Abstract
A transdermal drug delivery system (TDDS) is generally designed to deliver an active pharmaceutical ingredient (API) through the skin for systemic action. Permeation of an API through the skin is controlled by adjusting drug concentration, formulation composition, and patch design. A bilayer, drug-in-adhesive TDDS design may allow improved modulation of the drug release profile by facilitating varying layer thicknesses and drug spatial distribution across each layer. We hypothesized that the co-release of two fixed-dose APIs from a bilayer TDDS could be controlled by modifying spatial distribution and layer thickness while maintaining the same overall formulation composition. Franz cell diffusion studies demonstrated that three different bilayer patch designs, with different spatial distribution of drug and layer thicknesses, could modulate drug permeation and be compared with a reference single-layer monolith patch design. Compared with the monolith, decreased opioid antagonist permeation while maintaining fentanyl permeation could be achieved using a bilayer design. In addition, modulation of the drug spatial distribution and individual layer thicknesses, control of each drug’s permeation could be independently achieved. Bilayer patch performance did not change over an 8-week period in accelerated stability storage conditions. In conclusion, modifying the patch design of a bilayer TDDS achieves an individualized permeation of each API while maintaining constant patch composition.
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References
Naik A, Kalia YN, Guy RH. Transdermal drug delivery: overcoming the skin’s barrier function. Pharmaceut Sci Tech Today. 2000;3(9):318–26.
Potts RO, Guy RH. Predicting skin permeability. Pharm Res. 1992;9(5):663–9.
Mutalik S, Udupa N. Glibenclamide transdermal patches: physicochemical, pharmacodynamic, and pharmacokinetic evaluations. J Pharm Sci. 2004;93(6):1577–94.
Ravnikar VA. Compliance with hormone therapy. Am J Obstet Gynecol. 1987;156(5):1332–4.
Wiseman LR, McTavish D. Transdermal estradiol/norethisterone: a review of its pharmacological properties and clinical use in postmenopausal women. Drugs Aging. 1994;4(3):238–56.
Dhiman S, Singh TG, Rehni AK. Transdermal patches: a recent approach to new drug delivery system. Int J Pharm Pharm Sci. 2011;3(5):26–34.
Li L, Fang L, Xu X, Liu Y, Sun Y, He Z. Formulation and biopharmaceutical evaluation of a transdermal patch containing letrozole. Biopharm Drug Dispos. 2010;31(2–3):138–49.
Abrams LS, Skee DM, Natarajan J, Wong FA, Anderson GD. Pharmacokinetics of a contraceptive patch (Evra™/Ortho Evra™) containing norelgestromin and ethinyloestradiol at four application sites. Br J Clin Pharmacol. 2002;53(2):141–6.
Lobo S, Sachdeva S, Goswami T. Role of pressure-sensitive adhesives in transdermal drug delivery systems. Ther Deliv. 2016;7(1):33–48.
Tan HS, Pfister WR. Pressure-sensitive adhesives for transdermal drug delivery systems. Pharmaceut Sci Tech Today. 1999;2(2):60–9.
Higuchi T. Rate of release of medicaments from ointment bases containing drugs in suspension. J Pharm Sci. 1961;50(10):874–5.
Roy SD, Gutierrez M, Flynn GL, Cleary GW. Controlled transdermal delivery of fentanyl: characterizations of pressure-sensitive adhesives for matrix patch design. J Pharm Sci. 1996;85(5):491–5.
Mehdizadeh A, Ghahremani M, Rouini M, Toliyat T. Effects of pressure sensitive adhesives and chemical permeation enhancers on the permeability of fentanyl through rat skin. Acta Pharma. 2006;56:219–29.
Naruse M, Ogawara K, Kimura T, Konishi R, Higaki K. Development of transdermal therapeutic formulation of CNS5161, a novel N-methyl-D-aspartate receptor antagonist, by utilizing pressure-sensitive adhesives I. Biol Pharm Bull. 2012;35(3):321–8.
Snorradóttir BS, Gudnason PI, Thorsteinsson F, Másson M. Experimental design for optimizing drug release from silicone elastomer matrix and investigation of transdermal drug delivery. Eur J Pharm Sci. 2011;42(5):559–67.
Gorukanti SR, Li L, Kim KH. Transdermal delivery of antiparkinsonian agent, benztropine. I. Effect of vehicles on skin permeation. Int J Pharm. 1999;192(2):159–72.
Moser K, Kriwet K, Naik A, Kalia YN, Guy RH. Passive skin penetration enhancement and its quantification in vitro. Eur J Pharm Biopharm. 2001;52(2):103–12.
Williams AC, Barry BW. Skin absorption enhancers. Crit Rev Ther Drug Carrier Syst. 1992;9(3–4):305–53.
Kaushik D, Batheja P, Kilfoyle B, Rai V, Michniak-Kohn B. Percutaneous permeation modifiers: enhancement versus retardation. Expert Opin Drug Del. 2008;5(5):517–29.
Prodduturi S, Sadrieh N, Wokovich AM, Doub WH, Westenberger BJ, Buhse L. Transdermal delivery of fentanyl from matrix and reservoir systems: effect of heat and compromised skin. J Pharm Sci. 2010;99(5):2357–66.
Padula C, Pescina S, Nicoli S, Santi P. Generic patches containing fentanyl: in vitro equivalence and abuse deterrent evaluation according to EMA and FDA guidelines. Int J Pharm. 2018;537(1):57–63.
Kuczyńska K, Grzonkowski P, Kacprzak Ł, Zawilska JB. Abuse of fentanyl: an emerging problem to face. Forensic Sci Int. 2018;289:207–14.
Rudd RA, Aleshire N, Zibbell JE, Matthew GR. Increases in drug and opioid overdose deaths — United States, 2000–2014. Morb Mortal Wkly Rep. 2016;64(50–51):1378–82.
Schauer CKMW, Shand JAD, Reynolds TM. The fentanyl patch boil-up - a novel method of opioid abuse. Basic Clin Pharmacol Toxicol. 2015;117(5):358–9.
Naik A, Kalia YN, Guy RH. Transdermal drug delivery: overcoming the skin’s barrier function. Pharmaceut Sci Tech Today. 2000;3(9):318–26.
Hammell DC, Hamad M, Vaddi HK, Crooks PA, Stinchcomb AL. A duplex “Gemini” prodrug of naltrexone for transdermal delivery. J Control Release. 2004;97(2):283–90.
Nalluri BN, Milligan C, Chen J, Crooks PA, Stinchcomb AL. In vitro release studies on matrix type transdermal drug delivery systems of naltrexone and its acetyl prodrug. Drug Dev Ind Pharm. 2005;31(9):871–7.
Verebey K, Volavka J, Mule SJ, Resnick R. Naltrexone: disposition, metabolism, and effects after acute and chronic dosing. Clin Pharmacol Ther. 1976;20(3):315–28.
Inc. KP. Embeda® extended release capsules: joint anesthetic and life support drugs (ALSDAC) and drug safety and risk management (DSaRM) advisory committee briefing document. FDA 2010.
Passik SD, editor Issues in long-term opioid therapy: unmet needs, risks, and solutions. Mayo Clinic Proceedings; 2009: Elsevier.
Paul DR. Modeling of solute release from laminated matrices. J Membr Sci. 1985;23(2):221–35.
Georgiadis MC, Kostoglou M. On the optimization of drug release from multi-laminated polymer matrix devices. J Control Release. 2001;77(3):273–85.
Zecca E, Manzoni A, Centurioni F, Farina A, Bonizzoni E, Seiler D, et al. Pharmacokinetic study between a bilayer matrix fentalyl patch and a monolayer matrix fentanyl patch: single dose administration in healthy volunteers. Br J Clin Pharmacol. 2015;80(1):110–5.
Romualdi P, Santi P, Candeletti S. Alghedon Fentanyl Transdermal System. Minerva Med. 2016;108(2):169–75.
Chen G-S, Kim D-D, Chien YW. Dual-controlled transdermal delivery of levonorgestrel and estradiol: enhanced permeation and modulated delivery. JCR. 1995;34:129–43.
Cordery SF, Husbands SM, Bailey CP, Guy RH, Delgado-Charro MB. Simultaneous transdermal delivery of buprenorphine hydrochloride and naltrexone hydrochloride by iontophoresis. Mol Pharm. 2019;16(6):2808–16.
Mutalik S, Udupa N. Transdermal delivery of glibenclamide and glipizide: in vitro permeation studies through mouse skin. Pharmazie. 2002;57(12):838–41.
Kamil N, Nair AB, Attimarad M. Development of transdermal delivery system of dexamethasone, palonosetron and aprepitant for combination antiemetic therapy. Indian J Pharm Educ Res. 2016;50(3):472–81.
Heard CM, Johnson S, Moss G, Thomas CP. In vitro transdermal delivery of caffeine, theobromine, theophylline and catechin from extract of Guarana, Paullinia cupana Int J Pharm 2006;317(1):26–31.
Harrison LI, Zurth C, Gunther C, Karara AH, Melikian A, Lipp R. Simultaneous estradiol and levonorgestrel transdermal delivery from a 7-day patch: in vitro and in vivo drug deliveries of three formulations. Drug Dev Ind Pharm. 2007;33(4):373–80.
Lee PJ, Langer R, Shastri VP. Novel microemulsion enhancer formulation for simultaneous transdermal delivery of hydrophilic and hydrophobic drugs. Pharm Res. 2003;20(2):264–9.
Puri A, Murnane KS, Blough BE, Banga AK. Effects of chemical and physical enhancement techniques on transdermal delivery of 3-fluoroamphetamine hydrochloride. Int J Pharm. 2017;528(1–2):452–62.
Martins PP, Estrada AD, Smyth HD. A human skin high-throughput formulation screening method using a model hydrophilic drug. Int J Pharm. 2019;565:557–68.
Davies DJ, Ward R, Heylings J. Multi-species assessment of electrical resistance as a skin integrity marker for in vitro percutaneous absorption studies. Toxicol in Vitro. 2004;18(3):351–8.
Haq A, Dorrani M, Goodyear B, Joshi V, Michniak-Kohn B. Membrane properties for permeability testing: skin versus synthetic membranes. Int J Pharm. 2018;539(1):58–64.
Charalambopoulou GC, Kikkinides ES, Papadokostaki KG, Stubos AK, Papaioannou AT. Numerical and experimental investigation of the diffusional release of a dispersed solute from polymeric multilaminate matrices. J Control Release. 2001;70(3):309–19.
Nauman EB, Patel K, Karande P. Design of optimized diffusion-controlled transdermal drug delivery systems. Drug Dev Ind Pharm. 2011;37(1):93–102.
Miller II KJSA, VT, US), Govil, Sharad K. (Essex, VT, US), Bhatia, Kuljit Singh (Scottsdale, AZ, US), inventor; MYLAN PHARMACEUTICALS INC., assignee. Fentanyl suspension-based silicone adhesive formulations and devices for transdermal delivery of fentanyl. United States. 2007 11/08/2007.
Acknowledgments
Research reported in this paper was supported by the National Institute on Drug Abuse (NIDA) of the NIH under project grant R44DA042639 awarded to Cassava Sciences, Inc. We also acknowledge the use of tissues procured through the National Disease Research Interchange (NDRI) with support from NIH grant U42OD11158.
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Davis, D.A., Martins, P.P., Zamloot, M.S. et al. Complex Drug Delivery Systems: Controlling Transdermal Permeation Rates with Multiple Active Pharmaceutical Ingredients. AAPS PharmSciTech 21, 165 (2020). https://doi.org/10.1208/s12249-020-01682-4
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DOI: https://doi.org/10.1208/s12249-020-01682-4