Abstract
Recently, inhaled immunosuppressive agents have attracted increasing attention for maintenance therapy following lung transplantation. The rationale for this delivery approach includes a more targeted and localized delivery to the diseased site with reduced systemic exposure, potentially leading to decreased adverse side effects. In this study, the in vitro and in vivo performance of an amorphous formulation prepared by thin film freezing (TFF) and a crystalline micronized formulation produced by milling was compared for tacrolimus (TAC). Despite the relatively large geometric size, the TFF-processed formulation was capable of achieving deep lung delivery due to its low-density, highly porous, and brittle characteristics. When emitted from a Miat® monodose inhaler, TFF-processed TAC formulations exhibited a fine particle fraction (FPF) of 83.3% and a mass median aerodynamic diameter (MMAD) of 2.26 μm. Single-dose 24-h pharmacokinetic studies in rats demonstrated that the TAC formulation prepared by TFF exhibited higher pulmonary bioavailability with a prolonged retention time in the lung, possibly due to decreased clearance (e.g., macrophage phagocytosis), compared to the micronized TAC formulation. Additionally, TFF formulation generated a lower systemic TAC concentration with smaller variability than the micronized formulation following inhalation, potentially leading to reduced side effects related to the drug in systemic circulation.
Similar content being viewed by others
REFERENCES
Yusen RD, Christie JD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, et al. The registry of the international society for heart and lung transplantation: thirtieth adult lung and heart-lung transplant report-2013; focus theme: age. J Heart Lung Transplant. 2013;32(10):965–78.
Boehler A, Estenne M. Obliterative bronchiolitis after lung transplantation. Curr Opin Pulm Med. 2000;6:133–9.
Knoop C, Haverich A, Fischer S. Immunosuppressive therapy after human lung transplantation. Eur Respir J. 2004;23(1):159–71.
Watts AB, Peters JI, Talbert RL, O’Donnell KP, Coalson JJ, Williams 3rd RO. Preclinical evaluation of tacrolimus colloidal dispersion for inhalation. Eur J Pharm Biopharm. 2011;77(2):207–15.
Kino T, Hatanaka H, Miyata S, Inamura N, Nishiyama M, Yajima T, et al. FK-506, a novel immunosuppressant isolated from a Streptomyces. II. Immunosuppressive effect of FK-506 in vitro. J Antibiot (Tokyo). 1987;40(9):1256–65.
Hariharan S, Peddi VR, Munda R, Demmy AM, Schroeder TJ, Alexander JW, et al. Long-term renal and pancreas function with tacrolimus rescue therapy following kidney/pancreas transplantation. Transplant Proc. 1997;29(1–2):652–3.
Keenan RJ, Konishi H, Kawai A, Paradis IL, Nunley DR, Iacono AT, et al. Clinical trial of tacrolimus versus cyclosporine in lung transplantation. Ann Thorac Surg. 1995;60(3):580–4. discussion 4–5.
O’Grady JG, Burroughs A, Hardy P, Elbourne D, Truesdale A, Uk, et al. Tacrolimus versus microemulsified ciclosporin in liver transplantation: the TMC randomised controlled trial. Lancet. 2002;360(9340):1119–25.
Knoop C, Thiry P, Saint-Marcoux F, Rousseau A, Marquet P, Estenne M. Tacrolimus pharmacokinetics and dose monitoring after lung transplantation for cystic fibrosis and other conditions. Am J Transplant. 2005;5(6):1477–82.
Wagner K, Webber SA, Kurland G, Boyle GJ, Miller SA, Cipriani L, et al. New-onset diabetes mellitus in pediatric thoracic organ recipients receiving tacrolimus-based immunosuppression. J Heart Lung Transplant. 1997;16(3):275–82.
Corcoran TE. Inhaled delivery of aerosolized cyclosporine. Adv Drug Deliv Rev. 2006;58(9–10):1119–27.
Groves S, Galazka M, Johnson B, Corcoran T, Verceles A, Britt E, et al. Inhaled cyclosporine and pulmonary function in lung transplant recipients. J Aerosol Med Pulm Drug Deliv. 2010;23(1):31–9.
Onoue S, Sato H, Kawabata Y, Mizumoto T, Hashimoto N, Yamada S. In vitro and in vivo characterization on amorphous solid dispersion of cyclosporine A for inhalation therapy. J Control Release. 2009;138(1):16–23.
Onoue S, Sato H, Ogawa K, Kojo Y, Aoki Y, Kawabata Y, et al. Inhalable dry-emulsion formulation of cyclosporine A with improved anti-inflammatory effects in experimental asthma/COPD-model rats. Eur J Pharm Biopharm. 2012;80(1):54–60.
Wang T, Noonberg S, Steigerwalt R, Lynch M, Kovelesky RA, Rodriguez CA, et al. Preclinical safety evaluation of inhaled cyclosporine in propylene glycol. J Aerosol Med. 2007;20(4):417–28.
Behr J, Zimmermann G, Baumgartner R, Leuchte H, Neurohr C, Brand P, et al. Lung deposition of a liposomal cyclosporine A inhalation solution in patients after lung transplantation. J Aerosol Med Pulm Drug Deliv. 2009;22(2):121–30.
Iacono AT, Johnson BA, Grgurich WF, Youssef JG, Corcoran TE, Seiler DA, et al. A randomized trial of inhaled cyclosporine in lung-transplant recipients. N Engl J Med. 2006;354(2):141–50.
Ide N, Nagayasu T, Matsumoto K, Tagawa T, Tanaka K, Taguchi T, et al. Efficacy and safety of inhaled tacrolimus in rat lung transplantation. J Thorac Cardiovasc Surg. 2007;133(2):548–53.
Ingu A, Komatsu K, Ichimiya S, Sato N, Hirayama Y, Morikawa M, et al. Effects of inhaled FK 506 on the suppression of acute rejection after lung transplantation: use of a rat orthotopic lung transplantation model. J Heart Lung Transplant. 2005;24(5):538–43.
Morishita Y, Hirayama Y, Miyayasu K, Tabata K, Kawamura A, Ohkubo Y, et al. FK506 aerosol locally inhibits antigen-induced airway inflammation in guinea pigs. Int Arch Allergy Immunol. 2005;136(4):372–8.
Deuse T, Blankenberg F, Haddad M, Reichenspurner H, Phillips N, Robbins RC, et al. Mechanisms behind local immunosuppression using inhaled tacrolimus in preclinical models of lung transplantation. Am J Respir Cell Mol Biol. 2010;43(4):403–12.
Schrepfer S, Deuse T, Reichenspurner H, Hoffmann J, Haddad M, Fink J, et al. Effect of inhaled tacrolimus on cellular and humoral rejection to prevent posttransplant obliterative airway disease. Am J Transplant. 2007;7(7):1733–42.
Sinswat P, Overhoff KA, McConville JT, Johnston KP, Williams 3rd RO. Nebulization of nanoparticulate amorphous or crystalline tacrolimus–single-dose pharmacokinetics study in mice. Eur J Pharm Biopharm. 2008;69(3):1057–66.
Watts AB, Cline AM, Saad AR, Johnson SB, Peters JI, Williams 3rd RO. Characterization and pharmacokinetic analysis of tacrolimus dispersion for nebulization in a lung transplanted rodent model. Int J Pharm. 2010;384(1–2):46–52.
Chougule M, Padhi B, Misra A. Nano-liposomal dry powder inhaler of tacrolimus: preparation, characterization, and pulmonary pharmacokinetics. Int J Nanomedicine. 2007;2(4):675–88.
Watts AB, Wang YB, Johnston KP, Williams 3rd RO. Respirable low-density microparticles formed in situ from aerosolized brittle matrices. Pharm Res. 2013;30(3):813–25.
Edwards DA, Hanes J, Caponetti G, Hrkach J, Ben-Jebria A, Eskew ML, et al. Large porous particles for pulmonary drug delivery. Science. 1997;276(5320):1868–71.
Vanbever R, Mintzes JD, Wang J, Nice J, Chen D, Batycky R, et al. Formulation and physical characterization of large porous particles for inhalation. Pharm Res. 1999;16(11):1735–42.
Dellamary LA, Tarara TE, Smith DJ, Woelk CH, Adractas A, Costello ML, et al. Hollow porous particles in metered dose inhalers. Pharm Res. 2000;17(2):168–74.
Duddu SP, Sisk SA, Walter YH, Tarara TE, Trimble KR, Clark AR, et al. Improved lung delivery from a passive dry powder inhaler using an engineered PulmoSphere powder. Pharm Res. 2002;19(5):689–95.
Richardson PC, Boss AH. Technosphere insulin technology. Diabetes Technol Ther. 2007;9 Suppl 1:S65–72.
Plumley C, Gorman EM, El-Gendy N, Bybee CR, Munson EJ, Berkland C. Nifedipine nanoparticle agglomeration as a dry powder aerosol formulation strategy. Int J Pharm. 2009;369(1–2):136–43.
Geiser M. Update on macrophage clearance of inhaled micro- and nanoparticles. J Aerosol Med Pulm Drug Deliv. 2010;23(4):207–17.
Yang W, Johnston KP, Williams 3rd RO. Comparison of bioavailability of amorphous versus crystalline itraconazole nanoparticles via pulmonary administration in rats. Eur J Pharm Biopharm. 2010;75(1):33–41.
Olsson B, Bondesson E, Borgstrom L. Pulmonary drug metabolism, clearance, and absorption. In: Controlled pulmonary drug delivery [Internet]. New York, NY: Springer; 2011. 1. Available from: doi:10.1007/978-1-4419-9745-6.
Mobley C, Hochhaus G. Methods used to assess pulmonary deposition and absorption of drugs. Drug Discov Today. 2001;6(7):367–75.
Esmailpour N, Hogger P, Rabe KF, Heitmann U, Nakashima M, Rohdewald P. Distribution of inhaled fluticasone propionate between human lung tissue and serum in vivo. Eur Respir J. 1997;10(7):1496–9.
Thorsson L, Edsbacker S, Kallen A, Lofdahl CG. Pharmacokinetics and systemic activity of fluticasone via Diskus and pMDI, and of budesonide via Turbuhaler. Br J Clin Pharmacol. 2001;52(5):529–38.
Engstrom JD, Lai ES, Ludher BS, Chen B, Milner TE, Williams 3rd RO, et al. Formation of stable submicron protein particles by thin film freezing. Pharm Res. 2008;25(6):1334–46.
Ball DJ, Hirst PH, Newman SP, Sonet B, Streel B, Vanderbist F. Deposition and pharmacokinetics of budesonide from the Miat Monodose inhaler, a simple dry powder device. Int J Pharm. 2002;245(1–2):123–32.
Mitchell JP. Practices of coating collection surfaces of cascade impactors: a survey of members of the European Pharmaceutical Aerosol Group (EPAG). Drug Deliv Lung. 2003;14:75–8.
Marple VA, Olson BA, Santhanakrishnan K, Mitchell JP, Murray SC, Hudson-Curtis BL. Next generation pharmaceutical impactor (a new impactor for pharmaceutical inhaler testing). Part II: Archival calibration. J Aerosol Med. 2003;16(3):301–24.
Moyano MA, Simionato LD, Pizzorno MT, Segall AI. Validation of a liquid chromatographic method for determination of tacrolimus in pharmaceutical dosage forms. J AOAC Int. 2006;89(6):1547–51.
USP 32-NF 27 General Chapter 601: Aerosols, nasal sprays, metered-dose inhalers, and dry powder inhalers. 218–39.
Gombás A, Szabó-Révész P, Kata M, RJ G, Erõs I. Quantitative determination of crystallinity of a-lactose monohydrate by DSC. J Therm Anal Calorim. 2002;68:503–10.
Hilden LR, Morris KR. Physics of amorphous solids. J Pharm Sci. 2004;93(1):3–12.
Deng Z, Xu S, Li S. Understanding a relaxation behavior in a nanoparticle suspension for drug delivery applications. Int J Pharm. 2008;351(1–2):236–43.
Kim AI, Akers MJ, Nail SL. The physical state of mannitol after freeze-drying: effects of mannitol concentration, freezing rate, and a noncrystallizing cosolute. J Pharm Sci. 1998;87(8):931–5.
Zidan AS, Rahman Z, Sayeed V, Raw A, Yu L, Khan MA. Crystallinity evaluation of tacrolimus solid dispersions by chemometric analysis. Int J Pharm. 2012;423(2):341–50.
Zhao M, Barker SA, Belton PS, McGregor C, Craig DQ. Development of fully amorphous dispersions of a low T(g) drug via co-spray drying with hydrophilic polymers. Eur J Pharm Biopharm. 2012;82(3):572–9.
Rasenack N, Muller BW. Micron-size drug particles: common and novel micronization techniques. Pharm Dev Technol. 2004;9(1):1–13.
Saleem IY, Smyth HD. Micronization of a soft material: air-jet and micro-ball milling. AAPS PharmSciTech. 2010;11(4):1642–9.
Rogueda PG, Traini D. The nanoscale in pulmonary delivery. Part 1: deposition, fate, toxicology and effects. Expert Opin Drug Deliv. 2007;4(6):595–606.
de Villiers MM. Influence of cohesive properties of micronized drug powders on particle size analysis. J Pharm Biomed Anal. 1995;13(3):191–8.
Byron PR. Prediction of drug residence times in regions of the human respiratory tract following aerosol inhalation. J Pharm Sci. 1986;75(5):433–8.
Zhang J, Wu L, Chan HK, Watanabe W. Formation, characterization, and fate of inhaled drug nanoparticles. Adv Drug Deliv Rev. 2011;63(6):441–55.
Alexander DJ, Collins CJ, Coombs DW, Gilkison IS, Hardy CJ, Healey G, et al. Association of Inhalation Toxicologists (AIT) working party recommendation for standard delivered dose calculation and expression in non-clinical aerosol inhalation toxicology studies with pharmaceuticals. Inhal Toxicol. 2008;20(13):1179–89.
Kuehl PJ, Anderson TL, Candelaria G, Gershman B, Harlin K, Hesterman JY, et al. Regional particle size dependent deposition of inhaled aerosols in rats and mice. Inhal Toxicol. 2012;24(1):27–35.
Edwards DA, Ben-Jebria A, Langer R. Recent advances in pulmonary drug delivery using large, porous inhaled particles. J Appl Physiol. 1998;85(2):379–85.
Lehnert BE, Morrow PE. Association of 59iron oxide with alveolar macrophages during alveolar clearance. Exp Lung Res. 1985;9(1–2):1–16.
Venkataramanan R, Shaw LM, Sarkozi L, Mullins R, Pirsch J, MacFarlane G, et al. Clinical utility of monitoring tacrolimus blood concentrations in liver transplant patients. J Clin Pharmacol. 2001;41(5):542–51.
Shin SB, Cho HY, Kim DD, Choi HG, Lee YB. Preparation and evaluation of tacrolimus-loaded nanoparticles for lymphatic delivery. Eur J Pharm Biopharm. 2010;74(2):164–71.
Author information
Authors and Affiliations
Corresponding author
Additional information
Guest Editors: Paul B. Myrdal and Steve W. Stein
Rights and permissions
About this article
Cite this article
Wang, YB., Watts, A.B., Peters, J.I. et al. In Vitro and In Vivo Performance of Dry Powder Inhalation Formulations: Comparison of Particles Prepared by Thin Film Freezing and Micronization. AAPS PharmSciTech 15, 981–993 (2014). https://doi.org/10.1208/s12249-014-0126-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1208/s12249-014-0126-7