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Published on: October 29, 2015
In vivo and in vitro palatability testing of a new paediatric formulation of valaciclovir
Diane E T Bastiaans1, Laura I Immohr2, Gertrude G Zeinstra3
1Department of Pharmacy, Radboud University Medical Center, Nijmegen, The Netherlands.
Insights
A new pediatric valaciclovir formulation demonstrated non-inferior palatability compared to the reference. Electronic tongue measurements aided in optimizing taste-masking and study design for this antiviral medication.
Area of Science:
- Pharmaceutical Sciences
- Paediatric Medicine
- Antiviral Drug Development
Background:
- Valaciclovir is an antiviral medication used in paediatric populations.
- Improving the palatability of paediatric formulations is crucial for adherence.
- Taste-masking technologies are essential for developing palatable paediatric medicines.
Purpose of the Study:
- To assess the palatability of a new paediatric valaciclovir formulation.
- To compare the non-inferiority of the new formulation against a reference formulation.
- To explore the utility of electronic tongue measurements in palatability testing.
Main Methods:
- A randomized, two-period, multicentre, cross-over study was conducted for in vivo palatability testing.
- Children and parents rated formulation liking using a 100 mm visual analogue scale (VAS).
- Electronic tongue measurements were employed to support formulation development and palatability assessment.
Main Results:
- Electronic tongue measurements indicated taste-masking capabilities in developmental formulations.
- The new paediatric valaciclovir formulation showed a mean VAS score difference of 2.4 mm (children) and -0.9 mm (parents) compared to the reference.
- These results suggest a preference for the new formulation, although not statistically significant within the tested sample size.
Conclusions:
- The new paediatric valaciclovir formulation is considered non-inferior in palatability to the reference formulation.
- Electronic tongue technology successfully supported the optimization of study design and sample size for palatability testing.
- The findings support the development of improved valaciclovir formulations for paediatric use.
Aims:
The palatability of a new paediatric formulation of valaciclovir was assessed in children and their parents: non-inferiority of the new paediatric formulation (test formulation) compared to the reference formulation was investigated.
Methods:
In vivo palatability testing was performed in a randomized, two-period, multicentre, cross-over study. Children and their parents scored the liking of the new paediatric valaciclovir formulation and the reference formulation on a 100 mm visual analogue scale (VAS). To support formulation development and palatability testing, electronic tongue measurements were applied.
Results:
The electronic tongue measurement indicated taste-masking capabilities for three different formulations in the developmental phase. A glycerol-based formulation was further tested and compared to the reference formulation prepared out of crushed and suspended tablets. The mean difference (95% CI) in VAS scores between both formulations, as indicated by the children (n = 20), was 2.4 (-8.5, 13) mm, in favour of the new paediatric valaciclovir formulation. The mean (95% CI) difference in VAS scores indicated by the parents (n = 20) was -0.9 (-12, 9.8) mm.
Conclusion:
The palatability of the new paediatric valaciclovir formulation was considered non-inferior to the reference formulation prepared out of crushed tablets. We were able to optimize the study design and number of children to be included in the palatability testing by using electronic tongue measurements.
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