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Development of benznidazole orally disintegrating tablets for paediatric patients
Fermín Cañete Alberdi1,2, María F Filia1, Laura D Simionato3
1Facultad de Farmacia y Bioquímica, Departamento de Tecnología Farmacéutica, Cátedra de Tecnología Farmacéutica II, Universidad de Buenos Aires, C1113AAD Buenos Aires, Argentina.
Insights
New orally disintegrating tablets (ODTs) were developed for benznidazole (BNZ), an orphan drug for Chagas disease. These ODTs offer improved dissolution and stability, potentially enhancing pediatric Chagas disease therapeutics.
Area of Science:
- Pharmaceutical Sciences
- Drug Delivery Systems
- Tropical Medicine
Background:
- American Trypanosomiasis (Chagas disease) is a neglected tropical disease affecting millions, particularly children.
- Current benznidazole (BNZ) formulations lack pediatric-specific preparations, hindering effective treatment in children.
- There is a critical need for improved drug delivery systems for Chagas disease therapy.
Purpose of the Study:
- To develop orally disintegrating tablets (ODTs) of benznidazole (BNZ) for improved Chagas disease treatment.
- To enhance the dissolution rate and bioavailability of BNZ in a pediatric-friendly dosage form.
- To ensure the stability and quality of the developed BNZ ODTs.
Main Methods:
- Co-milling and direct compression were employed to create BNZ ODTs.
- Taste masking and preference studies were conducted with adult volunteers.
- Tablets underwent comprehensive characterization, including stability and bioavailability assessments.
Main Results:
- The developed BNZ ODTs exhibited rapid disintegration (30 seconds) and enhanced dissolution rates.
- BNZ maintained its crystalline form (form I) within the ODTs.
- The ODTs demonstrated stability for at least one year, with comparable oral bioavailability to pulverized commercial tablets.
Conclusions:
- The developed benznidazole orally disintegrating tablets show promise for improving pediatric Chagas disease therapeutics.
- This novel formulation addresses the need for specialized pediatric treatments for Chagas disease.
- The study highlights the potential of ODT technology for neglected disease drug development.
Objectives:
To develop the orphan drug benznidazole (BNZ) in orally disintegrating tablets, for the neglected disease American Trypanosomiasis (Chagas disease) therapy. Although children are highly affected by this disease, there are no specific commercial pharmaceutical preparations for this age group in Argentina and in many other countries.
Methods:
In the production process, co-milling in a ball mill was applied to enhance dissolution rates, followed by direct compression. Taste preference and taste masking experiments were conducted in a test panel of adult volunteers. The tablets were fully characterized and their stability and bioavailability determined.
Key Findings:
The tablets complied with all the quality control prerequisites, their disintegration time was 30 s, and as a consequence of the intimate mixture with hydrophilic excipients and particle size reduction, BNZ dissolution was improved, reaching 75% in 0.1 N hydrochloric acid and 62% in simulated salivary fluid, after 5 min. X-ray diffraction studies showed that BNZ maintained its original crystalline state (form I) in the tablets. The ODTs remained stable for at least 1 year. Oral bioavailability of BNZ of suspensions obtained from the prepared ODTs was comparable with that of pulverized commercial tablets.
Conclusions:
The developed tablets may improve paediatric Chagas disease therapeutics.
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