Related Experiment Video
Updated: Apr 15, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Development of gastroretentive metronidazole floating raft system for targeting Helicobacter pylori
Nancy Abdel Hamid Abou Youssef1, Abeer Ahmed Kassem2, Magda Abd Elsamea El-Massik1
1Department of Pharmaceutics, Faculty of Pharmacy and Drug Manufacturing, Pharos University in Alexandria, Egypt.
Abstract:
The study demonstrates the feasibility of prolonging gastric residence time and release rate of metronidazole (Mz) by preparing floating raft system (FRS) using ion-sensitive in situ gel forming polymers. FRSs contained 3, 4, 5 and 0.5, 0.75, 1% w/v sodium alginate (Alg) and gellan gum (G), respectively, 0.25% w/v sodium citrate and calcium carbonate (C). Lipids: glyceryl mono stearate (GMS), Precirol(®) and Compritol(®) were incorporated into G-based formulations (G1%C1%). Mz:lipid ratio was 1:1, except for Mz:GMS, ratios of 1:1.5 and 1:2 were also investigated. Buoyancy, gelation capacity and viscosity parameters were evaluated. Drug release and kinetics for selected formulae were examined. The selected lipid containing formula was subjected to an accelerated stability testing. Alg4%C2% FRS exhibited short gelation lag time (3s), long duration (>24h), floating lag time 1m in and duration >24h, and a reliable sustained drug release (MDT 6h). Gellan gum FRSs achieved successful floating gastroretention, but failed to achieve the required gelation capacity. Incorporation of GMS (Mz:GMS 1:1) enhanced the gelation lag time and duration (6s and >24h, respectively), keeping sustained drug release and formulation stability. The improved characteristics of the selected FRS make them excellent candidates for gastric targeting to eradicate Helicobacter pylori.
Insights
This study developed a novel floating raft system (FRS) for metronidazole (Mz) to extend drug release and gastric residence time. The optimized alginate-based FRS demonstrated excellent buoyancy, sustained release, and stability for effective Helicobacter pylori eradication.
Area of Science:
- Pharmaceutical Sciences
- Drug Delivery Systems
- Polymer Science
Background:
- Gastric residence time significantly impacts oral drug efficacy.
- Developing sustained-release formulations for gastric targeting remains a challenge.
- Metronidazole (Mz) is a key antibiotic for treating H. pylori infections.
Purpose of the Study:
- To develop and evaluate an ion-sensitive in situ gel-forming floating raft system (FRS) for prolonged gastric residence and sustained release of metronidazole (Mz).
- To investigate the impact of different polymers (alginate and gellan gum) and lipid excipients on FRS performance.
- To assess the suitability of the optimized FRS for gastric targeting in H. pylori eradication.
Main Methods:
- Formulation of FRS using sodium alginate or gellan gum with calcium carbonate and sodium citrate.
- Incorporation of lipids (glyceryl monostearate, Precirol®, Compritol®) into gellan gum-based FRS.
- Evaluation of FRS properties including buoyancy, gelation capacity, viscosity, and drug release kinetics.
- Stability testing of the selected optimized formulation.
Main Results:
- Alginate-based FRS (Alg4%C2%) showed rapid gelation (3s), prolonged buoyancy (>24h), and sustained metronidazole release (MDT 6h).
- Gellan gum-based FRS achieved gastroretention but lacked sufficient gelation capacity.
- Incorporation of glyceryl monostearate (Mz:GMS 1:1) improved gelation and maintained sustained release and stability.
- Optimized FRS demonstrated excellent potential for gastric targeting.
Conclusions:
- Alginate-based floating raft systems are effective for prolonging gastric residence time and achieving sustained metronidazole release.
- The optimized FRS formulation exhibits favorable characteristics for enhanced therapeutic efficacy against H. pylori.
- This novel FRS represents a promising approach for gastric drug delivery and H. pylori eradication therapy.
Related Concept Videos
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
Oral Drug Delivery Systems: Continuous-Release Systems
Acid Suppressive Drugs for Peptic Ulcer Disease: Proton Pump Inhibitors
Gastric acid, a potent cocktail of hydrogen and chloride ions, is produced in specialized parietal cells within the...
Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents
Adsorbents...

