FORMULATION AND EVALUATION OF EFFERVESCENT GRANULES CONTAINING ANTIRETROVIRAL AGENT SOLID DISPERSIONS FOR CHILDREN AND ELDERS: SOLUBILITY ENHANCEMENT, DISSOLUTION RATE AND INTEGRATION INHIBITION EFFECT

Authors

  • SUNITHA SAMPATHI Department of Pharmacy, Vishwakarma University, Pune, Maharashtra, India
  • LAKSHMI DEVI GOTTEMUKKULA Joginpally B. R. Pharmacy College, Moinabad, R. R. District, Hyderabad, Telangana-500075, India https://orcid.org/0000-0002-8300-0465
  • B. AISHWARYA Joginpally B. R. Pharmacy College, Moinabad, R. R. District, Hyderabad, Telangana-500075, India
  • M. JYOTHIRADITYA Joginpally B. R. Pharmacy College, Moinabad, R. R. District, Hyderabad, Telangana-500075, India
  • B. MANIKANTH Joginpally B. R. Pharmacy College, Moinabad, R. R. District, Hyderabad, Telangana-500075, India

DOI:

https://doi.org/10.22159/ijap.2025v17i6.55697

Keywords:

Captisol®, Effervescent granules, Fusion method, Solid dispersions, solubility enhancement

Abstract

Objective: Dolutegravir inhibits viral replication by blocking the integrase strands. To treat human immunodeficiency virus (HIV), it is one of the medications used in children and the elderly. It is difficult to get a high oral bioavailability of dolutegravir because of these population issues with swallowing and ineffective absorption, as well as the drug's intrinsic poor solubility and instability in stomach acid. To address these problems, we created and described effervescent granules containing a solid dolutegravir dispersion.

Methods: The melt granulation process was used with various categories and quantities of polymers to develop solid dispersion-based effervescent granules. The solid dispersions were prepared using four different methods: Physical Mixing, Co-grinding, Kneading and fusion methods. Drug-to-carrier ratios of 1:1, 1:2, 1:3, and 1:4 were investigated. To develop solid dispersions, three generations of polymers are selected [crystalline carrier (mannitol), Amorphous carriers [polyethene glycol (PEG 4000), polyvinyl pyrrolidone (PVP K90), hydroxypropyl methylcellulose (HPMC E5LV), sulfobutylether-Captisol (captisol)], poloxamer 188 and poloxamer 407].

Results: The DTG and the chosen polymer are compatible, according to FTIR studies; DSC and XRD results reveal crystalline changes of DTG; surface morphology reveals that pure DTG has a crystalline prismatic shape. Second, a total of 12 formulations of the effervescent granules containing the solid dispersion were developed using various excipients such as sweeteners, gas generators, pH modulators, and glidants/lubricants. The results show that all 12 formulations had a good release profile within 5 min. F3 shows the highest drug content (99.5±0.11), the highest percentage of drug release 99.5% within 5 min and the effervescent cessation time 19.5±2.12 sec. The good release profile of F3 may be attributed to the combination of cetyl alcohol and sodium starch glycolate.

Conclusion: Additional in vivo and clinical research may be conducted on the final effervescent granule product to develop it into a dolutegravir delivery system with high bioavailability for older people and children.

References

1. Sarode IM, Jindal AB. Current status of dolutegravir delivery systems for the treatment of HIV-1 infection. J Drug Deliv Sci Technol. 2022 Oct;76:103802. doi: 10.1016/j.jddst.2022.103802.

2. Smith SJ, Zhao XZ, Passos DO, Lyumkis D, Burke TR, Hughes SH. Integrase strand transfer inhibitors are effective anti-HIV drugs. Viruses. 2021 Feb 1;13(2):205. doi: 10.3390/v13020205, PMID 33572956.

3. Development of practical synthetic method for the preparation of dolutegravir sodium, a potent HIV-1 integrase inhibitor for the treatment of HIV infectious disease. Yukigoseikyo Kaishi. 2023 Mar 7.

4. Muse D, Tarau E, Lefeber C, Sohns M, Brett M, Goldberg J. Pharmacokinetics, safety, and efficacy of tapentadol oral solution for treating moderate to severe pain in pediatric patients. J Pain Res. 2019;12:1777-90. doi: 10.2147/JPR.S197039, PMID 31213888.

5. Galande AD, Khurana NA, Mutalik S. Pediatric dosage formschallenges and recent developments: a critical review. J Appl Pharm Sci. 2020 Jul;10(7):155-66. doi: 10.7324/JAPS.2020.10718.

6. Dunne J, Rodriguez WJ, Murphy MD, Beasley BN, Burckart GJ, Filie JD, et al. Extrapolation of adult data and other data in pediatric drug-development programs. Pediatrics. 2011 Nov;128(5):e1242-9. doi: 10.1542/peds.2010-3487, PMID 22025597.

7. Bassat Q. The unmet needs of paediatric therapeutics in poor countries. J Trop Pediatr. 2015 Dec 1;61(6):403-6. doi: 10.1093/tropej/fmv081, PMID 26589503.

8. Brown A, Rice SM, Rickwood DJ, Parker AG. Systematic review of barriers and facilitators to accessing and engaging with mental health care among at-risk young people. Asia Pac Psychiatry. 2016;8(1):3-22. doi: 10.1111/appy.12199, PMID 26238088.

9. Nikam VK, Shete SK, Khapare JP. Most promising solid dispersion technique of oral dispersible tablet. Beni Suef Univ J Basic Appl Sci. 2020;9(1). doi: 10.1186/s43088-020-00086-4.

10. Wasilewska K, Winnicka K. Ethylcellulose-a pharmaceutical excipient with multidirectional application in drug dosage forms development. Materials (Basel). 2019 Oct;12(20):3386. doi: 10.3390/ma12203386, PMID 31627271.

11. Gottemukkula LD, Pathuri R. Development and optimization of a dolutegravir nanosuspension using box behnken design. Int J App Pharm. 2024 May;16(3):129-39. doi: 10.22159/ijap.2024v16i3.50315.

12. Malkawi R, Malkawi WI, Al-Mahmoud Y, Tawalbeh J. Current trends on solid dispersions: past, present, and future. Adv Pharmacol Pharm Sci. 2022;2022:5916013. doi: 10.1155/2022/5916013, PMID 36317015.

13. Bhairam M, Shukla SS, Gidwani B, Pandey RK. Solid dispersion of dolutegravir: formulation development, characterization, and pharmacokinetic assessment. Int J Pharm Qual Assur. 2022 Oct;13(4):496-503. doi: 10.25258/ijpqa.13.4.24.

14. Sapkal SB, Adhao VS, Thenge RR, Darakhe RA, Shinde SA, Shrikhande VN. Formulation and characterization of solid dispersions of etoricoxib using natural polymers. Turk J Pharm Sci. 2020;17(1):7-19. doi: 10.4274/tjps.galenos.2018.04880, PMID 32454755.

15. Mupparaju S, Suryadevara V, Yallam S, Doppalapudi S, Reddyvallam LS, Anne R. Formulation and evaluation of dolutegravir sodium solid dispersions and fast dissolving tablets using poloxamer-188 and jackfruit seed starch as excipients. Asian J Pharm Clin Res. 2019 Apr;12(6):181-90. doi: 10.22159/ajpcr.2019.v12i6.33302.

16. Bhairam M, Pandey RK, Shukla SS, Gidwani B. Preparation, optimization, and evaluation of dolutegravir nanosuspension: in vitro and in vivo characterization. J Pharm Innov. 2023;18(4):1798-811. doi: 10.1007/s12247-023-09756-z.

17. Raj H, Sharma A, Sharma S, Verma KK, Chaudhary A. Mucoadhesive microspheres: a targeted drug delivery system. J Drug Delivery Ther. 2021 Apr;11(2-S):150-5. doi: 10.22270/jddt.v11i2-S.4791.

18. Nikghalb LA, Singh G, Singh G, Kahkeshan KF. Solid dispersion: methods and polymers to increase the solubility of poorly soluble drugs. J Appl Pharm Sci. 2012 Oct;2(10):170-5. doi: 10.7324/JAPS.2012.21031.

19. Jadav NB, Paradkar A. Solid dispersions. In: Grumezescu AM, editor. Nanopharmaceuticals. Vol. 1. Amsterdam: Elsevier; 2020. p. 91-120. doi: 10.1016/B978-0-12-817778-5.00005-1.

20. Daravath B, Tadikonda RR, Vemula SK. Formulation and pharmacokinetics of gelucire solid dispersions of flurbiprofen. Drug Dev Ind Pharm. 2015 Aug;41(8):1254-62. doi: 10.3109/03639045.2014.940963, PMID 25039470.

21. Prasad R, Radhakrishnan P, Singh SK, Verma PR. Furosemide-Soluplus® solid dispersion: development and characterization. Recent Pat Drug Deliv Formul. 2017 Apr;11(3):211-20. doi: 10.2174/1872211311666171129120020, PMID 29189186.

22. Pathuri R, Gottemukkula LD. Development and optimization of a self-nanoemulsifying drug delivery system (SNEDDS) for enhanced oral delivery of dolutegravir. J Pharm Innov. 2025 Apr;20(2). doi: 10.1007/s12247-025-09951-0.

23. Pandi P, Bulusu R, Kommineni N, Khan W, Singh M. Amorphous solid dispersions: an update for preparation, characterization, mechanism on bioavailability, stability, regulatory considerations and marketed products. Int J Pharm. 2020 Aug;586:119560. doi: 10.1016/j.ijpharm.2020.119560, PMID 32565285.

24. Sharma A, Jain CP, Tanwar YS. Preparation and characterization of solid dispersions of carvedilol with Poloxamer 188. J Chil Chem Soc. 2013;58(1):1553-7. doi: 10.4067/S0717-97072013000100012.

25. Li X, Peng H, Tian B, Gou J, Yao Q, Tao X. Preparation and characterization of azithromycin – Aerosil 200 solid dispersions with enhanced physical stability. Int J Pharm. 2015 May;486(1-2):175-84. doi: 10.1016/j.ijpharm.2015.03.029, PMID 25794608.

26. Gottemukkula LD, Pathuri R, Sampathi S. Dolutegravir solid dispersions as oro-dispersible tablets: to ameliorate the integrase inhibition effect. Ind J Pharm Edu Res. 2025;59(3s):s863-73. doi: 10.5530/ijper.20255690.

27. Kim MJ, Lee JH, Yoon H, Kim SJ, Jeon DY, Jang JE. Preparation, characterization and in vitro dissolution of aceclofenac-loaded PVP solid dispersions prepared by spray drying or rotary evaporation method. J Pharm Investig. 2013 Apr;43(2):107-13. doi: 10.1007/s40005-013-0058-3.

28. Khan AW, Kotta S, Ansari SH, Sharma RK, Ali J. Enhanced dissolution and bioavailability of grapefruit flavonoid naringenin by solid dispersion utilizing fourth generation carrier. Drug Dev Ind Pharm. 2015 May;41(5):772-9. doi: 10.3109/03639045.2014.902466, PMID 24669978.

29. Yadav G, Kumar P, Kumar Y, Singh PK. Dolutegravir, second generation integrase inhibitor: A New Hope for HIV patient. European Journal of Molecular and Clinical Medicine. 2018;5(1):20-9. doi: 10.5334/ejmcm.252.

30. Al-Mousawy J, Al-Hussainy Z, Alaayedi M. Formulation and evaluation of effervescent granules of ibuprofen. Int J App Pharm. 2019 Nov;11(6):66-9. doi: 10.22159/ijap.2019v11i6.34912.

31. Huynh DT, Hai HT, Hau NM, Lan HK, Vinh TP, Tran VD. Preparations and characterizations of effervescent granules containing azithromycin solid dispersion for children and elder: solubility enhancement, taste-masking, and digestive acidic protection. Heliyon. 2023 Jun;9(6):e16592. doi: 10.1016/j.heliyon.2023.e16592, PMID 37292293.

32. Faisal A. Formulation by design approach for effervescent granules of vitamin C using statistical optimization methodologies. JAPR. 2020;8(4):62-9. doi: 10.18231/j.joapr.2020.v.8.i.4.62.69.

33. Basha M, Salama A, Noshi SH. Soluplus® based solid dispersion as fast disintegrating tablets: a combined experimental approach for enhancing the dissolution and antiulcer efficacy of famotidine. Drug Dev Ind Pharm. 2020 Feb;46(2):253-63. doi: 10.1080/03639045.2020.1716376, PMID 31937139.

34. Reese MJ, Savina PM, Generaux GT, Tracey H, Humphreys JE, Kanaoka E. In vitro investigations into the roles of drug transporters and metabolizing enzymes in the disposition and drug interactions of dolutegravir, a HIV integrase inhibitor. Drug Metab Dispos. 2013 Feb;41(2):353-61. doi: 10.1124/dmd.112.048918, PMID 23132334.

35. Yarlagadda DL, Nayak AM, Brahmam B, Bhat K. Exploring the solubility and bioavailability of sodium salt and its free acid solid dispersions of dolutegravir. Adv Pharmacol Pharm Sci. 2023;2023:7198674. doi: 10.1155/2023/7198674, PMID 37383518.

36. Dos Santos C, Buera MP, Mazzobre MF. Phase solubility studies of terpineol with β-cyclodextrins and stability of the freeze-dried inclusion complex. Procedia Food Sci. 2011;1:355-62. doi: 10.1016/j.profoo.2011.09.055.

37. Waghchoure K. A review on: effervescent tablet. Int J Pharm Res Appl. 2021;8(1):1246-55. doi: 10.35629/7781-080112461255.

Published

07-11-2025

How to Cite

SAMPATHI, S., GOTTEMUKKULA, L. D., AISHWARYA, B., JYOTHIRADITYA, M., & MANIKANTH, B. (2025). FORMULATION AND EVALUATION OF EFFERVESCENT GRANULES CONTAINING ANTIRETROVIRAL AGENT SOLID DISPERSIONS FOR CHILDREN AND ELDERS: SOLUBILITY ENHANCEMENT, DISSOLUTION RATE AND INTEGRATION INHIBITION EFFECT. International Journal of Applied Pharmaceutics, 17(6), 302–311. https://doi.org/10.22159/ijap.2025v17i6.55697

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Original Article(s)

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