Direct powder extrusion 3D printing: Fabrication of drug products using a novel single-step process.

Three-dimensional (3D) printing is revolutionising how we envision manufacturing in the pharmaceutical field. Here, we report for the first time the use of direct powder extrusion 3D printing: a novel single-step printing process for the production of printlets (3D printed tablets) directly from powdered materials. This new 3D printing technology was used to prepare amorphous solid dispersions of itraconazole using four different grades of hydroxypropylcellulose (HPC - UL, SSL, SL and L). All of the printlets showed good mechanical and physical characteristics and no drug degradation. The printlets showed sustained drug release characteristics, with drug concentrations higher than the solubility of the drug itself. The printlets prepared with the ultra-low molecular grade (HPC - UL) showed faster drug release compared with the other HPC grades, attributed to the fact that itraconazole was found in a higher percentage as an amorphous solid dispersion. This work demonstrates the potential of this innovate technology to overcome one of the major disadvantages of fused deposition modelling (FDM) 3D printing by avoiding the need for preparation of filaments by hot melt extrusion (HME). This novel single-step technology could revolutionise the preparation of amorphous solid dispersions as final formulations and it may be especially suited for preclinical studies, where the quantity of drugs is limited and without the need of using traditional HME.

[1]  Simon Gaisford,et al.  3D printed drug products: Non‐destructive dose verification using a rapid point‐and‐shoot approach , 2018, International journal of pharmaceutics.

[2]  Simon Gaisford,et al.  3D printed medicines: A new branch of digital healthcare , 2018, International journal of pharmaceutics.

[3]  A. Basit,et al.  Effect of geometry on drug release from 3D printed tablets. , 2015, International journal of pharmaceutics.

[4]  Basel Arafat,et al.  Tailored on demand anti‐coagulant dosing: An in vitro and in vivo evaluation of 3D printed purpose‐designed oral dosage forms , 2018, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[5]  A. Basit,et al.  3D Printing of Pharmaceuticals , 2018, AAPS Advances in the Pharmaceutical Sciences Series.

[6]  Waqar Ahmed,et al.  Tablet fragmentation without a disintegrant: A novel design approach for accelerating disintegration and drug release from 3D printed cellulosic tablets , 2018, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[7]  R. Williams,et al.  Dissolution enhancement of itraconazole by hot-melt extrusion alone and the combination of hot-melt extrusion and rapid freezing--effect of formulation and processing variables. , 2014, Molecular pharmaceutics.

[8]  Zhiwei Jiao,et al.  A large‐scale double‐stage‐screw 3D printer for fused deposition of plastic pellets , 2017 .

[9]  Simon Gaisford,et al.  3D Printed Pellets (Miniprintlets): A Novel, Multi-Drug, Controlled Release Platform Technology , 2019, Pharmaceutics.

[10]  Wei Yang,et al.  Enhanced In Vivo Absorption of Itraconazole via Stabilization of Supersaturation Following Acidic-to-Neutral pH Transition , 2008 .

[11]  Davide Brambilla,et al.  3D printing of a wearable personalized oral delivery device: A first-in-human study , 2018, Science Advances.

[12]  Simon Gaisford,et al.  Track-and-trace: Novel anti-counterfeit measures for 3D printed personalized drug products using smart material inks. , 2019, International journal of pharmaceutics.

[13]  Christine M. Madla,et al.  All disease begins in the gut: Influence of gastrointestinal disorders and surgery on oral drug performance , 2018, International journal of pharmaceutics.

[14]  Sheng Qi,et al.  An investigation into the use of polymer blends to improve the printability of and regulate drug release from pharmaceutical solid dispersions prepared via fused deposition modeling (FDM) 3D printing. , 2016, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[15]  M. Alexander,et al.  3D printing of five-in-one dose combination polypill with defined immediate and sustained release profiles. , 2015, Journal of controlled release : official journal of the Controlled Release Society.

[16]  M. Alexander,et al.  3D printing of tablets containing multiple drugs with defined release profiles. , 2015, International journal of pharmaceutics.

[17]  Pamela Robles Martinez,et al.  Influence of Geometry on the Drug Release Profiles of Stereolithographic (SLA) 3D-Printed Tablets , 2018, AAPS PharmSciTech.

[18]  Simon Gaisford,et al.  3D Printing of Medicines: Engineering Novel Oral Devices with Unique Design and Drug Release Characteristics. , 2015, Molecular pharmaceutics.

[19]  A. Basit,et al.  Fused-filament 3D printing of drug products: Microstructure analysis and drug release characteristics of PVA-based caplets. , 2016, International journal of pharmaceutics.

[20]  Waqar Ahmed,et al.  Channelled tablets: An innovative approach to accelerating drug release from 3D printed tablets , 2018, Journal of controlled release : official journal of the Controlled Release Society.

[21]  Evert Fuenmayor,et al.  Material Considerations for Fused-Filament Fabrication of Solid Dosage Forms , 2018, Pharmaceutics.

[22]  A. Frère,et al.  Bioavailability enhancement of itraconazole‐based solid dispersions produced by hot melt extrusion in the framework of the Three Rs rule , 2016, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[23]  Abdul W. Basit,et al.  3D printing of drug‐loaded gyroid lattices using selective laser sintering , 2018, International journal of pharmaceutics.

[24]  Simon Gaisford,et al.  3D Printing Pharmaceuticals: Drug Development to Frontline Care. , 2018, Trends in pharmacological sciences.

[25]  Christine M. Madla,et al.  Fabricating 3D printed orally disintegrating printlets using selective laser sintering. , 2018, International journal of pharmaceutics.

[26]  Niklas Sandler,et al.  3D printed drug delivery devices: perspectives and technical challenges , 2017, Expert review of medical devices.

[27]  Anosh Joseph,et al.  Food interaction and steady-state pharmacokinetics of itraconazole capsules in healthy male volunteers , 1993, Antimicrobial Agents and Chemotherapy.

[28]  Federico Parietti,et al.  Hot-melt extruded filaments based on pharmaceutical grade polymers for 3D printing by fused deposition modeling. , 2016, International journal of pharmaceutics.

[29]  Pablo Aguiar,et al.  PET/CT imaging of 3D printed devices in the gastrointestinal tract of rodents. , 2018, International journal of pharmaceutics.

[30]  Andrea Gazzaniga,et al.  Three-Dimensional Printing of Medicinal Products and the Challenge of Personalized Therapy. , 2017, Journal of pharmaceutical sciences.

[31]  Jonathan Goole,et al.  3D printing in pharmaceutics: A new tool for designing customized drug delivery systems. , 2016, International journal of pharmaceutics.

[32]  Waqar Ahmed,et al.  Emergence of 3D Printed Dosage Forms: Opportunities and Challenges , 2016, Pharmaceutical Research.

[33]  Abdul W. Basit,et al.  3D Printing Technologies, Implementation and Regulation: An Overview , 2018 .

[34]  Simon Gaisford,et al.  Development of modified release 3D printed tablets (printlets) with pharmaceutical excipients using additive manufacturing. , 2017, International journal of pharmaceutics.

[35]  Jukka Rantanen,et al.  Anti‐tuberculosis drug combination for controlled oral delivery using 3D printed compartmental dosage forms: From drug product design to in vivo testing , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[36]  M. A. Alhnan,et al.  A flexible-dose dispenser for immediate and extended release 3D printed tablets. , 2015, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[37]  Abdul W. Basit,et al.  Patient acceptability of 3D printed medicines. , 2017, International journal of pharmaceutics.

[38]  S. Gaisford,et al.  Patient acceptability of 3 D printed medicines , 2017 .

[39]  Calit,et al.  3D printing , 2020, Illustrating Mathematics.

[40]  A. Basit,et al.  3D printing of modified-release aminosalicylate (4-ASA and 5-ASA) tablets. , 2015, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[41]  Simon Gaisford,et al.  3D scanning and 3D printing as innovative technologies for fabricating personalized topical drug delivery systems. , 2016, Journal of controlled release : official journal of the Controlled Release Society.

[42]  Simon Gaisford,et al.  3D Printing of a Multi-Layered Polypill Containing Six Drugs Using a Novel Stereolithographic Method , 2019, Pharmaceutics.

[43]  Simon Gaisford,et al.  An Overview of 3D Printing Technologies for Soft Materials and Potential Opportunities for Lipid-based Drug Delivery Systems , 2018, Pharmaceutical Research.

[44]  R. Gorton,et al.  Therapeutic drug monitoring (TDM) of antifungal agents: guidelines from the British Society for Medical Mycology. , 2014, The Journal of antimicrobial chemotherapy.

[45]  Simon Gaisford,et al.  Reshaping drug development using 3D printing. , 2018, Drug discovery today.