2021
DOI: 10.1021/acs.molpharmaceut.1c00805
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Increasing Drug Loading of Weakly Acidic Telmisartan in Amorphous Solid Dispersions through pH Modification during Hot-Melt Extrusion

Abstract: Oral drug therapy requiring large quantities of active pharmaceutical ingredients (APIs) can cause a substantial pill burden, which can increase nonadherence and worsen healthcare outcomes. Maximizing the drug loading of APIs in oral dosage forms is essential to reduce pill burden. This can be challenging for poorly water-soluble APIs without compromising performance. We show a promising strategy for maximizing the drug loading of pH-dependent APIs in amorphous solid dispersions (ASDs) produced by hot-melt ext… Show more

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Cited by 9 publications
(11 citation statements)
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“…These outcomes are based on XRPD analyses, since XRPD was found to be more sensitive than mDSC within the scope of the physical stability assessment. Recent studies also reported the greater sensitivity of XRPD as compared to mDSC and attributed this to dissolution of the drug in the polymer during the heating procedure of mDSC [ 13 , 41 ]. In general, crystallinity could first be detected for the harshest stability condition (i.e., 40 °C/75% RH), followed by the medium 40 °C/0% RH condition.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…These outcomes are based on XRPD analyses, since XRPD was found to be more sensitive than mDSC within the scope of the physical stability assessment. Recent studies also reported the greater sensitivity of XRPD as compared to mDSC and attributed this to dissolution of the drug in the polymer during the heating procedure of mDSC [ 13 , 41 ]. In general, crystallinity could first be detected for the harshest stability condition (i.e., 40 °C/75% RH), followed by the medium 40 °C/0% RH condition.…”
Section: Resultsmentioning
confidence: 99%
“…An ASD or glass solution is, however, only thermodynamically stable (i.e., the drug will never crystallize), in case the drug content is below its thermodynamic solubility limit in the polymer [ 10 , 11 ]. The persisting trend to lower the pill burden to promote patient therapeutic compliance requires the implementation of as high as possible drug loadings within the polymer [ 5 , 12 , 13 ]. Such high drug-loaded ASDs can imply physical stability issues during down-stream processing, as well as during storage, and can therefore defeat the ASD solubility advantage [ 2 ].…”
Section: Introductionmentioning
confidence: 99%
“…To date, studies on the effect of counterions on dissolution enhancement focus more on free base drugs ,,, than on free acid drugs. , In fact, poorly soluble free acid drugs occupy a significant percentage of commercial drugs , and drug candidates in development. The success of enhancing the dissolution rates of free acid drugs by amorphous sodium salt was demonstrated for IMC and furosemide . Besides dissolution rate enhancement, it has been reported that the incorporation of strong bases into a free acid drug telmisartan dispersion successfully increased the achievable drug loading by hot melt extrusion . Further studies to test the effect of counterions on the dissolution performance of additional free acid drugs and other pharmaceutical advantages introduced by the counterions would be helpful for advancing amorphous formulation development.…”
Section: Discussionmentioning
confidence: 99%
“…47 Besides dissolution rate enhancement, it has been reported that the incorporation of strong bases into a free acid drug telmisartan dispersion successfully increased the achievable drug loading by hot melt extrusion. 56 Further studies to test the effect of counterions on the dissolution performance of additional free acid drugs and other pharmaceutical advantages introduced by the counterions would be helpful for advancing amorphous formulation development.…”
Section: = • + S S (1 10mentioning
confidence: 99%
“…Since the HME process exposes the API and polymer to high temperatures, it is reasonable to assume that very high melting temperatures or thermally labile APIs bear high risk, as often reported in the literature [ 21 , 22 ]. However, it must be emphasized that dissolving an API in a polymer is a thermodynamically driven process.…”
Section: Introductionmentioning
confidence: 99%