Development of modified release 3D printed tablets (printlets) with pharmaceutical excipients using additive manufacturing.

The aim of this study was to manufacture 3D printed tablets (printlets) from enteric polymers by single filament fused deposition modeling (FDM) 3D printing (3DP). Hot melt extrusion was used to generate paracetamol-loaded filaments from three different grades of the pharmaceutical excipient hypromellose acetate succinate (HPMCAS), grades LG, MG and HG. One-step 3DP was used to process these filaments into enteric printlets incorporating up to 50% drug loading with two different infill percentages (20 and 100%). X-ray Micro Computed Tomography (Micro-CT) analysis revealed that printlets with 20% infill had cavities in the core compared to 100% infill, and that the density of the 50% drug loading printlets was higher than the equivalent formulations loaded with 5% drug. In biorelevant bicarbonate dissolution media, drug release from the printlets was dependent on the polymer composition, drug loading and the internal structure of the formulations. All HPMCAS-based printlets showed delayed drug release properties, and in the intestinal conditions, drug release was faster from the printlets prepared with polymers with a lower pH-threshold: HPMCAS LG > HPMCAS MG > HPMCAS HG. These results confirm that FDM 3D printing makes it possible not only to manufacture delayed release printlets without the need for an outer enteric coating, but it is also feasible to adapt the release profile in response to the personal characteristics of the patient, realizing the full potential of additive manufacturing in the development of personalised dose medicines.

[1]  Raymond C Rowe,et al.  Handbook of Pharmaceutical Excipients , 1994 .

[2]  A. Basit,et al.  Predicting the gastrointestinal behaviour of modified-release products: utility of a novel dynamic dissolution test apparatus involving the use of bicarbonate buffers. , 2014, International journal of pharmaceutics.

[3]  M. Cima,et al.  Multimechanism oral dosage forms fabricated by three dimensional printing. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[4]  Waqar Ahmed,et al.  Adaptation of pharmaceutical excipients to FDM 3D printing for the fabrication of patient-tailored immediate release tablets. , 2016, International journal of pharmaceutics.

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

[6]  A. Basit,et al.  Gastrointestinal release behaviour of modified-release drug products: dynamic dissolution testing of mesalazine formulations. , 2015, International journal of pharmaceutics.

[7]  A. Basit,et al.  Food, physiology and drug delivery. , 2013, International journal of pharmaceutics.

[8]  A. Basit,et al.  Does sex matter? The influence of gender on gastrointestinal physiology and drug delivery. , 2011, International journal of pharmaceutics.

[9]  A. Basit,et al.  Patient-specific 3D scanned and 3D printed antimicrobial polycaprolactone wound dressings. , 2017, International journal of pharmaceutics.

[10]  Simon Gaisford,et al.  Fabrication of controlled-release budesonide tablets via desktop (FDM) 3D printing. , 2015, International journal of pharmaceutics.

[11]  Basel Arafat,et al.  Fabricating a Shell-Core Delayed Release Tablet Using Dual FDM 3D Printing for Patient-Centred Therapy , 2016, Pharmaceutical Research.

[12]  James W McGinity,et al.  Influence of plasticizer type and level on the properties of Eudragit® S100 matrix pellets prepared by hot-melt extrusion , 2010, Journal of microencapsulation.

[13]  Abdul W Basit,et al.  Physiological bicarbonate buffers: stabilisation and use as dissolution media for modified release systems. , 2009, International journal of pharmaceutics.

[14]  Abdul W. Basit,et al.  Stereolithographic (SLA) 3D printing of oral modified-release dosage forms. , 2016, International journal of pharmaceutics.

[15]  J. Remon,et al.  Production of enteric capsules by means of hot-melt extrusion. , 2005, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[16]  A. Basit,et al.  Gut instincts: explorations in intestinal physiology and drug delivery. , 2008, International journal of pharmaceutics.

[17]  A. Basit,et al.  A novel concept in enteric coating: a double-coating system providing rapid drug release in the proximal small intestine. , 2009, Journal of controlled release : official journal of the Controlled Release Society.

[18]  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.

[19]  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.

[20]  Abdul W. Basit,et al.  Patient-Specific 3 D Scanned and 3 D Printed Antimicrobial Polycaprolactone Wound 1 Dressings , 2017 .

[21]  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.

[22]  M. A. Alhnan,et al.  Fabrication of extended-release patient-tailored prednisolone tablets via fused deposition modelling (FDM) 3D printing. , 2015, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[23]  Abdul W. Basit,et al.  Stereolithographic ( SLA ) 3 D Printing of Oral Modified-Release 1 Dosage Forms 2 , 2016 .

[24]  A. Basit,et al.  Fused-filament 3D printing (3DP) for fabrication of tablets. , 2014, International journal of pharmaceutics.

[25]  M. Cima,et al.  Oral dosage forms fabricated by three dimensional printing. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[26]  A. Basit,et al.  Evolution of a physiological pH 6.8 bicarbonate buffer system: application to the dissolution testing of enteric coated products. , 2011, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[27]  N. Sandler,et al.  Ethylene vinyl acetate (EVA) as a new drug carrier for 3D printed medical drug delivery devices. , 2016, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[28]  A. Basit,et al.  A dynamic in vitro model to evaluate the intestinal release behaviour of modified-release corticosteroid products , 2015 .

[29]  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.

[30]  S. Yalkowsky,et al.  Handbook of aqueous solubility data , 2003 .

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

[32]  Deng-Guang Yu,et al.  Novel oral fast-disintegrating drug delivery devices with predefined inner structure fabricated by Three-Dimensional Printing. , 2009, The Journal of pharmacy and pharmacology.

[33]  M. Alexander,et al.  Desktop 3D printing of controlled release pharmaceutical bilayer tablets. , 2014, International journal of pharmaceutics.

[34]  Abdul W. Basit,et al.  Personalised dosing: Printing a dose of one's own medicine. , 2015, International journal of pharmaceutics.

[35]  S. Mitchell,et al.  Investigation of the Effect of Tablet Surface Area/Volume on Drug Release from Hydroxypropylmethylcellulose Controlled-Release Matrix Tablets , 2002, Drug development and industrial pharmacy.

[36]  J. Remon,et al.  Tablet-splitting: a common yet not so innocent practice. , 2011, Journal of advanced nursing.

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