pH-dependent pulsatile delivery of Ambrisentan for the treatment of hypertension
Yıl 2023,
Cilt: 27 Sayı: 2, 848 - 859, 27.06.2025
Dr. Abhishek Kanugo
,
Ronit Dhage
Öz
The greatest number of mortality in the world occurred due to hypertension. Several bodily
functions are based on circadian rhythm including hypertension. The stimulation of the sympathetic
nervous system in the early morning hours resulted in accelerating blood pressure which is a highly
dangerous condition. This lead to cardiac failure and damage to the vital organs of the body. The current
research focuses on pulsatile delivery of Ambrisentan for the treatment of high blood pressure which
released the medicament at the right time and the right place. Primarily, core tablets were prepared with
Ambrisentan. The compatibility of Ambrisentan with excipients was confirmed by FTIR analysis. The core
tablets were evaluated for flowing characteristics which showed better flowing behavior and optimized
core batch CT6 showed consolidation index 16.07±0.11 and angle of repose 27.02±0.14. Moreover, due to the
least disintegration time (2.23±0.10) and greater dissolution release of 99.70 % ±0.49, CT6 was selected as an
optimized core tablet for pulsatile delivery. Further, the combination of Eudragit L100 and ethyl cellulose
were utilized for coating purposes in different proportion were utilized for achieving the desired lag time
of 6 hrs. The optimized batch PC6 (Eudragit L100: EC 10) which comprised of 25:75 proportion showed a
lag time of 6 hours, cumulative release of 99.25 % and content uniformity of 99.29±0.82. The dissolution
release profile predicted zero-order release for Ambrisentan pulsatile tablets. The accelerated stability
testing showed minimal loss of drug content when exposed at 40 0C and 75 % relative humidity without
altering lag time.
Kaynakça
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hypertension. Biochem Pharmacol. 2022;202:115111. [CrossRef]
- Tomaszewski M, Morris AP, Howson JM, Franceschini N, Eales J, Xu X, et al. Kidney omics in hypertension –
from statistical associations to biological mechanisms and clinical applications. Kidney Int [Internet]. 2022 Jun 9
[cited 2022 Jun 10]; [CrossRef]
- Al Attar AA, Fahed GI, Hoballah MM, Pedersen S, El-Yazbi AF, Nasser SA, et al. Mechanisms underlying the
effects of caloric restriction on hypertension. Biochem Pharmacol. 2022 Jun 1;200:115035. [CrossRef]
- Wójcik M, Kozioł-Kozakowska A. Obesity, Sodium Homeostasis, and Arterial Hypertension in Children and
Adolescents. Nutrients [Internet]. 2021 Nov 1 [cited 2022 Jun 10];13(11). [CrossRef]
- Tanaka M, Itoh H. Hypertension as a Metabolic Disorder and the Novel Role of the Gut. Curr Hypertens Rep
[Internet]. 2019 Aug 1 [cited 2022 Jun 10];21(8):1–10. [CrossRef]
- Ames MK, Atkins CE, Pitt B. The renin‐angiotensin‐aldosterone system and its suppression. J Vet Intern Med
[Internet]. 2019 Mar 1 [cited 2022 Jun 10];33(2):363. [CrossRef]
- Hajra A, Safiriyu I, Balasubramanian P, Gupta R, Chowdhury S, Prasad AJ, et al. Recent Advances and Future
Prospects of Treatment of Pulmonary Hypertension. Curr Probl Cardiol. 2022 Apr 29;101236. [CrossRef]
- Morris M, Yamazaki S, Stefanovska A. Multiscale Time-resolved Analysis Reveals Remaining Behavioral
Rhythms in Mice Without Canonical Circadian Clocks. J Biol Rhythms [Internet]. 2022 Jun [cited 2022 Jun
10];37(3):310–28. [CrossRef]
- Douma LG, Gumz ML. Circadian Clock-Mediated Regulation of Blood Pressure. Free Radic Biol Med [Internet].
2018 May 5 [cited 2022 Jun 10];119:108. [CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV. Development of pulsatile drug delivery for chronotherapeutics of
hypertension. Int J Drug Deliv Technol. 2017;7(3). [CrossRef]
- Sreejan M, Krishnaveni V, Sai Padmini, Satyavathi K, Bhojaraju P, Madhubabu M. Design and Evaluation of
Chronotherapeutic Delivery of Terbutaline Sulphate by Pulsincap Technology. Int J Drug Deliv Technol.
2017;7(1):75–82. [CrossRef]
- Dabhi C, Randale S, Belgamwar V, Gattani S, Tekade A. Predictable pulsatile release of tramadol hydrochloride
for chronotherapeutics of arthritis. 2010;17(5):273–81. [CrossRef]
- Penhasi A, Gomberg M. Design and development of an innovative water insoluble fi lm-coating combination for
oral pulsatile drug delivery. J Drug Deliv Sci Technol [Internet]. 2018;43(October 2017):274–82. [CrossRef]
- Zhang Z, Qi X, Li X, Xing J, Zhu X, Wu Z. A novel pulsatile drug delivery system based on the physiochemical
reaction between acrylic copolymer and organic acid: In vitro and in vivo evaluation. Int J Pharm [Internet].
2014;462(1–2):66–73. [CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV. pH dependent pulsatile drug delivery for chronotherapeutics of
cardiovascular diseases. Der Pharma Lettre 2017; 260–9.
- Vani C, Reddy KS. Pulsatile drug delivery system-a technique of delivering drug in accordance with biological
clock-a review. Int J Adv Res [Internet]. [cited 2022 Jun 6];9(05):101–24. [CrossRef]
- Ambrisentan: Uses, Interactions, Mechanism of Action | DrugBank Online [Internet]. [cited 2021 Sep 19].
Available from: https://go.drugbank.com/drugs/DB06403. [CrossRef]
- Kanugo A. Liquisolid-pellets technique: A recent technique for enhancing solubility and bioavailability of drugs.
Int J Appl Pharm. 2020;12(6):34–40. [CrossRef
- Parmar K, Shaikh A, Dalvadi H. Chronomodulated drug delivery system of Irbesartan: Formulation and
development using Desing of Experiment (DoE). Bull Fac Pharmacy, Cairo Univ [Internet]. 2018;56(1):11–7.
[CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV, Dhabarde DM, Dhawral VG. Design and evaluation of enteric
compression-coated tablet for chronotherapeutic drug delivery. Asian J Pharm. 2017;11(3). [CrossRef]
- Kanugo AY, Kochar NI, Chandewar A. Pulsatile drug delivery of candesartan cilexetil for cardiovascular
complications. Int J Pharm Sci Res 2017;8(9):3928–35.. [CrossRef]
- Roy SK, Das P, Mondal A, Mandal A, Kuotsu K. Design , formulation and evaluation of multiparticulate time
programmed system of ramipril for pulsed release : An approach in the management of early morning surge in
blood pressure. J Drug Deliv Sci Technol [Internet]. 2021;62(November 2020):102344. [CrossRef]
- Kanugo AY, Mathur VB. Evaluation and Comparison of Highly Soluble Sodium Stearyl Fumarate with Other
Lubricants In Vitro. Indo Am J Pharm Res 2013;3:4042-4049.
- Rashid R, Zaman M, Ahmad M, Khan MA, Butt MH, Salawi A, et al. Press-Coated Aceclofenac Tablets for
Pulsatile Drug Delivery: Formulation and In Vitro Evaluations. Pharmaceuticals. 2022;15(3):1–19. [CrossRef]
- Hellberg E, Westberg A, Appelblad P, Mattsson S. Evaluation of dissolution techniques for orally disintegrating
mini-tablets. J Drug Deliv Sci Technol. 2021 Feb 1;61:102191. [CrossRef]
- Li R, Pan Y, Chen D, Xu X, Yan G, Fan T. Design, Preparation and In Vitro Evaluation of Core–Shell Fused
Deposition Modelling 3D-Printed Verapamil Hydrochloride Pulsatile Tablets. Pharmaceutics. 2022;14(2).
[CrossRef]
- Kokott M, Lura A, Breitkreutz J, Wiedey R. Evaluation of two novel co-processed excipients for direct
compression of orodispersible tablets and mini-tablets. Eur J Pharm Biopharm [Internet]. 2021 Nov 1 [cited 2021
Sep 19];168:122–30. [CrossRef]
- Gowthami B, Krishna SVG, Rao DS. Formulation of Tablets in Capsule system : Statistical optimization for
chronotherapeutic drug delivery of propranolol hydrochloride. 2021;63(October 2020). [CrossRef]
- Biswas N, Kuotsu K. Chronotherapeutically Modulated Pulsatile System of Valsartan Nanocrystals—an In Vitro
and In Vivo Evaluation. AAPS PharmSciTech. 2017;18(2):349–57. [CrossRef]
- Bello ML, Junior AM, Freitas CA, Moreira MLA, Juliana P, Souza MA De, et al. European Journal of
Pharmaceutical Sciences Development of novel montmorillonite-based sustained release system for oral
bromopride delivery . 2022;175(May). [CrossRef]
- Kanugo AY, Kochar NI, Chandewar A . Predictable Pulsatile Release of Candesartan Cilexetil for
Chronotherapeutics of Hypertension. Int J Drug Dev Res. 2017;9(2):42–7
- Patadia R, Vora C, Mittal K, Mashru RC. Quality by Design Empowered Development and Optimisation of
Time-Controlled Pulsatile Release Platform Formulation Employing Compression Coating Technology. AAPS
PharmSciTech [Internet]. 2017;18(4):1213–27. [CrossRef]
- Dahmash EZ, Iyire A, Alyami HS. Development of orally dissolving films for pediatric-centric administration of
anti-epileptic drug topiramate – A design of experiments (DoE) study. Saudi Pharm J. 2021 Jul 1;29(7):635–47.
[CrossRef]
- Kallakunta VR, Sarabu S, Dudhipala N, Janga KY, Bandari S, Zhang F, et al. Chrono modulated multiple unit
particulate systems (MUPS) via a continuous hot melt double extrusion technique: Investigation of the
formulation and process suitability. Eur J Pharm Biopharm [Internet]. 2021;168(May):184–94. [CrossRef]
Yıl 2023,
Cilt: 27 Sayı: 2, 848 - 859, 27.06.2025
Dr. Abhishek Kanugo
,
Ronit Dhage
Kaynakça
- Kee HJ, Kim I, Jeong MH. Zinc-dependent histone deacetylases: Potential therapeutic targets for arterial
hypertension. Biochem Pharmacol. 2022;202:115111. [CrossRef]
- Tomaszewski M, Morris AP, Howson JM, Franceschini N, Eales J, Xu X, et al. Kidney omics in hypertension –
from statistical associations to biological mechanisms and clinical applications. Kidney Int [Internet]. 2022 Jun 9
[cited 2022 Jun 10]; [CrossRef]
- Al Attar AA, Fahed GI, Hoballah MM, Pedersen S, El-Yazbi AF, Nasser SA, et al. Mechanisms underlying the
effects of caloric restriction on hypertension. Biochem Pharmacol. 2022 Jun 1;200:115035. [CrossRef]
- Wójcik M, Kozioł-Kozakowska A. Obesity, Sodium Homeostasis, and Arterial Hypertension in Children and
Adolescents. Nutrients [Internet]. 2021 Nov 1 [cited 2022 Jun 10];13(11). [CrossRef]
- Tanaka M, Itoh H. Hypertension as a Metabolic Disorder and the Novel Role of the Gut. Curr Hypertens Rep
[Internet]. 2019 Aug 1 [cited 2022 Jun 10];21(8):1–10. [CrossRef]
- Ames MK, Atkins CE, Pitt B. The renin‐angiotensin‐aldosterone system and its suppression. J Vet Intern Med
[Internet]. 2019 Mar 1 [cited 2022 Jun 10];33(2):363. [CrossRef]
- Hajra A, Safiriyu I, Balasubramanian P, Gupta R, Chowdhury S, Prasad AJ, et al. Recent Advances and Future
Prospects of Treatment of Pulmonary Hypertension. Curr Probl Cardiol. 2022 Apr 29;101236. [CrossRef]
- Morris M, Yamazaki S, Stefanovska A. Multiscale Time-resolved Analysis Reveals Remaining Behavioral
Rhythms in Mice Without Canonical Circadian Clocks. J Biol Rhythms [Internet]. 2022 Jun [cited 2022 Jun
10];37(3):310–28. [CrossRef]
- Douma LG, Gumz ML. Circadian Clock-Mediated Regulation of Blood Pressure. Free Radic Biol Med [Internet].
2018 May 5 [cited 2022 Jun 10];119:108. [CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV. Development of pulsatile drug delivery for chronotherapeutics of
hypertension. Int J Drug Deliv Technol. 2017;7(3). [CrossRef]
- Sreejan M, Krishnaveni V, Sai Padmini, Satyavathi K, Bhojaraju P, Madhubabu M. Design and Evaluation of
Chronotherapeutic Delivery of Terbutaline Sulphate by Pulsincap Technology. Int J Drug Deliv Technol.
2017;7(1):75–82. [CrossRef]
- Dabhi C, Randale S, Belgamwar V, Gattani S, Tekade A. Predictable pulsatile release of tramadol hydrochloride
for chronotherapeutics of arthritis. 2010;17(5):273–81. [CrossRef]
- Penhasi A, Gomberg M. Design and development of an innovative water insoluble fi lm-coating combination for
oral pulsatile drug delivery. J Drug Deliv Sci Technol [Internet]. 2018;43(October 2017):274–82. [CrossRef]
- Zhang Z, Qi X, Li X, Xing J, Zhu X, Wu Z. A novel pulsatile drug delivery system based on the physiochemical
reaction between acrylic copolymer and organic acid: In vitro and in vivo evaluation. Int J Pharm [Internet].
2014;462(1–2):66–73. [CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV. pH dependent pulsatile drug delivery for chronotherapeutics of
cardiovascular diseases. Der Pharma Lettre 2017; 260–9.
- Vani C, Reddy KS. Pulsatile drug delivery system-a technique of delivering drug in accordance with biological
clock-a review. Int J Adv Res [Internet]. [cited 2022 Jun 6];9(05):101–24. [CrossRef]
- Ambrisentan: Uses, Interactions, Mechanism of Action | DrugBank Online [Internet]. [cited 2021 Sep 19].
Available from: https://go.drugbank.com/drugs/DB06403. [CrossRef]
- Kanugo A. Liquisolid-pellets technique: A recent technique for enhancing solubility and bioavailability of drugs.
Int J Appl Pharm. 2020;12(6):34–40. [CrossRef
- Parmar K, Shaikh A, Dalvadi H. Chronomodulated drug delivery system of Irbesartan: Formulation and
development using Desing of Experiment (DoE). Bull Fac Pharmacy, Cairo Univ [Internet]. 2018;56(1):11–7.
[CrossRef]
- Kanugo AY, Kochar NI, Chandewar AV, Dhabarde DM, Dhawral VG. Design and evaluation of enteric
compression-coated tablet for chronotherapeutic drug delivery. Asian J Pharm. 2017;11(3). [CrossRef]
- Kanugo AY, Kochar NI, Chandewar A. Pulsatile drug delivery of candesartan cilexetil for cardiovascular
complications. Int J Pharm Sci Res 2017;8(9):3928–35.. [CrossRef]
- Roy SK, Das P, Mondal A, Mandal A, Kuotsu K. Design , formulation and evaluation of multiparticulate time
programmed system of ramipril for pulsed release : An approach in the management of early morning surge in
blood pressure. J Drug Deliv Sci Technol [Internet]. 2021;62(November 2020):102344. [CrossRef]
- Kanugo AY, Mathur VB. Evaluation and Comparison of Highly Soluble Sodium Stearyl Fumarate with Other
Lubricants In Vitro. Indo Am J Pharm Res 2013;3:4042-4049.
- Rashid R, Zaman M, Ahmad M, Khan MA, Butt MH, Salawi A, et al. Press-Coated Aceclofenac Tablets for
Pulsatile Drug Delivery: Formulation and In Vitro Evaluations. Pharmaceuticals. 2022;15(3):1–19. [CrossRef]
- Hellberg E, Westberg A, Appelblad P, Mattsson S. Evaluation of dissolution techniques for orally disintegrating
mini-tablets. J Drug Deliv Sci Technol. 2021 Feb 1;61:102191. [CrossRef]
- Li R, Pan Y, Chen D, Xu X, Yan G, Fan T. Design, Preparation and In Vitro Evaluation of Core–Shell Fused
Deposition Modelling 3D-Printed Verapamil Hydrochloride Pulsatile Tablets. Pharmaceutics. 2022;14(2).
[CrossRef]
- Kokott M, Lura A, Breitkreutz J, Wiedey R. Evaluation of two novel co-processed excipients for direct
compression of orodispersible tablets and mini-tablets. Eur J Pharm Biopharm [Internet]. 2021 Nov 1 [cited 2021
Sep 19];168:122–30. [CrossRef]
- Gowthami B, Krishna SVG, Rao DS. Formulation of Tablets in Capsule system : Statistical optimization for
chronotherapeutic drug delivery of propranolol hydrochloride. 2021;63(October 2020). [CrossRef]
- Biswas N, Kuotsu K. Chronotherapeutically Modulated Pulsatile System of Valsartan Nanocrystals—an In Vitro
and In Vivo Evaluation. AAPS PharmSciTech. 2017;18(2):349–57. [CrossRef]
- Bello ML, Junior AM, Freitas CA, Moreira MLA, Juliana P, Souza MA De, et al. European Journal of
Pharmaceutical Sciences Development of novel montmorillonite-based sustained release system for oral
bromopride delivery . 2022;175(May). [CrossRef]
- Kanugo AY, Kochar NI, Chandewar A . Predictable Pulsatile Release of Candesartan Cilexetil for
Chronotherapeutics of Hypertension. Int J Drug Dev Res. 2017;9(2):42–7
- Patadia R, Vora C, Mittal K, Mashru RC. Quality by Design Empowered Development and Optimisation of
Time-Controlled Pulsatile Release Platform Formulation Employing Compression Coating Technology. AAPS
PharmSciTech [Internet]. 2017;18(4):1213–27. [CrossRef]
- Dahmash EZ, Iyire A, Alyami HS. Development of orally dissolving films for pediatric-centric administration of
anti-epileptic drug topiramate – A design of experiments (DoE) study. Saudi Pharm J. 2021 Jul 1;29(7):635–47.
[CrossRef]
- Kallakunta VR, Sarabu S, Dudhipala N, Janga KY, Bandari S, Zhang F, et al. Chrono modulated multiple unit
particulate systems (MUPS) via a continuous hot melt double extrusion technique: Investigation of the
formulation and process suitability. Eur J Pharm Biopharm [Internet]. 2021;168(May):184–94. [CrossRef]