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Development of an Age-Appropriate Mini Orally Disintegrating Carvedilol Tablet with Paediatric Biopharmaceutical
Dilawar Khan1, Daniel Kirby1, Simon Bryson2
1Aston Pharmacy School, College of Health and Life Sciences, Aston University, Birmingham B4 7ET, UK.
Insights
Paediatric carvedilol orally disintegrating mini-tablets (ODMT) were developed for safe and accurate dosing in children. These novel formulations offer a promising solution for age-appropriate drug delivery, meeting regulatory needs.
Area of Science:
- Pharmaceutical Sciences
- Paediatric Drug Delivery
- Formulation Development
Background:
- Children exhibit unique physiological and anatomical differences impacting drug response compared to adults.
- Developing safe, accurate, and reliable paediatric dosage forms presents significant formulation challenges.
- Orally disintegrating mini-tablets (ODMT) offer dose flexibility and ease of administration for paediatric populations.
Purpose of the Study:
- To develop and characterize two strengths (0.5 mg and 2 mg) of carvedilol ODMT formulations suitable for paediatric use.
- To evaluate the mechanical strength, disintegration time, and dissolution profiles of the developed ODMT formulations.
- To assess the potential of these ODMT formulations to meet the European Medicines Agency's (EMA) identified needs for paediatric carvedilol.
Main Methods:
- Development of carvedilol ODMT using paediatric-appropriate excipients and excipient load.
- Assessment of mechanical strength (crushing strength) and disintegration time.
- In vitro dissolution testing across simulated gastrointestinal tract conditions (fed and fasted states).
Main Results:
- Carvedilol ODMT formulations exhibited adequate mechanical strength (>20 N) and rapid disintegration (<30 s).
- Dissolution profiles were robust and comparable to conventional carvedilol tablets in both fed and fasted states.
- The developed formulations demonstrated consistent performance, indicating appropriate quality and efficacy.
Conclusions:
- Paediatric-appropriate carvedilol ODMT formulations were successfully developed.
- The ODMT formulations show potential for safe, accurate, and effective drug delivery in children.
- These formulations address a key need for age-appropriate carvedilol medicines identified by the EMA.
Abstract:
Owing to considerable differences observed in anatomy and physiology between paediatric subsets, it has been well established that children respond to drugs differently compared to adults. Furthermore, from a formulation perspective, there is a distinct challenge to develop a dosage form that is capable of safely, accurately, and reliably delivering the dose across the whole paediatric population. Orally disintegrating mini-tablets (ODMT) have widely been considered as an age-appropriate formulation option that possess the ability for adequate dose flexibility, avoids swallowing difficulties, and exhibits superior stability due to its solid state. Within this study, two strengths (0.5 mg and 2 mg) of carvedilol ODMT formulations were developed using an excipient composition and load that is appropriate for paediatric use. The formulations demonstrated adequate mechanical strength (>20 N) and fast disintegration times (<30 s). Dissolution profiles observed were robust and comparable to the marketed conventional tablet formulation across various parts of the gastrointestinal (GI) tract in both the fed and fasted state, signifying appropriate efficacy, quality, and performance. As such, the formulations developed in this study show potential to address the need of an 'age-appropriate' formulation of carvedilol, as highlighted by the European Medicines Agency (EMA) Inventory of the Needs for Paediatric Medicine.
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