Pharmaceutics
Pharmaceutics
Pharmaceutics
Article
Effects of Formulation and Process Variables on
Gastroretentive Floating Tablets with A High-Dose
Soluble Drug and Experimental Design Approach
Prakash Thapa and Seong Hoon Jeong *
College of Pharmacy, Dongguk University-Seoul, Gyeonggi 10326, Korea; thapap139@gmail.com
* Correspondence: shjeong@dongguk.edu; Tel.: +82-10-5679-0621
Received: 2 August 2018; Accepted: 12 September 2018; Published: 17 September 2018
Keywords: polyethylene oxide; sodium bicarbonate; gel strength; floating lag time; drug release
kinetics; experimental design
1. Introduction
Even though oral drug delivery is the most convenient and preferable route of drug administration,
there are still challenges to overcome. Bioavailability of active pharmaceutical ingredients (APIs) is
subject to change, depending on their physicochemical properties, including pH-dependent solubility
and stability, and a narrow absorption window [1–3]. Therefore, formulation scientists are continuously
engaged in developing new approaches to improve oral drug delivery systems. Recently, gastroretentive
systems, with strategies to extend gastric residence time, have drawn considerable attention as an
alternative approach to improve bioavailability of drugs with a narrow absorption window, stability at
intestinal pH, local activity in the stomach, and solubility at low pH [4–6]. The gastric residence time can
affect the drug absorption, as the longer the drug stays in contact with the absorbing membrane, the more
the rate and extent of absorption [3,7]. However, residence time in the upper part of the gastrointestinal
tract is short due to fast gastric emptying lasting about 2–3 h [3,8]. To overcome the limitation, controlled
drug delivery systems with prolonged residence time in the stomach can be utilized.
Various pharmaceutical approaches have been applied to prolong the gastric retention time of
dosage forms, including floating systems, bioadhesive/mucoadhesive systems, expandable systems,
high density systems, superporous hydrogel systems, and magnetic systems [6,9–12]. However, among
the gastroretentive systems, floating systems offer promising and practical means of achieving prolong
gastric residence time [2,5,6,8,12]. The floating systems are categorized into non-effervescent systems and
effervescent systems. In the case of non-effervescent systems, highly swellable cellulose derivatives or
gel-forming polymers are used, which is preferable for potent drugs [13–15]. However, in effervescent
systems, gas generating agents, such as sodium bicarbonate and calcium carbonate are used, which generate
CO2 gas upon contact with gastric fluid, and eventually reduce the bulk density of tablets [16–19].
It is often challenging to maintain tablet buoyancy in high-dose tablets due to their high bulk density;
therefore, the non-effervescent technique may not be feasible for such tablets. Effervescent floating tablets
(EFTs) have better potential for improved buoyancy [20–22]. The selection of a suitable polymer, a gas
generating agent, and process variables might be necessary for high-quality EFT development. A large
amount of polymer is required to achieve sustained release profiles in highly water-soluble high-dose
tablets, which in turn increases the weight of tablets [21,23–25]. Hydrophilic polymers have long been
used in floating systems to create sustained release profiles. Among various hydrophilic polymer types
(cationic, anionic, and non-ionic polymer), the non-ionic hydrophilic polymers, such as hydroxypropyl
methylcellulose (HPMC), hydroxypropyl cellulose (HPC), and polyethylene oxide (PEO), are commonly
used in controlled release tablets because these polymers are not affected by pH [13,26]. As a result,
drug release and floating behavior of tablets are also not influenced by the pH of gastric fluid [13,26].
In addition, non-ionic hydrophilic polymers are non-toxic, economic, and safe to use for EFT [27–29].
Therefore, these types of polymers have potential in designing the floating tablet. Moreover, other
factors, including amount of polymer and polymer viscosity grade and molecular weight may influence
the drug release rate and tablet buoyancy, as well as other physicochemical properties, such as tablet
tensile strength, porosity, hydration rate, and gel strength [30].
In the effervescent system, sodium bicarbonate improves tablet buoyancy in gastroretentive
floating systems containing hydrophilic polymer combinations. However, no systematic investigation
has yet been performed to explore the influence of sodium bicarbonate on drug release kinetics.
Therefore, it is important to investigate its influence on the drug release kinetics of highly water-soluble
drugs in the EFTs. From the perspective of pharmaceutical technology, tablet compression force
has the potential to affect tablet density and this could alter tablet buoyancy, as tablet density
>1.004 mg/cm3 prevents floating in the gastric fluid [3]. Therefore, optimization of tablet compression
force might overcome issues of table buoyancy, as well as friability and mechanical properties. In the
present study, we also investigated the impact of compression force on tablet buoyancy and other
physiochemical properties.
Formulation scientists often experience the challenges of identifying the appropriate combination
of formulation and process variables to produce a high-quality product [13,31–33]. However, with the
application of quality-based experimental design tools, the variables can be more easily analyzed and
understood. Among the various experimental design tools, Box-Behnken design (BBD) is a popular tool
for formulation and process optimization, which utilizes the treatment combination at midpoint of the
edge and center of the experimental space. The main advantage of BBD, compared to central composite
design (CCD), D-optimal design, and 3-level factorial design, is that it requires fewer experimental
runs, less time for optimization of the process, and is more cost effective. In addition, BBD does not
have axial points and it can assure that all the design points fall within safe operating zones, whereas
CCD usually has axial points outside the cube, which may not be in the region of interest, or may be
beyond safe operating limits [33,34]. In the present study, a Box-Behnken design was used to study
the impact of formulation variables (PEO, sodium bicarbonate) and a process variable (compression
force) on response variables, including drug release rate, floating lag time (FLT), tablet tensile strength,
tablet porosity, and tablet ejection force. In addition, other physical properties, such as medium uptake
(swelling ratio), tablet erosion rate, and gel strength of floating tablets, were also investigated.
Pharmaceutics 2018, 10, 161 3 of 25
2.1. Materials
The model drug, metformin HCl, was obtained from Farmhispania (Catalonia, Spain).
Hydroxypropyl methylcellulose (Hypromellose USP, substitution type 2208), HPMC 100SR (viscosity
100 mPa.s), HPMC 4,000SR (viscosity 4000 mPa.s), and HPMC 100,000SR (viscosity 100,000 mPa.s)
were obtained from Shin-Etsu (Tokyo, Japan). Hydroxypropyl cellulose, HPC M (viscosity 300 mPa·s),
and HPC H FP (viscosity 3000 mPa·s) were supplied from Nippon Soda Co., Ltd. (Tokyo, Japan).
Polyethyleneoxide WSR 303 (PEO, average molecular weight 7,000,000) was purchased from Dow
Chemical (Midland, MI, USA). Lactose monohydrate (FlowLac 100) was obtained from Meggle
Pharma Tech., Ltd. (Wasserburg, Germany), microcrystalline cellulose (MCC, Avicel PH 101) was
supplied from Daejung Pharmaceuticals. (Seoul, Korea), dicalcium phosphate anhydrous (A-Tab)
was purchased from Whawon Co. Ltd. (Seoul, Korea), and sodium bicarbonate was purchased from
Sigma-Aldrich (St. Louis, MO, USA). Magnesium stearate (S-Mg) was obtained from Faci Asia (Jurong
Island, Singapore).
where, Yi is the responses, Xi and X j are the independent variables; b0 is a constant term, and bi , bii ,
and bij are the coefficients of the linear, quadratic, and interaction terms, respectively.
forces, as shown in Table 1. The dwell time for each tablet compression was 5 s. To compare the drug
release profiles of tablets containing sodium bicarbonate, tablets without sodium bicarbonate were
also prepared. F0 represents the formulation with a low amount of polymer, i.e., 50 mg PEO and 90 mg
sodium bicarbonate. Likewise, F2 and F15 contained 100 mg and 200 mg PEO, respectively, and 90 mg
of sodium bicarbonate in each formulation. Moreover, additional formulations of F0*, F2*, and F15*
without sodium bicarbonate were also prepared. They contained various PEO amounts of 50 mg,
100 mg, and 200 mg, respectively.
W2 − W1
% Medium U ptake = × 100% (2)
W1
W1 − W3
% Mass Loss = × 100% (3)
W1
Pharmaceutics 2018, 10, 161 5 of 25
Table 1. Box Behnken experimental design with three independent variables (control factors), and dependent variables of drug release at different time points, floating
lag time, tablet ejection force, tablet tensile strength, and tablet porosity.
2x
σx = (6)
πdt
where, x, d, and t are the breaking force, tablet diameter, and thickness, respectively.
Tablet dimensions were measured using a micrometer caliper with a precision of 0.01 mm
(Mitutoyo, Japan). The true densities of materials were determined using a helium pycnometer
(AccuPyc 1330, Micrometrics instruments Co., Norcross, GA, USA). The accuracy of the pycnometer
was evaluated using a standard steel sphere before measurements. The experimental sample was
accurately weighed and loaded into the sample cell. Sample volume was calculated by measuring
pressure, filling the sample chamber with high purity helium gas, followed by discharging the gas
into a second empty chamber. The measurements were repeated for five cycles. The percentage tablet
porosity (ε) was calculated using the Equation (7),
D
ε (%) = 1 − tablet × 100 (7)
Dtrue
Pharmaceutics 2018, 10, 161 7 of 25
where ε, Dtablet , and Dtrue are the tablet porosity, tablet density, and true density of the
formulation, respectively.
Table 3. Initial risk assessment for formulation and process variables in controlled release effervescent floating tablets.
(b)
(a)
800 100
Gel Strength (mN.mm)
80
600 HPC-M
Drug release (%)
HPC-H FP
60
400 HPMC-100SR
40 HPMC -4000SR
0 0
0 3 6 9 12 15 18 21 24
Time (h)
Figure 1. (a) Gel strength (mN·mm) of various hydrophilic using the Texture analyzer after being
Figure 1. in water at 37 ◦ C. (b) Comparison of drug release profiles of the effervescent floating tablets
swollen
(EFTs) with different hydrophilic polymers.
The in vitro drug release studies of metformin EFT prepared from the polymers are shown in
Figure 1b. PEO showed the lowest drug release rate among the studied polymers, whereas HPC M
showed the highest rate followed by HPMC 100SR. The decrease in drug release rate might be due to
the quick gel-forming capability of PEO, whilst the high release rate from HPC M might be associated
with poor hydration rate due to low polymer viscosity. Moreover, in the low viscosity polymers,
polymer chains are quickly detangled and the polymer can be eroded eventually leading to rapid drug
release [30]. Based on the results, PEO was selected for further optimization studies.
Figure 3a–c show the erosion rates of swollen tablets with experimental formulations. Formulations
containing higher amounts of PEO (F3, F7, F10, and F11) had low erosion rates, compared to those
containing lower amounts of PEO. As shown earlier, high PEO contents in matrices resulted in
rapid uptake of dissolution medium and formation of a gel barrier to control drug release. Similarly,
formulations containing high amounts of sodium bicarbonate inhibited the erosion rate, which might
be attributed to the presence of CO2 gas bubbles in the gel layer [17]. Moreover, correlations between
the drug release rate and mass loss at 2 h and 8 h, are provided in Figure 3d. The R2 value at 2 h and 8 h
was 0.89 and 0.93, respectively, suggesting high correlation between the drug release rate and mass loss.
Textural profiles provide better understanding of the dynamics of gel strength and movement
of gel boundaries. To evaluate the gel strength of the swollen tablets, total work of penetration was
calculated from the area under the force-displacement curve. As shown in Figure 4, the work of
penetration of the tablet sharply decreased with an increase in exposure time due to the increase in
the size of polymer molecules, as a consequence of the entry of a medium might decrease the glass
transition temperature (Tg) [24,51]. As the hydration proceeded, the polymer might have changed
from a crystalline state to a rubbery state, and undergone relaxation [15,51]. It was also noticeable that
tablets containing higher amounts of PEO (F3, F7, F10, and F11) showed high work of penetration,
compared to those with lower PEO amounts. This might be attributed to the formation of a strong gel
layer in high PEO matrices.
(a) (b)
300
300
F3 F11
250
250 F10
Medium uptake (%)
F7
200 F13
200 F1
F12
150 F5 150
F14
F6
100 100 F15
F4 F9
50 50
F2 F8
0 0
0 1 2 3 4 5 6 7 8 0 1 2 3 4 5 6 7 8
Time (h) Time (h)
Figure 2. Plots of degree of swelling (medium uptake) vs. time profiles of various formulations based
on the Box-Behnken design (BBD) experimental design, (a) F1–7 and (b) F8–15.
Figure 2.
Pharmaceutics 2018, 10, 161 11 of 25
(a) (b)
80 80 0.5 h
0.5 h
1h 1h
60 2h 2h
60
Mass Loss (%)
3h
20 20
0 0
F1 F2 F3 F4 F5 F6 F7 F8 F9 F10
(c) (d)
80 100 y = 0.8161x + 30.567
0.5 h R²= 0.9303
1h
80
60 2h
Drug release (%)
Mass Loss (%)
3h
5h 60
y = 0.6195x + 17.76
40 8h R²= 0.8909
40
20 2h
20
8h
0 0
F11 F12 F13 F14 F15 0 20 40 60 80
Mass Loss (%)
Figure 3. Plots
Figure 3. of tablet matrix erosion (% mass loss) vs. time of various formulations based on the
BBD experimental design, (a) F1–5, (b) F6–10, and (c) F11–F15). (d) Correlation between drug release
rate and mass loss in different time points.
(a) (b)
36
20 F1
Total work penetration (N.mm)
F9
F2
30
16 F3 F10
F4 24 F11
12
F5 F12
18
F6
F13
8
F7 12
F14
F8
4 F15
6
0 0
0 2 4 6 8 0 2 4 6 8
Time (h) Time (h)
Figure 4.4. Total work of penetration vs. time profiles of various formulations based on the BBD
Figure
experimental design, (a) F1–8 and (b) F9–15.
in the experimental formulations. Initially (up to 1 h), burst release of metformin was observed
in the formulations containing low amounts of polymer and sodium bicarbonate (F4, F8, and F9).
This might be ascribed to insufficient time to form a gel barrier at the lower polymer levels, and the
high metformin contents in the EFTs. However, with the progression of medium uptake, the polymer
might form a gel layer retarding drug molecule transport through the matrix. Moreover, the drug
release rate was significantly retarded in formulations containing sodium bicarbonate, compared to
the formulations without it (Figure 5c). In the tablets containing sodium bicarbonate, CO2 bubbles
were liberated extensively when they reacted with the dissolution medium. These CO2 bubbles might
be entrapped in the gel layer and obstructed diffusion paths, eventually retarding the transport of
both drug and dissolution medium through the matrix. This suggests that sodium bicarbonate has
a potential role in retarding drug release rates of highly water-soluble drugs in combination with a
hydrophilic polymer.
To investigate the release kinetics of metformin EFTs in all the experimental formulations, as well
as in F0, F0*, F2*, and F15*, the model equations were fitted to the data of in vitro release profiles [52–55]:
Zero-order equation (Equation (8)), the Korsmeyer-Peppas model (Equations (9)), and the Higuchi
model (Equation (10)),
Mt = M0 + k0 t (8)
where t is the time, Mt is the amount of drug released at time t, M0 is the initial amount of the drug in
solution, Mt /M∝ is the fraction of drug released at time t (drug loading was considered as M∝ ), k0 is
the zero-order rate constant, k is the Korsmeyer-Peppas rate constant, n is the release exponent, and kH
is the Higuchi constant.
As shown in Table 4, correlation coefficients (R2 ) in the Korsmeyer Peppas model,
the Higuchi model, and the zero-order kinetics equation were determined. Among the models,
the Korsmeyer-Peppas model showed the highest linearity, followed by the Higuchi model and the
zero-order equation, proposing that in vitro drug release in the formulations was best explained using
the Korsmeyer-Peppas model. Furthermore, the n value in the Korsmeyer-Peppas equation could
be used to explain the drug release mechanism: n < 0.5 indicates diffusion transport, whilst n value
between 0.5–1.0 indicates non-Fickian or anomalous diffusion (i.e., drug release controlled by both
diffusion and erosion) [51]. The n values of the formulations, including those of F0, F0*, F2*, and F15*
were in the range of 0.474–0.701 (Table 4). The formulations except F0, F4, F0*, and F2* showed a
non-Fickian or anomalous diffusion, suggesting that drug release was governed by both diffusion and
erosion (0.5 < n < 1.0). This could be due to the blockade of diffusion by CO2 bubbles, as described
earlier. However, the formulations of F0, F4, F0*, and F2* showed a diffusion transport (n < 0.5).
Overall, it could be concluded that formulations containing high levels of both polymer and sodium
bicarbonate showed anomalous transport.
Pharmaceutics 2018, 10, 161 13 of 25
(a) 100
F1
40 F12
F13
20 F14
F15
0
0 4 8 12 16 20 24
Time (h)
(c) 100
80
Drug release (%)
F15
60 F15*
F2
40 F2*
F0
20 F0*
Figure 5. Metformin
0
0 4 8 12 16 20 24
Time (h)
Figure 5. In vitro dissolution profiles of various formulations based on the BBD experimental design,
(a) F1–8 and (b) F9–15. (c) Comparison of drug release profiles of tablets with sodium bicarbonate
(F0, F2, and F15), and those without sodium bicarbonate (F0*, F2*, and F15*).
Table 4. Correlation coefficient (R2 ) values for the dissolution profiles plugged into various release models.
indicated good data fitting of the investigated responses. In addition, p values of regression models of
Y1 –Y7 were below the significance level (p < 0.05), suggesting that the studied response variables were
not influenced by any of the control factors. p values of lack of fit of Y1 –Y7 were 0.0508, 0.064, 0.397,
0.108, 0.073, 0.251, and 1.000, respectively, which were greater than 0.05 for all responses, suggesting
that model errors were not significant.
As shown in Table 5, the amount of PEO (X1 ) and sodium bicarbonate (X2 ) had a significant effect
on Y1 , Y2 , and Y3 . Coefficients of X1 and X2 were positive for Y1 − Y3 , suggesting that the dependent
variables increased with the increase of PEO and sodium bicarbonate. In addition, coefficients of X12 for
Y3 were positive, suggesting a synergistic effect on drug release response, whilst negative coefficients
of X22 for Y2 and Y3 indicated an antagonist effect on drug release response. Furthermore, in case of Y2
and Y3 , the coefficient of X1 X2 had a negative effect, which indicated that the X1 X2 interaction term
had a reciprocal relation with Y2 and Y3 . This can be explained on the basis that as the amount of
sodium bicarbonate increased in the tablet, more CO2 was generated, which was entrapped in the gel
layer and obstructed diffusion, thereby reducing drug transport through the matrix. In the previous
studies, polymer content in the matrix was highlighted as an important variable in controlling release
rate [10,13,38]. However, in case of highly water-soluble drugs loaded at high levels, a large amount
of polymer is required in the formulation to extend release rate, which often poses challenges for
formulation scientists [56,57]. However, our finding suggests that sodium bicarbonate could contribute
to controlling the release rate of highly water-soluble drugs, and potentially reduce the polymer
amount in the formulation.
In addition, a contour plot (Figure 6) was used to visualize the influence of tablet compression
force and the concentrations of PEO and sodium bicarbonate on Y1 , Y2 , and Y3 . The plot showed that
the time required for drug release from the EFT, significantly increased with the sodium bicarbonate
level. This might be attributed to the increased release of CO2 bubbles at the high levels of sodium
bicarbonate, when reacted with the dissolution medium. As suggested earlier, the liberated CO2
Pharmaceutics 2018, 10, 161 15 of 25
bubbles may interfere the transport of drug and water through the matrix. Likewise, at a constant
sodium bicarbonate level, an increase in PEO concentration increased Y1 , Y2 , and Y3 . Increase in
PEO concentration may cause the dissolution medium to penetrate quick into the tablet and form a
thick gel layer. As a result, the diffusion path length would be increased, retarding the drug release
rate. In addition, at high PEO levels, PEO tortuosity might increase, facilitating entanglement of the
polymer chains [56,58].
(a)
(b)
(c)
Figure 6. 6. Contour plots showing the effects of hydrophilic polymer (PEO) and sodium bicarbonate on
Figure
the drug release responses (Y1 –Y3 ): (a) T25% (Y1 ), (b) T50% (Y2 ), and (c) T80% (Y3 ).
Pharmaceutics 2018, 10, 161 16 of 25
T25% T50% T80% FLT Tablet Ejection Force Tablet Tensile Strength Tablet Porosity
Terms (Y 1 ) (Y 2 ) (Y 3 ) (Y 4 ) (Y 5 ) (Y 6 ) (Y 7 )
Coefficient p Value Coefficient p Value Coefficient p Value Coefficient p Value Coefficient p Value Coefficient p Value Coefficient p Value
Constant 67.667 <0.0001 229.000 <0.0001 527.077 <0.0001 12.230 0.04712 440.714 <0.0001 332.733 <0.0001 18.633 <0.0001
X1 9.625 <0.0001 32.000 <0.0001 72.375 <0.0001 35.625 <0.0001 −91.875 <0.0001 148.750 <0.0001 −1.700 <0.0001
X2 13.000 <0.0001 36.750 <0.0001 64.000 <0.0001 −37.250 <0.0001 4.0000 0.6248 −24.500 0.0001 0.1000 0.001
X3 – – 0.0000 1.0000 – – 34.125 <0.0001 127.1200 <0.0001 141.750 <0.0001 −2.650 <0.0001
X1 *X2 – – −9.500 <0.0001 – – 26.750 0.0019 – – −13.750 0.0239 −0.450 <0.0001
X2 *X3 – – – – – – −30.750 0.0010 – – −15.250 0.0150 0.050 0.0408
X1 *X3 – – – – – – 26.000 0.0022 −37.5000 0.0140 62.250 <0.0001 0.150 0.0004
X1 2 – – – – 9.115 <0.0001 23.346 0.0045 – – 9.5000 0.0010 −0.141 <0.0001
X2 2 – – −8.000 <0.0001 −14.134 0.0011 23.596 0.0043 48.2856 0.0043 – – 0.158 <0.0001
X3 2 – – −3.000 0.0180 – – – – – – – – 0.408 <0.0001
R2 0.9702 0.9984 0.9980 0.9859 0.9747 0.9978 0.9999
R2 (Adj) 0.9653 0.9973 0.9972 0.9670 0.96.07 0.9962 0.9998
R2 (Pred) 0.9493 0.9910 0.9952 0.8668 0.9135 0.9896 0.9998
– indicates the insignificant term (p > 0.05).
Pharmaceutics 2018, 10, 161 17 of 25
The similarity of these values was suggestive of the goodness of fit. The reduced regression equations
in coded terms for FLT Y1 , are shown in Equation (14).
As shown in Table 5, linear, interaction, and polynomial terms of the control factors had a
significant influence on the FLT. The coefficients of X1 , X3 , X1 X3 , X12 , and X22 were positive, whilst
coefficients of X2 , X1 X2 , and X2 X3 were negative (Equation (14)). This suggested that FLT increased
with the increasing amount of PEO and/or compression force but decreased with the increase in
sodium bicarbonate.
(a) (b)
200 700
600
160
500
Ejection Force (N)
FLT (s)
120 400
300
80
200
40 100
0
0
F10
F11
F12
F13
F14
F15
F1
F2
F3
F4
F5
F6
F7
F8
F9
F10
F11
F12
F13
F14
F15
F1
F2
F3
F4
F5
F6
F7
F8
F9
(d)
(c)
800 750
y = -62.394x + 1508.7
Tensile strength (N/cm2)
500 450
400
300
300
200
150
100
0 0
12.5 15.0 17.5 20.0 22.5 25.0
F1
F2
F3
F4
F5
F6
F7
F8
F9
F10
F11
F12
F13
F14
F15
Figure 8a shows the influence of PEO and sodium bicarbonate on the FLT at low, moderate,
and high level of compression force. FLT increased significantly with an increase in the compression
force. As compression force increased, tablet density would increase because of decreased tablet
porosity. To float on the surface of the gastric fluid, tablet density would need to be less than that
of the gastric fluid. At all compression force values, increase in the amount of sodium bicarbonate
resulted in a reduction in FLT, whilst an increase in the PEO amount led to an increase in FLT; a high
level of sodium bicarbonate may lower tablet density by quickly releasing CO2 upon contact with
the dissolution medium. However, increase in PEO could reduce tablet porosity and increase tablet
density, increasing the FLT. Furthermore, at a higher PEO level, an outer gel layer may form quickly
upon contact with the simulated gastric fluid, and retard its exposure to sodium bicarbonate, further
delaying the FLT.
8. Contour
FigureFigure 8. plots showing the effects of hydrophilic polymer (PEO) and sodium bicarbonate on
(a) floating lag time, (Y4 ), (b) tablet ejection force, (Y5 ), (c) tablet tensile strength, (Y6 ), and (d) tablet
porosity (Y7 ).
As shown in Table 5, p value < 0.05 for any of the factors, represents a significant effect of
the corresponding factors on tablet ejection force. The coefficients of X2 , X3 , and X22 were positive,
while the coefficients of X1 and X1 X3 were negative, suggesting that tablet ejection force decreased
with the increase in PEO level and increased with the increase in compression force. The actual
model R2 , adjusted R2 , and R2 predicted, for tablet ejection force (Y5 ) were 0.9747, 0.9607, and 0.9135,
respectively. The similarity of these values was suggestive of the goodness of fit.
Effects of PEO and sodium bicarbonate amounts on tablet ejection force at low, moderate, and high
compression force, are shown in a contour plot (Figure 8b). As the compression force increased from 4 to
8 kN, ejection force significantly increased. As the ejection force increased, frictional force at the tablet-die
wall interface would increase, eventually increasing the tablet ejection force. At constant compression
force and PEO, tablet ejection force decreased at a low sodium bicarbonate level, but increased at a
moderate level, suggesting a quadratic effect of sodium bicarbonate (nonlinear relation). However,
this effect was not significant (p = 0.62). Moreover, at constant ejection force and sodium bicarbonate,
an increase in PEO amount resulted in a decrease in tablet ejection force. This might be attributed to the
plastic deforming nature of PEO, resulting in a low frictional force at the tablet-die wall interface [32,65].
In addition, decreasing PEO amount in the tablet resulted in an increase in the amount of lactose
monohydrate (used for tablet weight adjustment). As lactose monohydrate is a brittle deforming
excipient, increasing its amount in the tablet could have resulted in a high frictional force at the
tablet-die wall interface, eventually increasing ejection force.
As shown in Table 5, p value < 0.05 of any of the factors, represents a significant effect of the
corresponding factors on the tensile strength. It was observed using Equation (16), that the coefficients
of X1 , X3 , and X1 X3 were positive, while the coefficients of X2 , X1 X2 , and X2 X3 were negative.
This suggested that PEO content and compression force had a synergistic effect on the tablet tensile
strength, whilst sodium bicarbonate amount had an antagonistic effect. Similarly, the effect of PEO
and sodium bicarbonate levels on the tensile strength at low, moderate, and high compression force
is provided in a contour plot (Figure 8c). At low compression force, increasing the amount of PEO
contributed to a slight increase in the tensile strength. However, at medium and high compression
force, increase in PEO levels resulted in a drastic increase in the tensile strength. This may be attributed
to high mechanical interlocking, van der Waal’s forces, and solid bridging between the particles at
high compression force. In addition, the more ductile behavior of PEO may allow plastic deformation
during tableting, yielding stronger tablets. At constant compression force and PEO, an increase in
the concentration of sodium bicarbonate resulted in a slight reduction in the tablet tensile strength.
This may be due to the poor compaction tendency of sodium bicarbonate.
As shown in Table 5, p value < 0.05 of any of the factors, represented a significant effect of the
corresponding factors on the tablet porosity. Compression force showed the most significant effect on
the porosity among the studied variables. The coefficients of X1 , X3 , and X12 were negative, while the
coefficients of X2 , X1 X2 , X2 X3 , X1 X3 , X22 , and X32 were positive. This suggested that the amount of
PEO and compression force were inversely proportional to the porosity, whilst the amount of sodium
bicarbonate was directly proportional to the porosity.
A contour plot (Figure 8d) showed the effect of PEO and sodium bicarbonate levels on tablet
porosity at low, moderate, and high compression force. As expected, tablet porosity decreased
significantly with the increase of compression force. At high levels of PEO and compression force,
void space between the particles reduced drastically due to high mechanical interlocking and bonding
forces between the particles. Moreover, PEO was highly compressible due to its plastic deforming
nature, forming strong solid bridging between particles. In contrast, slightly higher porosities were
found at higher sodium bicarbonate amounts due to its poor compressibility. Moreover, tablet porosity
was highly correlated with tablet tensile strength, as shown in Figure 7d, suggesting that tablet tensile
strength decreased with the increase in tablet porosity. Based on the experimental data, a regression
model between tablet porosity and tensile strength can be obtained as y = −62.39x + 1508.7, suggesting
that tablet porosity higher than 20% produces tablets with low tensile strength.
drug release rate; T25 (50 ≤ Y1 ≤ 80 min; target, 60 min); T50 (220 ≤ Y2 ≤ 260 min; target, 240 min);
T80 (510 ≤ Y3 ≤ 570 min; target, 540 min); FLT (1 ≤ Y4 ≤ 60 s; target, 20 s); and tablet TS (350 ≤ Y6 ≤
670 N/cm2 ; target, 500 N/cm2 ). The resulting design space is provided in Figure 9a. Furthermore,
a sweet plot was also constructed to explain the influence of control factors on the response variables.
The plots were designed based on the given specifications of drug release rate, FLT, and tablet tensile
strength (Figure 9b). The green region denoted in the color index represents fulfillment of all criteria,
suggesting the appropriate region to obtain the desired outputs (Figure 9b).
Even though design space represents the region of theoretical robustness, experimental robustness
testing provides validation of the design. To obtain a robust point close to the selected optimal point,
robustness testing can be performed. The identified robust point was characterized by the combination
of control factors comprising 221 mg PEO per tablet, 62 mg sodium bicarbonate per tablet, and 7 kN
tablet compression force. The obtained experimental robust points were 65 min, 237 min, 548 min, 32 s,
and 450 N/cm2 for Y1 , Y2 , Y3 , Y4 , and Y6 , respectively.
Figure 9. (a) Sweet spot plots of PEO amount (x1 ) and sodium bicarbonate (x2 ) at low (left), medium
(middle), and high (right), and compression force (x3 ), defined in the specification of time required
for release: 25% (50 ≤ Y1 ≤ 80 min; target, 60 min); 50% (220 ≤ Y2 ≤ 260 min; target, 240 min);
and 80% (510 ≤ Y3 ≤ 570 min; target, 540 min). FLT (1 ≤ Y4 ≤ 60 s; target, 30 s), and tensile strength
(TS) (350 ≤ Y6 ≤ 670 N/cm2 ; target, 500 N/cm2 ). (b) Design space in terms of PEO amount (x1 ) and
sodium bicarbonate (x2 ) at low (left), medium (middle), and high (right), and compression force (x3 ),
defined in the specification of time required for release after the Monte Carlo simulation.
Pharmaceutics 2018, 10, 161 22 of 25
4. Conclusions
Polymers with a high viscosity grade and molecular weight provided high mechanical gel
strength, and retarded drug release rate. Our results showed that PEO contributed significantly to
controlling drug release, improving gel strength, and improved tablet properties. The results also
provided evidence that sodium bicarbonate had a dual function in highly water-soluble drug EFTs,
i.e., it improved tablet floating and enabled controlled release by retarding the drug release rate
from the hydrophilic matrices. The various factors tested were negatively correlated with the tablet
properties. Interestingly, PEO sharply reduced tablet ejection force, which could improve the tablet
preparation process. Overall, the present study provided a perspective on systematically fabricating
EFTs loaded with high doses of highly water-soluble drugs by applying design space, and quality by
design concepts.
Author Contributions: Conceptualization, P.T. and S.H.J.; Methodology, P.T. and S.H.J.; Software, P.T.; Formal
Analysis, P.T.; Investigation, P.T.; Resources, S.H.J.; Writing—Original Draft Preparation, P.T.; Writing—Review &
Editing, S.H.J.; Supervision, S.H.J.; Funding Acquisition, S.H.J.
Funding: This work was supported by the National Research Foundation of Korea(NRF) grant funded by the
Korea government(MSIT) (NRF-2018R1A5A2023127).
Conflicts of Interest: The authors declare no conflicts of interest.
References
1. Hoffman, A. Pharmacodynamic aspects of sustained release preparations. Adv. Drug Deliv. Rev. 1998, 33,
185–199. [CrossRef]
2. Nayak, A.K.; Malakar, J.; Sen, K.K. Gastroretentive drug delivery technologies: Current approaches and
future potential. J. Pharm. Edu. Res. 2010, 1, 1.
3. Lopes, C.M.; Bettencourt, C.; Rossi, A.; Buttini, F.; Barata, P. Overview on gastroretentive drug delivery
systems for improving drug bioavailability. Int. J. Pharm. 2016, 510, 144–158. [CrossRef] [PubMed]
4. Vo, A.Q.; Feng, X.; Pimparade, M.; Ye, X.; Kim, D.W.; Martin, S.T.; Repka, M.A. Dual-mechanism
gastroretentive drug delivery system loaded with an amorphous solid dispersion prepared by hot-melt
extrusion. Eur. J. Pharm. Sci. 2017, 102, 71–84. [CrossRef] [PubMed]
5. Li, Q.; Guan, X.; Cui, M.; Zhu, Z.; Chen, K.; Wen, H.; Jia, D.; Hou, J.; Xu, W.; Yang, X.; et al. Preparation
and investigation of novel gastro-floating tablets with 3D extrusion-based printing. Int. J. Pharm. 2018, 535,
325–332. [CrossRef] [PubMed]
6. Ngwuluka, N.C.; Choonara, Y.E.; Kumar, P.; du Toit, L.C.; Modi, G.; Pillay, V. An optimized gastroretentive
nanosystem for the delivery of levodopa. Int. J. Pharm. 2015, 494, 49–65. [CrossRef] [PubMed]
7. Streubel, A.; Siepmann, J.; Bodmeier, R. Drug delivery to the upper small intestine window using
gastroretentive technologies. Curr. Opin. Pharmacol. 2006, 6, 501–508. [CrossRef] [PubMed]
8. Singh, B.N.; Kim, K.H. Floating drug delivery systems: An approach to oral controlled drug delivery via
gastric retention. J. Control. Release 2000, 63, 235–259. [CrossRef]
9. Bardonnet, P.; Faivre, V.; Pugh, W.; Piffaretti, J.; Falson, F. Gastroretentive dosage forms: Overview and
special case of Helicobacter pylori. J. Control. Release 2006, 111, 1–18. [CrossRef] [PubMed]
10. Garg, R.; Gupta, G.D. Preparation and Evaluation of Gastroretentive Floating Tablets of Silymarin.
Chem. Pharm. Bull. 2009, 57, 545–549. [CrossRef] [PubMed]
11. Sahu, A.K.; Verma, A. Development and statistical optimization of chitosan and eudragit based
gastroretentive controlled release multiparticulate system for bioavailability enhancement of metformin HCl.
J. Pharm. Investig. 2016, 46, 239–252. [CrossRef]
12. Xu, X.; Sun, M.; Zhi, F.; Hu, Y. Floating matrix dosage form for phenoporlamine hydrochloride based on
gas forming agent: In vitro and in vivo evaluation in healthy volunteers. Int. J. Pharm. 2006, 310, 139–145.
[CrossRef] [PubMed]
13. Acharya, S.; Patra, S.; Pani, N.R. Optimization of HPMC and carbopol concentrations in non-effervescent
floating tablet through factorial design. Carbohydr. Polym. 2014, 102, 360–368. [CrossRef] [PubMed]
Pharmaceutics 2018, 10, 161 23 of 25
14. Kim, S.; Hwang, K.-M.; Park, Y.S.; Nguyen, T.-T.; Park, E.-S. Preparation and evaluation of non-effervescent
gastroretentive tablets containing pregabalin for once-daily administration and dose proportional
pharmacokinetics. Int. J. Pharm. 2018, 550, 160–169. [CrossRef] [PubMed]
15. Choi, D.H.; Kim, K.H.; Park, J.S.; Jeong, S.H.; Park, K. Evaluation of drug delivery profiles in geometric
three-layered tablets with various mechanical properties, in vitro–in vivo drug release, and Raman imaging.
J. Control. Release 2013, 172, 763–772. [CrossRef] [PubMed]
16. Bansal, S.; Beg, S.; Garg, B.; Asthana, A.; Asthana, G.S.; Singh, B. QbD-oriented development and
characterization of effervescent floating-bioadhesive tablets of cefuroxime axetil. AAPS PharmSciTech 2016,
17, 1086–1099. [CrossRef] [PubMed]
17. Jiménez-Martínez, I.; Quirino-Barreda, T.; Villafuerte-Robles, L. Sustained delivery of captopril from floating
matrix tablets. Int. J. Pharm. 2008, 362, 37–43. [CrossRef] [PubMed]
18. Raza, A.; Bukhari, N.I.; Karim, S.; Hafiz, M.A.; Hayat, U. Floating tablets of minocycline hydrochloride:
Formulation, in-vitro evaluation and optimization. Futu. J. Pharm. Sci. 2017, 3, 131–139. [CrossRef]
19. Rahim, S.A.; Carter, P.; Elkordy, A.A. Influence of calcium carbonate and sodium carbonate gassing agents
on pentoxifylline floating tablets properties. Powder Technol. 2017, 322, 65–74. [CrossRef]
20. Arza, R.A.K.; Gonugunta, C.S.R.; Veerareddy, P.R. Formulation and evaluation of swellable and floating
gastroretentive ciprofloxacin hydrochloride tablets. AAPS PharmSciTech 2009, 10, 220–226. [CrossRef]
[PubMed]
21. Tadros, M.I. Controlled-release effervescent floating matrix tablets of ciprofloxacin hydrochloride: Development,
optimization and in vitro–in vivo evaluation in healthy human volunteers. Eur. J. Pharm. Biopharm. 2010, 74,
332–339. [CrossRef] [PubMed]
22. Qi, X.; Chen, H.; Rui, Y.; Yang, F.; Ma, N.; Wu, Z. Floating tablets for controlled release of ofloxacin via
compression coating of hydroxypropyl cellulose combined with effervescent agent. Int. J. Pharm. 2015, 489,
210–217. [CrossRef] [PubMed]
23. Vaingankar, P.; Amin, P. Continuous melt granulation to develop high drug loaded sustained release tablet
of Metformin HCl. Asian. J. Pharm. Sci. 2017, 12, 37–50. [CrossRef]
24. Colombo, P.; Bettini, R.; Peppas, N.A. Observation of swelling process and diffusion front position during
swelling in hydroxypropyl methyl cellulose (HPMC) matrices containing a soluble drug. J. Control. Release
1999, 61, 83–91. [CrossRef]
25. Bettini, R.; Catellani, P.L.; Santi, P.; Massimo, G.; Peppas, N.A.; Colombo, P. Translocation of drug particles in
HPMC matrix gel layer: Effect of drug solubility and influence on release rate. J. Control. Release 2001, 70,
383–391. [CrossRef]
26. Qin, C.; Wu, M.; Xu, S.; Wang, X.; Shi, W.; Dong, Y.; Yang, L.; He, W.; Han, X.; Yin, L. Design and optimization
of gastro-floating sustained-release tablet of pregabalin: In vitro and in vivo evaluation. Int. J. Pharm. 2018,
545, 37–44. [CrossRef] [PubMed]
27. Vanhoorne, V.; Janssens, L.; Vercruysse, J.; De Beer, T.; Remon, J.P.; Vervaet, C. Continuous twin screw
granulation of controlled release formulations with various HPMC grades. Int. J. Pharm. 2016, 511, 1048–1057.
[CrossRef] [PubMed]
28. Saeidipour, F.; Mansourpour, Z.; Mortazavian, E.; Rafiee-Tehrani, N.; Rafiee-Tehrani, M. New comprehensive
mathematical model for HPMC-MCC based matrices to design oral controlled release systems. Eur. J.
Pharm. Biopharm. 2017, 121, 61–72. [CrossRef] [PubMed]
29. Tanaka, A.; Furubayashi, T.; Tomisaki, M.; Kawakami, M.; Kimura, S.; Inoue, D.; Kusamori, K.; Katsumi, H.;
Sakane, T.; Yamamoto, A. Nasal drug absorption from powder formulations: The effect of three types of
hydroxypropyl cellulose (HPC). Eur. J. Pharm. Sci. 2017, 96, 284–289. [CrossRef] [PubMed]
30. Choi, D.H.; Lim, J.Y.; Shin, S.; Choi, W.J.; Jeong, S.H.; Lee, S. A Novel Experimental Design Method to Optimize
Hydrophilic Matrix Formulations with Drug Release Profiles and Mechanical Properties. J. Pharm. Sci. 2014, 103,
3083–3094. [CrossRef] [PubMed]
31. Thapa, P.; Thapa, R.; Choi, D.H.; Jeong, S.H. Effects of pharmaceutical processes on the quality of
ethylcellulose coated pellets: Quality by design approach. Powder Technol. 2018, 339, 25–38. [CrossRef]
32. Thapa, P.; Lee, A.R.; Choi, D.H.; Jeong, S.H. Effects of moisture content and compression pressure of various
deforming granules on the physical properties of tablets. Powder Technol. 2017, 310, 92–102. [CrossRef]
33. Turkoglu, M.; Sakr, A. Mathematical modelling and optimization of a rotary fluidized-bed coating process.
Int. J. Pharm. 1992, 88, 75–87. [CrossRef]
Pharmaceutics 2018, 10, 161 24 of 25
34. Liu, H.; Wang, K.; Schlindwein, W.; Li, M. Using the Box–Behnken experimental design to optimise operating
parameters in pulsed spray fluidised bed granulation. Int. J. Pharm. 2013, 448, 329–338. [CrossRef] [PubMed]
35. Thrimawithana, T.R.; Young, S.; Dunstan, D.E.; Alany, R.G. Texture and rheological characterization of kappa
and iota carrageenan in the presence of counter ions. Carbohydr. Polym. 2010, 82, 69–77. [CrossRef]
36. Bono, A.; Anisuzzaman, S.M.; Ding, O.W. Effect of process conditions on the gel viscosity and gel
strength of semi-refined carrageenan (SRC) produced from seaweed (Kappaphycus alvarezii). J. King
Saud University-Eng. Sci. 2014, 26, 3–9. [CrossRef]
37. Wichianphong, N.; Charoenchaitrakool, M. Application of Box–Behnken design for processing of mefenamic
acid–paracetamol cocrystals using gas anti-solvent (GAS) process. J. CO2 Util. 2018, 26, 212–220. [CrossRef]
38. Jamzad, S.; Tutunji, L.; Fassihi, R. Analysis of macromolecular changes and drug release from hydrophilic
matrix systems. Int. J. Pharm. 2005, 292, 75–85. [CrossRef] [PubMed]
39. Choi, D.H.; Lim, D.G.; Son, H.M.; Jeong, S.H. Comprehensive evaluation of layer separation tendency of
novel three-layered tablets with geometric and mechanical properties. Int. J. Pharm. 2014, 465, 347–359.
[CrossRef] [PubMed]
40. Lamberti, G.; Cascone, S.; Cafaro, M.M.; Titomanlio, G.; d’Amore, M.; Barba, A.A. Measurements of water
content in hydroxypropyl-methyl-cellulose based hydrogels via texture analysis. Carbohydr. Polym. 2013, 92,
765–768. [CrossRef] [PubMed]
41. Cascone, S.; Lamberti, G.; Titomanlio, G.; d’Amore, M.; Barba, A.A. Measurements of non-uniform water
content in hydroxypropyl-methyl-cellulose based matrices via texture analysis. Carbohydr. Polym. 2014, 103,
348–354. [CrossRef] [PubMed]
42. Yang, L.; Johnson, B.; Fassihi, R. Determination of continuous changes in the gel layer thickness of poly
(ethylene oxide) and HPMC tablets undergoing hydration: A texture analysis study. Pharm. Res. 1998, 15,
1902–1906. [CrossRef] [PubMed]
43. Li, H.; Gu, X. Correlation between drug dissolution and polymer hydration: A study using texture analysis.
Int. J. Pharm. 2007, 342, 18–25. [CrossRef] [PubMed]
44. Nazzal, S.; Nazzal, M.; El-Malah, Y. A novel texture-probe for the simultaneous and real-time measurement
of swelling and erosion rates of matrix tablets. Int. J. Pharm. 2007, 330, 195–198. [CrossRef] [PubMed]
45. Fell, J.; Newton, J. Determination of tablet strength by the diametral-compression test. J. Pharm. Sci. 1970, 59,
688–691. [CrossRef] [PubMed]
46. Mazumder, S.; Pavurala, N.; Manda, P.; Xu, X.; Cruz, C.N.; Krishnaiah, Y.S.R. Quality by Design approach
for studying the impact of formulation and process variables on product quality of oral disintegrating films.
Int. J. Pharm. 2017, 527, 151–160. [CrossRef] [PubMed]
47. Charoo, N.A.; Shamsher, A.A.A.; Zidan, A.S.; Rahman, Z. Quality by design approach for formulation
development: A case study of dispersible tablets. Int. J. Pharm. 2012, 423, 167–178. [CrossRef] [PubMed]
48. Tomba, E.; Facco, P.; Bezzo, F.; Barolo, M. Latent variable modeling to assist the implementation of
Quality-by-Design paradigms in pharmaceutical development and manufacturing: A review. Int. J. Pharm.
2013, 457, 283–297. [CrossRef] [PubMed]
49. ICH Guidance for Industry Q8 (R2) Pharmaceutical Development. 2009. Available online: https://www.fda.
gov/downloads/drugs/guidances/ucm073507.pdf (accessed on 07.06.2018).
50. Bertram, U.; Bodmeier, R. In situ gelling, bioadhesive nasal inserts for extended drug delivery: In vitro
characterization of a new nasal dosage form. Eur. J. Pharm. Sci. 2006, 27, 62–71. [CrossRef] [PubMed]
51. Maderuelo, C.; Zarzuelo, A.; Lanao, J.M. Critical factors in the release of drugs from sustained release
hydrophilic matrices. J. Control. Release 2011, 154, 2–19. [CrossRef] [PubMed]
52. Siepmann, J.; Peppas, N.A. Modeling of drug release from delivery systems based on hydroxypropyl
methylcellulose (HPMC). Adv. Drug Deliv. Rev. 2012, 64, 163–174. [CrossRef]
53. Caccavo, D.; Cascone, S.; Lamberti, G.; Barba, A.A. Controlled drug release from hydrogel-based matrices:
Experiments and modeling. Int. J. Pharm. 2015, 486, 144–152. [CrossRef] [PubMed]
54. Kaunisto, E.; Tajarobi, F.; Abrahmsen-Alami, S.; Larsson, A.; Nilsson, B.; Axelsson, A. Mechanistic modelling
of drug release from a polymer matrix using magnetic resonance microimaging. Eur. J. Pharm. Sci. 2013, 48,
698–708. [CrossRef] [PubMed]
55. Siepmann, J.; Podual, K.; Sriwongjanya, M.; Peppas, N.A.; Bodmeier, R. A New Model Describing the
Swelling and Drug Release Kinetics from Hydroxypropyl Methylcellulose Tablets. J. Pharm. Sci. 1999, 88,
65–72. [CrossRef] [PubMed]
Pharmaceutics 2018, 10, 161 25 of 25
56. Maggi, L.; Segale, L.; Torre, M.L.; Ochoa Machiste, E.; Conte, U. Dissolution behaviour of hydrophilic matrix
tablets containing two different polyethylene oxides (PEOs) for the controlled release of a water-soluble
drug. Dimensionality study. Biomaterials 2002, 23, 1113–1119. [CrossRef]
57. Siepmann, F.; Karrout, Y.; Gehrke, M.; Penz, F.K.; Siepmann, J. Limited drug solubility can be decisive
even for freely soluble drugs in highly swollen matrix tablets. Int. J. Pharm. 2017, 526, 280–290. [CrossRef]
[PubMed]
58. Zhang, F.; Meng, F.; Lubach, J.; Koleng, J.; Watson, N.A. Properties and mechanisms of drug release
from matrix tablets containing poly(ethylene oxide) and poly(acrylic acid) as release retardants. Eur. J.
Pharm. Biopharm. 2016, 105, 97–105. [CrossRef] [PubMed]
59. Chauhan, M.S.; Kumar, A.; Pathak, K. Osmotically regulated floating asymmetric membrane capsule for
controlled site-specific delivery of ranitidine hydrochloride: Optimization by central composite design.
AAPS PharmSciTech 2012, 13, 1492–1501. [CrossRef] [PubMed]
60. Adolfsson, Å.; Nyström, C. Tablet strength, porosity, elasticity and solid state structure of tablets compressed
at high loads. Int. J. Pharm. 1996, 132, 95–106. [CrossRef]
61. Sun, C.C. Dependence of ejection force on tableting speed—A compaction simulation study. Powder Technol.
2015, 279, 123–126. [CrossRef]
62. Wang, J.; Wen, H.; Desai, D. Lubrication in tablet formulations. Eur. J. Pharm. Biopharm. 2010, 75, 1–15.
[CrossRef] [PubMed]
63. Paul, S.; Sun, C.C. Dependence of friability on tablet mechanical properties and a predictive approach for
binary mixtures. Pharm. Res. 2017, 34, 2901–2909. [CrossRef] [PubMed]
64. Uzunović, A.; Vranić, E. Effect of magnesium stearate concentration on dissolution properties of ranitidine
hydrochloride coated tablets. Bosn. J. Basic Med. Sci. 2007, 7, 279–283. [CrossRef] [PubMed]
65. Mitra, B.; Hilden, J.; Litster, J.D. Compaction mechanics of plastically deformable dry granules. Powder Technol.
2016, 291, 328–336. [CrossRef]
66. Taipale-Kovalainen, K.; Karttunen, A.-P.; Ketolainen, J.; Korhonen, O. Lubricant based determination of
design space for continuously manufactured high dose paracetamol tablets. Eur. J. Pharm. Sci. 2018, 115,
1–10. [CrossRef] [PubMed]
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