Anup Ganore

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    Colon-specific drugdelivery systems(CDDS)

    Presented byAnup D. Ganore

    M. pharm. (first sem.)

    Dept. of pharmaceutics

    Guided ByDr. Atish. S. Mundada

    SSDJ college of pharmacy,

    chandwad

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    ContentIntroduction

    AdvantagesAnatomy and physiology of colon

    Disorders of colon

    Colonic drug absorption and factors

    affectingDrug candidates for CDDS

    Approaches to CDDS

    Evaluation of CDDSMarketed drug product for the treatmentof IBD.

    Conclusion

    Reference

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    INTRODUCTION

    The colon drug delivery has a number of

    important implications in the field ofpharmacotherapy. Various diseasesincluding inflammatory bowel diseases canbe effectively treated by the local deliveryof drugs to the large intestine.

    The treatment of IBD with anti-inflammatory drugs is particularlyimproved by their local delivery to thebowel. by this technique absorption of the

    drugs from the stomach and smallintestine can be minimized until the drugreaches the large intestine.

    The colon is a site where both local and

    systemic delivery of drugs can take place.

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    ADVANTAGES

    Drug directly available at target site.

    Decreased dose to be administered. Decreased side effect.

    Improved drug utilization

    The colon is believed to be a suitableabsorption site for peptides and proteindrugs.

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    Ascending colon

    Transverse colon

    Descending colon

    Sigmoid colon

    ANATOMY AND PHYSIOLOGY

    OF COLON

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    pH sensitive systems

    GI tract segment

    pH

    stomach Fasted condition:1.2-2Fed condition:3.0-5.0

    Small intestine Jejunum:5.0-6.5

    Ileum:6.0-7.5

    Large intestine Right colon:6.4

    Mid and left colon:6.0-7.0

    Rectum 7.8-8.0

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    THE TRANSIT TIME OFDOSAGE FORMS IN GI

    TRACT

    Organ

    Stomach

    Small intestine

    Large intestine

    Transit time (hr)

    3(fed)

    3-4

    20-30

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    DIS-ORDETS OF COLON

    INFLAMMATORY

    BOWEL DESEASES

    ULCERATIVE COLITIS

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    CROHS DESEASE

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    METHOD FOR STUDYINGCOLONIC DRUG

    ABSORPTION

    In vitro approaches, using isolated colonicepithelial cells or colonic tissue, have beenused to study the role of physical andenzymatic barriers in colonic drug

    absorption.In vivo method for the assessment of

    colonic drug absorption have been set upin a variety of animal models including the

    rat, the dog, and the pig.

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    FACTORS GOVERNING THECOLON DRUG DELIVERY

    Physiologicalfactors Gastrointestinal

    transit

    Small intestinal transit Colon transit

    Gastric emptying

    Stomach andintestinal pH

    Colon microflora andenzymes

    Colonic absorption

    Gastrointestinal

    disease state

    Pharmaceuticalsfactor

    Drug candidates

    Drug carriers

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    DRUG CANDIDAES FORCOLONIC DRUG DELIVERY

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    APPROACHES TO COLONSPECIFIC DRUG DELIVERY

    Coating with pH dependent polymers.

    Covalent linkage of a drug with carrier.

    Azo conjugatesCyclodextrin conjugates

    Glycoside conjugates

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    Delivery system based on the metabolicactivity of colonic bacteria.

    Coating with bio-degradable polymer

    Polymeric prodrugHydrogel

    Polysaccharides as carriers

    Time released dosage form

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    1.) COATING WITH pHDEPENDENT POLYMERS

    In these systems, drugs are formulatedinto solid dosage forms such as tablets,capsules and pallets and coated with pHsensitive polymers as in enteric coating.

    Polymers are methacrylic resins(Eudragits). Eudragit available in two formEudragit L and S

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    2.) Covalent linkage ofdrug with carriers

    AZO CONJUGATES (Azad khan,1982)

    Hydrolysis of sulfasalazine(i) in to 5- amino salicylic acid(i

    and sulfapyridine(iii)

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    CYCLODEXTRIN CONJUGATESCyclodextrine are cyclic

    oligosaccharides having 6-8-dextrose units linked through 1-4bond

    .

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    GLYCOSIDE CONJUGATES(Friend,1992)

    Dexomethasone-21-B-D-glucoside

    ( arrow show site of action of glycosidase)

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    3.) DELIVERY SYSTEM BASED ONTHE METABOLIC ACTIVITY OF

    COLONIC BACTERIA Coating with bio-degradable

    polymers.

    Colonic drug delivery systems based onbiodegradable poly (ether-ester)azopolymers were developed by Kalalal in

    1996.The azopolymers had poor film forming

    properties a pH Independent Eudragitpolymers was mixed azopolymer to coat

    ibuprofen capsules.

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    Polymeric prodrug

    A well known colon-specific prodrug,sulfasalazine isused in thetreatment ofulcerative colitisand crohns

    disease.Chemically,

    sulfasalazine is 5-aminosalicylicacid(5-ASA)coupled withsulphapyridine by

    azo-bonding.

    Polymeric prodrug containing 5-ASA conjugate

    covalently linked to poly(methyl vinyl ether)and poly(1-vinyl-2-pyrrolidone co-maleic anhydride)

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    Hydrogels

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    Polysaccharides as carriers

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    4) TIMED-RELEASE DOSAGEFORMS

    The basic principle involved in the systemsis the release of drug from dosage formshould be after a pre-determined lag timeto deliver the drug at the right site of

    action at right time and in right amount(shweta, et.al,2006)

    Colon drug delivery systems of diclofenacsodium (DS) was developed using time

    dependent approach. In this diclofenacsodium tablets were coated with ethylcellulose in ethanol solution cooling di-ethyl phthalate as a plasticizer an PEG 400

    as channeling agent.

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    EVALUATION OF COLON

    SPECIFIC DRUG DELIVERYSYSTEMS

    Colon targeted drug are evaluated by twomethod are as follows:

    Invitro modelsIn vivo animal models

    String technique

    Endoscope technique

    Gamma scintigraphy

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    MARKETED DRUG PRODUCTFOR THE TREATMENT OF IBD

    Drug Tradename

    Formulation Dose

    Mesalamine Asacol Eudragit-S coated

    tab.(pH-7)

    0.8-2.4

    g/dayMesalamine Salofac Eudragit-L coated

    tab.(pH-6)1.0-4.0g/day

    Mesalamine Claversal

    Meszal

    Calitoflak

    Eudragit-L coated

    tablets

    1.0-2.0

    g/day

    Budesonide Entocort Eudragit-L coatedbeads

    9 mg/day

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    CONCLUSION

    Investigation on colon-specific drugdelivery systems revealed that somepeptidal drugs could be effectively

    delivered to colon in order to improvetheir systemic absorption. Localizedrelease and uptake of drugs in colon canbe utilized for the effective treatment of

    IBD. The use of prodrugs based onazobond and gycosides conjugation.

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    REFERENCE

    Pharmaceutical approaches to colon targeteddrug delivery systems. M.K. chourasia, S.K. jain,.

    S.P. Vyas, R.K. Khar, Controlled Drug Delivery,Concepts and Advances, Vallabh Prakashan,P.No.218-253

    N.K. Jain, Advances in Controlled and Novel DrugDelivery, CBS publication and distributors, 2001.P.No.89-110

    Y.P. Reddy, J.R. Sowmya C. , Sree Lekha M. and

    Krishnaveni Y., Polymers in Colon Drug Targetingindian drug 47(3),2010,5-13

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