Can an enteric coating on tablets of an ASD that is itself made with an enteric polymer (HPMCP) protect a fast-crystallizing weak base, delamanid, from crystallization at gastric pH and so make its release less dependent on gastric pH?
Yes, in vitro. Coated tablets released less than 0.5% during 60 min at gastric pH 1.6–5.0 and about 76–86 µg/mL (of 100) after transfer to pH 6.5, against about 0.3–93 µg/mL after the pH shift for uncoated tablets; a 2 µm enteric layer kept ASD films free of the crystals that formed at pH 3.0. ····
For 25% DL delamanid ASDs in HPMCP-50 (free base, chloride and edisylate) made into tablets, the authors conclude that the compromised release after a gastric stage is "attributed to surface drug crystallization"; spin-coated films of all three forms crystallized within 1 h at pH 3.0, so salt formation did not remove the problem. ···· An Acryl-EZE II tablet coating (14–16% weight gain) "was found to be effective" against this crystallization: it held the drug back at gastric pH 5.0 or lower and gave high release after transfer with much less spread across gastric pH, which the authors call "remarkably improved and less variable". ··· The coating lasted more than 17 h at pH 3.0 but only about 130–150 min at pH 4.5–5.0 in buffer, more than 17 h in high-fat FEDGAS pH 4.5, and was lost within about 10–30 min at pH 6.0. ·· Food components raised delamanid solubility (FEDGAS, FeSSIF V2) and the release of the commercial tablet Deltyba, which the authors say "likely accounts" for its better release in fed media, but they changed release from coated tablets little. ·· The authors present the coating as a strategy that "may" reduce in vivo absorption variability linked to prandial state; crystals were imaged on films only, so crystallization inside uncoated tablets and its prevention by the coat are inferred from release, and no in vivo work was done. ·
01Why this study
HPMCAS and HPMCP inhibit crystallization near neutral pH but appear weaker at low pH, where they are insoluble.
Surface crystals formed, most at pH 3.0, and release after transfer to intestinal pH fell; salt forms did not cure it.
Nguyen 2023b, ref 43 ··
Some drug is released although the polymer stays undissolved, and posaconazole–HPMCAS ASDs crystallized in gastric fluid.
Monschke and Wagner 2019, ref 36; Elkhabaz 2019, ref 12 ··
A coated niclosamide–copovidone tablet avoided crystallization in acid, but no ASD made with an enteric polymer had been coated.
Jara 2022, ref 27 ·
More detail
The reference list is printed unnumbered in author–year order; "ref N" is the position of the entry in that printed list.
What was already known.
- Crystallization during release defeats an ASD. An ASD raises solubility and release rate; keeping the drug amorphous during release preserves the supersaturation that drives absorption. Cellulose derivatives delay nucleation and suppress crystal growth; HPMCAS is thought to act through lower mobility (higher Tg of the ASD), drug–polymer interactions and dilution; anionic polymers inhibit crystallization in the solid state and in solution. (Deng 2019, ref 10; Trasi 2015, ref 59; Ueda 2014, ref 60; Bhugra and Pikal 2008, ref 4; Friesen 2008, ref 16)
- Surface crystals on contact with water. Polymers that stabilize the solid can fail once the ASD meets water. Crystals that form on the ASD surface and grow fast were the proposed cause of poor release from bicalutamide–copovidone ASDs, through a crystalline drug boundary layer. Crystallization in water is a known failure mechanism of ASD release. (Schittny 2020, ref 51; Moseson 2022c, ref 39) ·
- Enteric polymers in the stomach. HPMCAS and HPMCP are insoluble at gastric pH. Drug leaching from such ASDs was larger at pH 1 than at pH 4.5 in one study and depends on drug–polymer ratio, particle size and polymer. Posaconazole–HPMCAS ASDs crystallized in FaSSGF pH 1.6 at high loading, and delamanid ASDs with HPMCP or HPMCAS showed most surface crystallization at pH 3.0, with poorer release after transfer to intestinal pH. (Monschke and Wagner 2019, ref 36; Wang 2021, ref 68; Elkhabaz 2019, ref 12; Nguyen 2023b, ref 43) ···
- Salt formation was not enough. Salt formation during spray drying stabilized amorphous delamanid in the solid state and at intestinal pH, but every formulation still released differently with the pH of the medium. (Van Duong 2022a, ref 64; Nguyen 2023b, ref 43)
- Enteric coatings and their thresholds. Enteric coatings protect a drug from the stomach or the stomach from a drug; their dissolution pH depends on the polymer's carboxylic groups. Eudragit L 100-55 dissolves above pH 5.5 and is sold as the water-dispersible Acryl-EZE II. Enteric coatings had been used on ASDs of ezetimibe–lovastatin with Soluplus, on niclosamide–copovidone (60% DL), where they prevented crystallization in acid, and on darunavir–HPMC nanoparticles, but never on an ASD made with an enteric polymer. (Maderuelo 2019, ref 33; Evonik 2020, ref 14; Riekes 2017, ref 49; Jara 2022, ref 27; Nguyen 2016, ref 41) ···
What the paper set out to do. Test whether an enteric coating on tablets of HPMCP-50 ASDs of delamanid, as free base and as two salts, protects the ASD at pH values where the polymer cannot inhibit crystallization, keeps the release benefit at intestinal pH, and so reduces release variability across gastric pH conditions that reflect fasted and fed states.
02How they approached it
One ASD, 25% DL delamanid in HPMCP-50, made as free base and as two in situ salts, pressed into the same tablet and tested with and without an enteric coat. Gastric stages at pH 1.6, 3.0 and 5.0 before pH 6.5 expose the pH dependence; spin-coated films show the crystals; soak tests show how long the coat survives; biorelevant media add food. ······
What was done
Spray-dried 25% DL ASDs→tablets of Table 1→Acryl-EZE II pan coating, 14–16% weight gain.··
Uncoated tablets, single stage at pH 5.8 and 6.5→60 min at pH 1.6, 3.0 or 5.0, then shift to pH 6.5.···
ASD films, part covered by Eudragit L 100-55→1 h in phosphate pH 3.0→PLM and SEM.····
Coated edisylate tablets soaked up to 17 h in HCl, phosphate, acetate and FEDGAS, pH 1.6–6.0→time the tablet stays intact.·
Coated tablets, single stage→60 min at pH 1.6, 3.0 or 5.0, then transfer to pH 6.5.·
Equilibrium solubility in buffers, FaSSIF V1, FeSSIF V2 and FEDGAS→release of Deltyba and of coated tablets in these media.····
Henderson–Hasselbalch curve with pKa 4.3 over the measured solubilities.·
More detail
What was done
- ASDs. Delamanid with HPMCP P-50 at 25 wt% drug was spray dried (Buchi B-290, inlet 75 °C, feed 4 mL/min) from DCM:MeOH 1:1 for the free base and the chloride, and from DCM with acetone for the edisylate; the salts formed in situ from ethanedisulfonic acid or hydrochloric acid at 1:1 molar ratio. Particles were below 20 µm and were dried overnight under vacuum. ·
- Tablets and coat. Each 500 mg tablet held ASD equivalent to 50 mg delamanid with sodium starch glycolate and croscarmellose sodium (40 mg each), silica and magnesium stearate (6 mg each) and microcrystalline cellulose (11 mm die, friability about 0.4%). Tablets were pan coated with an aqueous Acryl-EZE II dispersion (75 mg per tablet in Table 1) to 14–16% weight gain; Deltyba tablets were coated the same way. ·
- Films. About 8 µm ASD films were spin coated on cover slips; part of each film was covered with about 2 µm of Eudragit L 100-55 (layer thickness by confocal microscopy). After 1 h in phosphate buffer pH 3.0 the films were examined by polarized light microscopy and SEM. ··
- Coat integrity. Coated edisylate ASD tablets were stirred overnight in 500 mL gastric media (HCl pH 1.6; phosphate pH 3.0 and 5.0; acetate pH 3.0, 4.5 and 6.0; FEDGAS pH 3.0, 4.5 and 6.0) at 37 °C, 150 rpm and photographed; a USP acid-stage tolerance test (pH 4.5–5, 2 h) was also run. ··
- Dissolution. All tests used USP apparatus II, 37 °C, 150 rpm and one 50 mg tablet, so complete release is 100 µg/mL. Single stage: 500 mL maleate pH 5.8, acetate pH 6.0, phosphate pH 6.5, FaSSIF V1 or FeSSIF V2. Uncoated tablets and Deltyba: 60 min in 450–480 mL gastric buffer, then concentrated phosphate added in the same vessel to pH 6.5 for 30 min. Coated tablets: 60 min in gastric buffer, then the medium was discarded and the tablet moved to pH 6.5 for 60 min; one variant held coated tablets 17 h in FEDGAS before FeSSIF V2. Concentration was read in situ by fibre-optic UV, or by HPLC in FEDGAS. ····
- Solubility. Equilibrium solubility of delamanid was reported in HCl pH 1.6, acetate pH 3.0 and 4.5, maleate pH 5.8, phosphate pH 6.5, FEDGAS pH 3.0 and 4.5, FaSSIF V1 and FeSSIF V2, and compared with a Henderson–Hasselbalch curve for pKa 4.3; the method is not described. ··
Terms used on this page
- Enteric polymer: a polymer with acidic groups (phthalate in HPMCP, methacrylic acid in Eudragit) that stays insoluble in acid and dissolves above a threshold pH.
- Enteric coating: a continuous film of such a polymer around a tablet that keeps gastric fluid out until the pH rises.
- In situ salt: a salt formed by adding the acid counterion to the spray-drying solution, so the ASD contains the protonated drug.
- Two-stage (pH-shift) dissolution: a gastric stage at low pH followed by an intestinal stage at higher pH, to mimic passage from stomach to intestine.
- FEDGAS: a high-fat simulated fed gastric medium (fat, bile salts, carbohydrates, citrate salts) at pH 3.0, 4.5 or 6.0.
- FaSSIF V1 / FeSSIF V2: simulated fasted and fed intestinal fluids; FeSSIF V2 carries about ten times the lipid of FaSSIF V1.
- Supersaturation: a concentration above the crystalline equilibrium solubility; here up to 100 µg/mL against below 0.02 µg/mL in buffer at pH above 5.5.
03Main findings
Uncoated tablets release well at intestinal pH but poorly and variably after a gastric stage
In a single stage at pH 5.8 or 6.5 they gave about 82–96 µg/mL; after 60 min at pH 1.6, 3.0 or 5.0 and a shift to pH 6.5 they gave anywhere from about 0.3 to 93 µg/mL, depending on gastric pH and drug form. ··
More detail
In single-stage tests at pH 5.8 and 6.5, where HPMCP dissolves, all three uncoated ASD tablets released about 82–96 µg/mL of the possible 100 within 60 min (maleate pH 5.8: free base ≈88, chloride ≈93, edisylate ≈93; phosphate pH 6.5: ≈82, ≈83, ≈96). · In pH-shift tests the gastric stage itself released drug from uncoated tablets: about 30–41 µg/mL at pH 1.6, about 1–2 µg/mL at pH 3.0, and at pH 5.0 about 7 (free base), 0.4 (chloride) and 83 µg/mL (edisylate). Thirty minutes after the shift to pH 6.5 the concentrations were about 62, 86 and 93 µg/mL after pH 1.6 (free base, chloride, edisylate), 33.5, 54 and 41 after pH 3.0, and 6.5, 0.3 and 82 after pH 5.0. The authors read this as good single-stage release but diminished two-stage release, worst after pH 3.0 where drug and polymer are both poorly soluble; in their figure this worst case holds for the edisylate, while the free base and the chloride released least after pH 5.0. ·· The free base and edisylate bars are taken from the group's earlier study; the chloride data are new.
ASD films crystallize at pH 3.0 whatever the salt form; a thin enteric layer prevents it
After 1 h in phosphate buffer pH 3.0, star- and needle-shaped crystals covered films of all three ASDs; where a 2 µm Eudragit L 100-55 layer covered the film, none formed, even overnight. ·····
More detail
Spin-coated ASD films about 8 µm thick, of the free base, the chloride and the edisylate, were immersed in phosphate buffer pH 3.0 for 1 h. Polarized light showed birefringent needle- and star-shaped crystals spread over all three films, and SEM at 1000× showed the same star-like crystals; the authors describe the crystallization as rapid and note that the salt form made no difference, in agreement with their earlier study. ···· On films partly covered by about 2 µm of Eudragit L 100-55, the covered areas stayed featureless while the uncovered areas showed dark dot-like features, densest near the coating edge, and in one film star-shaped crystals; the authors read all of these as crystallization and report no crystals on covered areas even after overnight incubation (shown in the SI, not supplied). ·· Crystals were imaged only on these films at pH 3.0, not on tablets.
The coat holds in acid, fails after about 2–2.5 h at pH 4.5–5.0 in buffer and dissolves at pH 6.0; fat delays failure
Coated edisylate tablets stayed intact for 15 to more than 17 h at pH 1.6 and 3.0, about 130 min at pH 4.5 and 150 min at pH 5.0 in buffer, more than 17 h in FEDGAS pH 4.5, and lost the coat within about 10–15 min at pH 6.0 (about 20–30 min in FEDGAS). ·
More detail
In acetate buffer pH 3.0 and in FEDGAS pH 3.0 the coated tablets did not disintegrate for more than 17 h; in HCl pH 1.6 and phosphate pH 3.0 they stayed intact for 15 h with minimal release. · At pH 4.5–5 the tablets passed the USP acid-stage tolerance requirements, releasing less than 0.2% in 2 h, but the coat then failed: after around 130 min in acetate pH 4.5 and about 150 min in phosphate pH 5.0. Once the coat failed, drug leached into the medium (below 5 µg/mL) and/or crystallized, and release after transfer to higher pH was clearly lower (data in the SI, not supplied). ···· At pH 6.0 the coat dissolved within 10–15 min in acetate buffer, as expected above the pH 5.5 threshold of Eudragit L 100-55; the authors note that pH 6–6.5 is the expected gastric pH 30 min after a meal. ·· FEDGAS slowed failure: the tablet was intact at 10 min and disintegrated by 30 min at pH 6.0 (about 20–30 min against less than 15 min in buffer), and at pH 4.5 it lasted more than 17 h against about 2 h in buffer. The authors relate this to the fat, carbohydrates and bile salts changing viscosity, osmolarity and surface tension and slowing water diffusion, none of which was measured here. · They conclude that the coat protects the core at pH 5.0 or below for at least 2 h in buffer, and longer with food components. Only edisylate tablets were tested, and integrity was judged from photographs.
Coated tablets hold the drug back in the gastric stage and release well afterwards, nearly independent of gastric pH
In the gastric stage at pH 1.6, 3.0 or 5.0 the coated tablets released less than 0.5%; after transfer to pH 6.5 all three forms reached about 76–86 µg/mL, against about 0.3–93 µg/mL for uncoated tablets. ··
More detail
In single-stage tests the coated tablets released nothing for about 11–20 min, the time the coat took to dissolve and the tablet to disintegrate, and then reached about 81.5–92 µg/mL at 60 min at pH 5.8 or 6.5; acetate pH 6.0 (SI) also gave more than 80 µg/mL. The edisylate started earliest (about 11–12 min) and the free base latest (about 16–20 min). ·· In two-stage tests the gastric stage gave a flat line near zero at all three pH values, which the authors give as less than 0.5% (less than 0.5 µg/mL). Release started about 11–16 min after transfer and reached, at 120 min, about 83, 84 and 76 µg/mL for the free base (after pH 1.6, 3.0 and 5.0), 84, 82 and 78 for the chloride, and 86, 82 and 85 for the edisylate. · Within a form the spread across gastric pH was therefore about 4–8 µg/mL, against about 52–86 µg/mL for the uncoated tablets. · The authors call the variation "much lower" and the release "remarkably improved and less variable". They state final concentrations above 80 µg/mL for all forms and release equal to the single stage when the coat stays intact; two arms stayed just under 80 and two-stage values were up to about 15 µg/mL below single-stage ones. ···· The uncoated and coated tablets were tested with different two-stage protocols (in-vessel shift for 30 min against transfer to fresh medium for 60 min). Coating Deltyba also narrowed its pH differences, but at a much lower overall release (SI). ·
Food raises delamanid solubility and commercial-tablet release; coated-tablet release barely changes
Delamanid solubility rose from below 0.02 µg/mL in buffer above pH 5.5 to 0.52 (FaSSIF V1) and 2.30 µg/mL (FeSSIF V2), and to 13.10 and 57.97 µg/mL in FEDGAS pH 4.5 and 3.0. Deltyba reached about 77 µg/mL in FeSSIF V2 against 37 in FaSSIF V1, while coated tablets released near completely in both and about 86–87 µg/mL after 17 h in FEDGAS. ····
More detail
Solubility in buffers followed the Henderson–Hasselbalch curve for pKa 4.3: about 10.3 µg/mL in HCl pH 1.6, about 0.6 at pH 3.0 and near zero at pH 4.5 and above (below 0.02 µg/mL above pH 5.5, from the earlier study). ·· Food components raised it: FeSSIF V2 (lipid about 7.8 mM) gave 2.30 ± 0.31 µg/mL, 4.4-fold FaSSIF V1 (0.75 mM, 0.52 ± 0.12), and FEDGAS gave 57.97 ± 0.64 (pH 3.0) and 13.10 ± 2.32 µg/mL (pH 4.5); the authors put FEDGAS pH 4.5 and the fed intestinal medium at approximately 650- and 100-fold the corresponding buffers. ·· Deltyba released rapidly and then gradually in FeSSIF V2, to about 77 µg/mL at 120 min (text: up to 80), against a near plateau of about 31–37 µg/mL in FaSSIF V1 (text: maximum 35); in FEDGAS it reached about 34.5 (pH 3.0) and 20 µg/mL (pH 4.5) at 60 min, much more than in buffer of the same pH (SI). ··· After incubation in buffer at fed gastric pH and transfer to fed media, Deltyba crystallized (SI). · The authors say the higher solubility "likely accounts" for Deltyba's better release in these media and mitigates the impact of any crystallization. Coated edisylate tablets, after a 9–11 min lag, released about 96 µg/mL by 60 min in both FaSSIF V1 and FeSSIF V2 (about 100 at 120 min in FeSSIF V2); after 17 h in FEDGAS pH 3.0 or 4.5 and transfer to FeSSIF V2, release began after about 9–10 min and reached about 87 and 86 µg/mL at 120 min (text: approximately 90). The authors call the impact of fed media "only a minor impact". ···
04Further observations
- Uncoated edisylate tablets already released about 83 µg/mL in the pH 5.0 gastric stage; the free base and chloride released about 7 and 0.4. ·
- Deltyba crystallized after transfer from a fed-gastric-pH buffer to fed media (SI). ·
- Coating Deltyba narrowed its pH differences but lowered its release (SI). ·
- Clinical data cited: a standard meal raised Deltyba Cmax 3.4-fold and AUC 2.9-fold.
More detail
- Edisylate at pH 5.0. In the uncoated pH-shift data, the edisylate tablet released about 83 µg/mL during 60 min at pH 5.0 and stayed at about 82 after the shift, while the free base gave about 7 and 6.5 and the chloride about 0.4 and 0.3. The text states that HPMCP is "not soluble until pH 5"; the difference between the forms at pH 5.0 is not discussed. ··
- Gastric leaching without a coat. At pH 1.6 the uncoated tablets released about 30–41 µg/mL during the gastric stage, against less than 0.5 µg/mL for coated tablets; the authors attribute leaching to the drug being molecularly dispersed in the insoluble polymer. ··
- Deltyba. Coating Deltyba reduced the differences between pH conditions, but its overall release was much lower than for uncoated Deltyba and the in-house ASD tablets; release of Deltyba in FEDGAS exceeded that in buffer of the same pH; and after a buffer stage at fed gastric pH Deltyba crystallized in fed biorelevant media. These data are in the SI, which was not supplied. ····
- Cited clinical food effect. A 200 mg Deltyba dose with a standard meal gave 3.4-fold Cmax and 2.9-fold AUC0-inf against fasting; for 400 mg, Cmax rose by 327% and 213% and AUC0-inf by 347% and 206% after a high-fat and a standard meal, with high variability between subjects; a population study in MDR-TB patients found different bioavailability for evening and morning doses, postulated to reflect the fat content of meals. ··
05How the authors connect the findings
More detail
- At gastric pH HPMCP is insoluble, yet drug leaves the ASD because it is molecularly dispersed in the polymer; the extent rises with drug loading. A continuous enteric coat, by contrast, keeps gastric release to below 0.5 µg/mL, against about 40, 1 and 7 µg/mL for uncoated free base tablets at pH 1.6, 3.0 and 5.0. ···
- HPMCAS and HPMCP inhibit crystallization in solution near neutral pH, where they are ionized and soluble, but appear less effective when insoluble. The rapid surface crystallization at low pH "can be attributed" to the unionized polymer being a poor inhibitor and/or to a higher crystallization tendency of the drug at certain pH; surface drug is the most vulnerable because of higher molecular mobility. ·
[-] Uncoated tablet. Crystals form on the ASD surface during the gastric stage → when the pH rises and HPMCP dissolves, they are released from the matrix → they seed crystallization of the supersaturated drug, "presumably" → release falls by an amount that depends on gastric pH. ··
[+] Coated tablet, coat intact. The coat keeps the medium away from the ASD in the gastric stage → no crystals form → at pH 6.5 the coat and HPMCP dissolve after a 10–20 min lag → release is close to single-stage release and high for all three forms. ···
[-] Coated tablet, coat failed. At pH 4.5–5.0 in buffer the coat fails after about 130–150 min → water and buffer species reach the core → drug leaches and/or crystallizes → release after transfer is reduced. ··
- Food. In fed media the solubility of delamanid is much higher, which "likely accounts" for the better release of Deltyba and mitigates the effect of any crystallization; release variability of uncoated tablets "can be attributed" to an interplay of pH and food components on solubility and crystallization tendency. ·
What sets the switch point. The integrity of the coat. Eudragit L 100-55 resists dissolution below pH 5.5 and dissolved within 10–15 min at pH 6.0; at pH 4.5–5.0 the coat survived the 2 h acid stage but not much longer in buffer; food components (FEDGAS) prolonged it to more than 17 h at pH 4.5. Cited work on coated beads found softening when food raised the pH above 5.3. ····
Conclusion drawn. Conclusions section: the compromised release of the uncoated ASD tablets is "attributed to surface drug crystallization", and "the deleterious release behavior could be remediated" by an enteric coat on the tablet. ·
06What it means for formulation
- An enteric coat on the tablet is a promising way to prevent low-pH crystallization and may reduce variability between fasted and fed states. ·
- Gastric crystallization from ASDs with acid-insoluble polymers deserves closer examination; in vitro tests rarely cover the gastric pH range. ·
- For MDR-TB patients who may lack high-fat meals, release that is good without food components and less pH dependent may be of practical importance.
- An enteric polymer inside an ASD does not act as an enteric coat around it: the matrix leaks drug and lets surface crystals form in acid.
- The weak window is a fed stomach at pH about 4.5–5.5 for more than about 2 h, where this coat failed in buffer.
- The coat removes the gastric penalty; it does not raise release above single-stage values.
More detail
- The protective enteric coat "appears to provide a promising remediation strategy" to prevent crystallization at low pH, "may mitigate" variability associated with prandial state, and "may represent an approach" to reduce in vivo absorption variability.
- In vitro, the coat "appears to be a useful potential strategy" to reduce release variability arising from the wide stomach pH range between fasted and fed states.
- The findings call for closer examination of crystallization in the gastric environment from ASDs whose polymers are insoluble in acid and "may be less effective" inhibitors there; since in vitro tests do not usually span gastric pH, the observations "may be of importance" in vivo. ·
- Because many MDR-TB patients may not have access to high-fat meals, release that is improved without solubilizing components and less dependent on gastric pH "may be of practical importance".
- An enteric polymer inside an ASD and an enteric coat around a tablet do different jobs. The polymer keeps the drug amorphous where it dissolves but, in acid, the matrix still leaks drug and lets the surface crystallize; only a continuous coat keeps the acid out. For a fast-crystallizing weak base this argues for testing both.
- The coat's weak point lies between pH about 4.5 and 5.5: in buffer it failed after about 2–2.5 h, within the 2–5 h fed gastric residence the authors cite, whereas fat prolonged it in FEDGAS. A real meal may sit anywhere between these cases.
- After transfer, coated tablets reached about the same release as the single-stage tests, not more; the coat removes a gastric penalty rather than adding a benefit, and adds a 10–20 min lag.
- Salt formation in the ASD did not stop surface crystallization at pH 3.0; if salt forms are chosen for solid-state stability, gastric-stage behaviour still needs its own test.
07Open questions
- Does the coat reduce in vivo absorption variability with prandial state? ·
- Do foods that raise gastric pH above about 5.3 soften the coat early, as reported for coated beads? ·
- Crystals in tablets after a gastric stage were not examined; only films at pH 3.0.
- Coat integrity was tested on edisylate tablets only, and replicates are not stated. ·
- Coated and uncoated tablets were tested with different two-stage protocols.
More detail
- The strategy "may" reduce in vivo absorption variability linked to pH and media conditions of the prandial state; no in vivo study was done. ·
- In vivo gastric pH also varies with age and acid-reducing agents, and foods that raise gastric pH above about 5.3 softened Eudragit L 30 D-55 coated beads in a cited study; how the Acryl-EZE II coat behaves under such conditions is left open. ·
- Crystals were imaged only on spin-coated films after 1 h at pH 3.0; tablets or ASD particles were not examined after a gastric stage, at pH 1.6 or 5.0, after coat failure, or in the intestinal stage, so the crystallization and seeding steps for tablets are inferred. ·
- Why the uncoated edisylate ASD released about 83 µg/mL in the pH 5.0 gastric stage while the free base and chloride did not is not explained.
- Coat integrity was tested only on edisylate tablets at 15% weight gain, judged from photographs, and replicates and error-bar meanings are not stated anywhere. ·
- The uncoated tablets were shifted in the same vessel for 30 min and the coated tablets transferred to fresh medium for 60 min, so the two sets are not directly comparable value by value.
- Only one polymer, one drug loading and one coating level were tested; whether a thinner or thicker coat changes the pH 4.5–5.0 window was not studied. ·
08How solid
AI assessment, not a statement made in the paperRelease data for three forms at three gastric pH values directly show that the coat removes the gastric penalty, and films show crystals and their prevention. But crystallization in tablets is inferred, coated and uncoated tablets were tested with different protocols, replicates are not stated, and the SI was not available. ·····
More detail
- Coated tablets of all three forms released about 76–86 µg/mL after every gastric pH, a spread of about 4–8 µg/mL within a form.
- Uncoated tablets varied widely with gastric pH, by about 52–86 µg/mL within a form.
- Crystals on uncoated films at pH 3.0 are shown by two methods, and none formed under the enteric layer. ··
- Gastric-stage release from coated tablets was near zero at pH 1.6, 3.0 and 5.0.
- Crystals were not sought in tablets; the causal step from surface crystals to poor release is inferred.
- Coated and uncoated tablets were tested with different two-stage protocols, and part of the uncoated data comes from the earlier study. ·
- Some stated generalisations do not follow every arm: the worst gastric pH, the "> 80 µg/mL" and "the same as single stage". ··
- Coat integrity was tested on one form, judged visually, with n not stated; replicates are not stated for any test. ·
- The pH 5.0 behaviour of uncoated edisylate is unexplained, and the HPMCP solubility at pH 5.0 is unclear.
- Some text values differ from the figures, the acetate buffer recipe is missing, and the SI holding several supporting data sets was not available. ··
09Figure guide
Every figure and table of the paper, what it is there for, and what to check on the original. Key figures are shown with the story.
| Figure | What it does in the paper | Supports | Check (AI note) |
|---|---|---|---|
| Table 1 (p.2) | Defines the tablet: ASD equivalent to 50 mg delamanid in a 500 mg core with a 75 mg Acryl-EZE II coat. | 0.2 | |
| Table 2 (p.3) | Recipes of the gastric (pH 1.6, 3.0, 5.0) and intestinal (pH 5.8, 6.5) buffers. | 0.2 | |
| Table 3 (p.3) | Composition and properties of FEDGAS at pH 3.0, 4.5 and 6.0. | F3 | The text sends the acetate buffer recipe to this table, which lists citrate. |
| Fig. 1 (p.4)key figure | The problem: uncoated tablets release well in a single stage but poorly and variably after a gastric stage.· | F1, K1 | Free base and edisylate bars come from the earlier study; the worst gastric pH differs by form.· |
| Fig. 2 (p.5)key figure | Crystals on uncoated films at pH 3.0 for every form, none under an enteric layer.· | F2, K2, K3 | Uncoated areas in panels iv and v show dots rather than star crystals. |
| Fig. 3 (p.5)key figure | SEM view of the star-shaped surface crystals on the three uncoated films. | F2, K2 | |
| Fig. 4 (p.6)key figure | How long the coat lasts in acetate buffers and FEDGAS at pH 3.0, 4.5 and 6.0. | F3, K4 | Edisylate tablets only; visual end point. |
| Fig. 5 (p.7)key figure | The remedy: coated tablets hold the drug in acid and release about 76–86 µg/mL after every gastric pH. | F4, K5 | Two arms stay below 80 µg/mL; the protocol differs from Fig. 1B.· |
| Fig. 6 (p.7)key figure | Solubility: buffers follow the pKa 4.3 curve; food components raise it up to about 58 µg/mL. | F5, K7 | Method not described; buffer values may be cited. |
| Fig. 7 (p.7)key figure | Deltyba releases more in fed than in fasted intestinal media. | F5, K7 | Text gives 80 and 35 µg/mL; the plot reads about 77 and 37. |
| Fig. 8 (p.8)key figure | Coated tablets release near completely in fasted and fed media, also after 17 h in FEDGAS.· | F5, K8 | Text gives about 90 µg/mL; the plot reads about 86–87. |
| Tables S1–S3 (SI, not supplied) | Compositions of Acryl-EZE II and Deltyba; release in the acid-stage tolerance test.· | F3 | |
| Figs. S1–S8 (SI, not supplied) | Layer thickness, overnight films, coat failure, acetate pH 6.0 release, Deltyba data, structures.····· | F2, F3, F4 |