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BVDU Poona college of pharmacy pune .
Miss : Triveni Patil .
M. Pharm first year
Dept. of Pharmaceutics
Guided by : Dr. R.N.Kamble
1
The major goal of any drug delivery system is to supply a therapeutic
amount of drug to a target site in a body .
Targeted drug delivery implies selective and effective localization of drug
into the target at the therapeutic concentrations with limited access to non
target sites .
A targeted drug delivery system is preferred in drugs having instability , low
solubility and short half life .
2
Colon drug delivery system refers to targeted delivery of drug in to
the lower parts of GI tract , mainly large intestine .Definition
To reduce dosing frequency , delay delivery to the colon to achieve
high local concentrations in the treatment of diseases of the distal
gut .
To delay delivery to a time appropriate to treat acute phases of
disease (chronotherapy)
To deliver to a region that is less hostile metabolically, e.g. to facilitate
absorption of acid and enzymatically labile materials , especially
peptides .
OBJECTIVE
3
Target
sites
Disease
condition
Drug and
active agents
Topical
action
Inflammatory Bowel
Disease ,irritable
bowel disease, and
chronic pancreatitis .
Hydrocortisone,
Budenoside ,
prednisolone ,
olsalazine,
mesalazine.
Local
action
Pancreatactomy and
Cystic fibrosis ,
Colorectal cancer.
Digestive enzyme
Supplements
5 - flourouracil
Systemic
action
To prevent gastric
irritation and first
pass metabolism of
orally ingested drugs
. oral delivery of
peptides and vaccines
NSAIDS
Steroids
Insulin .
4
5
6
Site specific
delivery
,improve drug
utilization
Prevent drug
degradation
Direct
treatment at
disease site
Suitable for
protein and
peptide drug
Prolong
drug
therapy .
7
Development of
colon specific drug
difficult due to
biological barriers
8
Microflora
affects
activity of
drug
Multiple
manufacturing
step
Bioavailability
low Disease
condition
Variation in
gastric
retention
time may
affect drug
delivery
pH level may
vary person to
person
In local colonic pathologies .
Systemic delivery of protein and peptide.
For the drugs that are absorbed through colon such as steroids .
For the treatment of disorders like IBS , colitis , crohn’s disease .
Applications
9
Diagram :
10
Criteria of Drug
selection
Drug used for local effects in colon against GIT
diseases
Drugs poorly absorbed from upper GIT .
Drugs for colon cancer .
Drugs that degrade in stomach and small intestine .
Drugs that undergo extensive first pass metabolism .
Drugs for targeting
11
PHYSIOLOGICAL
FACTOR
Colonic
Absorptions
Of macro –
molecule GIT , small
Intestine
and colonic
Transit
Gastric
Emptying ,
GIT
Diseased
stateStomach ,
Intestinal
pH
Colonic
microflora
and
enzyme
Mechanism
of
Absorption ,
Colonic
absorption
12
PHARMACEUTICAL
FACTOR
Drug
carrier
Drug
molecule
13
PRIMARY
APPROACHES
pH sensitive polymer
coated drug delivery
to the colon .
Delayed release drug
Delivery to colon .
Microbially
triggered
Drug delivery to
colon
NEW
APPROACHES
Pressure
controlled
drug delivery
systems
Novel colon
targeted delivery
system.
Osmotic controlled
Drug delivery .
Approaches of colon
targeting
14
pH sensitive polymer coated drug delivery system
 Bio degradable azo polymers with high hydrophilicity exhibit superior degradation properties and are used to coat
capsules.
 Higher degree of hydrophilicity may cause the drug release from the system before it reaches the colon.
 The azo polymer systems are not suitable for delivery of peptides, hormones and other drugs with a narrow
therapeutic index; however they are suitable for local delivery of drugs to colon.
 Most commonly used polymers are methacrylic acid co polymers commonly known as eudragit L and eudragit S.
 Carboxyl polymer form salts and dissolves at pH5.5 and disperse in water to form latex and thus avoid the use of
organic solvents in the coating processes .
15
Osmotic Controlled System (ORDS-CT)
 The ORDS-CT system can be a single osmotic unit or may incorporate as many as 5-6 push-pull
units, each 4mm in diameter, encapsulated with in a hard gelatin capsule.
 Each bilayer push-pull unit contains osmotic push layer and a drug layer, both surrounded by a
semipermeable membrane .
 As the unit enters small intestine the coating dissolves in this higher pH environment
compartment.
16
Pressure Controlled System
 Luminar pressure within the colon, which forms the basis for design of pressure control
systems .
 The particular delivery, is in the form of capsule which is resistant to the pressures of upper
GIT but it is collapsed in the large intestine due to increased pressure.
 The digestive processes within the GI tract involve contractile activity of the stomach and
peristaltic movements for propulsion of intestinal contents.
 These strong peristaltic waves in the colon are of short duration, occurring only 3-4 times a
day.
 The capsule shells are fabricated from ethyl cellulose and the collapse time of the capsule in
large intestine can be controlled by adjusting the thickness of the capsule shell wall .
17
DELIVERY OF DRUGS BASED ON METABOLIC ACTIVITY OF MICROFLORA
 Prodrugs
 Prodrug design often represents a nonspecific chemical approach to mask unwanted drug properties
such as low bioavailability, less site specificity and chemical in stability.
 Prodrugs targeting to a specific enzyme or a specific membrane transporter or both have potential
drug delivery system especially for colon cancer chemotherapy.
Example- Sulphasalazine in treatment of ulcerative colitis and Crohn’s disease.
 Hydrogels
 Hydrogels contain acidic co-monomers and enzymatic degradable azo aromatic cross links.
 A number of drug delivery systems have been proposed to deliver the drug for efficient therapy.
 The controlled release of active antimicrobial agents from the polymeric matrix has been well
reported.
Example- Amoxicillin, Metronidazole, Oxytetracycline, Tetracycline-HCL
18
COATING WITH pH INDEPENDENT BIODEGRADABLE
POLYMERS
 Drugs that are coated with polymers, which are showing degradability due to the influence of
colonic microorganisms, can be exploited in designing drugs for colon targeting in order to
release an orally administered drug in colon .
 The copolymers of styrene and 2- Hydroxyl Methyl Methacrylate were cross linked with
divinylazo benzene to coat oral dosage forms of insulin and vasopressin. The intestinal
microflora has a large metabolic capacity and it appears that reduction of azobonds is a general
reaction of colonic bacteria.
19
Time Control/Dependent Systems
 Time dependent process is useful for synchronous delivery of a drug.
 Transit time through the small intestine is independent of type of formulation .
 Effects of variance in gastric resident time can be minimized by using systems that are protected
in the stomach and drug release can be targeted on the colon by means of formulations that
release drug after a certain time of gastric emptying.
 Combinations of hydrophilic(HPMC) and hydrophobic polymers have been used as coatings for
tablets that release drug from a core after a lag time.
 Time controlled formulations have also been prepared using water insoluble ethylcellulose and
swellable polymer .
20
Novel colon Targeted delivery system
 CODES is a combined approach of pH dependent and microbially triggered CDDS .
 CODES is an unique CDDS technology that was designed to avoid the inherent
problems associated with pH or time dependent systems .
 It has been developed by utilizing a unique mechanism involving lactulose , which acts
as a trigger for site specific drug release in the colon .
21
Invitro
Dissolution
test
High
Frequency
Capsule
Method
Gamma
Scintigraphy
In-vivo and
clinical
Evaluation
Tests
22
DRUG TRADENAME FORMULATION DOSE
1.Mesalamine Asacol Eudragit `s’
coated tablets
0.8-2.4g/day
2.Mesalamine Salotac Eudragit `s’
coated
1-4g/day
3.Mesalamine Pentaza Controlled release
EC coated tablets
1.5-4g/day
4.Mesalamine Claversal Eudragit `L’
coated tablets
1-2g/day
5.Budenoside Entocort Eudragit `L’
coated tablets
9mg/day
6.Olsalazine Dipentum 5-ASA dimer as
capsules and
1g/day
Formulation and Doses Of Marketed Drugs
23
G.Sangeetha * et al. /International Journal Of Pharmacy&Technology colon targeted drug
delivery System: A review article. IJPT | Dec-2011 | Vol. 3 | Issue No.4 | 1657-1672 .
Chien YW. Oral drug delivery and delivery systems. In: Chien YW, editor. Novel drug delivery
systems. New York: Marcel Dekker Inc. 1992; 139-196
Vinaykumar K.V, Sivakumar T, Tamizhmani T. Colon targeted drug delivery system: A review on
recent
approaches, Int J Pharm Biomed Sci 2011, 2(1), 11-19
Colonic delivery formulations, Recent patents on drug delivery& Formulation 2007, 1(1), 57-59
24

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Colon targeted drug delivery

  • 1. BVDU Poona college of pharmacy pune . Miss : Triveni Patil . M. Pharm first year Dept. of Pharmaceutics Guided by : Dr. R.N.Kamble 1
  • 2. The major goal of any drug delivery system is to supply a therapeutic amount of drug to a target site in a body . Targeted drug delivery implies selective and effective localization of drug into the target at the therapeutic concentrations with limited access to non target sites . A targeted drug delivery system is preferred in drugs having instability , low solubility and short half life . 2
  • 3. Colon drug delivery system refers to targeted delivery of drug in to the lower parts of GI tract , mainly large intestine .Definition To reduce dosing frequency , delay delivery to the colon to achieve high local concentrations in the treatment of diseases of the distal gut . To delay delivery to a time appropriate to treat acute phases of disease (chronotherapy) To deliver to a region that is less hostile metabolically, e.g. to facilitate absorption of acid and enzymatically labile materials , especially peptides . OBJECTIVE 3
  • 4. Target sites Disease condition Drug and active agents Topical action Inflammatory Bowel Disease ,irritable bowel disease, and chronic pancreatitis . Hydrocortisone, Budenoside , prednisolone , olsalazine, mesalazine. Local action Pancreatactomy and Cystic fibrosis , Colorectal cancer. Digestive enzyme Supplements 5 - flourouracil Systemic action To prevent gastric irritation and first pass metabolism of orally ingested drugs . oral delivery of peptides and vaccines NSAIDS Steroids Insulin . 4
  • 5. 5
  • 6. 6 Site specific delivery ,improve drug utilization Prevent drug degradation Direct treatment at disease site Suitable for protein and peptide drug Prolong drug therapy .
  • 7. 7 Development of colon specific drug difficult due to biological barriers
  • 8. 8 Microflora affects activity of drug Multiple manufacturing step Bioavailability low Disease condition Variation in gastric retention time may affect drug delivery pH level may vary person to person
  • 9. In local colonic pathologies . Systemic delivery of protein and peptide. For the drugs that are absorbed through colon such as steroids . For the treatment of disorders like IBS , colitis , crohn’s disease . Applications 9
  • 11. Criteria of Drug selection Drug used for local effects in colon against GIT diseases Drugs poorly absorbed from upper GIT . Drugs for colon cancer . Drugs that degrade in stomach and small intestine . Drugs that undergo extensive first pass metabolism . Drugs for targeting 11
  • 12. PHYSIOLOGICAL FACTOR Colonic Absorptions Of macro – molecule GIT , small Intestine and colonic Transit Gastric Emptying , GIT Diseased stateStomach , Intestinal pH Colonic microflora and enzyme Mechanism of Absorption , Colonic absorption 12
  • 14. PRIMARY APPROACHES pH sensitive polymer coated drug delivery to the colon . Delayed release drug Delivery to colon . Microbially triggered Drug delivery to colon NEW APPROACHES Pressure controlled drug delivery systems Novel colon targeted delivery system. Osmotic controlled Drug delivery . Approaches of colon targeting 14
  • 15. pH sensitive polymer coated drug delivery system  Bio degradable azo polymers with high hydrophilicity exhibit superior degradation properties and are used to coat capsules.  Higher degree of hydrophilicity may cause the drug release from the system before it reaches the colon.  The azo polymer systems are not suitable for delivery of peptides, hormones and other drugs with a narrow therapeutic index; however they are suitable for local delivery of drugs to colon.  Most commonly used polymers are methacrylic acid co polymers commonly known as eudragit L and eudragit S.  Carboxyl polymer form salts and dissolves at pH5.5 and disperse in water to form latex and thus avoid the use of organic solvents in the coating processes . 15
  • 16. Osmotic Controlled System (ORDS-CT)  The ORDS-CT system can be a single osmotic unit or may incorporate as many as 5-6 push-pull units, each 4mm in diameter, encapsulated with in a hard gelatin capsule.  Each bilayer push-pull unit contains osmotic push layer and a drug layer, both surrounded by a semipermeable membrane .  As the unit enters small intestine the coating dissolves in this higher pH environment compartment. 16
  • 17. Pressure Controlled System  Luminar pressure within the colon, which forms the basis for design of pressure control systems .  The particular delivery, is in the form of capsule which is resistant to the pressures of upper GIT but it is collapsed in the large intestine due to increased pressure.  The digestive processes within the GI tract involve contractile activity of the stomach and peristaltic movements for propulsion of intestinal contents.  These strong peristaltic waves in the colon are of short duration, occurring only 3-4 times a day.  The capsule shells are fabricated from ethyl cellulose and the collapse time of the capsule in large intestine can be controlled by adjusting the thickness of the capsule shell wall . 17
  • 18. DELIVERY OF DRUGS BASED ON METABOLIC ACTIVITY OF MICROFLORA  Prodrugs  Prodrug design often represents a nonspecific chemical approach to mask unwanted drug properties such as low bioavailability, less site specificity and chemical in stability.  Prodrugs targeting to a specific enzyme or a specific membrane transporter or both have potential drug delivery system especially for colon cancer chemotherapy. Example- Sulphasalazine in treatment of ulcerative colitis and Crohn’s disease.  Hydrogels  Hydrogels contain acidic co-monomers and enzymatic degradable azo aromatic cross links.  A number of drug delivery systems have been proposed to deliver the drug for efficient therapy.  The controlled release of active antimicrobial agents from the polymeric matrix has been well reported. Example- Amoxicillin, Metronidazole, Oxytetracycline, Tetracycline-HCL 18
  • 19. COATING WITH pH INDEPENDENT BIODEGRADABLE POLYMERS  Drugs that are coated with polymers, which are showing degradability due to the influence of colonic microorganisms, can be exploited in designing drugs for colon targeting in order to release an orally administered drug in colon .  The copolymers of styrene and 2- Hydroxyl Methyl Methacrylate were cross linked with divinylazo benzene to coat oral dosage forms of insulin and vasopressin. The intestinal microflora has a large metabolic capacity and it appears that reduction of azobonds is a general reaction of colonic bacteria. 19
  • 20. Time Control/Dependent Systems  Time dependent process is useful for synchronous delivery of a drug.  Transit time through the small intestine is independent of type of formulation .  Effects of variance in gastric resident time can be minimized by using systems that are protected in the stomach and drug release can be targeted on the colon by means of formulations that release drug after a certain time of gastric emptying.  Combinations of hydrophilic(HPMC) and hydrophobic polymers have been used as coatings for tablets that release drug from a core after a lag time.  Time controlled formulations have also been prepared using water insoluble ethylcellulose and swellable polymer . 20
  • 21. Novel colon Targeted delivery system  CODES is a combined approach of pH dependent and microbially triggered CDDS .  CODES is an unique CDDS technology that was designed to avoid the inherent problems associated with pH or time dependent systems .  It has been developed by utilizing a unique mechanism involving lactulose , which acts as a trigger for site specific drug release in the colon . 21
  • 23. DRUG TRADENAME FORMULATION DOSE 1.Mesalamine Asacol Eudragit `s’ coated tablets 0.8-2.4g/day 2.Mesalamine Salotac Eudragit `s’ coated 1-4g/day 3.Mesalamine Pentaza Controlled release EC coated tablets 1.5-4g/day 4.Mesalamine Claversal Eudragit `L’ coated tablets 1-2g/day 5.Budenoside Entocort Eudragit `L’ coated tablets 9mg/day 6.Olsalazine Dipentum 5-ASA dimer as capsules and 1g/day Formulation and Doses Of Marketed Drugs 23
  • 24. G.Sangeetha * et al. /International Journal Of Pharmacy&Technology colon targeted drug delivery System: A review article. IJPT | Dec-2011 | Vol. 3 | Issue No.4 | 1657-1672 . Chien YW. Oral drug delivery and delivery systems. In: Chien YW, editor. Novel drug delivery systems. New York: Marcel Dekker Inc. 1992; 139-196 Vinaykumar K.V, Sivakumar T, Tamizhmani T. Colon targeted drug delivery system: A review on recent approaches, Int J Pharm Biomed Sci 2011, 2(1), 11-19 Colonic delivery formulations, Recent patents on drug delivery& Formulation 2007, 1(1), 57-59 24