Skip to main content

Preformulation and Vaginal Film Formulation Development of Microbicide Drug Candidate CSIC for HIV Prevention

Abstract

Purpose

5-Chloro-3-[phenylsulfonyl] indole-2-carboxamide (CSIC) is a highly potent non-nucleoside reverse transcriptase inhibitor (NNRTI) of HIV-1 which has been shown to have a more desirable resistance profile than other NNRTIs in the development as HIV prevention strategies. This work involves generation of preformulation data for CSIC and systematic development of a cosolvent system to effectively solubilize this hydrophobic drug candidate. This system was then applied to produce a polymeric thin film solid dosage form for vaginal administration of CSIC for use in prevention of sexual acquisition of HIV.

Methods

Extensive preformulation, formulation development, and film characterization studies were conducted. An HPLC method was developed for CSIC quantification. Preformulation tests included solubility, crystal properties, stability, and drug-excipient compatibility. Cytotoxicity was evaluated using both human epithelial and mouse macrophage cell lines. Ternary phase diagram methodology was used to identify a cosolvent system for CSIC solubility enhancement. Following preformulation evaluation, a CSIC film formulation was developed and manufactured using solvent casting technique. The developed film product was assessed for physicochemical properties, anti-HIV bioactivity, and Lactobacillus biocompatibility during 12-month stability testing period.

Results

Preformulation studies showed CSIC to be very stable. Due to its hydrophobicity, a cosolvent system consisting of polyethylene glycol 400, propylene glycol, and glycerin (5:2:1, w/w/w) was developed, which provided a uniform dispersion of CSIC in the film formulation. The final film product met target specifications established for vaginal microbicide application.

Conclusions

The hydrophobic drug candidate CSIC was successfully formulated with high loading capacity in a vaginal film by means of a cosolvent system. The developed cosolvent strategy is applicable for incorporation of other hydrophobic drug candidates in the film platform.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. UNAIDS. Global report: UNAIDS report on the global AIDS epidemic 2013.

  2. Baeten JM, Palanee-Phillips T, Brown ER, Schwartz K, Soto-Torres LE, Govender V et al. Use of a vaginal ring containing dapivirine for HIV-1 prevention in women. N Engl J Med. 2016;375:2121–2132.

  3. Motakis D, Parniak MA. A tight-binding mode of inhibition is essential for anti-human immunodeficiency virus type 1 virucidal activity of nonnucleoside reverse transcriptase inhibitors. Antimicrob Agents Chemother. 2002;46(6):1851–6.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  4. Prajapati DG, Ramajayam R, Yadav MR, Giridhar R. The search for potent, small molecule NNRTIs: a review. Bioorg Med Chem. 2009;17(16):5744–62.

    CAS  Article  PubMed  Google Scholar 

  5. Williams TM, Ciccarone TM, MacTough SC, Rooney CS, Balani SK, Condra JH, et al. 5-Chloro-3-(phenylsulfonyl)indole-2-carboxamide: a novel, non-nucleoside inhibitor of HIV-1 reverse transcriptase. J Med Chem. 1993;36(9):1291–4.

    CAS  Article  PubMed  Google Scholar 

  6. Miller V, de Béthune M-P, Kober A, Stürmer M, Hertogs K, Pauwels R, et al. Patterns of resistance and cross-resistance to human immunodeficiency virus type 1 reverse transcriptase inhibitors in patients treated with the nonnucleoside reverse transcriptase inhibitor loviride. Antimicrob Agents Chemother. 1998;42(12):3123–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Delaugerre C, Rohban R, Simon A, Mouroux M, Tricot C, Agher R, et al. Resistance profile and cross-resistance of HIV-1 among patients failing a non-nucleoside reverse transcriptase inhibitor-containing regimen*. J Med Virol. 2001;65(3):445–8.

    CAS  Article  PubMed  Google Scholar 

  8. Parniak MA. Nonnucleoside reverse transcriptase inhibitors as anti-HIV-1 microbicides. AIDS. 2001;15:S56.

    Article  Google Scholar 

  9. Malcolm RK, Woolfson AD, Toner CF, Morrow RJ, McCullagh SD. Long-term, controlled release of the HIV microbicide TMC120 from silicone elastomer vaginal rings. J Antimicrob Chemother. 2005;56(5):954–6.

    CAS  Article  PubMed  Google Scholar 

  10. Ham A, Rohan L, Boczar A, Yang L, W. Buckheit K, Buckheit Jr R. Vaginal film drug delivery of the pyrimidinedione IQP-0528 for the prevention of HIV infection. Pharm Res. 2012;29(7):1897–907.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  11. Akil A, Parniak MA, Dezzuitti CS, Moncla BJ, Cost MR, Li M, et al. Development and characterization of a vaginal film containing dapivirine, a non-nucleoside reverse transcriptase inhibitor (NNRTI), for prevention of HIV-1 sexual transmission. Drug Deliv Transl Res. 2011;1(3):209–22.

  12. Christopher Elias CC. Acceptability research on female-controled barrier methods to prevent heterosexual transmission of HIV: where have we been? Where are we going? J Wemens Health & Gender Based Med. 2001;10(2):11.

    Google Scholar 

  13. Raymond E, Alvarado G, Ledesma L, Diaz S, Bassol S, Morales E, et al. Acceptability of two spermicides in five countries. Contraception. 1999;60(1):45–50.

    CAS  Article  PubMed  Google Scholar 

  14. Garg S, Vermani K, Garg A, Anderson RA, Rencher WB, Zaneveld LJD. Development and characterization of bioadhesive vaginal films of sodium polystyrene sulfonate (PSS), a novel contraceptive antimicrobial agent. Pharm Res. 2005;22(4):584–95.

    CAS  Article  PubMed  Google Scholar 

  15. Dobaria N, Badhan AC, Mashru RC. A novel itraconazole bioadhesive film for vaginal delivery: design, optimization, and physicodynamic characterization. AAPS PharmSciTech. 2009;10(3):951–9.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  16. Prasad RNV, Adaikan PG, Arulkumaran S, Ratnam SS. Preinduction cervical priming with PGE2 vaginal film in primigravidae—a randomised, double blind, placebo controlled study. Prostaglandins Leukot Essent Fat Acids. 1989;36(3):185–8.

    CAS  Article  Google Scholar 

  17. Neurath A, Strick N, Li Y-Y. Water dispersible microbicidal cellulose acetate phthalate film. BMC Infect Dis. 2003;3(1):27.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Zhang W, Hu M, Shi Y, Gong T, Dezzutti CS, Moncla B, et al. Vaginal microbicide film combinations of two reverse transcriptase inhibitors, EFdA and CSIC, for the prevention of HIV-1 sexual transmission. Pharm Res. 2015;32(9):2960–72.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  19. Akil A, Devlin B, Cost M, Rohan LC. Increased dapivirine tissue accumulation through vaginal film codelivery of dapivirine and tenofovir. Mol Pharm. 2014;11(5):1533–41.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  20. Ham A, Cost M, Sassi A, Dezzutti C, Rohan L. Targeted delivery of PSC-RANTES for HIV-1 prevention using biodegradable nanoparticles. Pharm Res. 2009;26(3):502–11.

    CAS  Article  PubMed  Google Scholar 

  21. Costanzo CJ. Immune defense of the female lower reproductive tract and the use of monoclonal antibody-based topical microbicide films to protect against HIV infection: BOSTON UNIVERSITY; 2015.

  22. Gu J, Yang S, Ho EA. Biodegradable film for the targeted delivery of siRNA-loaded nanoparticles to vaginal immune cells. Mol Pharm. 2015;12(8):2889–903.

    CAS  Article  PubMed  Google Scholar 

  23. Bunge KE, Dezzutti CS, Rohan LC, Hendrix CW, Marzinke MA, Richardson-Harman N, et al. A phase 1 trial to assess the safety, acceptability, pharmacokinetics, and pharmacodynamics of a novel dapivirine vaginal film. J Acquir Immune Defic Syndr. 2016;71(5):498–505.

  24. Robinson JA, Marzinke MA, Bakshi RP, Fuchs EJ, Radebaugh CL, Aung W, et al. Comparison of dapivirine vaginal gel and film formulation pharmacokinetics and pharmacodynamics (FAME 02B). AIDS Res Hum Retrovir. 2016; doi:10.1089/AID.2016.0040.

    PubMed  Google Scholar 

  25. <Guidance for Industry Q1A(R2) Stability Testing of New Drug Substances and Products.pdf>.

  26. Reagents, indicators, and solutions. United States Pharmacopeia. p. 1209–10.

  27. Freire FD, Aragão CFS. Lima e Moura TFA, Raffin FN. Compatibility study between chlorpropamide and excipients in their physical mixtures. J Therm Anal Calorim. 2009;97(1):355–7.

    CAS  Article  Google Scholar 

  28. Roumeli E, Tsiapranta A, Pavlidou E, Vourlias G, Kachrimanis K, Bikiaris D, et al. Compatibility study between trandolapril and natural excipients used in solid dosage forms. J Therm Anal Calorim. 2012;111(3):2109–15.

    Article  Google Scholar 

  29. Moncla BJ, Hillier SL. Why nonoxynol-9 may have failed to prevent acquisition of Neisseria gonorrhoeae in clinical trials. Sex Transm Dis. 2005;32(8):491–4.

    CAS  Article  PubMed  Google Scholar 

  30. Abram ME, Parniak MA. Virion instability of human immunodeficiency virus type 1 reverse transcriptase (RT) mutated in the protease cleavage site between RT p51 and the RT RNase H domain. J Virol. 2005;79(18):11952–61.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  31. Brooke D, Dobbs A, Williams N. Octanol: water partition coefficients (P): measurement, estimation, and interpretation, particularly for chemicals with P > 10 5. Ecotoxicol Environ Saf. 1986;11(3):251–60.

    CAS  Article  PubMed  Google Scholar 

  32. Miller CJ, Shattock RJ. Target cells in vaginal HIV transmission. Microbes Infect. 2003;5(1):59–67.

    CAS  Article  PubMed  Google Scholar 

  33. Quayle AJ. The innate and early immune response to pathogen challenge in the female genital tract and the pivotal role of epithelial cells. J Reprod Immunol. 2002;57(1–2):61–79.

    CAS  Article  PubMed  Google Scholar 

  34. D’Cruz OJ, Uckun FM. Clinical development of microbicides for the prevention of HIV infection. Curr Pharm Des. 2004;10(3):315–36.

    Article  PubMed  Google Scholar 

  35. Stafford MK, Ward H, Flanagan A, Rosenstein IJ, Taylor-Robinson D, Smith JR, et al. Safety study of nonoxynol-9 as a vaginal microbicide: evidence of adverse effects. JAIDS Journal of Acquired Immune Deficiency Syndromes. 1998;17(4):327–31.

    CAS  Article  Google Scholar 

  36. Williams T, Ciccaro T, MacTough S, Rooney C, Balani S, Condra J, et al. 5-Chloro-3-(phenylsulfonyl)indole-2-carboxamide: a novel, non-nucleoside inhibitor of HIV-1 reverse transcriptase. J Med Chem. 1993;36:1291–4.

    CAS  Article  PubMed  Google Scholar 

  37. Owen DH, Katz DF. A vaginal fluid simulant. Contraception. 1999;59(2):91–5.

    CAS  Article  PubMed  Google Scholar 

  38. Savjani KT, Gajjar AK, Savjani JK. Drug solubility: importance and enhancement techniques. ISRN Pharmaceutics. 2012;2012:10.

  39. Kawabata Y, Wada K, Nakatani M, Yamada S, Onoue S. Formulation design for poorly water-soluble drugs based on biopharmaceutics classification system: basic approaches and practical applications. Int J Pharm. 2011;420(1):1–10.

    CAS  Article  PubMed  Google Scholar 

  40. Satish K, Patil KSW, Venkatesh BP, Anup MA, Dheeraj TB. Strategies for solubility enhancement of poorly soluble drugs. Int. J Pharm Sci Rev Res. 2011;8(2):7.

  41. Morales JO, McConville JT. Manufacture and characterization of mucoadhesive buccal films. Eur J Pharm Biopharm. 2011;77(2):187–99.

    CAS  Article  PubMed  Google Scholar 

  42. Garg S, Kumar G. Development and evaluation of a buccal bioadhesive system for smoking cessation therapy. Die Pharmazie. 2007;62(4):266–72.

  43. Obitte N, Rohan L, Adeyeye C, Parniak M, Esimone C. The utility of self-emulsifying oil formulation to improve the poor solubility of the anti HIV drug CSIC. AIDS Res Ther. 2013;10(1):14.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  44. Fuchs EJ, Lee LA, Torbenson MS, Parsons TL, Bakshi RP, Guidos AM, et al. Hyperosmolar sexual lubricant causes epithelial damage in the distal colon: potential implication for HIV transmission. J Infect Dis. 2007;195(5):703–10.

    Article  PubMed  Google Scholar 

  45. Lacey CJ, Woodhall S, Qi Z, Sawant S, Cowen M, McCormack S, et al. Unacceptable side-effects associated with a hyperosmolar vaginal microbicide in a phase 1 trial. Int J STD AIDS. 2010;21(10):714–7.

    CAS  Article  PubMed  Google Scholar 

  46. Dezzutti CS, Rohan LC, Wang L, Uranker K, Shetler C, Cost M, et al. Reformulated tenofovir gel for use as a dual compartment microbicide. J Antimicrob Chemother. 2012;67(9):2139–42.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  47. Perissutti B, Rubessa F, Moneghini M, Voinovich D. Formulation design of carbamazepine fast-release tablets prepared by melt granulation technique. Int J Pharm. 2003;256(1):53–63.

    CAS  Article  PubMed  Google Scholar 

Download references

Acknowledgements

The current work was funded through the Integrated Preclinical/Clinical Program for Microbicide Development (grant number U19 AI082623) and the Microbicide Innovation Program (grant number AI079801) of the National Institute of Allergy and Infectious Diseases, Division of AIDS. We would like to acknowledge Eva Nagy (University of Pittsburgh, School of Medicine) for her assistance with the bioactivity study. We also would like to thank Albert Stewart for his kind help with the SEM imaging conducted in this study. We would like to acknowledge Sravan Kumar Patel for his help with the editing/proofreading of this manuscript.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Lisa C. Rohan.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Gong, T., Zhang, W., Parniak, M.A. et al. Preformulation and Vaginal Film Formulation Development of Microbicide Drug Candidate CSIC for HIV Prevention. J Pharm Innov 12, 142–154 (2017). https://doi.org/10.1007/s12247-017-9274-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12247-017-9274-0

Keywords

  • Microbicide
  • Ternary phase diagram
  • Drug-excipient compatibility
  • Solvent cast
  • Vaginal drug delivery