strong>and</strong> AAPS New Orleans<br />
Louisiana. USA. Abstract no. 2203.<br />
10. Liversidge G.G., Cundy K.C., Bishop J.F.,<br />
Czekai D.A. 1992. NANOSYSTEMS LLC.<br />
Surface modified drug nanoparticles. US Pat.:<br />
5,145,684.<br />
11. Müller, R.H., Mäder K., Krause K., 2002.<br />
PharmaSol GmbH, Dispersions for<br />
formulation slightly or poorly soluble active<br />
ingredients. Pat.: CA0002388550A1, Feb. 7.<br />
12. Radtke, M., 2001. Nanopure TM: pure drug<br />
nanoparticles for the formulation of poorly<br />
soluble drugs. New Drugs 3,62-68<br />
13. Müller, R.H. 2002. Nanopure technology for<br />
the production of drug nanocrystals <strong>and</strong><br />
polymeric particles. 4 th World Meeting<br />
ADRITELF/APV/APGI. Florence<br />
14. Müller, R.H., Jacobs, C., Kayser, O. 2003.<br />
DissoCubes - a novel formulation for poorly<br />
soluble <strong>and</strong> poorly bioavailable drugs, in<br />
Modified-Release Drug Delivery Systems,<br />
M.J. Rathbone, Hadgraft, J., Roberts, M. S.,<br />
Editor. Marcel Dekker. 135-149<br />
15. Akkar, A., Müller, R. H. 2003. <strong>Nanocrystals</strong><br />
of Itraconazole <strong>and</strong> amphotericin B produced<br />
by high pressure homogenisation. Annual<br />
Meeting of the American Association of<br />
Pharmaceutical Scientists, Salt Lake City.<br />
16. Gassmann, P., List, M., Schweitzer, A. et al.<br />
1994. Hydrosols – alternatives for the<br />
parenteral application of poorly water soluble<br />
drugs. Eur. J. Pharm. Biopharm. 40, 64–72.<br />
17. List, M.A., Sucker, H. 1988. Pat No. GB<br />
2200048. Great Britian.<br />
18. Speiser, P.P. 1998. Poorly soluble drugs, a<br />
challenge in drug delivery, In Müller, R.H.,<br />
Benita, S., Bohm, B. (eds.), Emulsions <strong>and</strong><br />
Nanosuspensions for the Formulation of<br />
Poorly Soluble Drugs, Medpharm Stuttgart.<br />
Scientific Publishers: 15-28<br />
19. Mauludin, R., Möschwitzer, J., Müller, R. H.<br />
2005. Comparison of Ibuprofen Drug<br />
<strong>Nanocrystals</strong> Produced by High Pressure<br />
Homogenization (HPH) versus Ball Milling,<br />
AAPS Annual Meeting, Nashville, T2217.<br />
20. Shackleford, D.M., Faassen, W.A., Houwing,<br />
N., et al.2003. Contribution of lymphatically<br />
transported testosterone undecanoate to the<br />
systemic exposure of testosterone after oral<br />
administration of two <strong>and</strong>riol formulations in<br />
conscious lymph duct-cannulated dogs. J.<br />
Pharmacol. Exp. Ther. 3063, 925–33.<br />
21. Merisko-Liversidge, E., Liversidge, G.G.,<br />
Copper, E.R. 2003. Nanosizing: a formulation<br />
approach for poorly-water-soluble compounds.<br />
Eur. J. Pharma. Sci. 18, 113–20.<br />
22. Buchmann, S., Fischli, W., Thiel, F.P., Alex,<br />
R. 1996. Aqueous microsuspension, an<br />
alternative intravenous formulation for animal<br />
studies. In: 42nd annual congress of the<br />
<strong>International</strong> Association for Pharmaceutical<br />
Technology (APV), Mainz.<br />
23. Bruno, J.A.D., Brian, D., Gustow, Evan, Illig,<br />
Kathleen J, Rajagopalan, Nats, Sarpotdar.<br />
1992. Method of grinding pharmaceutical<br />
substances. US 5,518,187.<br />
24. Bruno, R.P., McIlwrick, R.1999.<br />
Microfluidizer processor technology for high<br />
performance particle size reduction, mixing<br />
<strong>and</strong> dispersion. Eur. J. Pharm. Biopharm. 56,<br />
29–36.<br />
25. Tunick, M.H., Van Hecken, D.L., Cooke, P.H.,<br />
et al. 2002 Transmission electron microscopy<br />
of mozzarella cheeses made from<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 416
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
microfluidized milk. J. Agric. Food Chem. 50,<br />
99–103.<br />
26. Sunstrom, J.E. IV.,William, R., Marshik-<br />
Guerts, B. 1996. General Route to<br />
Nanocrystalline Oxides by Hydrodynamic<br />
Cavitation. Chem. Mater. 8(8), 2061-2067.<br />
27. Gruverman, I.J., Thum, J.R., Production of<br />
Nanostructures Under Turbulent Collision<br />
Reaction Conditions - Application to Catalysts,<br />
Superconductors, CMP Abrasives, Ceramics<br />
<strong>and</strong> other Nanoparticles. Microfluidics<br />
Research.<br />
28. Parikh, I.S., Ulagaraj.1997. Composition <strong>and</strong><br />
method of preparing microparticles of water<br />
insoluble substances 93969997.<br />
29. Dearn, A.R. 2000. Atovaquone<br />
pharmaceutical compositions. US, 08/974248,<br />
6018080.<br />
30. Rainbow, B.E. 2004. Nanosuspensions in<br />
Drug Delivery. Nat. Rev. 3, 785-796.<br />
31. Möschwitzer, J., Müller, R.H. 2005.<br />
Application. Germany: 2005. Method for the<br />
production of ultrafine submicron<br />
nanosuspensions. DE 10 2005 011 786.4.<br />
32. Müller, R.H., Peters, K., Becker, R., et al.<br />
1995. Nanosuspensions – a novel formulation<br />
for the IV administration of poorly soluble<br />
drugs. 1st World Meeting of the <strong>International</strong><br />
Meeting on Pharmaceutics, Biopharmaceutics<br />
<strong>and</strong> Pharmaceutical Technology; Budapest.<br />
33. Müller, R.H., Jacobs, C., Kayser, O. 2001.<br />
Nanosuspensions as particulate drug<br />
formulations in therapy: Rationale for<br />
development <strong>and</strong> what we can expect for the<br />
future. Adv. Drug Deliv. Rev. 471, 3–19.<br />
34. Sahoo, N. G., Al Shaal, L., Kakran, M., Li, L.,<br />
Müller, R. H. 2010a. Artimisinin nanocrystals<br />
for improved oral bioavailability in malaria<br />
treatment, AAPS Annual Meeting, T2154,<br />
New Orleans.<br />
35. Sahoo, N. G., Al Shaal, L., Kakran, M., Li, L.,<br />
Müller, R. H. 2010. Antioxident quercetin:<br />
preparation <strong>and</strong> characterization of<br />
nanocrystals, AAPS Annual Meeting, W4134,<br />
New Orleans.<br />
36. Möschwitzer, J., Achleitner, G., Pomper, H.,<br />
Müller, R.H. 2004. Development of an<br />
intravenously injectable chemically stable<br />
aqueous omeprazole formulation using<br />
nanosuspension technology. Eur. J. Pharm.<br />
Biopharm. 58 (3), 615–619.<br />
37. Fichera, M.A., Keck, C.M. Müller, R.H. 2004.<br />
Nanopure Technology - Drug <strong>Nanocrystals</strong> for<br />
the Delivery of Poorly Soluble Drugs, in<br />
Particles. Orl<strong>and</strong>o.<br />
38. Bushrab, N.F., Müller, R.H. 2003.<br />
<strong>Nanocrystals</strong> of Poorly Soluble Drags for Oral<br />
Administration. New Drugs 5, 20-22.<br />
39. Keck, C.M., Bushrab, N.F. Müller, R.H. 2004.<br />
Nanopure® <strong>Nanocrystals</strong> for Oral Delivery of<br />
Poorly Soluble Drugs, in Particles. Orl<strong>and</strong>o.<br />
40. Kipp, J.E., Wong, J.C.T., Doty, M.J., et al.<br />
2003. Microprecipitation method for<br />
preparing submicron suspensions. US Patent<br />
6607784; USA.<br />
41. Fichera, M.A., Wissing, S.A., Müller, R.H.<br />
2004. Effect of 4000 Bar Homogenisation<br />
Pressure on Particle Diminution in Drug<br />
Suspensions, in APV. Niirnberg.<br />
42. Kobierski, S., Hanisch, J., Mauludin, R.,<br />
Müller, R. H., Keck, C. 2008. Nanocrystal<br />
production by smartCrystal combination<br />
technology, Int. Symp. Control. Rel. Bioact.<br />
Mater. 35, #3239, New York City.<br />
43. Möschwitzer, J., Müller, R. H. 2005.<br />
Development of a New Two-Step Process for<br />
the Effective Production Drug <strong>Nanocrystals</strong><br />
By, AAPS Annual Meeting, Nashville,<br />
W5124.<br />
44. Möschwitzer, J., Müller, R. H. 2004. Final<br />
Formulations for Drug <strong>Nanocrystals</strong>: Pellets,<br />
AAPS Pharmaceutics <strong>and</strong> Drug Delivery<br />
Conference, Philadelphia, PA.<br />
45. Mauludin, R., Möschwitzer, J., Müller, R. H.<br />
2005. Development of Effervescent <strong>and</strong> Pellet<br />
Formulations Containing Ibuprofen Drug<br />
<strong>Nanocrystals</strong> Produced by High Pressure<br />
Homogenization, AAPS Annual Meeting,<br />
Nashville, W5115.<br />
46. Möschwitzer, J., Müller, R. H. 2006. Spray<br />
coated pellets as carrier system for<br />
mucoadhesive drug nanocrystals, Eur. J.<br />
Pharm. Biopharm. 62, 282-287.<br />
47. Hanna, M. H., York, P. 1998. Method <strong>and</strong><br />
apparatus for the formulation of particles. US<br />
Patent 5,851,453.1998. USA.<br />
48. Hu, J. 2002. Improvement of dissolution rates<br />
of poorly water soluble APIs using novel spray<br />
freezing into liquid technology. Pharm. Res.,<br />
19, 1278–1284.<br />
49. Hu, J., Johnston, K. P., Williams, R. O. 3rd.<br />
2004. Nanoparticle engineering processes for<br />
enhancing the dissolution rates of poorly water<br />
soluble drugs. Drug. Dev. Ind. Pharm., 30,<br />
233–245.<br />
50. Rogers, T. L., Johnston, K. P., Williams, R. O.<br />
3rd. 2001. Solution-based particle formation of<br />
pharmaceutical powders by supercritical or<br />
compressed fluid CO2 <strong>and</strong> cryogenic sprayfreezing<br />
technologies. Drug Dev. Ind. Pharm.,<br />
27, 1003–1015.<br />
51. Pace, G. W. 2001. Process to generate<br />
submicron particles of water insoluble<br />
compounds. US Patent 6, 103. 2001. USA<br />
52. Young, T. J. 2000. Rapid expansion from<br />
supercritical to aqueous solution to produce<br />
submicron suspensions of water-insoluble<br />
drugs. Biotechnol. Prog. 16, 402–407.<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 417
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
53. Li, Z. 2008. Preparation of griseofulvin<br />
microparticles by supercritical fluid expansion<br />
depressurization process. Powder Technology.<br />
182, 459-465.<br />
54. Young, T. J. 1999. Encapsulation of lysozyme<br />
in a biodegradable polymer by precipitation<br />
with a vapor-over-liquid antisolvent. J. Pharm.<br />
Sci. , 88, 640–650<br />
55. Turk, M., Lietzow, R. 2004. Stabilized<br />
nanoparticles of phytosterol by rapid<br />
expansion from supercritical solution into<br />
aqueous solution. AAPS PharmSciTech. 2004 ,<br />
5(4). Article 56, 1-10.<br />
56. Chen, X. 2002. Preparation of cyclosporine A<br />
nanoparticles by evaporative precipitation into<br />
aqueous solution. Int. J. Pharm., 242, 3–14.<br />
57. Eickhoff, W.M., Engers, D.A., Mueller, K.R.<br />
1996. Nanoparticulate NSAID compositions,<br />
Application. US 95-385614, 5518738.<br />
58. Jacobs, C., Kayser, O., Müller, R.H. 2001.<br />
Production <strong>and</strong> characterisation of<br />
mucoadhesive nanosuspensions for the<br />
formulation of bupravaquone. Int. J. Pharm.<br />
214 (1-2), 3–7.<br />
59. Müller, R.H., Jacobs, C. 2002. Buparvaquone<br />
mucoadhesive nanosuspension: preparation,<br />
optimisation <strong>and</strong> long-term stability. Int. J.<br />
Pharm. 237 (1-2), 151–161.<br />
60. Hussain, N., Jaitley, V., Florence, A.T. 2001.<br />
Recent advances in the underst<strong>and</strong>ing of<br />
uptake of microparticulates across the<br />
gastrointestinal lymphatics. Adv. Drug Deliv.<br />
Rev. 50 (12), 107–142.<br />
61. Mauludin, R., Müller, R. H. 2006.<br />
Investigation of crystalline state of dry powder<br />
ibuprofen nanocrystals produced by high<br />
pressure homogenization technique, AAPS<br />
Annual Meeting, San Antonio.<br />
62. Kayser, O., Olbrich, C., Yardley, V., Kiderlen,<br />
A.F., Croft, S.L. 2003. Formulation of<br />
Amphotericin B as nanosuspension for oral<br />
administration. Int. J Pharm 254, 73-75.<br />
63. Vergote, G.J. 2001. An oral controlled release<br />
matrix pellet formulation containing<br />
nanocrystalline ketoprofen. Int. J. Pharm. 21;<br />
219(1-2), 81-7.<br />
64. Hanafy, A., Spahn, H., Vergnault, G., Grenier,<br />
P., Grozdanis, M.T., Lenhardt, T. 2007.<br />
Pharmacokinetic evaluation of oral Fenofibrate<br />
nanosuspension <strong>and</strong> SLN in comparison to<br />
conventional suspensions of micronized drug.<br />
Adv. Drug Del. Rev. 59, 419-426 .<br />
65. Singla, A.K., Garg, A., Aggarwal, D. 2002.<br />
Paclitaxel <strong>and</strong> its formulations. Int. J Pharm.<br />
235(1–2), 179–192.<br />
66. Peters, K., Leitjke, S., Diederichs, J.E.,<br />
Vorner, K., Hahn, H., Müller, R. H., Ehlers, S.<br />
2000. Preparation of a clofazimine<br />
nanosuspension for intravenous use <strong>and</strong><br />
evaluation of its therapeutic efficacy in murine<br />
Mycobacterium avium infection. J.<br />
Antimicrob. Chemother. 45, 77–83.<br />
67. Rainbow, B., Kipp, J., Papadopoulos, P.,<br />
Wong, J., Gass, J., Sun, C.S., Wielgos, T.,<br />
White, R., Cook, C., Barker, K., Wood, K.<br />
2007. Itraconazole IV nanosuspension<br />
enhances efficacy through altered<br />
pharmacokinetic in the rat. Int. J. Pharm. 339,<br />
251-260.<br />
68. Na, G.C., Stevens, Jr. J., Yuan, B.O.,<br />
Rajagopalan, N. 1999. Physical stability of<br />
ethyl diatrizoate nanocrystalline suspension in<br />
steam sterilization. Pharm. Res. 16(4), 569–<br />
574.<br />
69. Müller, R.H., Jacobs, C., Kayser, O. 2000.<br />
Nanosuspensions for the formulation of poorly<br />
soluble drugs. In: Nielloud F, Marti-Mestres<br />
G, eds. Pharmaceutical Emulsions <strong>and</strong><br />
Suspensions. New York: Marcel Dekker,<br />
S383–407.<br />
70. Moghimi, S.M., Hunter, A.C., Murray, J.C.<br />
2001. Long-circulating <strong>and</strong> target-specific<br />
nanoparticles: theory to practice. Pharmacol.<br />
Rev. 53, 283–318.<br />
71. P<strong>and</strong>ey, R., Khuller, G.K. 2004. Subcutaneous<br />
nanoparticle-based antitubercular<br />
chemotherapy in an experimental model. J.<br />
Antimicrob. Chemother. 54, 266–268.<br />
72. Müller, R.H., Jacobs, C. 2002. Production <strong>and</strong><br />
characterization of a budenoside<br />
nanosuspension for pulmonary administration.<br />
Pharm. Res. 19, 189-94.<br />
73. Hern<strong>and</strong>ez-Trejo, N., Kayser, O., Steckel, H.,<br />
Müller, R.H. 2005. Characterization of<br />
nebulised buparvaquone nanosuspension –<br />
effect of nebulization technology. J. Drug<br />
Target. 13(8-9), 499-507.<br />
74. Sharma, A., Sharma, S., Khuller, G.K. 2004.<br />
Lectin-functionalized poly (lactide-coglycolide)<br />
nanoparticles as oral/aerosolized<br />
antitubercular drug carriers for treatment of<br />
tuberculosis. J. Antimicrob. Chemother. 54,<br />
761–766.<br />
75. Peterson, R. 2006. <strong>Nanocrystals</strong> for use in<br />
topical cosmetic formulations <strong>and</strong> method of<br />
production thereof. US Patent Application No.<br />
60/8866, 233.<br />
76. Shegokar, R., Keck, C. M., Müller, R. H.,<br />
Gohla, S., 2011. Cosmetic nanocrystals:<br />
products <strong>and</strong> dermal effects, P 123, 6th Polish-<br />
German Symposium on Pharmaceutical<br />
Sciences: Perspectives for a new decade,<br />
Düsseldorf, 20-21 May 2011.<br />
77. Al Shaal, L., Shegokar, R., Müller, R. H.,<br />
2010. Novel UV skin protective antioxidant<br />
nanocrystals, AAPS Annual Meeting, W4089,<br />
New Orleans.<br />
78. Pignatello, R. 2002. Eudragit RS100<br />
nanosuspensions for the ophthalmic controlled<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 418
<strong>International</strong> <strong>Journal</strong> of Research in Pharmaceutical <strong>and</strong> Biomedical Sciences ISSN: 2229-3701<br />
delivery of ibuprofen. Eur. J. Pharm. Sci., 16:<br />
53–61.<br />
79. Kassem, M. A. 2007. Nanosuspension as an<br />
ophthalmic delivery system for certain<br />
glucocorticoid drugs. Int. J. Pharm., 340: 126–<br />
133.<br />
80. Kayser, O. 2000. Nanosuspensions for the<br />
formulation of aphidicolin to improve drug<br />
targeting effects against Leishmania infected<br />
macrophages. Int. J. Pharm. 196, 253-256.<br />
81. Schroeder, U., Sommerfeld, P., Sabel, B.<br />
1998. Efficiency of oral dalargin-loaded<br />
nanoparticle delivery across the blood brain<br />
barrier. Peptides 19(4), 777-780.<br />
82. Lamprecht, A., Schafer, U., Lehr, C.M., 2001.<br />
Pharm. Res. 18, 788–793.<br />
83. Takeuchi, H.,Yamamoto, H., Kawashima,Y.,<br />
2001. Adv. Drug Deliv. Rev. 47, 39–54<br />
84. Ponchel, G., Montisci, M.-J., Dembri, A.,<br />
Durrer, C., Duchene, D., 1997. Eur. J. Pharm.<br />
Biopharm. 44, 25–31.<br />
85. Cevc, G., Gebauer, D., Stieber, J., Schatzlein,<br />
A., Blume, G., 1998. Biochim. Biophys. Acta<br />
1368, 201–215.<br />
86. Kayser, O. 2001. A new approach for<br />
targeting to Cryptosporidium parvum using<br />
mucoadhesive nanosuspensions: research <strong>and</strong><br />
applications. Int. J. Pharm. 214, 83-85.<br />
87. Kohno, S., Otsubo, T., Tanaka, E., Maruyama,<br />
K., Hara, K. 1997. Amphotericin B<br />
encapsulated in polyethylene glycol<br />
immunoliposomes for infectious diseases.<br />
Adv. Drug Del. Rev. 24, 325-329.<br />
Vol. 3 (1) Jan – Mar 2012 www.ijrpbsonline.com 419