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International Journal of Bioprinting                                     Stability of 3D-printed PEO tablets




            density for PM, HME, and printed tablets, respectively.   n < 0.89, drug release is governed by both diffusion and
            The hardness of tablets was estimated using a hardness   swelling mechanisms. 24–26
            tester (TBH 125 series; Erwaka, Germany). Surface area
            and volume were calculated based on the dimensions of   2.10. Statistical analysis
            tablets measured using a vernier caliper. To calculate the   For dissolution data, as discussed in  Section 2.9,  f  and
                                                                                                         2
            approximate porosity of the obtained tablets, the average   f  factors were used as model-independent statistical
                                                               1
            apparent  density  of  tablets  (n  =  3)  was  calculated  from   approaches  to  compare  the  dissolution  profiles  of
                                                                            22
            their volume and weight. The porosity of all tablets was   different tablets,  along with parameters from kinetics
            then calculated by employing Equation II:          analysis and DE%. For other experimental data, the
                                                               significance of differences in porosity, hardness, and
                                                               density  of  formulations  was  analyzed  using  analysis  of
                                                               variance (ANOVA). The significance level (alpha) was
                                   D
                            P% =−1   a  ×100           (II)    set at 0.05. Two-way ANOVA was used, as the impact of
                                   D t                         the manufacturing method was studied across different
                                                               formulations (two independent variables, manufacturing
               where P is the porosity, D  is the apparent density, and   methods, and formulations).
                                   a
            D  is the true density.
             t                                                 3. Results and discussion
            2.9. In vitro dissolution studies and calculations
            Dissolution tests were carried out for tablets (n = 3) under   3.1. Selection of polymers and manufacturing
            sink conditions using a USP type II paddle apparatus (708-  methods
            DS Dissolution Apparatus; Agilent Technologies, USA)   High M  PEOs (≥0.9 M) have the potential to prolong drug
                                                                     w
            attached to a UV spectrophotometer (Cary 60 UV-Vis;   release, making it a viable option in formulation design of
            Agilent Technologies, USA). The vessels were filled with   controlled release formulations. However, their high melt
            900 mL of deionized water (based on USP); the temperature   viscosity and  M  instability restrict their application in
                                                                            w
            was set at 37 ± 1°; and the paddle rotation speed was set at   FDM 3D printing. As a result, formulation scientists who
            50 rpm. The test duration was 12 h with readings, i.e., the   are interested in using PEO in 3D printing formulations
            absorbance was measured every 10 min for the first two   would likely mix this polymer with other ingredients to
            hours, then every 30 min thereafter. The wavelength used   improve printability, since PEO is too viscous to be printed
            to measure the absorbance of theophylline was 271 nm.    alone. Here, formulations were developed to include PEO
                                                         21
            Drug release profiles were plotted as the percentage of   mixed with thermally stable and low-viscosity polymers,
            cumulative drug release versus time (h).           HPC or EC, with theophylline as the model drug. The
                                                               developed formulations (F –F ) were made  into tablets
                                                                                     1
                                                                                        4
               The dissolution data was analyzed using several   via three methods with varying thermal and mechanical
            different  measures.  First,  a  quantitative  comparison   processing conditions. The methods were direct
            of the dissolution behavior of  different tablets was   compression  of  PMs,  direct  compression  of  HMEs,  and
            performed using dissolution efficiency (DE%). Next, a   FDM 3D printing. The resulting tablets of each formulation
            qualitative  comparison  was  conducted  using  similarity   (F –F ) underwent different physical tests to identify
                                                                   4
                                                                 1
            (f ) and difference (f ) factors to support the quantitative   changes in thermal behavior, PEO  M , crystallinity, and
                            1
             2
                                                                                              w
            comparison. Here, similar  dissolution  profiles  have  a   theophylline release profile.
            similarity factor (f ) of ≥50.  Finally, the drug release
                                    22
                           2
            kinetics were analyzed using DDSolver software (an add-  3.2. Differential scanning calorimetry
                                      23
            in program in Microsoft Excel).  In this analysis, several   Differential scanning calorimetry (DSC) was performed
            drug release kinetic models were examined to find the   at 25–300°, encompassing the high temperatures used in
            best fit, including the zero-order, first-order, Higuchi, and   HME (140°) and the printing process (220°). DSC graphs
            Korsmeyer-Peppas models. As a measure of statistical fit,   of the processed formulations were compared with those
            R  was used, where higher R  values indicate a better   of the starting materials to investigate any changes in their
             2
                                     2
                                     adj
              adj
            fitting model. In the Korsmeyer-Peppas model, the n value   thermal behavior due to the processing conditions (Figures 1
            can indicate the drug release mechanism if up to 60% of   and 2). Since all formulations displayed similar patterns,
            the drug has been released.  When  n < 0.45, the drug   only the DSC traces of formulation F  are presented to
                                   24
                                                                                              2
            release is governed by diffusion (Fickian model); when n   avoid repetition.
            > 0.89, swelling is the main release mechanism and close   Ethyl cellulose (EC) is an amorphous polymer that
            to zero-order kinetics (non-Fickian model). When 0.45 <   exhibits a flat thermogram, and adding DBS to EC can
            Volume 10 Issue 5 (2024)                       410                                doi: 10.36922/ijb.4055
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