Bilayered Transmucosal Drug Delivery System of Pravastatin Sodium: Statistical Optimization, in and Stability Assessment
Bilayered Transmucosal Drug Delivery System of Pravastatin Sodium: Statistical Optimization, in and Stability Assessment
Bilayered Transmucosal Drug Delivery System of Pravastatin Sodium: Statistical Optimization, in and Stability Assessment
To cite this article: Suresh K. Maurya, Vikas Bali & Kamla Pathak (2012) Bilayered transmucosal
drug delivery system of pravastatin sodium: Statistical optimization, in�vitro,�ex�vivo,�in�vivo and
stability assessment, Drug Delivery, 19:1, 45-57, DOI: 10.3109/10717544.2011.644348
ORIGINAL article
Department of Pharmaceutics, Rajiv Academy for Pharmacy, Mathura, Uttar Pradesh, India
Abstract
The objective of the present study was to develop a mucoadhesive sustained release bilayered buccal patch of
pravastatin sodium using Eudragit S100 as the base matrix so as to surmount hepatic first pass metabolism and
gastric instability of the drug. A 32 full factorial design was employed to study the effect of independent variables
viz. levels of HPMC K4M and carbopol 934P on % cumulative drug release, mucoadhesion time and mucoadhesive
force. Amount of carbopol 934P and HPMC K4M significantly influenced characteristics like swelling index, in vitro
mucoadhesive force, drug release, and mucoadhesion time. In vitro evaluation revealed that formulations exhibited
satisfactory technological parameters. The mechanism of drug release was found to be non-Fickian diffusion.
Different permeation enhancers were investigated to improve the permeation of drug from the optimized patches
(F9) across the buccal mucosa. Formulation [F9 (P3)] containing 4% (v/v) dimethyl sulfoxide exhibited desirable
permeation of drug. Histopathological studies performed using goat buccal mucosa revealed no mucosal damage.
Bioavailability studies in rabbits demonstrated that [F9 (P3)] significantly higher Cmax (67.34 ± 3.58 ng/ml) and AUC0-∞
(350.27 ± 9.59 ng/ml×h) (p < 0.05) of pravastatin sodium from optimized patch than IR tablet (Cmax 58.73 ± 4.63 ng/ml
and AUC0-∞ 133.80 ± 8.25 ng/ml×h). Formulation [F9 (P3)] showed sustained drug plasma concentration over a period
of 10 h which was significantly longer than oral tablet (p < 0.05). Stability studies as per ICH guidelines established
physical stability of the patch and chemical stability drug. The present study established potential of the optimized
mucoadhesive buccal patches to circumvent the hepatic first-pass metabolism, gastric instability and to improve
bioavailability of pravastatin sodium.
Keywords: Mucoadhesive, buccal, pravastatin sodium, patch
1 Introduction of the dosage form from the buccal cavity (Miller et al.,
The concept of mucoadhesive drug delivery system was 2005). Furthermore, larger surface area for drug applica-
introduced into the arena of controlled drug delivery dur- tion and absorption along with good accessibility of the
ing 1980 and since then the concept has been utilized by buccal mucosa over nasal, rectal and vaginal mucosa
many investigators to overcome physiological barriers in also make it an attractive route for systemic drug delivery
the sustained drug delivery (Maurya et al., 2010). Buccal (Rathbone et al., 1994). Buccal tablets and patches are
route has garnered considerable importance as an alter- the most preferred formulations amongst various buc-
native to oral route amongst the various mucosal routes coadhesive drug delivery systems since most of the other
owing to its several appealing features like: bypassing the systems get easily washed away by the continuous sali-
hepatic first-pass metabolism, precluding instability in vary secretion. Buccoadhesive patches are preferred due
the gastrointestinal milieu, and enhanced patient com- to ease of adherence to buccal mucosa, longer retention
pliance. Moreover, drug delivery can be promptly and period, highly flexibility and ease of removal at any time
conveniently terminated in case of any toxicity by removal during the treatment (Mumtaz and Ch’ng, 1995).
Address for Correspondence: Vikas Bali, Department of Pharmaceutics, Rajiv Academy for Pharmacy, Mathura -281001, Uttar Pradesh,
Tel: (M): +91-9999964936, Fax: 0565-2530265. E-mail: vksbali@gmail.com
(Received 30 March 2011; revised 29 June 2011; accepted 07 November 2011)
45
46 S.K. Maurya et al.
Pravastatin sodium is reported to be the most effec- A total of experimental nine formulations of (F1 to F9)
tive and best tolerated agent for treating atherosclerotic were prepared as per the design as shown in Table 2.
vascular disease (Shidhaye et al., 2010). It is bitter in taste Mucoadhesion time, mucoadhesive force, and % cumula-
and undergoes extensive hepatic first pass metabolism tive drug release (% CDR) at 10th h were taken as response
(up to 70%) leading to an oral bioavailability of only 17%. parameters.
Moreover, the drug is also reported also to be unstable at
acidic pH (Boyong et al., 2003). 2.2.2 Statistical analysis of data
Hence, the present research attempted to enhance The effect of independent variables on the responses
oral bioavailability of pravastatin sodium by statistically was modeled with the help of Design Expert software
optimizing its sustained release bilayered mucoadhesive version 8.0.2 using following second order polynomial
buccal patches so as to circumvent its hepatic first pass equation:
metabolism and gastric instability. Moreover, bilayered
buccal patches would also help to overcome bitter taste Y = b0 + b1 X 1 + b2 X 2 + b11 X 12 + b22 X 22 + b12 X 1 X 2 (1)
of the drug without involvement of any elaborate taste Where Y is the measured response, Xi is the level of the ith
masking procedure. It was anticipated that an increased factor, b0 represent the intercept, and bi, bij ….represent
bioavailability of the drug would help to reduce its dose coefficients computed from the responses of the formu-
and dose associated side effects. Literature review shows lations in the design.
that bilayered buccal patches of pravastatin sodium
have not yet reported. Moreover, the studies performed 2.2.3 Preparation of mucoadhesive bilayered buccal patches
until now on the buccal delivery system (tablet) of the 2.2.3.1. Preparation of backing layer For preparation of
drug are confined to the ex vivo assessment of the devel- backing layer, a glass petriplate of 9 cm diameter was
oped system. The present study, in addition, describes used as the casting surface. The backing membrane of
bioavailability study in New Zealand white rabbits to ethyl cellulose was fabricated by slowly pouring a solu-
specifically delineate the plasma concentration time tion containing 3% (w/v) of ethyl cellulose and 2% (v/v) of
profile of the drug after buccal administration of devel- dibutyl phthalate as the plasticizer in 5 ml ethanol (95%,
oped formulation. The current work also details stabil- v/v) on to the glass petriplate and air drying for 1 h.
ity studies on the optimized patch and an effort has
also been made to calculate shelf life of the optimized 2.2.3.2 Preparation of mucoadhesive layer containing drug
formulation. 15% (w/v) dispersion of Eudragit S100 was prepared in
ethanol (95%, v/v). 920 mg of drug was added to 5 ml of
ethanol (95 %, v/v) containing 15% (w/v) dispersion of
2 Materials and methods Eudragit S100 with continuous stirring. Ethanolic disper-
2.1 Materials sion containing carbopol 934P and HPMC K4M was pre-
Pravastatin sodium was received as a gift sample from pared separately. Both the dispersions were then mixed
Cipla Pharmaceuticals, Mumbai, India. Eudragit S 100 and 5% (v/v) of propylene glycol was added as the plasti-
was gifted by Degussa India Pvt. Ltd., Mumbai, India. cizer. The resultant dispersion was then poured on to the
Carbopol 934P and HPMC K4M were gifted by Central
Drug House Pvt. Ltd., New Delhi, India. Ethyl cellulose Table 2. Composition of formulations
and propylene glycol were procured from S.D. Fine Drug / Eudragit Carbopol HPMC Propylene
Chemicals Ltd., Mumbai, India. New Zealand white patch S100 934P K4M glycol
rabbits used for animal studies were procured from the Code (mg) (%, w/v) (%, w/v) (%, w/v) (%, v/v)
animal house of Rajiv Academy for Pharmacy, Mathura, F1 14.46 15 0.5 2 5
India. F2 14.46 15 0.5 3 5
F3 14.46 15 0.5 4 5
2.2 Methods F4 14.46 15 1.0 2 5
2.2.1 Experimental design F5 14.46 15 1.0 3 5
A 32 full-factorial experimental design was used for F6 14.46 15 1.0 4 5
statistical optimization of buccoadhesive patches. The F7 14.46 15 1.5 2 5
amount of carbopol 934P (X1) and HPMC K4M (X2) F8 14.46 15 1.5 3 5
were selected as the independent variables. Each factor F9 14.46 15 1.5 4 5
was set at a high-, medium-, and low-level. The inde- *F10 14.46 15 1.25 3.5 5
pendent and dependent variables are given in Table 1. *Extra design check point formulation
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 47
preformed backing layer and allowed to dry undisturbed 2.2.7 Determination of drug content
at room temperature till a flexible film was obtained. Drug content was determined by homogenizing the
Dried films were carefully removed, checked for any patches in 100 ml of phosphate buffer (pH 6.8) and, filter-
imperfections or air bubbles and cut into patches of 1 cm2 ing through 0.45μ filter. The resultant solution was ana-
in size. The patches were then packed in aluminum foil lyzed using HPLC method as described in section 2.2.17.
and stored in an airtight glass container to maintain the The experiment was carried out in triplicate and average
integrity and elasticity of the patches. value was reported.
2.2.4 Determination of weight variation, thickness, and 2.2.8 Determination of ex vivo mucoadhesion time
folding endurance The ex vivo mucoadhesion time was determined by
Twenty patches from a batch were selected randomly for application of the patch onto freshly excised goat buccal
determination of weight variation and thickness of patch mucosa which was fixed in the inner side of the beaker
was measured at ten different randomly selected spots at a distance of 3.0 cm from the bottom using cyano-
using a micrometer screw gauge (Mitutoyo Corporation, acrylate glue. Goat mucosa was used for the study since
Japan). For determination of folding endurance, patches it has been documented in literature that goat mucosa
were repeatedly folded at the same place till it broke or is well suited to study the permeation of drugs which
was folded up to 250 times if not broken. Folding endur- are actively transported (like pravastatin sodium).
ance was considered as the number of times a patch Moreover, it also offers merits of being economical,
could be folded at the same place without breaking. easily available and ethically substitutive (Tembhurne
and Sakarkar, 2008). Mucoadhesive side of each patch
2.2.5 Determination of surface pH was pasted onto the goat buccal mucosa by applying
To rule out the possibility of any irritation during appli- a light force with a fingertip for 25s after wetting the
cation of the patch, the micro environmental pH of the patch with a drop of phosphate buffer (pH 6.8). The
patch was determined by adding 2 ml of distilled water beaker was then filled with 500 ml of phosphate buffer
to its surface and keeping at room temperature for 3 h (pH 6.8) and kept at 37 ± 1°C. A stirring rate of 50 rpm
in glass tubes. The surface pH was noted by bringing was applied to mimic the environment of buccal cav-
the electrode of pH meter (HICON, Grover Enterprises, ity. Patch adhesion was monitored up to 12 h. The
Delhi, India) in contact with the surface of the patch, and time taken by the patch to detach from the goat buccal
allowing it to equilibrate for 2 min. mucosa was recorded as the mucoadhesion time.
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 49
mixture of xylazine (1.9 mg/kg) and ketamine (9.3 mg/ aliquot was injected into the HPLC system. Recovery
kg). In one group, in-house prepared IR tablet con- (mean±S.D., n = 3) of pravastatin sodium from pooled
taining the required dose based on the body weight of rabbit plasma was found to be 72.44 ± 2.34 %.
the rabbit was administered. In another group, buccal
patch containing the required dose based on the body 2.2.18 Pharmacokinetics analysis of data
weight of rabbit was adhered onto buccal mucosa. At Pharmacokinetics analysis of the plasma concen-
an interval of 1 h, 1 ml of blood was withdrawn upto tration versus time profile of pravastatin sodium
10 h from marginal ear vein using a 26 gauge needle. was performed to calculate various parameters
Withdrawn blood samples were centrifuged at 8000 rpm like maximum plasma concentration (C max), time
for 10 min. at 15°C (REMI Pvt. Ltd., Vasai, India) to to reach maximum concentration (T max), and area
separate plasma. Plasma samples were stored at -20°C under the plasma concentration–time curve (AUC 0-t
until further analysis. and AUC 0-∞). The pharmacokinetic parameters were
calculated by using one compartment open model
2.2.17 HPLC analysis of pravastatin sodium with the help of Quick calc. software (developed by
Concentration of pravastatin sodium in the samples Dr. Shivprakash, Plexus, Ahmedabad, India). The
was determined using HPLC method (Otter and values of C max and T max were read directly from the
Mignat, 1998) with slight modification as per system arithmetic plot of time and plasma concentration of
requirement. The system used was Shimadzu LC-10AT pravastatin sodium. The relative bioavailability of
VP having a UV detector (Shimadzu, Kyoto, Japan) pravastatin sodium after buccal administration vs
and the software used was Class VP, version 5.032. A the oral administration was calculated by using the
C18 column (5 µm, 250 × 4.6 mm I.D., Phenomenex, following formula:
Aschaffenburg, Germany) was used as the station-
ary phase and 20 mM sodium dihydrogen phosphate F% = [AUCbuccal × Doseoral × 100] / [AUCoral × Dose buccal ] (4)
solution containing 1 mM dodecyl sulfate: acetonitrile The pharmacokinetic data was analysed for statistical
(65: 35, v/v) was used as the mobile phase. The pH of significance using one way ANOVA, wherein p values
the mobile phase was adjusted to 2.0 with phosphoric <0.05 were considered to be statistically significant.
acid. The flow rate was maintained at 1ml/ min. and
detection was carried out at 238 nm. The retention 2.2.19 In vitro In vivo correlation (IVIVC)
time for pravastatin sodium was 7.2 min. The method To establish IVIVC for optimized patch, in vitro drug
was found to be linear in the concentration range of release curve of the patch was compared to its in vivo
10–100 ng/ml of pravastatin sodium. Coefficient of input performance i.e., the curve produced by suitable
correlation was found to be 0.9999. The least-squares deconvolution of the plasma level data using mass bal-
regression analysis provided the following equation: ance model-independent technique.
Y= 1860.99X+594.30 for pravastatin sodium. % RSD for
the precision study was found to be less than 2% indi- 2.2.20 Stability in simulated saliva
cating precision of the method. Percent recovery in The stability of developed patch was tested in simu-
the range of 98–102% indicated accuracy of the HPLC lated saliva pH 6.8 (sodium chloride 4.5 g, potassium
method. LOD and LOQ was found to be 1.5 ng/ml and chloride 0.3 g, sodium sulfate 0.3 g, ammonium acetate
5 ng /ml of pravastatin sodium respectively. It was also 0.4 g, urea 0.2 g, lactic acid 3 g and distilled water up to
observed that independent of concentration (10, 40, 1,000 ml, adjusting pH of solution to 6.8 by 1 M NaOH
and 60.0 ng/ml equivalent of pravastatin sodium), the solution). The patch was placed in a petridish contain-
excipients did not interfere in the analysis indicating ing 5 ml of simulated saliva and kept in a temperature-
selectivity of the method. After chemical oxidation controlled oven at 37 ± 2°C. At time intervals of 1, 2, 3, 4,
test, acid and alkaline hydrolysis, chromatograms 5, 6, 7, 8, 9 and 10 h, the patch was observed for change
showed additional peaks, due to the presence of deg- in color, thickness, and assayed for pravastatin sodium
radation products. However, in none of the case, the content using HPLC method as described in section
additional peaks were found to interfere with the peak 2.2.17.
of pravastatin sodium. Hence, the present method
was found to be appropriate for quantitative deter- 2.2.21 Accelerated stability testing as per ICH Q1A (R2)
mination of pravastatin sodium in the presence of its guidelines
degradation products. For analysis of plasma samples, Accelerated stability testing as per ICH Q1A (R2) guide-
protein was separated from the plasma by adding lines were performed by keeping the patches at a tem-
equivalent amount of methanol and centrifuging at perature of 40 ± 2°C and humidity of 75 ± 5% RH. The
10,000 rpm (REMI Pvt. Ltd., Vasai, India) for 10 min at samples were withdrawn at 0, 30, 60, and 90 days and the
15°C. Then, 200μl of protein-free plasma was collected physical characteristics (surface pH, weight gain/loss,
in amber colored microcentrifuge tubes, and evapo- mucoadhesive force, folding endurance, drug content
rated to dryness at 40–50°C. The resultant residue was and % drug remaining) were determined. The zero time
reconstituted with 200 μl of mobile phase and a 20 μl samples were used as controls.
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 51
Table 4. Analysis of variance (ANOVA) for factorial models: mucoadhesion time, mucoadhesive force and % cumulative drug release at
10th h
Source Sum of squares df Mean square F value p value Prob>F
Mucoadhesion time:
Model 1251.11 5 250.22 675.60 <0.0001 Significant
X1-Carbopol 934P 1120.67 1 1120.67 3025.80 <0.0001
X2-HPMC K4M 104.17 1 104.17 281.25 <0.0005
X1 X2 4.00 1 4.00 10.80 <0.0462
X12 22.22 1 22.22 60.00 <0.0045
X22 0.056 1 0.056 0.15 <0.0190
Residual 1.11 3 0.37
Cor total 1252.22 8
Mucoadhesive force:
Model 477.45 5 95.49 53.57 <0.0039 Significant
X1-Carbopol 934P 409.70 1 409.70 229.85 <0.0006
X2- HPMC K4M 50.52 1 50.52 28.34 <0.0129
X1 X2 5.34 1 5.34 2.99 <0.0164
X12 11.11 1 11.11 6.23 <0.0354
X22 0.79 1 0.79 0.44 <0.0450
Residual 5.35 3 1.78
Cor total 482.79 8
% cumulative drug release at 10th h:
Model 17.24 5 3.45 31.39 <0.0016 Significant
X1-Carbopol 934P 15.42 1 15.42 140.40 <0.0043
X2- HPMC K4M 1.60 1 1.60 14.58 <0.0116
X1 X2 0.008 1 0.008 0.074 <0.0313
X12 0.20 1 0.20 1.86 <0.0424
X22 0. 001 1 0.001 0.11 <0.0470
Residual 0.33 3 0.11
Cor total 17.57 8
Figure 2. Response surface plots for 2(a) Y1 (mucoadhesion time), 2(b) Y2 mucoadhesive force) and 2(c) Y3 (% cumulative drug release).
Table 5. Predicted and experimental values of responses for extra design check point formulation
Response Parameters Predicted value Experimental value Paired t-test
Mucoadhesion time (min.) 634.32 631.23 ± 1.58 p>0.05
Mucoadhesive force (× 10−2N) 45.55 42.11 ± 0.72 p>0.05
% CDR at 10th h 98.57 97.06 ± 0.35 p>0.05
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 53
force exerted by these polyacrylic acid polymers (Therani amount of mucoadhesive polymers. Maximum amount
et al., 2002). Similar observation for increase in mucoad- of mucoadhesive polymers in F9 provided the maximum
hesive strength with increase in mucoadhesive polymers polymer for contact as well as for interpenetration with
including Carbopol 934P for Eudragit matrix has also mucin, leading to maximum mucoadhesion time and
been made by Wong and co-workers (Wong et al., 1999). mucoadhesive force.
The patch containing 1.5% (w/v) of carbopol 934P and 4%
(w/v) of HPMC K4M i.e. F9 exhibited the highest mucoad- 3.6 In vitro drug release study
hesion time and mucoadhesive force of 623 ± 1.56 min In vitro drug release profile of the formulation F1 to F9
and 39.77 ± 0.43 × 10−2N respectively. This could be due to in comparison to immediate release (IR) tablet is shown
the reason that formulation F9 contained the maximum in Figure 6. Immediate release formulation was found
exhibit 100% of drug release within 2h of the study. In
comparison to immediate release tablet, all the prepared
patches (F1 to F9) were able to sustain the release of
drug up to 10th h releasing majority of the drug (90%) by
10h. this could be attributed to the presence of a matrix
of Eudragit S100 in the prepared patched. Eudragit S100
being hydrophobic in nature provides an impermeable
barrier and there by controls the release of the drug from
the patches. Formulation F1 exhibited the minimum
drug release of 93.83 ± 0.19 % during 10h of the drug
release study. The drug release was found to increase
from formulation F1 to F9. Increase in drug release with
increase in amount of hydrophilic polymer in mucoad-
hesive patches has also been observed by Shidhaye
and coworkers (Shidhaye et al., 2008). Desai and co-
Figure 4. Ex vivo mucoadhesion time. workers report increase in amount of drug release with
an increase in amount of HPMC K4M in the formulated
novel buccal adhesive system (Desai et al., 2004).This can
be explained on the basis of fact that carbopol 934P and
HPMC K4M are embedded in the hydrophobic matrix
of Eudragit S100. Carbopol 934P and HPMC K4M are
hydrophilic in nature. HPMC K4M has been reported
to generate to water-logged region (pores) on hydration
(Sakellariou et al., 1988) whereas carbopol 934P has
been reported to undergo ionization at pH 6.8 (pKa = 6).
Ionization of carbopol 934P leads to the generation of
negative charges along the backbone of the polymer.
Repulsion between these like charges leads to uncoiling
of the polymer to produce an extended structure capable
of higher uptake of water. Thus owing to generation of
pores by HPMC K4M and uncoiling of carbopol 934P at
pH 6.8, the system absorbs more water and there by pro-
Figure 5. Ex vivo mucoadhesive force.
motes dissolution which in turn leads to an increase in
release of water-soluble drug pravastatin sodium.
To investigate the release kinetics of pravastatin
sodium from bilayered buccal patches, the release data
was applied to various models and best fit was deter-
mined with help of PCP Disso V2.08 software (PCP
DissoV2.08, Pune, India). All the formulations showed
values of n in the range of 0.5 to 1.0 indicating that all
formulations followed non-Fickian diffusion mechanism
of drug release. The values of r2, k and n for optimized
formulation (F9) were found to be 0.9946, 23.0559 and
0.6597 respectively.
Table 6. Permeation of pravastatin sodium through goat buccal mucosa in presence of different penetration enhancers
Permeability Flux Enhancement Statistical significance with respect
Formulation F9 containing coefficient (Kp) (mg/cm2. h) ratio to P0 using Student t- test
No penetration enhancer (P0) 0.667 1.620 – –
(2% v/v) DMSO (P1) 0.584 2.755 1.70 P<0.05
(3% v/v) DMSO (P2) 0.653 3.170 1.95 P<0.05
(4% v/v) DMSO (P3) 0.632 3.440 2.12 P<0.05
(2% v/v) Transcutol (P4) 0.554 2.543 1.50 P<0.05
(3% v/v) Transcutol (P5) 0.575 2.70 1.66 P<0.05
(4% v/v) Transcutol (P6) 0.613 2.943 1.81 P<0.05
Table 7. Evaluation of optimized (F9) and final formulation [F9 (P3)]
Results
Parameter (F9) [F9 (P3)] Paired t-test
Weight (mg) 89.53 ± 0.25 90.05 ± 1.21 P>0.05
Thickness (µm) 255.2 ± 0.69 254.6 ± 0.95 P>0.05
Drug content (%) 99.91 ± 0.62 99.07 ± 1.82 P>0.05
Surface pH 6.21 ± 0.31 6.89 ± 0.94 P>0.05
Swelling index (%) 22.13 ± 0.52 21.87 ± 1.94 P>0.05
Drug release (%) 98.97 ± 0.45 98.08 ± 1.12 P>0.05
Mucoadhesion time (min.) 628 ± 0.56 626 ± 1.26 P>0.05
Mucoadhesive force (x10−2 N) 47.31 ± 0.58 46.04 ± 1.43 P>0.05
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 55
Figure 8. Histopathological evaluation of sections of goat buccal mucosa treated with patch containing 4% v/v DMSO and control.
formulation containing 4% (v/v) of DMSO [F9 (P3)] was Figure 10. IVIVC of pravastatin sodium buccal patch [F9 (P3)].
found to be safe for buccal administration.
indicates increased (2.61 times) bioavailability of PS from
the buccal formulation (Table 8). Ka in case of IR tablet
3.10 Bioavailability studies was found to be 1.864 ± 0.08 h−1. Significant reduction in
The plasma concentration-time profile obtained after Ka was observed in case of buccal patch i.e.0.750 ± 0.08 h−1
administration of oral IR tablet and buccal bilayered in comparison to tablet. This may attributed to the sus-
patch to rabbits is shown in Figure 9. Tmax for the tablet tained release behavior of drug from the patch. Thus
was found to be 1 h whereas Tmax in case of buccal patch comparative pharmacokinetic studies of buccal patch
was found to be 4.00 ± 0.57 h, indicating delayed absorp- and IR tablet of pravastatin sodium in New Zealand white
tion of the drug from the optimized patch in comparison rabbits revealed delayed Tmax, increased Cmax, increased
to IR tablet. Moreover, plasma level reduced to zero in AUC and reduced absorption rate constant indicating
5 h in case of oral tablet but drug could be detected in enhanced absorption of the drug from the patch in a sus-
plasma up to 10 h in case of buccal patch corroborat- tained manner. Superior absorption of the drug from the
ing the in vitro sustained drug release behavior from patch is anticipated to reduce the dose and hence dose
patch in vivo (animal model) as well. Cmax was found related side effect of the drug. Sustained release of the
to be significantly (P<0.05) higher for buccal bilayered drug from patch is expected to reduce frequency of dos-
patch (67.34 ± 3.58 ng/ml) than IR tablet (58.73 ± 4.63 ng/ ing of the drug. Both these factors would in turn lead to
ml) implying better absorption of the drug from patch enhanced patient compliance towards the therapy.
comparison to IR tablet. Improved absorption of drug
from patch could be due to avoidance of hepatic first 3.11 In Vitro-In Vivo Correlation (IVIVC)
pass metabolism and gastric instability of the drug when The result of IVIVC study is shown in Figure 10. The value
the drug in given by buccal route in comparison to oral of regression coefficient (r2) was found to be 0.9690.
administration. There are four levels of correlation established by the
The AUC0-∞ in case of buccal bilayered patch USP Biopharmaceutics subcommittee for setting up
(350 ± 9.59 ng/ml×h) was found to be significantly higher the correlation between in vitro dissolution and in vivo
(P<0.05) of IR tablet (133.80 ± 8.25 ng/ml×h) which absorption.
Table 8. Mean (±S.D.) pharmacokinetic parameters for in-house immediate release tablet (IR tablet) and bilayered buccal patch of
pravastatin sodium in New Zealand white Rabbits (n = 3)
Type of Formulation
Pharmacokinetic parameters IR tablet Buccal patch
Cmax (ng/ml) 58.73 ± 4.63 67.34 ± 3.58
T max (h) 1.00 ± 0.35 4.00 ± 0.57
Ka (h )−1
1.864 ± 0.08 0.75 ± 0.08
AUC0-∞ (ng/ml/h) 133.80 ± 8.25 350.8 ± 9.59
Relative bioavailability – 262.18%
Drug Delivery
Bilayered transmucosal drug delivery system of pravastatin sodium 57
present investigation demonstrates the potential of the Desai KGH, kumar TMP. (2004). Preparation and evaluation of a novel
developed pravastatin sodium bilayered buccal patch buccal adhesive system. AAPS PharmSci Tech, 5, Article 35.
Maurya SK, Pathak K, Bali V. (2010). Therapeutic potential of
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Miller NS, Chittchang M, Johnston TP. (2005). The use of mucoadhesive
polymers in buccal drug delivery. Adv Drug Deliv Rev, 57,
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Declaration of interest Shidhaye SS, Saindane NS, Sutar S, Kadam VJ. (2008). Mucoadhesive
bilayered patches for administration of sumatriptan succinate.
All the authors report no declaration of interest. AAPS PharmSci Tech, 9, 909–916.
Shidhaye SS, Thakkar PV, Dand NM, Kadam VJ. (2010). Buccal
drug delivery of pravastatin sodium. AAPS PharmSci Tech, 11,
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