Excipients for Hard-shell Capsules: Why Cellulose is Not Enough
Excipients
for Hard-shell Capsules: Why Cellulose is Not Enough
By
Hudson Polonini,
Excipients are essential ingredients for a
solid oral dosage form’s good performance, ensuring correct bioavailability,
solubility, stability and dose accuracy. Therefore, choosing the right excipient is paramount for
the adequate clinical performance of a robust dosage form. This choice needs to
be based on technical parameters of both the active pharmaceutical ingredient
(API) and the functionality of the dosage form itself – therefore science needs
to be on the backbone of such process.
As
an example of the importance of the excipient’s role on the dosage form
performance, we can consider the case of an intoxication that occurred in
Australia in the late 1960s: epileptic patients who were taking phenytoin
capsules experienced intoxications due to the replacement of the diluent.
Calcium sulphate was changed to lactose, and this led to an increase of the
mean serum concentration of phenytoin (a narrow therapeutic index drug) resulting
in toxicity due to increased exposure. This difference was suspected to be the
result of calcium sulphate converting some of the phenytoin into an
unabsorbable or poorly absorbed form of the drug, an effect that did not occur
with the lactose excipient. This example demonstrates that properties such as
bioavailability and stability of the dosage form may be dependent on the use of
the right excipient.
Another
important factor when discussing excipients is the pharmaceutical handling of
the powders during hard-shell capsules preparation, i.e., the excipients play
roles both on clinical performance and on pharmaceutical technology. One can
say that the main factors influencing the properties of powders and the
consequent filling of hard-shell capsules are powder flow, tapped powder
density (maximum density without applying a major compressive force), powder
compressibility, powder adhesiveness, and cohesiveness. The free flow of a
powder is the most important factor for the uniform filling of capsules, and it
directly influences the quality of the product, for example, in weight and
content uniformity. To obtain a good flow powder formulation, a free-flow
diluent and a glidant are typically used.
Cellulose
derivates such as microcrystalline cellulose are some of the most commonly used
excipients worldwide. In fact, cellulose has been used as a pharmaceutical excipient
since the 1950s. It is a fine powder that can be used as a diluent and a
disintegrant. However, it has poor flow properties. In an attempt to improve
the characteristics of cellulose, several modifications have been made. Among
them is one that led to microcrystalline cellulose (MCC), in which part of the α-cellulose
undergoes depolymerization by acid hydrolysis to remove the amorphous cellulose
fractions, producing microcrystallized particles. To achieve a deformable
powder, cellulose is washed, disintegrated into small fragments, and then
submitted to a spray-drying process.
Microcrystalline cellulose is characterized by its high crystallinity
(60%–80%) and low molecular weight. The degree of crystallinity is important
due to its influence on various properties, including compression and water
absorption, directly interfering with the flow and stability of the finished
product. MCC chemical composition and structure depend on the raw material used
and the production conditions. As a result, several types of MCC are available
on the market with different particle sizes, crystallinity, morphology, and
water content, resulting in different functional parameters and applications.
Although
MCC improved the flow of cellulose, making it more adequate to be used as a
diluent for capsules, its use standalone is yet not optimal to provide full
functionality to an excipient. The addition of other excipients to MCC should
be considered to provide a better performance. For example, a mixture of MCC and
pregelatinized starch, in an amount corresponding to at least 50% of the
formulation, may be appropriate to prevent problems with low melting point
substances. Also, powders with a tendency to absorb moisture should not be
mixed with excipients containing a large amount of water, such as cellulose and
starch – absorbent excipients or moisture-regulating excipients, such as
anhydrous lactose or mannitol, are preferred in this situation.
Those
examples highlight the need for an optimized excipient that can act both as
diluent/filler and as an adjuvant for the compounding of the dosage form and
the solubility of the API. This is because the powder flow is only one of the
multiple characteristics that should be evaluated when choosing an excipient
for capsules. Some of the parameters that need to be considered during this
excipient-selection process include the API stability profile, the
API-excipient compatibility, powder flowability and packing, powder mixing
process and its critical factors, disintegration and dissolution rate, powder
hygroscopicity, desirable release profile, patient adherence and API
bioavailability profile.
Regarding
drug bioavailability and its relationship with capsules formulation, the Biopharmaceutical
Classification System (BCS) is a useful tool for the standardization and
automatization of the decision process for excipients. The BCS scheme was
designed to correlate in vitro drug product dissolution and in vivo bioavailability,
based on two criteria: drug dissolution (solubility) and gastrointestinal
permeability, which are the fundamental parameters controlling rate and extent
of drug absorption.
The
knowledge gained from the BCS can help us to understand how to improve
bioavailability of solid oral formulations by adjusting the excipient
composition. This knowledge was the base for the development of our DiluCap capsule
fillers line. DiluCap fillers not only provides good flow properties but also
the adequate solubility/dissolution of the hard-shell capsule formulation,
enabling the API to permeate at its fullest. DiluCap represents the
next-generation of excipients for capsules, providing extra functionalities
that the use of MCC standalone would not be able to fulfil.
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