Background:
Targeting anti-tubercular therapeutics to alveolar macrophages
using microparticles technology mainly focuses on increasing local concentrations of
therapeutics and potentially reducing the frequency of dosing requirements. Rifampicin
(RIF), Ofloxacin (OFX) and Ethambutol (ETH) combination show synergism.
Objective:
In light of the above facts, the focus of the present study was to develop and
characterize novel Dry powder Inhaler formulation incorporating novel drug combination
as a pulmonary delivery for the effective eradication of Tuberculosis.
Method:
Biodegradable microparticles containing RIF, OFX and ETH were prepared by a
spray drying technique using PLGA polymer through the critical process as well as
polymer attributes were screened and optimized using 23 factorial design. The identified
critical process parameters (CPP’s) viz. Inlet temperature, Aspiration rate, and feed rate
were selected as independent variables while percentage yield, percentage entrapment
efficiency, and particle size were selected as a response. The formulated microparticles
were evaluated for particle size, drug-polymer compatibility study, aerodynamic
behavior, morphology, particle size distribution, crystallinity, residual solvent content,
in-vitro drug release study, and stability study.
Results:
By choosing the optimum spray drying conditions maximum yield of 73%, entrapment
efficiency of 86% and particle size of 1.4 μm was attained of the optimized
batch. Thus the results revealed that spherical microparticles are suitable for inhalation
and sustained release for 12 h.
Conclusion:
The successful formulation and evaluation of dry powder could be used as
an enhanced therapeutic alternative of the standard oral anti-tubercular regimen, rescuing
oral dosing, shortening drug regimen and limiting toxicity. This will ultimately improve
patient compliance and diminish the prevalence of MDR resistance.