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International Journal of Bioprinting                         Advances for 3D-printed oral drug delivery systems




            methods are needed to characterize the 3D-printed dosage   use of colorimetric evaluations for direct and indirect
            forms without total loss of all the samples.       determination of extruded filaments with API and/or
                                                               coloring agents . The results showed that colorimetry can
                                                                           [92]
               To ensure final product quality of paracetamol printlets,   be used as a quality control tool to detect differences in
            non-destructive characterization techniques like process   drug loading .
                                                                         [92]
            analytical technologies, near-infrared spectroscopy (NIR),
            and Raman confocal microscopy can be applied. Trenfield   3.3.3. Protocol and standardization
            et al.  evaluated  cylindrical  3D-printed  tablets .  A   Standards and protocols are guidelines for production
                                                     [88]
            calibration model was created using an NIR spectrometer,   that ensure consistent quality and safety. In this sub-
            and it  successfully predicted  the  drug concentration.   section, protocols developed for 3D-printed dosage forms
            The model also demonstrated excellent linearity and   are presented.
            accuracy with dosage forms of different geometries and   Silva et al. proposed a new protocol for preformulation
            formulations. The drug distribution was observed with a   studies simulating thermal processing and aging of
            Raman confocal microscopy .
                                  [88]
                                                               the fused deposition modeling printed medicines. The
               Trenfield  et al.  verified  the  dosage  of  multiple  drugs   protocol included tests related to morphology and thermal,
            in polyprintlets and 3D-printed films at the point of   crystallographic, and spectroscopic profiles. In the study,
            dispensing .  The dosage  forms  were  loaded  with   the protocol simulated the combined thermal stresses of
                    [89]
            amlodipine and lisinopril. The analysis and verification   formulations with four different polymers and two model
                                                                                                           [93]
            were made using a portable NIR spectrometer and    drugs and obtained stable pharmaceutical dosage forms .
            validated calibration models (partial least squares   Pressure-assisted microsyringe (PAM) was selected by
            regression). The results demonstrated an excellent linearity,   Callede et al. to develop zolpidem printlets . The design
                                                                                                  [94]
            accuracy, and specificity for amlodipine and lisinopril. The   process included the integration of protocols to standardize
            microstructure was observed with x-ray powder diffraction   compounding procedures (mixing, preparation, and
            (XRPD) and thermogravimetric analysis (TGA) .      printing) related to the dosage amount of zolpidem in
                                                  [89]
               Gioumouxouzis  et al. investigated the structural   the tablets. The printing parameters were evaluated and
            and  functional  characterization  of  3D-printed  dosage   optimized, and some of them were fixed at certain values.
            forms with x-ray microfocus computed tomography    One of the outcomes of the research was a decision tree
            (μCT) to verify if the formulations complied with the   model that allows the compounding pharmacists to ensure
            required specifications (quality assurance) . The   quality control of the zolpidem printlets at industry level
                                                   [90]
                                                                                    [94]
            results demonstrated that the use of μCT can perform a   immediately after printing .
            qualitative inspection of the products, a 3D image of the   3.3.4. Factors of influence
            dosage form structure for dimensional metrology, and   High-quality products can be obtained by optimizing
            the functional performance of the formulation overtime.   process or formulation parameters. This sub-section
            The authors believe that μCT can help accelerate the   contains publications related to the effects of a factor of
            adoption of 3D printing technology in the pharmaceutical    influence (selected by the author of each article) on the
            technology sector .                                properties of the 3D-printed oral DDS.
                          [90]
               Lima  et al. employed oscillatory shear rheology   Zhang  et al. studied the influence of process
            and mechanical evaluation as a control tool for fused   temperature on the quality and crystallinity of fused
            deposition modeling 3D-printed medicines. Hot melt   deposition modeling-printed phenytoin dosage forms .
                                                                                                           [95]
            extrusion filaments were assessed in terms of viscoelastic   Comparative studies such as morphology, solid-state
            behavior, definition of printing parameters, and the   analysis, and  in  vitro drug release between the printlets
            prediction of their repercussions on the 3D tablets. The   and filaments were carried out. The results showed that the
            outcome of this research was the validation of oscillatory   printing process and product qualities are affected by the
            shear rheology as a tool to identify significantly sensitive   printing temperature and slicing .
                                                                                         [95]
            viscoelastic alterations and quality control parameters, and
            as a method to predict rheological changes and their effects   The  quality  of  binder  jetting  paracetamol
            on the printed dosage forms .                      orodispersible films was improved by adding a thin layer
                                  [91]
                                                               of polyvinylpyrrolidone (PVP) coating to the matrix
               Quality control of 3D-printed dosage forms      particles. Wang  et al. concluded that coated particles
            can also be done on hot melt extrusion API-loaded   improved the resistance to crushing and decreased  the
            filaments. Chamberlain  et al. investigated the possible   disintegration time .
                                                                              [96]


            Volume 9 Issue 6 (2023)                        515                          https://doi.org/10.36922/ijb.1119
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