throbber
Pharmaceutical Research, Vol. 15, No. 7, 1998
`
`Research Paper
`
`Low Swelling, Crosslinked Guar and
`Its Potential Use as Colon-Specific
`Drug Carrier
`
`Irit Gliko-Kabir,' Boris Yagen,1 Adel Penhasi,2 and
`Abraham Rubinstein 1'3
`
`Received January 27, 1998; accepted March 26, 1998
`
`Purpose. (a) To reduce the swelling properties of guar gum (GG)
`by crosslinking it with glutaraldehyde (GA), while maintaining its
`degradation properties in the presence of typical colonic enzymes,
`(b) to characterize the modified GG and to examine its degradation
`properties in vitro and in vivo, and (c) to assess, by drug probes with
`different water solubilities, the potential of the crosslinked GG to serve
`as a colon-specific drug carrier.
`Methods. GG was crosslinked with increasing amounts of GA under
`acidic conditions to obtain different products with increasing crosslink-
`ing densities. These products were characterized by measuring (a) their
`swelling properties in simulated gastric and intestinal fluids, (b) their
`crosslinking densities, (c) the release kinetics of three different drugs:
`sodium salicylate (SS), indomethacin (Indo) and budesonide (Bud)
`from the crosslinked products into buffer solutions, with or without a
`mixture of galactomannanase and ci-galactosidase, and (d) their in
`vivo degradation in the cecum of conscious rats with and without
`antibiotic treatment.
`Results. Significant reduction in GG swelling properties, in both simu-
`lated gastric and intestinal fluids, was accomplished by its crosslinking
`with GA. The crosslinking density of the modified GG products was
`GA concentration-dependent. The release of SS from crosslinked GG
`discs was completed within 120 minutes. During the same period of
`time and for more than 10 hours the release of Indo and Bud was
`negligible. The release rate of the latter two drugs was enhanced when
`galactomannanase and a-galactosidase were added to the dissolution
`media. Discs made of the crosslinked GG were implanted in the cecum
`of rats and their degradation was assessed after 4 days. The extent of
`degradation was dependent on the amount of GA used for the crosslink-
`ing. After 4 days the same discs were recovered intact from rats exposed
`to antibiotic treatment and from simulated gastric and intestinal fluids.
`Conclusions. Reducing the enormous swelling of GG by crosslinking
`it with GA resulted in a biodegradable hydrogel which was able to
`retain poorly water soluble drugs, such as Indo and BUD, but not
`highly water soluble drugs, such as SS, in artificial gastrointestinal
`fluids. A variety of hydrogels with increasing crosslinking densities
`were produced and tested for their potential use as colon-specific drug
`platforms in vitro and in vivo. Their performance did not depend on
`creating physical barriers by means of compression.
`KEY WORDS: budesonide; colon; colonic delivery; crosslinking;
`glutaraldehyde; guar gum; hydrogel; indomethacin; sodium salicylate.
`
`INTRODUCTION
`
`Typical polysaccharidase activity in the human colon (1)
`could potentially be exploited for the specific delivery of drugs
`via the oral route into this organ. For this purpose, polysaccha-
`ride hydrogels, which can be degraded by colonic enzymes,
`are promising candidates. Enzymatic degradation has been sug-
`gested as a superior targeting mechanism to pH dependent
`carriers (2) because of the shallow pH gradient in the human
`intestine. Although the epithelium of the small intestine shows
`some glycosidase activity (3), the major hydrolysis of glycosidic
`bonds occurs in the colon. Typical colonic enzymes include
`amylase, pectinase, xylanase, p-D-xylosidase, p-D-galactosi-
`dase and P-D-glucosidase. The last three are the most active
`glycosidases (4).
`Various approaches for preparing saccharidic hydrogels as
`colonic drug carriers have recently been described (5). In a
`previous study (6), we demonstrated that a chemical modifica-
`tion of guar gum (GG) with borax does not interfere with the
`ability of GG to be degraded by galactomannanase and et-
`galactosidase, an observation which can be applied to the design
`of enzymatically-controlled colon-specific drug carriers. GG is
`a natural polysaccharide, made of a long 1,4-13-D mannopyrano-
`syl linear backbone (approximately 1,000-1,500 units) to which
`galactopyranosyl residues are attached as single unit
`side chains (7). GG is widely used as a thickening agent in
`the food and pharmaceutical industries, both in its native and
`modified forms (8). As a pharmaceutical adjuvant, it may be
`used for sustained release (9), or for colon-specific purposes,
`as has been previously suggested for acetylated galactomannans
`(10) and GG mixtures with Eudragit (11). The assumption that
`GG is useful in the area of colon-specific drug delivery stems
`from its efficient enzymatic degradation in the human large
`intestine (12,13).
`Although it was found that the modification of GG with
`borax resulted in a product which could be degraded by the
`enzyme mixture of galactomannanase and et-galactosidase, the
`obtained product possessed a higher buffer-uptake capacity, as
`compared to native GG (6). In the present study glutaraldehyde
`(GA) was used as a crosslinker in order to decrease the swelling
`properties of GG. The use of glutaraldehyde to crosslink
`hydroxyl-containing polymers has been reported in the litera-
`ture, primarily for the crosslinking of polyvinyl alcohol (14-16).
`It should be recognized that although GA is toxic, its toxicity
`could be reduced significantly after its crosslinking (17). The
`objectives of the present study were: (a) to crosslink GG with
`GA, (b) to assess the effect of increasing amounts of GA on
`the crosslinked products by physical characterization, (c) to
`examine the degradation properties of the crosslinked GG prod-
`ucts in vitro and in vivo, (d) to assess, by different drug probes,
`whether crosslinked GG can serve as a colon-specific drug
`carrier.
`
`' The Hebrew University of Jerusalem, School of Pharmacy, P.O. Box
`12065, Jerusalem 91120, Israel.
`2 Perio Products Ltd., P.O. Box 23950, Jerusalem 91237, Israel.
`To whom correspondence should be addressed. (e-mail: avri@
`cc.huj i.ac.i1)
`ABBREVIATIONS: Bud, budesonide; GA, glutaraldehyde; GG, guar
`gum; GI, gastrointestinal; Indo, indomethacin; SS, sodium salicylate;
`TS, test solution.
`
`MATERIALS AND METHODS
`
`Materials
`
`GG was purchased from Aldrich, Milwaukee, WI; GA
`was purchased from Merck, Darmstadt, Germany; Galactoman-
`nanase (from Aspargillus niger) was purchased from Fluka
`
`1019
`
`0724-8741/98/0700-1019$15.00/0 © 1998 Plenum Publishing Corporation
`
`Exhibit 1043
`ARGENTUM
`IPR2018-00080
`
`000001
`
`(cid:9)
`(cid:9)
`

`

`1020 (cid:9)
`
`Gliko-Kabir, Yagen, Penhasi, and Rubinstein
`
`BioChemika, Germany). All other materials and reagents were
`purchased from Sigma, St. Louis, MO. Solvents were analytical
`or HPLC grade.
`
`Synthesis of Crosslinked GG Hydrogels
`
`In separate experiments, GG was crosslinked with increas-
`ing amounts of GA as follows (Scheme 1): Four g of GG were
`dispersed for 2 h at 45°C in 800 ml of double-distilled water.
`Concentrated H2SO4 (0.5 ml) was then added, followed by the
`addition of 1.2, 6, 12, 36, 60 and 84 ml (0.1, 0.5, 1, 3, 5 and
`7 equivalents) of glutaraldehyde (25% w/v) solution per half
`mole of the repeating units in the guar gum respectively. It was
`assumed that four hydroxyl groups react with a single molecule
`of GA. The reaction mixture was stirred for 30 minutes and
`kept in a sealed vessel without stirring for an additional 48
`hours at room temperature. The resulting hydrogels (denoted
`as products GG-0.1, GG-0.5, GG-1, GG-3, GG-5 and GG-7,
`respective to the equivalents of GA used) were stirred with 5%
`w/v aqueous solution of NaHSO3 for two hours and then rinsed
`with distilled water (5 L portions) until no traces of GA could
`be detected at 235 nm (polymeric GA) and 280 nm (monomeric
`GA) (Uvikon 930, Kontron Instruments, Switzerland) in the
`rinsing water (18,19). The crosslinked GG products were either
`lyophilized (to give approx. 3.5 g of dry powder of each product)
`
`A
`
`H HO
`
`0
`
`nennose
`
`n
`
`? ?
`HC(CH2)3CH+ 211*-mg=ac
`
`B
`
`RH ?H (cid:9)
`Hc(c.2)3c..z...
`
`r ?Hi
`
`C
`
`OH
`
`OH
`
`[Hci.(CH2)3H
`
`H H
`—0—?CH2)3F— 0—
`OH OH
`
`—OH (cid:9)
`
`HO—
`
`°NH(CH2I-j/C)
`C)3
`
`0—
`—O (cid:9)
`Scheme 1. A schematic representation of GG (A), isomerization of
`GA in acidic pH (B) and the typical reaction between GA and two
`adjacent hydroxyl groups (C).
`
`or kept hydrated in a gel form. To obtain discs, the reaction
`mixture was poured into Petri dishes and left without stirring
`for 48 hours as above. The GG-0.1, GG-0.5, GG-1, GG-3, GG-
`5 and G-7 wet hydrogels obtained were then cut into discs (12
`mm OD, 3-6 mm thick), rinsed with 5% w/v aqueous solution
`of NaHSO3 as described above and oven-dried (45°C). The
`crosslinked products were characterized by measuring their
`equilibrium-weight swelling ratios and their crosslinking
`densities.
`
`Swelling Measurements
`
`Swelling properties of the crosslinked products were mea-
`sured in buffer solutions at different physical states as follows:
`(a) Products GG-1, GG-3 and GG-5 at their maximum swollen
`state (right after synthesis and rinsing, prior to drying). These
`products were placed in simulated USP gastric test solution
`fluid without pepsin, pH = 1.5 (denoted as Gastric TS) or
`simulated USP intestinal test solution fluid without pancreatin,
`pH = 7.4 (denoted as Intestinal TS) (20) until no weight gain
`could be observed (approx. 3 days). The hydrogels were then
`blotted dry, weighed and dried at 45°C until no weight loss
`could be observed (approx. 2 days). Swelling was measured
`gravimetrically and expressed in percent of wet weight over
`the dry weight of the polymers. (b) Products GG-1, GG-3 and
`GG-5 in lyophilized powder state. The powders were sieved
`through a 40 mesh STM sieve and the fraction of 40\80 mesh
`was collected. In separate studies 100 mg of each type of powder
`were dispersed in 20 ml of Gastric TS for 2 hours or Intestinal
`TS for 4 hours, after which time the swollen powders were
`blotted dry, weighed, and dried at 45°C until no weight loss
`could be observed, swelling was measured gravimetrically. (c)
`Products GG-0.1, GG-3, GG-5 and GG-7 in a film form, cut
`into 12 mm 0.D., 3-6 mm thick discs. In this case the swelling
`kinetics of the discs was measured by immersing them in Gastric
`TS or Intestinal TS fluids. At predetermined time intervals the
`discs were weighed and returned to the buffer media until no
`additional weight gain was observed. Each study was repeated
`three times.
`
`Estimation of Crosslinking Density from Swelling
`Measurements
`
`The volume fraction of the crosslinked GG before swelling,
`v2,,, and the volume fraction of the crosslinked GG at equilib-
`rium swelling state, v2 , were calculated from the following
`equations (21):
`
`v2,r Vp/Vr
`
`v2,, = Vp/Vs
`
`(1)
`
`(2)
`
`where Vp, Vr, and Vs are the volumes of the polymer in a dry
`state, relaxed (immediately after the reaction) state, and swollen
`(equilibrium) state, respectively. Vr was measured gravimetri-
`cally by weighing polymer discs (in a relaxed state) outside
`and inside a water containing picknometer. Vs was measured
`similarly for swollen discs. Vp was measured for dehydrated
`(2 days at 45°C, followed by 1 day at 80°C) discs, using a
`heptane containing pycnometer.
`Knowing v2,, and v2,„ the mean molecular weight of the
`polymer fragments between the crosslinking points (Mc) could
`be calculated from the following equation (21):
`
`000002
`
`(cid:9)
`(cid:9)
`

`

`Crosslinked Guar as Oral Colon-Specific Drug Carrier (cid:9)
`
`1021
`
`-15
`— V [1n(1 — v2,) + v2,+ X
`1 (cid:9)
`I
`2
`= —
`Mc Mn
`
`1 (.1,2
`
`I /3 (cid:9)
`
`(3)
`
`[ (VV22.: ) (cid:9)
`
`V21,)]
`
`where Mn is the number average molecular weight of GG
`[300,000 as determined by GPC (6)], V1 is the molar volume
`of the solvent used (H2O: 18 cm3/mole), -1) is the specific volume
`of the bulk polymer at swollen state [0.63 cm3/g for GG (22)]
`and X i is the Flory-Huggins polymer-solvent interaction param-
`eter which decreases with an increase in the polymer-solvent
`interaction. GG is an hydrophilic polymer which forms disper-
`persions in water in concentrations of 0.5% and above. There-
`fore a x value of 0.8, similar to polyvinylalcohol (23), was
`chosen.
`The crosslinking density, P, was calculated from the fol-
`lowing equation (21):
`
`P = (cid:9)
`
`Mc (cid:9)
`
`(4)
`
`Drug Release Studies
`
`The release kinetics of SS (from GG-3, GG-5 and GG-7),
`Indo (from GG-0.1 and GG-1) and Bud (from GG-0.5) were
`studied in 10 ml of PBS pH = 6.4 (0.2 M), or 10 ml of a
`mixture of 0.175 U/m1 of galactomannanase and 0.033 Wm'
`of cx-galactosidase (from E. coli) in the same buffer solution
`(except for the SS, which was studied in buffer solution pH =
`6.4 only). The studies were conducted separately in sealed glass
`beakers mounted in a shaking (100 rpm) bath at 37°C. Samples
`(200 µ,1) of SS were withdrawn at 0, 15, 30, 45, 60, 90, 120, 180,
`240, 300, and 360 minutes and centrifuged with the supernatant
`collected for drug analysis. The same procedure was repeated
`for the Indo and Bud sampling with the time intervals for
`withdrawal at: 0, 30, 60, 90, 120, 180, 240, and 360 minutes.
`Withdrawal volumes were replenished with an equal volume
`of fresh dissolution medium.
`At the end of the release studies, each disc residue was
`digested with an excess of galactomannanase and a-galactosi-
`dase mixture (3.3 and 17.5 U/ml, respectively) and the residual
`drug left in the discs was determined to verify the observed
`value of the total amount of drug released.
`
`Estimation of the Crosslinking Density from Elasticity
`Measurements
`
`Drug Assays
`
`Specimens (13 mm long X 4 mm wide) of the various
`crosslinked products were soaked in distilled water at 37°C
`until equilibrium and their modulus of elasticity [G*],c could
`be measured (Instron, Mini, model 44, Buckinghamshire, U.K.).
`The effective network density was calculated using the follow-
`ing equation (24):
`
`vN = (cid:9)
`
`[G*].
`A4KT(v2„)2/3
`
`(5)
`
`where vN is the effective network density or the molar concen-
`tration of the elastic (effective) chains in 1 cm3 of polymer,
`is the structure factor (in the case of highly swollen network,
`selected for our case, A:4, = 1 — 2/4)), .1) is the crosslinking
`functionality (in our case, for glutaraldehyde, (cid:9)
`= 4), K is
`the Boltzman constant, and v2,, is the volume fraction of the
`crosslinked GG at equilibrium swelling state, calculated from
`Equation 2.
`
`Drug Loading of the Hydrogels
`
`Discs taken from the GG-3 and GG-7 products (for sodium
`salicylate, denoted as SS), GG-0.1 and GG-1 products (for
`indomethacin, denoted as Indo) and GG-0.5 (for budesonide,
`denoted as Bud) immediately after completion of their synthesis,
`as described above, were oven-dried (45°C, overnight). The
`discs were then immersed in the drug solutions as follows: SS:
`the discs were immersed in 10 ml of 10 mg/ml SS in water
`overnight; Indo: the discs were immersed in 10 ml of 0.8 mg/
`ml Indo in PBS pH = 7.8 overnight; Bud: the discs were
`immersed in 10 ml of 0.1 mg/ml Bud in water:ethanol, 5:1 v:v
`overnight. The recovered drug-loaded discs were oven-dried at
`45°C for 24 h. Drug excess (assumed to be on the surface of
`the discs) was removed by rinsing the discs three times with
`10 ml portions of PBS pH = 6.4. The amount drug loaded
`was 357, 146 and 65 mg/g dry polymer for sodium salicylate,
`indomethacin and budesonide respectively.
`
`SS in the withdrawn samples was determined spectropho-
`tometrically (X = 296 nm) after suitable dilution with PBS pH
`= 6.4. Indo was determined spectrophotometrically (X = 318
`nm) after suitable dilution with PBS pH = 7.4. Bud was deter-
`mined spectrophotometrically (X = 247 nm) after suitable dilu-
`tion with a water:ethanol (52:48 v:v) mixture. When samples
`taken from enzyme-containing dissolution media were mea-
`sured, enzyme solutions (containing equal concentrations and
`handled similarly) served as blank solutions.
`
`In Vivo Degradation Analysis
`
`Pre-weighed discs (8 mm OD X 2 mm thick) of GG-0.5,
`GG-1 and GG-3 were hydrated over 2 hours in PBS pH = 7.4
`and tested for biodegradation in the cecum of Sabra rats using
`a previously described method (25). Briefly, the discs were
`mounted in gauze bags which were individually implanted in
`the cecum by attaching them to the organ wall of an anesthetized
`rat (a single disc/rat) with 3/0 silk sutures. The rats were allowed
`to recover and kept on a normal diet for 4 days, after which
`they were sacrificed and the bags opened. In the bags where
`disc residues were found, residues were collected and dried
`until no further weight loss was observed. Sabra rats which
`were treated with an antibiotic cocktail (300 ml of intra-cecal
`administration of ampicillin 250 mg/ml, chloramphenicol 0.5
`mg/m1 and cefazolin 250 mg/m1) were used as controls. In the
`"antibiotics" study discs of the same size were weighed and
`implanted. The residues were then dried and weighed after 4
`days. The antibiotic cocktail was also added to the drinking
`water of the control rats for the 4 days of the study. A parallel
`in vitro control study was performed by soaking discs of the
`same crosslinked products and similar sizes in PBS, pH = 7.4
`for 4 days.
`
`RESULTS
`
`The reduction in swelling properties of GG as a result of
`its crosslinking with GA is shown in Figure 1. Swelling was
`
`000003
`
`(cid:9)
`

`

`1022 (cid:9)
`
`Gliko-Kabir, Yagen, Penhasi, and Rubinstein
`
`16000
`
`14000
`12000
`
`10000
`
`8000
`6000
`
`4000
`2000
`
`0
`
`A
`
`1:1 Gastric TS
`II Intestinal TS
`
`3 (cid:9)
`
`5
`
`Equivalents of glutaraldehyde
`
`A
`
`3000"
`
`2000
`
`1000
`
`f
`
`O Gastric TS
`
`▪ Intestinal TS
`
`1
`0 (cid:9)
`Equivalents of glutaraldehyde
`
`B
`
`2000
`1800
`1600
`1400
`1200
`1000
`800
`600
`400
`200
`0
`0
`
`C
`
`2000
`1800
`1600
`1400
`1200
`1000
`800
`600
`400
`200
`0
`0 (cid:9)
`
`16000 B
`14000
`12000
`
`10000
`5000
`
`21 0 6000
`49
`4000
`2000
`0
`
`2000
`1500'
`1000'
`500'
`0
`
`5
`
`-
`=
`
`,f)
`
`0 (cid:9)
`
`5
`
`1 (cid:9)
`3 (cid:9)
`Equivalents of glutaraldehyde
`Fig. 1. Buffer (Gastric TS, 2 hours or Intestinal TS, 4 hours) uptake
`of GG crosslinked with increasing amounts of GA in a swollen state
`[A] and in a powder form after lyophilization [B]. Expanded scale of
`the results obtained for the crosslinked products is included for the
`powder form. Numbers at the x-axis are the equivalents of GA used;
`GG-0 is native GG. Shown are the mean values ± S.D., n = at least
`three different batches.
`
`evaluated by measuring buffer (Gastric TS and Intestinal TS)
`uptake. The GA concentration-dependent reduction in buffer
`uptake was much more marked in the swollen (Figure I A) and
`lyophilized (Figure 1B) states. Also, crosslinking diminished
`the effect of pH on the swelling properties of GG (Figure 1B).
`The reduction in swelling properties of GG in a film form
`as a result of its crosslinking with GA and the swelling kinetics
`of films made of four crosslinked GG products in Gastric TS
`and Intestinal TS are shown in Figure 2. Apart from the observa-
`tion that the higher the crosslinking, the lower the buffer uptake
`(Figure 2B and C), it can be seen that in all cases the swelling
`reached equilibrium within 90 minutes. The GA concentration
`dependent changes in Mc (the mean molecular weight of the
`polymer fragment between crosslinking points), the crosslink-
`ing density (p), the modulus of elasticity [G*] and the effective
`network density (v/V) are summarized in Table I and Table II.
`Figure 3 shows that the release of the soluble drug marker
`SS out of discs made of two highly crosslinked products (GG-
`3 and GG-7) was relatively rapid, complying similar kinetic
`profiles. Indo release kinetics from discs made of two low
`crosslinked products, GG-0.1 and GG-1, in buffer solutions with
`and without guar-hydrolyzing enzymes, are shown in Figure 4.
`While almost no drug was released in the buffer solutions due
`to the low water-solubility of Indo, the addition of enzymes
`accelerated the release kinetics of the drug, with the total amount
`
`GA equivalents:
`0.1
`3
`5
`—o-- 7
`
`60 (cid:9)
`
`180
`120 (cid:9)
`Time, minutes
`
`240
`
`300
`
`GA equivalents:
`•-- 0.1
`•-- 3
`5
`—0--- 7
`
`60 (cid:9)
`
`240
`
`300
`
`180 (cid:9)
`120 (cid:9)
`Time, minutes
`Fig. 2. The reduction in the swelling properties of GG in a film form
`as a result of its reaction with 1 equivalent of GA (A) and the swelling
`kinetics of crosslinked GG discs in Gastric TS (B) or Intestinal TS
`(C) buffers of the following products: GG-0.1, GG-3, GG-5 and GG-
`7. Shown are the mean values ± S.D. n = at least three different batches.
`
`Table I. The Volume Fraction v2 , (After Swelling), the Mean Molecu-
`lar Weight of the Polymer Fragments Between the Crosslinking Points
`(Mc), as Calculated from Equation 3, and the Crosslinking Density P
`as Calculated from Equation 4 of the Four Crosslinked GG Products:
`GG-0.5, GG-1, GG-3, and GG-5
`
`Product
`
`GG-0.5
`GG-1
`GG-3
`GG-5
`
`Mc (cid:9)
`(g/mole) (cid:9)
`
`P X 104
`(mole/cm3)
`
`0.003 ± 0.0006
`0.006 ± 0.0002
`0.010 ± 0.002
`0.012 ± 0.002
`
`25,208 ± 3040
`14,231 ± 539
`9,774 ± 1340
`5,088 ± 582
`
`0.64
`1.12
`1.68
`3.24
`
`Note: Shown are the mean values ± S.D., n = 10 measurements.
`
`000004
`
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`(cid:9)
`

`

`Crosslinked Guar as Oral Colon-Specific Drug Carrier (cid:9)
`
`1023
`
`Table H. The Modulus of Elasticity of the Four Crosslinked GG Prod-
`ucts: GG-0.1, GG-0.5, GG-1, and GG-3, and Their Effective Network
`Density (vN) as Calculated from Equation 5
`
`Product
`
`GG-0.1
`GG-0.5
`GG-1
`
`[G*] (MPa)
`
`0.004 -± 0.0008
`0.02 ± 0.0005
`0.08 ± 0.015
`
`(vN) X 104
`
`0.19 ± 0.001
`0.71 ± 0.03
`2.7 ± 0.03
`
`Note: Shown are the mean values ± S.D., n = 10 measurements.
`
`100
`
`N 80
`
`60
`
`E 4°
`ts° 20
`
`of Indo released increased by 9.7-fold and 6.7-fold for the GG-
`0.1 and GG-1, respectively. Similar results were obtained for
`Bud. Its release kinetics from discs made of GG-0.5, with and
`without enzyme mixture, are shown in Figure 5. In the presence
`of enzyme mixture the total Bud released was 7.3-fold greater
`than the total drug release in the buffer solution without
`enzymes.
`The in vivo degradation of discs made of the crosslinked
`products GG-0.5, GG-1 and GG-3 in the cecum of the rat, with
`and without antibiotic treatment, is summarized in Table III,
`which shows a complete degradation of GG-0.5 and GG-1
`discs, and partial degradation of the GG-3 discs. Dosing the
`rats with antibiotics caused a significant decrease in the
`implanted discs' degradation (from 100% without antibiotics,
`
`60 (cid:9)
`
`120 (cid:9)
`
`180 (cid:9)
`
`240 (cid:9)
`
`300
`
`100
`90
`80
`70
`60
`50
`40
`30
`20
`10
`0
`
`% Cumulative drug release
`
`Time, minutes
`Fig. 3. SS release kinetics from discs made of GG-3 (closed circles)
`and GG-7 (open circles) into PBS pH = 6.4.
`
`100
`
`80
`
`60
`
`40
`
`20
`
`% Cumulative release
`
`200 400 600 800 1000
`Time, minutes
`Fig. 5. Bud release kinetics from discs made of GG-0.5 in PBS pH
`= 6.4, with (closed circles) and without (open circles) enzymes mixture.
`Shown are the mean values of three different measurements ± S.D.
`
`to 13.0 ± 5.3 and 7.0 ± 2.7% with antibiotics for GG-0.5 and
`GG-1, respectively. The GG-3 disc did not degrade at all). Table
`III also shows that the same discs were resistant in a pH = 6.4
`buffer solution over 4 days.
`
`DISCUSSION
`
`GG is degraded by colonic bacteria (4,6,13). However, its
`enormous swelling is a drawback in its use as a microbially
`controlled colon-specific delivery system because of the possi-
`ble risk that an entrapped drug will leak out prior to arriving
`at the colon. In the present study, glutaraldehyde (GA) was
`used as a crosslinker to decrease GG swelling properties. The
`reaction with GA takes place with hydroxyl groups of the
`galactose or mannose subunits of GG (Scheme 1), typical of
`the GA reaction with polyols at acidic conditions (14-16).
`The swelling properties of the resulting crosslinked GG
`products were studied in buffer solutions at three different
`physical forms: swollen state; dried discs; and lyophilized form.
`The latter was performed to account for intrinsic swelling char-
`acteristics of GG and its crosslinked derivative. In such a physi-
`cal state, the difference between native GG and the crosslinked
`product is most profound due to the reduced number of entangle-
`ments which may restrict the equilibrium degree of swelling
`that occurs upon reconstitution. As expected, the higher the
`amount of GA, the lower the buffer uptake observed, indicating
`an increase in the crosslinking density (Figure 1 and Figure 2).
`Figure 2 clearly shows that the drying procedure involved in
`
`Table III. The Degradation of Discs Made of GG-0.5, GG-1, and GG-
`3 in the Cecum of the Rat, Exposed (+) and Not Exposed (-) to
`Antibiotic Treatment, and in PBS pH = 6.4 (Not Implanted), as
`Detected 4 Days After Implantation
`
`Weight loss
`- antibiotic
`(%)
`
`100
`100
`38.5 ± (cid:9) 11.5
`
`Product
`
`GG-0.5
`GG-1
`GG-3
`
`Weight loss
`+ antibiotics
`(%)
`
`13.0 ± 5.3
`7.0 ± 2.7
`0
`
`Weight loss
`in buffer
`(%)
`
`0
`0
`0
`
`Note: Results are presented as a fraction of weight loss during the
`study, expressed in % of initial weight. Shown are mean values (for
`the degraded products) ± S.D. (n = 3 rats).
`
`100
`
`300 (cid:9)
`200 (cid:9)
`Time, minutes
`Fig. 4. Indo release kinetics from discs made of GG-0.I and GG-1 in
`PBS pH = 6.4, with (closed circles and triangles) and without (open
`circles and triangles) enzyme mixtures. Shown are the mean values of
`three different measurements ± S.D.
`
`400 (cid:9)
`
`500 (cid:9)
`
`600
`
`000005
`
`(cid:9)
`

`

`1024 (cid:9)
`
`Gliko-Kabir, Yagen, Penhasi, and Rubinstein
`
`the disc preparation prevented the hydrogels from returning to
`their original volume (swollen state, Figure IA). Thus, the
`drying introduced irreversible changes to the hydrogels. For
`example product GG-5 swelled 28-fold at equilibrium, 7.8-fold
`in lyophilized form, and only 2.7-fold in a dry disc form (Figure
`1 and Figure 2). A similar trend in equilibrium swelling was
`reported by Peppas and Korsmeyer who crosslinked poly (vinyl
`alcohol) with GA. They concluded that such a pattern is a
`characteristic of physical crosslinking rather than a change in
`the crystalline structure (26). This means that physical entangle-
`ments in the polymer network are responsible for the changes
`in the degree of swelling of the various crosslinked GG products.
`The lyophilized GG-5 swelled 3.6-fold less than the same prod-
`uct in the swollen state. That is, physical entanglements occurred
`even in the lyophilized product, although lyophilization is sup-
`posed to keep the network structure of the polymer as intact
`as possible. The order of magnitude decrease in the equilibrium
`swelling of GG-5 in the disc form compared with the swollen
`state, and also compared with the 1.9-fold reduction observed
`in GA crosslinked PVA (26), may be explained by the much
`higher molecular weight of GG and the fact that it is a
`branched polysaccharide.
`The non-ionic nature of crosslinked GG causes the buffer
`uptake rates of products GG-3, GG-5, and GG-7 to be similar
`(Figure 2). The swelling rate of GG-0.1, however, was signifi-
`cantly lower in Gastric TS, probably because in this loosely
`bound product it is easier for GA to continue to react in an
`acidic environment (Scheme 1).
`The degree of crosslinking of the GG hydrogels was
`assessed from swelling and modulus of elasticity calculations.
`The number average molecular weight between two adjacent
`crosslinking points, Mc, of the crosslinked products was calcu-
`lated according to Bray and Merrill (27), as used by Peppas
`and Merrill (21). Table I shows that increasing amounts of GA
`in the products caused a decrease in the Mc values, as would
`be expected from Flory's theory (28). That is, an increase in
`the concentration of the crosslinker in the reaction mixture
`resulted in a densely crosslinked product (lower Mc, higher p
`and higher v2,, values). The degree of crosslinking was also
`derived from the modulus of elasticity and the effective network
`density (v/V) measurements. As shown in Table II increase in
`the amount of GA used in the reaction resulted in increase in
`the mechanical strength and effective network density for the
`various crosslinked products.
`The fact that high amounts of GA (more than 1 equivalent)
`were required for the crosslinking reaction suggests that the
`crosslinking efficiency was low. This could be attributed to (a)
`low reactivity of the GG hydroxyl groups as a result of the
`limited water solubility of the polymer, (b) GA polymerization
`during the crosslinking process and (c) possible masking effect
`of the hexose units of the branched polymer.
`Figure 3 demonstrates that, due to rapid drug diffusion
`through its network, crosslinked GG cannot be used for the
`specific delivery of highly water-soluble drugs, such as SS,
`into the colon. Total drug release from the most dense products
`GG-3 and GG-7, was accomplished within 180 minutes. In
`terms of GI transit time, this is barely sufficient for the polymer
`to arrive at the mid ileum. The fast release of SS is a result of
`the relatively rapid swelling kinetics of the two crosslinked GG
`products tested, as shown in Figure 2, a phenomenon which
`allows a highly water-soluble drug to easily leach out of the
`
`carrier. The release kinetics of two poorly water-soluble drug
`probes, Indo and Bud, in the presence or absence of specific
`enzymes, was therefore evaluated. The enhanced drug release
`kinetics of the two drugs in the presence of the enzyme mixture,
`as demonstrated in Figure 4 and Figure 5, indicate that (a) the
`ability of GG to be degraded by specific enzymes of the colon
`was maintained despite its modification with GA, (b) cross-
`linked GG can potentially be used as a colon-specific carrier
`only for poorly-water-soluble drugs. The ability of the cross-
`linked GG to be degraded by the enzymes could be explained
`by the assumption that after crosslinking, the polymeric network
`was composed of two parts, an unchanged GG section and a
`crosslinked section, mixed together randomly. McCleary (29),
`who investigated the enzymatic degradation mechanism of
`carob-gum galactomannans, suggested that enzymes cleave the
`polymer at a distance of three hexose units from the branching
`point. Assuming that this is the situation with crosslinked guar,
`the mean distance between the crosslinking points of product
`GG-0.5 is 25208/160 = 157 sugar units (160 is the molecular
`weight of a single hexose unit, and 25208 is the calculated
`Mc value for GG-0.5, Table I). It is speculated that this distance
`is large enough for the enzyme to penetrate into the network
`and cleave the GG section.
`Discs of products GG-0.5, GG-1 and GG-3 were also
`analyzed for their enzymatic degradation properties in the
`cecum of the rat. One group of rats was kept on a normal diet,
`while the control group was treated with antibiotics to reduce
`its cecal microbial flora. Table III shows that out of the three
`products used in this section of the study, GG-3, which was
`crosslinked with the largest amount of GA, was not completely
`degraded four days after implantation. The other two products,
`GG-0.1 and GG-0.5, which were crosslinked with lower
`amounts of GA, were degraded completely. This, together with
`the observation that in positive control studies (Table III) the
`crosslinked products were not degraded over four days, indi-
`cates that degradation of crosslinked GG in the rat cecum
`(Figures 4 and 5) results from enzymes of bacterial origin.
`
`CONCLUSIONS
`
`In this study we reduced the swelling properties of GG by
`crosslinking it with increasing amounts of GA. The crosslinked
`products retained the ability of GG to be degraded in vitro by
`a mixture of galactomannanase and a-galactosidase. This was
`verified by drug release studies, which showed that crosslinked
`GG can retain a poorly water-soluble drug load, such as Bud
`and Indo, but not highly water soluble drugs such as SS. This,
`together with the observation that crosslinked GG discs are
`degradable in vivo in the cecum of the conscious rat, suggest
`that crosslinked GG with GA can potentially be used for the
`specific delivery of poorly water-soluble drugs to the colon.
`Compared to plain GG tablets (30), this new colonic delivery
`system is unique in its ability to function specifically without
`relying on co

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket