Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology
Volume 1 Issue 1 www.ijrpb.com Page 95 FORMULATION, DEVELOPMENT, EVALUATION OF CALCITRIOL AND CLOBETASOL PROPIONATE OINTMENT Pasupathi A*, Palanisamy P, B Jaykar, R Margret Chandira, B S Venkateswarlu Vinayaka Missions College of Pharmacy, vinayaka missions university, Salem, India *Corresponding author: Email: palanisamy2907@gmail.com ABSTRACT Psoriasis vulgaris is a common skin disorder characterized by focal formation of inflamed, raised plaques that constantly shed scales derived from excessive growth of skin epithelial cells. Prevalence of Psoriasis is 2-3 % in general population. Currently, Topical Corticosteroids remain a pivotal treatment due to their effective anti-inflammatory properties; however potential adverse effects associated with chronic application limit long-term continuous therapy. Vitamin D analogues provide another mechanism of action reducing lesions through effects on keratinocytes and on cytokine environment. A topical combination of corticosteroid & Vitamin D derivative appears to provide a balanced approach to psoriasis treatment. When Calcitriol is used in combination with topical steroids, some improvement in psoriasis treatment was observed. The main side effect of Calcitriol is skin irritation. Topical steroids Clobetasol used in conjunction with Calcitriol may lessen skin irritation. Combination reduces hazards associated with long term use of topical Corticosteroids (atrophy and rebound) as well as irritation associated with Calcipotriol. Various formulations of Calcitriol (0.0003%) and Clobetasol Propionate (0.05%) were taken for optimization in relation to ointment base, consistency, ointment stability, stability with antioxidant, stability with different preservatives, and effect of temperature of Calcitriol phase addition to bulk white petrolatum base of ointment. Observations of all formulations for physical characterization and drug release profile had shown that, all comply with the specifications of official pharmacopeias and or standard reference. It was observed that, formulation batch- F12 selected as optimized formulation of Ointment, as it fulfills all requirements of Topical ointment. KEY WORDS: Psoriasis vulgaris, Calcitriol (0.0003%) and Clobetasol Propionate (0.05%). 1. INTRODUCTION Psoriasis vulgaris (Dr. Peter Pugliese, 2001) is a common skin disorder characterized by focal formation of inflamed, raised plaques that constantly shed scales derived from excessive growth of skin epithelial cells. Prevalence of Psoriasis is 2-3%in general population. The disease is defined by a series of linked cellular changes in the skin, Hyperplasia of epidermal keratinocytes, vascular hyperplasia and ectasia and infiltration of T lymphocytes, neutrophils, and other types of leucocyte in affected skin. Psoriasis (Dr. Robert E. Connolly, 2009) is T-cell-mediated autoimmune disorder. The process begins with an environmental factor, perhaps a viral antigen, which induces T cells to produce cytokines. The cytokines stimulate keratinocyte proliferation and production of antigenic adhesion molecules in the dermal blood vessels. These adhesion molecules further stimulate T cells to produce cytokines, thus perpetuating the response. 1.1. Rationale for combination of Calcitriol and Clobetasol propionate: Currently, topical corticosteroids remain a pivotal treatment due to their effective anti-inflammatory properties; however, potential adverse effects associated with chronic application limit long therapy. Vitamin D analogues provide another mechanism of action, reducing lesions through effects on both keratinocytes and on cytokine environment. A topical combination of corticosteroid and vitamin D derivative appears to provide a balanced approach to psoriasis treatment. When Calcitriol is used in combination with topical steroids, psoriasis improves more than with either agent alone. The main side effect of Calcitriol is skin irritation. Topical steroids Clobetasol propionate used in conjunction with Calcitriol may lessen skin irritation. Combination reduces the hazards associated with the long-term use of topical corticosteroids. Aim of the present work was to formulate efficacious and safe and stable semisolid dosage form with combination therapy for a super-potent topical Steroid and a topical Vitamin. In order to Reduce dosing frequency. To provide synergistic effect. To provide Ease of application. To increase bioavailability of drug. 1.2. Objective of work: The objectives of the work were to formulate topical preparation of Calcitriol and Clobetasol propionate combination ointment. The combination in single pharmaceutical composition of Calcitriol with Clobetasol propionate is not without certain problems. The reason for this is that the Calcitriol is unstable in aqueous media and more particularly at acidic pH values, where as Clobetasol propionate is unstable in basic environment. The critical role of vehicle is to enhance therapeutic efficacy and patient compliance. So Attempts have been made to develop Calcitriol and Clobetasol propionate combination ointment. 2. MATERIALS AND METHODS Clobetasol Propionate (Micronized) was procured from Sumit Lab and Calcitriol was procured from Biocon (India), White petrolatum (W.S.P.) was gifted by Unicorn / Wax oils (India), Liquid paraffin was gifted by Wax oils (India), Cetosteryl alcohol, Sorbiton sesquioleate was gifted by Croda (India), Shea Butter was gifted by Dow Corning (India), PEG-4000 was gifted by Clariant (India), White bees Wax was gifted by Manali Petro ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 96 (India), Propylene glycol was gifted by Wax oils LTD(India), Chlorocresol, Vitamin E Acetate was gifted by Merck Ltd(India), Caprilic capric tri-glyceride (Fractionated coconut oil) was gifted by Subhash chemicals (Bangalore), Citric Acid, Monohydrate, Sodium Citrate, Dihydrate was gifted by RFCL LTD (India), Butylated Hydroxytoluene (BHT) was gifted by Loba chem.(India). 3. FORMULATION OF BATCHES Table No. 1 Formulation of trial batches from F1 to F6 Ingredient (%w/w) Batches (Quantities in % w/w) F1 F2 F3 F4 F5 F6 White Petrolatum 64.909 -- -- 64.90 84.90 -- Bees Wax 5.000 -- 1.25 5.00 -- 1.25 Shea Butter 5.000 -- -- 5.00 -- -- Butylated Hydroxytoluene 0.04 0.04 -- -- -- -- Propylene Glycol 10 -- 47.45 10.00 10.00 47.45 Clobetasol propionate 0.05020 0.05020 0.05020 0.05020 0.05070 0.05020 Caprylic capric Triglyceride 15.00 -- -- 15.00 -- -- Calcitriol 0.000307 0.000307 0.000307 0.000307 0.000307 0.000307 Vitamin E Acetate -- -- -- -- 0.05 0.05 Liquid Paraffin -- -- -- -- -- -- Sorbiton Sesquioleate -- -- -- -- -- -- Gelucire 44/14 -- -- -- 0.05 -- -- PEG-400 -- 64.910 -- -- -- -- PEG-4000 -- 35.00 -- -- -- -- Cetostearyl Alcohol -- -- 8.40 -- -- 8.40 Glyceryl Monostearate -- -- 11.00 -- -- 11.00 Stearoyl Macrogol -- -- 1.50 -- -- 1.50 Chlorocresol -- -- 0.08 -- -- 0.08 Citric Acid, monohydrate -- -- 0.05 -- -- 0.05 Sodium Citrate, dehydrate -- -- 0.05 -- -- 0.05 Purified Water -- -- 30.18 -- -- 30.18
3.1. Evaluation of formulation: 3.1.1.Measurements of pH: (Amra Osmancevic and Kerstin Landin-Wilhelmsen, 2010) (By Extraction methodology): 2.5gm Ointment sample was taken in 100 ml dry beaker, then 50 ml water was added to it. Beaker was heated on water bath maintained at about 60C to 70C for 10 minutes, cooled to room temperature, and then centrifuged at 3000 rpm for 10 minutes. The pH of supernant water extract was measured by using Labindia 200 +
pH meter. The pH measurements were done by using a digital type pH meter by dipping the glass electrode into the ointment formulation. 3.1.2. Determination of viscosity: ( Zaira Kharaeva, 2009) The measurement of viscosity of the formulated Ointment was done by using Brookfield Viscometer (CAP 2000+
Viscometer). Spindle No. 1 was used for the determination of viscosity of ointment. Spindle was rotated at 80 rpm for 30 second for each measurement. The results are shown in Table No.5. 3.1.2. Determination of extrudability:
(Christina MP, 1994) (Smith, Jan G, 2010) Extrudability test is the measure of the force required to extrude the material from a collapsible tube when certain amount of force has been applied on it in the form of weight. In the present study the quantity in percentage of cream extruded from the tube on application of certain load was determined. More the quantity extruded, better was the extrudability of ointment. 3.1.3. Determination of spreadability: (Christina MP, 1994) (Smith, Jan G, 2010) One of the criteria for a cream, ointment or gel is that it should possess good spreadability. Spreadability is a term expressed to denote the extent of area to which the cream readily spreads on application to skin or affected part. The therapeutic efficacy of a formulation also depends on its spreading value. Hence determination of spreadability is very important in evaluating ointment characteristics. Special apparatus was designed to study the spreadability of ointment formulations. The spreadability is expressed in terms of time in seconds taken by two slides to slip off from ointment, placed in between the slides under the direction of certain load. Lesser the time taken for separation of twoslides, better the spreadability of ointment. 3.1.4. Microscopic evaluation: Microscopic evaluation of all formulated batches was done by using Compound microscope with the help of MOTIC software. Evaluation of the sample was carried initially and after each stability condition. Procedure: Clean and dry glass slide and cover slip were taken ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 97 Very small quantity of sample was taken on glass slide Sample was covered by placing cover slip on it. Precaution was taken that there was no entrapment of air Cover slip was slightly pressed to spread the sample uniformly to prepare the thin film It was observed under microscope with different power of lenses like 10x, 40x and 100x.
Table No. 2. Formulation of trial batches from F7 to F12 FIngredient (%w/w) Batches (Quantities in % w/w) F7 F8 F9 F10 F11 F12 White Petrolactum 89.41 84.90 89.90 89.399 84.45 89.399 Bees Wax -- -- -- -- -- Shea Butter -- -- -- -- -- -- Butylated Hydroxytoluene -- -- -- -- -- 0.05 Propylene Glycol 5.000 10.00 5.00 5.00 10.00 5.00 Clobetasol propionate 0.05020 0.05070 0.05020 0.05070 0.05070 0.05070 Caprylic capric Triglyceride 5.000 -- -- -- -- -- Calcitriol 0.000307 0.000307 0.000307 0.000307 0.000307 0.000307 Vitamin E Acetate 0.05 0.05 0.05 0.05 0.05 -- Liquid Paraffin -- 5.00 5.00 5.00 5.00 5.00 Sorbiton Sesquioleate 0.50 -- -- -- 0.50 0.50 Gelucire 44/14 -- -- -- 0.50 -- -- 3.1.5. Microbiological enumeration test: 10 gm of product was transferred aseptically to make 100ml of buffered phosphate buffer solution pH 7.2 or fluid soyabean casein digest medium containing 4% polysorbate 20 (solution- A) 3.1.6. Pour-plate method: 1ml of prepared sample was taken and transferred in to sterile Petri dishes. 15 to 20ml of liquefied soyabean-casein digest agar was poured in to sterile petri dishes, suitable for cultivation of bacteria and liquefied sabouraud dextrose agar suitable for cultivation of fungi at not more than 45C then covered them. The sample was mixed with media by tintling or rotating the dishes and contents were allowed to solidify at room temperature. The plates of soyabean-casein digest agar were incubated at 30 to 35C for 3 to 5 days and the plates of sabouraud dextrose agar at 20 to 25C for 5 to 7 days. Plates were selected corresponding to given dilution and showing the highest number of colonies less than 250 for total aerobic microbial count and 50 for total yeast and mould count (TYMC). The arithmetic mean per culture medium of counts was taken and the number of colony forming units (cfu) per gram of sample was calculated. 3.1.7. Interpretation of the results: The total aerobic microbial count (TAMC) was considered equal to the number of cfu found using soyabean-casein digest agar. If colonies of fungi were detected on this medium, they were counted as part of TAMC. The total yeast and mould count (TYMC) was considered equal to the number of cfu found using sabouraud dextrose agar. If colonies of bacteria were detected on this medium, they were counted as a part of TYMC. When the TYMC was expected to exceed the acceptance criteria due to bacterial growth, sabouraud dextrose agar containing antibiotics needed to be use. 3.2. Test for specified micro-organisms 3.2.1. Sample preparation and pre-incubation: A sample was prepared using a 1 in 10 dilution of quantity corresponding not less than 1 gm of product to be examined or 10ml of solution A was transferred aseptically to make 100ml soyabean-casein digest broth. If the product was known to have antimicrobial activity, an inactivating agent such as polysorbate 80, soyalecithin needed to be adding. It was incubated at 30 to 35C for 18 to 24 hours. After 24 hours incubation, the test for Pseudomonas aeruginosa and Staphylococcus aureus were carry out. 3.2.2. Test for Pseudomonas aeruginosa Selection and subculture: After 24 hours of incubation of soyabean-casein digest broth, a loopful of enriched culture was streaked on a plate of centrimide agar. The plates were incubated at 30-35C for 18 to 72 hours. Interpretation: The presence of Pseudomonas aeruginosa was indicated by growth of colonies. This was confirmed by identification tests. The product comply the test if the colonies were not present. Identification tests: Any colony showing greenish colour was subcultured on the surface of pseudomonas agar medium for detection of pyocyanin and pseudomonas agar medium for detection of fluroresin, plates were covered and inverted and incubated at 35-37C for not less than three days. Observation and result: The streaked surface was examined under UV light to determine whether colonies are having characteristics given below. Morphological characteristics: Addition of fluroresin to pseudomonas agar medium shows generally colourless to yellowish colonies and yellowish fluorescence in UV light. Morphological characteristics pseudomonas agar medium for detection of pyocyanin shows generally greenish colonies and bluish fluorescence pseudomonas agar medium in UV light.
ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 98 Table No. 2 Morphological characteristics Medium Characteristic colonial Morphology fluorescence in UV light Pseudomonas Agar medium for detection of Pyocyanin Generally colourless to yellowish colonies Yellowish Pseudomonas Agar medium for detection of Pyocyanin Generally greenish colonies Blue Any suspect colonial growth was confirmed by oxidase test. Oxidase test: if growth of suspect colonies occurs, smear the suspected colony on oxidase disc. If there is no development of purple colour within 30 seconds, sample meets the requirement for the test of absence of pseudomonas aeruginosa. 3.2.3. Test for Staphylococcus aureus Selection and subculture: After 24 hours of incubation of Soyabean-Casein Digest Broth, a loopful of enriched culture was streaked on a plate of mannitol salt agar. The plates were incubated at 30-35C for 18 to 72 hours. Interpretation:The presence of staphylococcus aureus was indicated by growth of yellow or white colonies surrounded by yellow zone. This was confirmed by identification tests. The product comply the test if the colonies were not present. Identification tests: In case the colonies characteristics matches with the description as mentioned above, then presence of positive cocci was confirmed by gram staining. Coagulase Test (Staphylococcus aureus): With the aid of an inoculating loop, transfer representative suspect colonies from the agar surfaces of the mannitol salt agar medium to individual tubes, each containing 0.5ml of mammalian, preferably rabbit or horse plasma with or without suitable additives. Incubate in water bath at 37C, examining the tubes at 3 hours and subsequently at suitable intervals up to 24 hours. Test positive and negative sample meets the requirements of the test for absence of Staphylococcus aureus. Table No. 3 Culture Conditions for Inoculum Preparation Organism Suitable Medium Incubation Temperature Inoculum Incubation Time Microbial Recovery Incubation Time Pseudomonas aeruginosa (ATCC No. 9027) SoybeanCasein Digest Agar 32.5 2.5 0 C 18 to 24 hours 3 to 5 days Staphylococcus aureus (ATCC No. 6538) SoybeanCasein Digest Agar 32.5 2.5 0 C 18 to 24 hours 3 to 5 days Interpretation criteria: Table No. 4 Acceptance criteria for microbiology interpreted as follows. Limit Maximum acceptable count 10 1 CFU 20 10 2 CFU 200 10 3 CFU 2000 3.2.4. Stability Study:Stability study was performed as per ICH guideline. The purpose of stability testing is to provide evidence on how the quality of a drug substance or drug product varies with time under the influence of a variety of environmental factors such as temperature, humidity and light. Therefore, stability studies provide data to justify the storage condition and shelf-life of the drug product. For drug substance, such studies establish the retest date in addition to the storage condition of raw material. 4. RESULT AND DISCUSSION 4.1. Related Substances calculation:
Figure No. 1: Chromatogram for RS of mixed Standard
ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 99 Table No. 5 Peak results for RS of mixed standard
Chromatogram for RS of sample (Optimized batch F12): Figure No. 2 Chromatogram for RS of Sample for Clobetasol propionate (Optimized batch F12) Table No. 6 Peak results for RS of sample (optimized batch F12)
Single maximum impurity- 0.12 Total impurities- 0.2867 RS study of sample (optimized batch, F12) after accelerated stability study at the condition 40 0 C/75 %RH showed that related substances formed due to degradation of active ingredients were below the limits prescribed. 4.2. Evaluation of Ointment: The evaluated parameters were pH, viscosity, spreadability, extrudability and assay.
Table No.7 Initial evaluation of formulation batches
Note: * = Mean S.D., CP=Clobetasol propionate, C=Calcitriol
4.3. Optimization of Ointment base for consistency: The base selection was carried out in F3, F4 and F5. First batch was formulated as per the Galderma ointment and Calcitriol was incorporated in Caprylic capric triglyceride, consistency suddenly found to be dropped and drug phase was not dispersed uniformly. In next batch F2, micronized form of both the drugs was used and Calcitriol phase was incorporated in PEG base after emulsification at 70 0 C. Micronized form of drug gave smooth texture to ointment but consistency again found to be dropped. After that to improve the consistency, in trial batch F3 Dermovat Cream base with 8.4% w/w Cetostearyl alcohol was incorporated in water phase. Viscosity was found good but after the stability testing (e.g. 25C/60%RH, 30C/65%RH, 40C/75%RH) assay results indicated that concentration of both drugs were decreasing day by day. F1 & F3 has better consistency than PEG base. In next trial F4 white petrolatum base Gelucire 44/14 as emulsifier was used, but consistency was increased too high due to Shea butter and bees wax. After evaluation it was found that consistency was needed to reduce slightly and spreadability needed to improve as it showed tackiness. Results showed that F5 exhibited good spreadability property as compared to previous batches. 4.4. Batches with the antioxidant: In the Innovator formula, BHT was used as antioxidant. The antioxidant was used to find out the more stable formulation as both the drugs are prone to oxidative degradation. The continued degradation of drugs results in a total loss of its therapeutic activity. Previous batch F2 was prepared with single antioxidant i.e., BHT. And next trial batch F5 was taken with antioxidant Vitamin E Acetate were evaluated for the assay initially and after the stability testing (e.g. 25C/60%RH, 30C/65%RH, 40C/75%RH). The antioxidant vitamin E was added to WSP base, PEG base, & Cream base formulation batches. (F2, F5, F6). But according to microbiological enumeration test, it was observed that batch F5 with white petrolatum and Vitamin E Acetate having better stability than PEG base or Cream base. Finally Vitamin E Acetate was selected as antioxidant for next formulation trial batches.
F2 F5 F6 Figure No. 9: Microscopic evaluation of F2, F5 and F6
ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 102 4.5. Batches with different Solubilizer: To evaluate the effect of Solubilizer on stability of formulation, batches with the different Solubilizer concentrations were evaluated for assay to find out the effect of Solubilizer on % drug content after stability study. Initial batches showed that variation in Solubilizer effects on assay and variation of drug content at different points of the SS container as such top, middle and bottom. In trial batch F7 Fractionated coconut oil (5%) was used as Solubilizer for Calcitriol with propylene glycol (5%) for Clobetasol propionate as Solubilizer. In trial batch F8 Liquid paraffin (5%) used as Solubilizer for Calcitriol with propylene glycol (10%) for Clobetasol propionate as Solubilizer. In trial batch F9 Liquid paraffin (5%) was used as Solubilizer for Calcitriol with propylene glycol (5%) for Clobetasol propionate as Solubilizer. It provides uniformity of both drugs dispersion in ointment base. The trial batches were evaluated initially and after the stability period of 3 month at different stability conditions. 4.6. Selection of Emulsifier for stabilization of Ointment (F10): As in trial batch F7, F8 & F9 oily appearance was observed on the top surface of the ointment, due to separation of Solubilizer to the some extent, after keeping over night. This was due to separation of propylene glycol or liquid paraffin from white petrolatum base. So it was needed to add an Emulsifying agent. The two emulsifiers were selected as Gelucire 44/14 & Sorbiton sesquioleate. HLB of Sorbiton sesquioleate = 03.7 HLB of Gelucire 44/14= 14 As the formulation to be prepared was consist of a combination of more than one oleaginous material such as water-insoluble hydrophobic oils and fats. Most of the early ointment bases used to be exclusively oleaginous in nature. All the previous batches were formulated without the surfactant. Except trial batch F4. Consistency was found good but separation of propylene glycol or liquid paraffin from white petrolatum base. To overcome the non uniformity of Solubilizer with white petrolatum base, trial batch F10 was not found good. But Trial batch F11 given better uniformity and homogenousity of Solubilizer with white petrolatum base. Fraction of surfactant was added in both the drug phases (i.e., Clobetasol propionate and Calcitriol). 4.7. Batches with different Temp. of addition of Calcitriol phase to the bulk white petrolatum base:In, Trial batch F11 & F12 the Calcitriol in liquid paraffin phase was added to the bulk White petrolatum base at 70 o C to 72 o C & 35 o C to 37 o C. F12 batch was observed more consistent than F11. Hence effect of Temp. On formulation was optimized. Depending on the antimicrobial stability, assay and In-vitro Drug release profile, final optimized batch F12 was selected. 4.8. Stability study of different batches: Stability study was carried out according to the ICH guidelines at 25 0 C/60% RH, 30 0 C/75% RH, 40 0 C/75% RH for three months. The formulation was packed in aluminum lacquered tube and kept in stability chamber. All the parameters were evaluated after stability study. Table No. 14 Stability results after 1 month Parameters Stability result at 25 0 C/60 %RH F7 F8 F9 F10 F11 F12 pH* 7.110.04 7.720.05 5.160.10 5.220.25 5.620.12 5.620.05 Viscosity* (Poise) 3.700.11 3.620.08 3.640.05 3.570.04 3.620.04 3.610.18 Spreadability.* (gm cm/sec) 4.110.16 4.200.08 4.120.07 4.200.23 4.270.11 4. 500.08 Extrudability* (%) 760.94 800.54 820.16 810.26 160.33 870.16 %Assay (CP)* 99.461.25 99.470.72 99.621.01 98.210.72 99.740.22 98.780.62 %Assay(C)* 98.831.05 99.530.89 99.630.96 98.100.49 99.000.31 99.200.43 Stability result at 30 0 C/75 %RH pH* 7.210.04 7.760.12 5.180.02 5.190.25 5.330.17 5.600.23 Viscosity* (Poise) 3.660.15 3.600.27 3.590.04 3.580.71 3.620.26 3.610.08 Spreadability.* (gm cm/sec) 4.160.14 4.240.26 4.180.08 4.180.21 4.200.18 4.210.26 Extrudability* (%) 780.87 801.01 900.84 810.42 840.06 860.05 %Assay (CP)* 98.981.43 99.450.14 99.541.03 99.140.04 98.700.17 99.710.42 %Assay(C)* 98.781.21 99.530.04 99.620.78 99.050.26 99.000.42 99.660.19 Stability result at 40 0 C/75 %RH pH* 7.920.28 8.300.18 5.160.15 5.190.25 5.310.54 5.580.52 Viscosity* (Poise) 3.600.12 3.550.34 3.620.54 3.580.06 3.540.06 3.610.87 Spreadability.* (gm cm/sec) 4.250.11 4.180.12 4.120.65 4.180.21 4.160.27 4.210.06 Extrudability* (%) 800.87 811.12 910.33 810.87 840.06 860.05 %Assay (CP)* 97.341.12 99.191.53 99.541.34 99.140.06 98.640.42 99.700.27 %Assay(C)* 97.111.01 99.231.19 99.520.23 99.050.26 99.040.42 99.580.06 Note: * = Mean Standard deviation, CP=Clobetasol propionate, C=Calcitriol Once the ointment base was optimized, trials with different antioxidants, with different Solubilizer and temperature of addition of Calcitriol phase to bulk phase (F7-F12) were formulated and kept for the stability study. Results of the stability studies are shown in Tables 14, 15 and 16. Assay of F3 and F4 was found to be dropped at the accelerated stability conditions of 40 0 C/75 %RH. This drop in assay may be due to ineffective ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 103 protection against oxidative degradation. Use of antioxidants in F5 and F6 gave better results. Also the dispersion of both drugs in ointment base was not uniform and homogenous so in F7, F8 and F9 different Solubilizer with different concentration were used. 5% propylene glycol and 5% liquid paraffin for Clobetasol propionate and Calcitriol found better results. In F10 to overcome the non uniformity of solubilizer with white petrolatum base was optimized by using Emulsifying agent Gelucire 44/14 and Sorbiton sesquioleate. Result of Sorbiton sesquioleate was found better. In trial F11, F12 Temp. of addition of Calcitriol phase to the bulk white petrolatum base was optimized. Also % drug content was affected to minor extent was considerable. Final optimized formulation was selected on the basis of Microbiological enumeration testing of F9-F12. 4.9. Related Substances: Determination of related substances of Clobetasol propionate (active ingredient) was carried out for the batches kept for stability study at different conditions (i.e., F7-F12). Determination of related substances of Calcitriol (active ingredient) was not carried out due to conc. was too much low 0.0003% w/w. All the stability batches showed the total impurities for Clobetasol propionate below the prescribed limit 4.10. Microbiological Enumeration Test: The preservative efficacy test was designed to perform the quantitative and qualitative estimation of specific viable microorganisms present in formulation by using various cultures of bacteria and fungi (Staphylococcus aureus, Pseudomonas aeruginosa) for 28 days. Cfu/gm of sample was counted at the interval of 7 days. Results are tabulated in Table No. 17. Table No. 15 Stability results after 2 months Parameters Stability result at 25 0 C/60 %RH F7 F8 F9 F10 F11 F12 pH* 7.250.54 8.130.18 5.160.09 5.220.19 5.280.19 5.580.12 Viscosity* (Poise) 3.650.02 3.510.96 3.640.04 3.570.22 3.600.18 3.620.04 Spreadability.* (gm cm/sec) 4.410.17 4.180.08 4.120.41 4.200.33 4.250.08 4.501.21 Extrudability* (%) 760.27 800.04 820.12 810.21 820.49 860.32 %Assay (CP)* 99.350.65 99.310.72 99.640.15 98.210.22 98.70.62 99.700.07 %Assay(C)* 98.640.21 99.370.21 99.630.31 98.100.16 99.000.89 99.200.31 Stability result at 30 0 C/75 %RH pH* 7.210.81 7.760.12 5.180.02 5.190.78 5.330.23 5.560.12 Viscosity* (Poise) 3.660.11 3.600.07 3.590.04 3.58 0.11 3.620.53 3.610.05 Spreadability.* (gm cm/sec) 4.160.31 4.240.13 4.180.18 4.180.25 4.200.12 4.210.21 Extrudability* (%) 780.35 801.01 900.71 810.42 840.06 860.08 %Assay (CP)* 98.981.02 99.011.03 99.541.03 99.140.24 98.500.06 99.600.37 %Assay(C)* 98.780.22 99.140.41 99.621.05 99.050.41 99.000.23 99.150.12 Stability result at 40 0 C/75 %RH pH* 7.920.28 8.300.31 5.200.15 5.270.25 5.310.54 5.550.02 Viscosity* (Poise) 3.600.12 3.550.34 3.610.54 3.340.06 3.540.06 3.610.15 Spreadability.* (gm cm/sec) 4.250.11 4.180.12 4.020.42 4.110.21 4.160.27 4.210.12 Extrudability* (%) 800.12 801.09 910.33 810.87 840.23 860.65 %Assay (CP)* 97.040.06 98.860.42 99.451.04 99.140.06 98.640.17 99.430.27 %Assay(C)* 97.050.01 98.940.13 99.020.21 99.050.46 99.040.65 99.100.02
All batches with different preservative combinations showed decrease in Cfu count but F12 containing Vitamin E Acetate (0.5% w/w) was found to be most effective in inhibiting the microbial growth. Preservative in F12 was found to be effective as, The concentration of viable bacteria was not more than 0.1% of initial concentration by the 14 th day. The concentration of each test microorganism remained at or below the designated levels during the remainder of 28 day test period. On the basis all the evaluation parameters of formulation including assay, RS, viscosity, spreadability, extrudability and emulsion stability initially and after exposure to accelerated stability conditions and finally on the basis of antimicrobial preservative efficacy testing, F12 was selected as optimized formula for topical delivery of Clobetasol propionate and Calcitriol. 4.11. Microscopic evaluation of optimized batch: From microscopy it was observed that the uniform sized globules were distributed throughout White petrolatum base (Figure 10). Microscopic evaluation after accelerated stability studies showed that ointment was stable as retaining its integrity and globule size did not increase to considerable extent.
Table No.17 Results of Microbiological Enumeration Test Evaluation time Trial Batch Culture used Staph. aureus ATCC 6538 Pseudomonas aeruginosa ATCC 9027 0 hour count Cfu/gm of sample Cfu x 10 3 F9 213 210 F10 215 208 F11 243 234 F12 209 201 7 days count Cfu/gm of sample Cfu x 10 3 F9 212 221 F10 189 203 F11 189 196 F12 183 195 14 days count Cfu/gm of sample F9 132 113 F10 45 39 F11 49 41 F12 39 45 21 days count Cfu/gm of sample F9 59 54 F10 9 5 F11 7 5 F12 3 2 28 days count Cfu/gm of sample F9 21 12 F10 0 1 F11 1 0 F12 0 0
Figure No. 10: Microscopy of optimized batch (F12)
Cfu = Colony forming unit
ISSN: 2320 3471(Online) Pasupathi A et.al. Indian J ournal of Research in Pharmacy and Biotechnology Volume 1 Issue 1 www.ijrpb.com Page 105 5. SUMMARY AND CONCLUSSION A topical combination of corticosteroid & Vitamin D derivative appears to provide a balanced approach to psoriasis treatment. When Calcitriol is used in combination with topical steroids, Psoriasis improves more than one agent alone. The main side effect of Calcitriol is skin irritation. Topical steroids Clobetasol used in conjunction with Calcitriol may lessen skin irritation. Combination reduces hazards associated with long term use of topical Corticosteroids. Various formulations of Calcitriol (0.0003%) and Clobetasol Propionate (0.05%) were taken for optimization in relation to ointment base, consistency, ointment stability, stability with antioxidant, stability with different preservatives, and effect of temperature of Calcitriol phase addition to bulk white petrolatum base of ointment. Initial batch based on innovator Galderma showed sudden drop in consistency and also the drugs were not dispersed uniformly in formulation as it showed grittiness. From trial batch F2 micronized form of both the drugs was used to prevent grittiness. In F2, F3, F4 and F5 selection of base was carried out to improve the consistency. Homogeneity and consistency were improved in F5 than F1, F2, F3 and F4 but it showed tackiness as previous batches. To improve spreadability, Bees wax, Shea butter was not added in F5. Homogeneity of F5 & F6 was satisfactory with uniform globule size and drug dispersion. In trial batch F7 Fractionated coconut oil (5%) was used as Solubilizer for Calcitriol with propylene glycol (5%) for Clobetasol propionate as Solubilizer. In trial batch F8 Liquid paraffin (5%) used as Solubilizer for Calcitriol with propylene glycol (10%) for Clobetasol propionate as Solubilizer. In trial batch F9 Liquid paraffin (5%) was used as Solubilizer for Calcitriol with propylene glycol (5%) for Clobetasol propionate as Solubilizer. Trial batch F11 & F12 the Calcitriol in liquid paraffin phase was added to the bulk White petrolatum base at 70 o C to 72 o C & 35 o C to 37 o C. F12 batch was observed more consistent than F11. Hence effect of Temperature on formulation was optimized. Depending on the antimicrobial stability, assay and In-vitro Drug release profile, final optimized batch F12 was selected. Observations of all formulations for physical characterization, assay & in-vitro drug release had shown that, all comply with the specifications of official pharmacopeias and or standard reference. It was observed that, formulation batch- F12 selected as optimized formulation of Ointment, as it fulfills all requirements of Topical ointment identical with innovator product ( GALDERMA). It was concluded that ointment of Calcitriol & Clobetasol propionate could be formulated components and processing aspects. 6. ACKNOWLEDGEMENTS Authors are thankful to Prof.(Dr.) B.Jayakar, Principal, Vinayaka missions college of pharmacy, Salem, Tamilnadu, India providing all the facilities for this research work.
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