Green polymer altered in-situ gel oral liquid sustainable release preparation of vildagliptin suitable for dysphagic diabetic patients: assessment in-vitro & in-vivo

Pharm Dev Technol. 2023 Sep;28(7):585-594. doi: 10.1080/10837450.2023.2223293. Epub 2023 Jun 21.

Abstract

Purpose: This work aimed to fabricate alginate based in-situ gelling matrix of vildagliptin improved by calcium and carboxy methyl cellulose (CMC) for appropriate adjustment of the onset and duration of action. This easy-to-swallow thickened liquid preparation aimed to improve compliance for dysphagic or elderly diabetic patients.

Methods: Vildagliptin dispersions containing alginate were fabricated in the presence or absence of calcium chloride to assess the effect of calcium ion, then a matrix containing 1.5% w/v of sodium alginate with calcium was further examined after the addition of CMC with different concentrations ranging from 0.1% to 0.3%. The viscosity, gelling forming property, Differential scanning calorimetry, and in-vitro drug release were assessed before monitoring the hypoglycemic effect of the selected formulation.

Results: In-situ gel matrixes were fabricated at gastric pH with and without calcium ions. The best formula concerning viscosity and the gel-forming property was achieved with higher CMC concentrations, which in turn decreased the rate of vildagliptin release in stimulated gastric pH. In-vivo results confirmed the extended hypoglycemic effect of the vildagliptin in-situ gelling matrix compared to the vildagliptin aqueous solution.

Conclusion: This study represents a green polymeric-based in-situ gel as a liquid oral retarded release preparation intended for reducing dose frequency, easier administration of vildagliptin, and improving compliance in geriatric and dysphagic diabetic patients.

Keywords: In-situ gel; carboxy methyl cellulose; diabetes; sodium alginate; sustained release; vildagliptin.

MeSH terms

  • Aged
  • Alginates / chemistry
  • Calcium / chemistry
  • Delayed-Action Preparations / chemistry
  • Diabetes Mellitus*
  • Gels / chemistry
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Polymers*
  • Vildagliptin
  • Viscosity

Substances

  • Delayed-Action Preparations
  • Vildagliptin
  • Polymers
  • Calcium
  • Hypoglycemic Agents
  • Alginates
  • Gels