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Nanosuspension – An unique tool for
    improving the bioavailability of poorly
                soluble drugs


         Enhancing Drug Bioavailability & Solubility
                      Boston, MA


                       Indrajit Ghosh
                    Principal Scientist
               Novartis Pharmaceuticals, NJ.


1                      January 2012
Outline
     Therapeutical application and benefits of Nanoparticle dosage form
     Nanosuspension – At preclinical phase & Clinical phase
     Nanosuspension – Formulation design and characterization - Case
    study 1
     Stability approaches– Case study 2
    Optimization of process parameters - Case study 3
     Scale-up considerations
     General risk considerations to human health




2
Benefits of nanoparticle dosage form

                                     Main application to BCS Class 2
                                    molecules.
                                     Nanoparticulate dosage form has wide
                                    area of applications – oral, parenteral,
                                    transdermal, inhalation etc, by –
                                         Improving the bioavailability
                                         Decreasing the food effect
                                         Decreasing intra subject variability
                                         Reducing the dose
                                         Increasing adhesiveness with
                                        intestinal membrane.
                                         Reducing gastric irritation

    Rainer H. Müller et. al, EJPB
3
Techniques for producing nanoparticles
     Nanosuspensions - Submicron
     colloidal dispersion systems.

      Bottom-up approach (Dow
      Pharma ; BASF)
      Top down approach (Elan’s
      NanoCrystal ; Sky-ePharma’s
      Dissocubes technology)

         Wet Milling
         High Pressure
         Homogenization              Rainer H. Müller et. al, EJPB




4
Wet media milling

     Wet Media milling - comprises mechanical attrition of drug particles using
    milling media such as yttrium stabilized zirconium oxide beads of definite size range
    (e.g. 0.1-0.5 mm ceramic beads)

       Benefits –
            Drug crystallinity remain intact during processing.
            No organic solvent.
            Unimodal size distribution.
            Simple and cost effective




5
Theoretical considerations

     According to Noyes and Whitney, the dissolution velocity
      is further enhanced because dc/dt is proportional to the dC / dt = DA(Cs-C) / h
      concentration gradient (cs-cx)/h.

     According to Kelvin’s equation, there is an additional effect
      of increase in the saturation solubility (Cs) by shifting the dX / dt = DA(Cs-X/V) / h
      particle size from micron to submicron range.




                                             International Journal of Nanomedicine 2008:3(3) 295–309   6
6
Nanosuspension – Preclinical Phase
     During preclinical pharmaceutical development, the API is in tight supply.
     Also pre-clinical development is typically characterized by short development time lines
     Accelerated feasibility assessment of drugs from research.




7
Nanosuspension – Clinical phase

                              Instrument: Stirred media mill
                              Grinding media: Zirconium beads,
                               0.1 - 0.5 mm
                              Agitator speed: 1500 - 2500 rpm
                              Pump speed: 250 rpm
                              Recirculation: reduces milling time
                               and decreases particle size




                      Fshear

                               Fpressure, impact




8
Nanosuspension – Formulation design and
    characterization




    Formulation effect                     Drug substance properties       Bulk suspension properties
     Effect of Solubilizer: Vitamin E      Size and size distribution:    Rheology
                                            Particle charge(zeta           Sedementation rate
      TPGS, SLS, Pluronic F68, F127,          potential):
      DOSS                                  Morphology by SEM,
                                              TEM, AFM
     Effect of stabilizers / suspending
                                            Crystalline status: By X-
      agents: PVP K-30, HPMC 3cps, HPC        ray, DSC
      EXF                                   Surface coverage and
                                              morphology:
                                              SEM,TEM,AFM
                                            Assay, Deg.
9
                                            Dissolution.
Application of Vitamin E TPGS to produce
     nanosuspension – Case study 1
       DS properties of compound A

       Log P (in silico): 3.021, Log D (pH 6.8): 1.27
       Solubility at 0.003 mg/ml (in water) (BCS class
       II)


       Challenges

       Morphology – Rod shaped, difficult to mill in
        compared to spherical shape, which has more
        SA
        available for milling.
       Wettability – Very poor



10
Particle size reduction of nanosuspension

     Particle size of drug substance after 3-4 hours of nanomilling for different formulations.
                                 Particle size distribution profile for nanomilled Compound with
                                                          different variants


                           450
                           400
      Particle size (nm)




                           350
                           300
                           250
                           200
                           150
                           100
                            50
                             0                                                                               Start             30 min
                                 5% Drug   5% Drug    5% Drug    5% Drug 5% Drug 5% Drug
                                 with 5%    with 3%    with 3%    with 5% with 3% with 3%
                                 Vitamin    Vitamin    Vitamin    Vitamin Vitamin Vitamin
                                 ETPGS     ETPGS &    ETPGS &    ETPGS & ETPGS & ETPGS &
                                              2%         2%       1% SLS 1% HPMC 1% PVP
                                           Pluronic   Pluronic
                                              F68       F127

                                               Composition of Nanosuspension




     The most effective nano range particle size
     was observed with 5% Vitamin ETPGS and                                                               1 hr                   3 hr
     also with 5% Vitamin ETPGS and 1%                                                             The “cleavage” and “fracture” mechanism
     HPMC 3 cps                                                                                    responsible for particle size reduction.



11
Characterization of crystal properties




                                                                   XRD
                                        600




                                        500




                                        400
                         Lin (Counts)




                                        300
                                                                                                             Nanosuspension
                                                                         Drug Substance +Mannitol Freeze dried




                                        200




                                                                               Drug Substance



                                        100                                                                      Pure drug

                                        0

                                              2   10      20                         30                            40

                                                       2-Theta - Scale




12
Invitro / Invivo drug release from
       nanosuspension.
                                       1400

                                       1200                                Intralipid coarse
                                                                           suspension with
                                       1000
                                                                           salt
                                        800                                Nanosuspension
                                                                           with free base
                                        600

                                        400

                                        200

                                           0
                                               0       10       20        30     40     50     60




     The AUC of nanosuspension was increased by about 9 fold and the Cmax
     was increased by about 5 fold in compared to coarse suspension.



         Indrajit. Ghosh, et. al. International journal of pharmaceutics, 2011
13
Invitro / Invivo drug release from
      nanosuspension.




     European Journal of Pharmaceutics and   International Journal of Pharmaceutics 408 (2011) 157–
     Biopharmaceutics 78 (2011) 441–446      162




14
Nanomilling - Stability
     Stability –
       During the milling process due to the change of
        Gibbs free energy thermodynamically unstable
        nanosuspensions formed which is responsible for
        Ostwald ripening and agglomeration phenomenon
        or crystal growth during process or during shelf life
        due to high particle mobility.

       Proper selection of stabilizers are required for
       tailoring the particle surface.

      Steric stabilization              Electrostatic
                                        stabilization

                 No                             Yes

                       Impact crystal structure
15
Crystal growth in nanosuspension
     – Case study 2

        Compound - A




                Initial                              After 3 months


                Time      Mean particle size (PCS)
     Initial                       230.2                  The use of polymer along with a
                                                          surfactant have synergistic
     1 month                       312.0
                                                          stabilizing action.
     3 months                      477.8


16
HPMC – Successfully inhibit crystal growth
     Because of the absorption of HPMC polymer on the surface of the nuclei the drug
     nucleation was inhibited.

                           Change of particle size of nanomilled compound on
                                                 storage
                 500

                 450                                                   Initial
      Particle size (nm)




                 400                                                   3 months

                 350                                                              HPMC

                 300

                 250

                 200
                            5% Drug with 5% 5% Drug with 5% 5% Drug with 5%
                             Vitamin ETPGS Vitamin ETPGS and Vitamin ETPGS and
                                               1% HPMC              1% PVP        PVP
                                           Composition of Nanosuspension




17
Effect of SLS nanocrystal formulation

                                       Particle size distribution profile for nanomilled Compound at different
                                                                     process time

                             900
        Particle size (nm)




                             800                                                              5% Drug with 5% Vitamin
                                                                                              ETPGS
                             700
                             600
                             500                                                              5% Drug with 5% Vitamin
                             400                                                              ETPGS & 1% HPMC
                             300
                             200
                                                                                              5% Drug with 5% Vitamin
                             100                                                              ETPGS and 1% SLS
                              0
                                   0      1        2          3     4        5        6
                                                       Time




       Ostwald ripening was observed with SLS during Nanomilling.




18
Importance of surface hydrophobicity of drug
     on dissolution for dried Nanosuspension.
     For nano-suspension production, absorption of Vitamin E TPGS on the
     surface of drug is very critical.

     More hydrophobic compounds will result in more severe and harder-to-
     disintegrate agglomerates that will lower the dissolution rate of the product.




                            J. Pharm. Sci. 35 (2008), 127-135.

19
Optimization of process parameters during
          nanomilling of Naproxen – Case study 3

                                   Avg. particle size after 4 hours of milling                                           0.1mm, 400RPM, 5% Drug Content: Ratio comparison
                           1600                                                                                    600
                           1400
 Avg. Particle Size (nm)




                           1200                                                                                    500
                           1000




                                                                                              particle size (nm)
                            800                                                                                    400
                            600                                             1:1 (Drug:TPGS)                                                                                 1 to 1
                                                                                                                   300
                            400
                                                                            2:1 (Drug:TPGS)                                                                                 2 to 1
                            200                                                                                    200
                                                                            4:1 (Drug:TPGS)                                                                                 4 to 1
                              0
                                    5%D,    5%D,      5%D,   5%D,                                                  100
                                  400RPM, 400RPM, 150RPM, 150RPM,
                                   0.1mm 0.5mm 0.1mm 0.5mm                                                          0
                                    bead    bead      bead   bead                                                        0        1         2                3   4          5
                                          Process parameters                                                                                    Time (hrs)


                                 RPM - most significant process parameter with a faster RPM produced smaller particles.
                                 Bead size - seem to be a complex parameter. An increase in the specific energy input
                                  (the RPM) combined with a decrease in the media diameter formed finer product in the
                                  shortest time.
                                 Total drug content - did not seem to have significant effect.
                            Indrajit. Ghosh, et. al. AAPS poster, 2011
20
Combined effect of process parameters &
     stabilizer

Fragmentation of materials                                           Particle growth through interparticulate collision

                                             Comparitive effect of process parameters from Pareto Chart on
                                                                 Particle size after 4 hrs
                                       200

                                       180                                                          RPM
                                                                                                    Bead Size
                                       160
                Magnitude of effects




                                                                                                    Drug load
                                       140

                                       120

                                       100

                                       80

                                       60

                                       40

                                       20

                                         0
                                             HPMC NS                HPC EXF NS                PVP NS


                                                           Polymer type


     Although the process parameters determined the success of nanomilling process
     in terms of efficiency, however the drug-carrier system was also equally
     important for stabilizing the particles during the process by minimizing
     agglomeration or crystal growth of drug substance.
21
Milling time depends upon Drug Morphology
           Particle size after 4 hrs
            milling: Naproxen vs.
                Compound - A




                                                         NAP – d50 = 23.632 µm
                                       Naproxen




                                       Compd. A




                                                  Compound A – length = 103 – 135 µm


22
Scale-up from planetary mill to stirred media
      mill using central composite statistical design
                                              “When the particle size is
                                              decreased, the hardness of the
                                              material is increased”
                                              ......resulted to decrease of milling
                                              rate with time.


                                              Critical scale-up parameters

                                               Agitator speed (Tip speed)
     Decrease of polydispersity index (PI)
     was observed with milling time of drug    Bead size
     crystals, which confirms that with
     prolonged milling time, remaining         Solid content.
     larger particles in the nanosuspension
     were broken down into smaller
     particles.
23
General Risk Considerations to Human Health

       NPs cause unique biological effects (including those potentially toxic to humans)

         Biological effects can widely vary depending on slight alterations in their
           physicochemical and surface as well as pharmacological (target / off-target)
           properties

         Each type of NPs must be assessed on its own. FDA: currently no testing
           requirements specific to NMs, but if research identifies toxicological risks unique to
           NMs, additional testing requirements may become necessary




                                                                           R.H. Müller et al.




24
Conclusion

      The wet milling media milling technique is considered to be an attractive
       technique in pharmaceutical industries.
      It is a very fast process, eliminates the use of organic solvent and thus make
       the process eco-friendly.
      A significant increase of area under drug concentration / AUC observed
       when the drug substance was converted into nanocrystals, probably due to
       the increase in dissolution velocity and saturation solubility.
      Although the process parameters determined the success of nanomilling
       process in terms of efficiency, however the drug-carrier ratio was also
       equally important for stabilizing the particles by minimizing agglomeration
       or crystal growth.
      In this approach, common regulatory approved excipients are generally used,
       which give big advantage for the formulation to use in clinical studies and
       also to enter regulatory market.


25
Acknowledgements


     Sonali Bose, Yogita Krishnamachari, Subash Patel, Glen Biank, Al. Hollywood.
     Radha Vippagunta, Frances Liu.
     Easter Maulit
     Jay Lakshman, Ping Li, Michael Motto, Colleen Ruegger




26
Questions

                  Milling bead



            Impact


      Attrition                  API


                  Milling bead




     Thank you......
     Indrajit Ghosh
     Principal Scientist & Project Leader
     Email: indrajit.ghosh@novartis.com
27

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Nanosuspension – An unique tool for improving the bioavailability of poorly soluble drugs

  • 1. Nanosuspension – An unique tool for improving the bioavailability of poorly soluble drugs Enhancing Drug Bioavailability & Solubility Boston, MA Indrajit Ghosh Principal Scientist Novartis Pharmaceuticals, NJ. 1 January 2012
  • 2. Outline  Therapeutical application and benefits of Nanoparticle dosage form  Nanosuspension – At preclinical phase & Clinical phase  Nanosuspension – Formulation design and characterization - Case study 1  Stability approaches– Case study 2 Optimization of process parameters - Case study 3  Scale-up considerations  General risk considerations to human health 2
  • 3. Benefits of nanoparticle dosage form  Main application to BCS Class 2 molecules.  Nanoparticulate dosage form has wide area of applications – oral, parenteral, transdermal, inhalation etc, by –  Improving the bioavailability  Decreasing the food effect  Decreasing intra subject variability  Reducing the dose  Increasing adhesiveness with intestinal membrane.  Reducing gastric irritation Rainer H. Müller et. al, EJPB 3
  • 4. Techniques for producing nanoparticles  Nanosuspensions - Submicron colloidal dispersion systems.  Bottom-up approach (Dow Pharma ; BASF)  Top down approach (Elan’s NanoCrystal ; Sky-ePharma’s Dissocubes technology)  Wet Milling  High Pressure Homogenization Rainer H. Müller et. al, EJPB 4
  • 5. Wet media milling  Wet Media milling - comprises mechanical attrition of drug particles using milling media such as yttrium stabilized zirconium oxide beads of definite size range (e.g. 0.1-0.5 mm ceramic beads)  Benefits –  Drug crystallinity remain intact during processing.  No organic solvent.  Unimodal size distribution.  Simple and cost effective 5
  • 6. Theoretical considerations  According to Noyes and Whitney, the dissolution velocity is further enhanced because dc/dt is proportional to the dC / dt = DA(Cs-C) / h concentration gradient (cs-cx)/h.  According to Kelvin’s equation, there is an additional effect of increase in the saturation solubility (Cs) by shifting the dX / dt = DA(Cs-X/V) / h particle size from micron to submicron range. International Journal of Nanomedicine 2008:3(3) 295–309 6 6
  • 7. Nanosuspension – Preclinical Phase  During preclinical pharmaceutical development, the API is in tight supply.  Also pre-clinical development is typically characterized by short development time lines  Accelerated feasibility assessment of drugs from research. 7
  • 8. Nanosuspension – Clinical phase  Instrument: Stirred media mill  Grinding media: Zirconium beads, 0.1 - 0.5 mm  Agitator speed: 1500 - 2500 rpm  Pump speed: 250 rpm  Recirculation: reduces milling time and decreases particle size Fshear Fpressure, impact 8
  • 9. Nanosuspension – Formulation design and characterization Formulation effect Drug substance properties Bulk suspension properties  Effect of Solubilizer: Vitamin E  Size and size distribution:  Rheology  Particle charge(zeta  Sedementation rate TPGS, SLS, Pluronic F68, F127, potential): DOSS  Morphology by SEM, TEM, AFM  Effect of stabilizers / suspending  Crystalline status: By X- agents: PVP K-30, HPMC 3cps, HPC ray, DSC EXF  Surface coverage and morphology: SEM,TEM,AFM  Assay, Deg. 9  Dissolution.
  • 10. Application of Vitamin E TPGS to produce nanosuspension – Case study 1  DS properties of compound A  Log P (in silico): 3.021, Log D (pH 6.8): 1.27  Solubility at 0.003 mg/ml (in water) (BCS class II)  Challenges  Morphology – Rod shaped, difficult to mill in compared to spherical shape, which has more SA available for milling.  Wettability – Very poor 10
  • 11. Particle size reduction of nanosuspension Particle size of drug substance after 3-4 hours of nanomilling for different formulations. Particle size distribution profile for nanomilled Compound with different variants 450 400 Particle size (nm) 350 300 250 200 150 100 50 0 Start 30 min 5% Drug 5% Drug 5% Drug 5% Drug 5% Drug 5% Drug with 5% with 3% with 3% with 5% with 3% with 3% Vitamin Vitamin Vitamin Vitamin Vitamin Vitamin ETPGS ETPGS & ETPGS & ETPGS & ETPGS & ETPGS & 2% 2% 1% SLS 1% HPMC 1% PVP Pluronic Pluronic F68 F127 Composition of Nanosuspension The most effective nano range particle size was observed with 5% Vitamin ETPGS and 1 hr 3 hr also with 5% Vitamin ETPGS and 1% The “cleavage” and “fracture” mechanism HPMC 3 cps responsible for particle size reduction. 11
  • 12. Characterization of crystal properties XRD 600 500 400 Lin (Counts) 300 Nanosuspension Drug Substance +Mannitol Freeze dried 200 Drug Substance 100 Pure drug 0 2 10 20 30 40 2-Theta - Scale 12
  • 13. Invitro / Invivo drug release from nanosuspension. 1400 1200 Intralipid coarse suspension with 1000 salt 800 Nanosuspension with free base 600 400 200 0 0 10 20 30 40 50 60 The AUC of nanosuspension was increased by about 9 fold and the Cmax was increased by about 5 fold in compared to coarse suspension. Indrajit. Ghosh, et. al. International journal of pharmaceutics, 2011 13
  • 14. Invitro / Invivo drug release from nanosuspension. European Journal of Pharmaceutics and International Journal of Pharmaceutics 408 (2011) 157– Biopharmaceutics 78 (2011) 441–446 162 14
  • 15. Nanomilling - Stability Stability –  During the milling process due to the change of Gibbs free energy thermodynamically unstable nanosuspensions formed which is responsible for Ostwald ripening and agglomeration phenomenon or crystal growth during process or during shelf life due to high particle mobility.  Proper selection of stabilizers are required for tailoring the particle surface. Steric stabilization Electrostatic stabilization No Yes Impact crystal structure 15
  • 16. Crystal growth in nanosuspension – Case study 2 Compound - A Initial After 3 months Time Mean particle size (PCS) Initial 230.2 The use of polymer along with a surfactant have synergistic 1 month 312.0 stabilizing action. 3 months 477.8 16
  • 17. HPMC – Successfully inhibit crystal growth Because of the absorption of HPMC polymer on the surface of the nuclei the drug nucleation was inhibited. Change of particle size of nanomilled compound on storage 500 450 Initial Particle size (nm) 400 3 months 350 HPMC 300 250 200 5% Drug with 5% 5% Drug with 5% 5% Drug with 5% Vitamin ETPGS Vitamin ETPGS and Vitamin ETPGS and 1% HPMC 1% PVP PVP Composition of Nanosuspension 17
  • 18. Effect of SLS nanocrystal formulation Particle size distribution profile for nanomilled Compound at different process time 900 Particle size (nm) 800 5% Drug with 5% Vitamin ETPGS 700 600 500 5% Drug with 5% Vitamin 400 ETPGS & 1% HPMC 300 200 5% Drug with 5% Vitamin 100 ETPGS and 1% SLS 0 0 1 2 3 4 5 6 Time Ostwald ripening was observed with SLS during Nanomilling. 18
  • 19. Importance of surface hydrophobicity of drug on dissolution for dried Nanosuspension. For nano-suspension production, absorption of Vitamin E TPGS on the surface of drug is very critical. More hydrophobic compounds will result in more severe and harder-to- disintegrate agglomerates that will lower the dissolution rate of the product. J. Pharm. Sci. 35 (2008), 127-135. 19
  • 20. Optimization of process parameters during nanomilling of Naproxen – Case study 3 Avg. particle size after 4 hours of milling 0.1mm, 400RPM, 5% Drug Content: Ratio comparison 1600 600 1400 Avg. Particle Size (nm) 1200 500 1000 particle size (nm) 800 400 600 1:1 (Drug:TPGS) 1 to 1 300 400 2:1 (Drug:TPGS) 2 to 1 200 200 4:1 (Drug:TPGS) 4 to 1 0 5%D, 5%D, 5%D, 5%D, 100 400RPM, 400RPM, 150RPM, 150RPM, 0.1mm 0.5mm 0.1mm 0.5mm 0 bead bead bead bead 0 1 2 3 4 5 Process parameters Time (hrs)  RPM - most significant process parameter with a faster RPM produced smaller particles.  Bead size - seem to be a complex parameter. An increase in the specific energy input (the RPM) combined with a decrease in the media diameter formed finer product in the shortest time.  Total drug content - did not seem to have significant effect. Indrajit. Ghosh, et. al. AAPS poster, 2011 20
  • 21. Combined effect of process parameters & stabilizer Fragmentation of materials Particle growth through interparticulate collision Comparitive effect of process parameters from Pareto Chart on Particle size after 4 hrs 200 180 RPM Bead Size 160 Magnitude of effects Drug load 140 120 100 80 60 40 20 0 HPMC NS HPC EXF NS PVP NS Polymer type Although the process parameters determined the success of nanomilling process in terms of efficiency, however the drug-carrier system was also equally important for stabilizing the particles during the process by minimizing agglomeration or crystal growth of drug substance. 21
  • 22. Milling time depends upon Drug Morphology Particle size after 4 hrs milling: Naproxen vs. Compound - A NAP – d50 = 23.632 µm Naproxen Compd. A Compound A – length = 103 – 135 µm 22
  • 23. Scale-up from planetary mill to stirred media mill using central composite statistical design “When the particle size is decreased, the hardness of the material is increased” ......resulted to decrease of milling rate with time. Critical scale-up parameters  Agitator speed (Tip speed) Decrease of polydispersity index (PI) was observed with milling time of drug  Bead size crystals, which confirms that with prolonged milling time, remaining  Solid content. larger particles in the nanosuspension were broken down into smaller particles. 23
  • 24. General Risk Considerations to Human Health NPs cause unique biological effects (including those potentially toxic to humans)  Biological effects can widely vary depending on slight alterations in their physicochemical and surface as well as pharmacological (target / off-target) properties  Each type of NPs must be assessed on its own. FDA: currently no testing requirements specific to NMs, but if research identifies toxicological risks unique to NMs, additional testing requirements may become necessary R.H. Müller et al. 24
  • 25. Conclusion  The wet milling media milling technique is considered to be an attractive technique in pharmaceutical industries.  It is a very fast process, eliminates the use of organic solvent and thus make the process eco-friendly.  A significant increase of area under drug concentration / AUC observed when the drug substance was converted into nanocrystals, probably due to the increase in dissolution velocity and saturation solubility.  Although the process parameters determined the success of nanomilling process in terms of efficiency, however the drug-carrier ratio was also equally important for stabilizing the particles by minimizing agglomeration or crystal growth.  In this approach, common regulatory approved excipients are generally used, which give big advantage for the formulation to use in clinical studies and also to enter regulatory market. 25
  • 26. Acknowledgements Sonali Bose, Yogita Krishnamachari, Subash Patel, Glen Biank, Al. Hollywood. Radha Vippagunta, Frances Liu. Easter Maulit Jay Lakshman, Ping Li, Michael Motto, Colleen Ruegger 26
  • 27. Questions Milling bead Impact Attrition API Milling bead Thank you...... Indrajit Ghosh Principal Scientist & Project Leader Email: indrajit.ghosh@novartis.com 27