LPDT
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
INTRODUCTION
Finasteride (FNS), a synthetic 4-azasteroid compound[1] (4-azaandrost-1-ene-17-carboxamide), is an antiandrogen used for benign prostate hyperplasia (BPH) in
low doses (1 mg/day), and for prostate cancer in higher
doses (5 mg/day).[27] Recently, oral administration of FNS
has also been found to be useful in the treatment of various
dermatological and follicular disorders, such as acne, seborrhea, and male pattern baldness (i.e., androgenetic alopecia).[813] It is well documented that some skin or hair
follicle disorders involve alteration in the rate of protein
synthesis in the nuclei of skin or hair follicle cells.[1,14]
Dihydrotestosterone (DHT), a derivative hormone (metabolite) of testosterone, has been shown to be critical in these
disorders, because alteration in the rate of protein synthesis
is caused by internalization of DHT-androgen receptor
complex in the nuclei of skin or of hair follicle cells.[15]
FNS blocks the production of DHT from testosterone by
competitively and specifically inhibiting type II 5- reductase
isozyme, thus decreasing many of its effects.[16] Hence,
FNS tends to plays a vital role in the treatment of clinical
problems related with skin and hair follicles.[8,17,18]
Although the importance and potential of FNS in the
treatment of dermatological problems has found a tacit
place, its oral route of administration has been a critical
issue.[19] The treatment of local skin problems involving
dermal layers and follicles would be more logical only
through the topical route, because oral administration of
FNS tends to cause several untoward effects in a vast
majority of patients. Common adverse effects following
591
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
592
R. Kumar et al.
EXPERIMENTAL
Materials
FNS (Cipla Limited, India) and hydrogenated soy
lecithin (PC; Phosphatidylcholine content 9297%;
5
5
5
5
5
5
5
5
5
5
5
FNS (mg)
100
100
100
100
100
90
75
60
100
100
100
PL 90H (mg)
10
25
50
75
60
75
90
50
50
50
CHOL (mg)
Amount of FNS
entrapped*(mg)
3.17 0.13
3.49 0.23
3.93 0.08
4.43 0.18
4.24 0.12
4.11 0.19
3.60 0.12
3.50 0.03
4.37 0.12
3.90 0.09
2.50 0.12
DCP
(wt % of total lipids)
1
2
5
63.4
69.8
78.6
88.6
84.8
82.2
72.0
70.0
87.4
78.0
50
PDE
FNS: Finasteride; PL90H: Phospholipon 90H; CHOL: Cholesterol; DCP: Dicetylphosphate; PDE: Percent drug entrapment.
*Each value represents Mean SD (n = 3).
Highlighted rows indicate the chosen formulations for various studies.
FNS L1
FNS L2
FNS L3
FNS L4
FNS L5
FNS L6
FNS L7
FNS L8
FNS L9
FNS L10
FNS L11
Formulation
Code
Composition
31.7:1
31.7:1
31.4:1
29.5:1
24.2:1
27.4:1
24:1
23.3:1
29.1:1
26:1
16.6:1
Table 1
Effect of composition of various FNS liposomal formulations on entrapment efficiency, drug payload, and vesicle size
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
15.4 2.2
18.1 1.2
20.3 1.1
21.7 2.1
24.1 1.7
22.4 2.1
20.8 1.5
21.3 0.8
14.3 0.9
12.4 1.1
10.8. 0.8
Mean vesicle
diameter* (m)
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
594
R. Kumar et al.
(1)
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
Stability Studies
Stability of the FNS-vesicles was studied for 2
months. FNS-loaded liposomal suspensions (5 mL each)
were transferred into sealed ampoules of 10 mL capacity
after flushing with nitrogen prior to their storage in refrigerated condition (RF; 48C) and at room temperature
(RT; 25 2C). Ability of vesicles to retain the entrapped
drug (i.e., drug-retentive behavior) was assessed at the
fixed time intervals (i.e., once a week during the first
month, and every 15 days afterwards). Samples were withdrawn and analyzed for FNS content in the manner
described previously under drug entrapment studies.
The dispersions were transferred into clear test tubes,
at different time points, for visual and microscopic (optical
and TEM) observations such as vesicle fusion, aggregation disruption, and sedimentation. Physical stability using
these visual and microscopic characteristics was assessed
on an ordinal scale ranging between 0 and ++++ as below:
Score
0
+
++
+++
++++
Physical stability
:
:
:
:
:
Unstable
Poor
Average
Good
Excellent
595
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
596
R. Kumar et al.
Table 2
Optimization of sonication time: effect on PDE and vesicle size
Liposome composition
Formulation Code
FNS L9
FNS L12
FNS L13
FNS L14
FNS (mg)
PL 90H (mg)
CHOL (mg)
DCP (wt %)
Sonication
time (min)
PDE
Mean vesicle
diameter (m)#
5
5
5
5
100
100
100
100
50
50
50
50
1
1
1
1
5
10
15
87.4
88.0
85.8
71.2
14.3 0.9
6.1 1.8
3.66 1.6
16.6 3.4
(A)
Vesicle size
100
18
PDE
12
50
6
25
0
75
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
597
0
0
10
15
Sonication time (min)
20
(B)
(A)
(B)
598
R. Kumar et al.
Table 3
Cumulative amount, permeation flux, and skin deposition of Finasteride through abdominal
rat skin with different FNS formulations
Formulation
Qcum* (g/cm2)
Flux* (g/cm2h1)
ER$
Percent skin
deposition*
FNS L13-gel
FNS L13
FNS L9
FNS L4
FNS conventional gel
Control
280.95 5.89
286.16 8.97
218.52 5.51
197.71 6.87
130.07 7.71
156.08 4.33
28.369 1.321
25.715 1.917
21.954 2.301
18.862 3.101
10.377 1.091
12.069 2.342
2.35
2.13
1.82
1.56
0.85
31.56 2.9
30.87 2.4
21.76 3.4
16.75 2.9
4.99 0.9
2.56 1.1
FNS 4 L
FNS 13 L
Conventional gel
300
Cumulative drug amount per cm2
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
Permeation
FNS 9 L
FNS 13 L gel
Control
200
100
0
0
12
Time (h)
18
24
(ER) [FNS L9: 1.81; FNS L13: 2.13] than that of the neutral liposomal formulations [FNS L4: 1.56] with higher
vesicle size. This observation is in contrast to the conventional understanding that the positively charged liposomes
are supposed to interact better with the negatively charged
skin cells.[49] However, in this report, the improved permeation of FNS with negatively charged liposomes may be
due to the other liposomal characteristics that tend to help
in skin penetration viz. size, skin hydration, and integra-
599
Table 4
Effect of storage conditions and time on drug leakage, physical stability, and vesicle size of optimized liposomal
preparation of Finasteride
Stability parameters
RF
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
Time Points
Freshly prepared
(0 day)
1st week
2 weeks
3 weeks
4 weeks
6 weeks
8 weeks
Percent FNS
leakage
1.3 0.2
1.29 0.3
1.5 0.1
2.3 0.3
2.8 0.4
RT
Vesicle size
pH
Physical
stability
3.65 0.2
6.12 0.1
++++
3.55 0.1
3.75 0.2
3.49 0.1
3.30 0.2
3.77 0.3
3.89 0.2
5.85 0.2
6.07 0.4
5.98 0.2
6.32 0.03
6.11 0.2
5.93 0.3
++++
++++
++++
+++
+++
+++
(A)
Percent FNS
leakage
3.7 0.2
5.5 0.1
6.3 0.3
9.8 0.4
13.3 0.5
Vesicle size
pH
Physical
stability
3.65 0.2
6.12 0.1
++++
3.34 0.3
4.11 0.2
5.89 0.5
6.4 0.1
8.9 0.2
5.91 0.1
6.13 0.3
5.98 0.2
6.16 0.3
6.36 0.1
+++
+++
++
+
0
(B)
Figure 5. Photomicrogrpahs of FNS multilamellar liposomes after storage at RF for 2 months. (A) Optical photomicrogrpah. (B)
Electron photomicrograph.
600
R. Kumar et al.
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
CONCLUSIONS
The present work on the preparation of topical liposomes is an attempt to exploit the immense potential of
multilamellar liposomal carriers to localize the drug onto
the desired target sites in the skin. For this, a steroidal
molecule, Finasteride, was identified owing to its lipophillic nature and delivery needs within the mesodermal layers
(including follicular sites). Following thorough investigations on its developed liposomal formulations, it can be
inferred that Finasteride-loaded liposomal constructs with
optimal characteristics viz. entrapment, drug payload, size,
lamellarity, and surface charge, are able to penetrate, partition, and permeate the skin barrier to access its delivery
destinations. Further, the nonchemical modification in the
drugs behavior by means of close supramolecular association of phospholipid molecules also promises to prolong
the drug action as revealed by drug deposition studies.
Conclusively, the experimental results and the supportive
theoretical analysis unambiguously indicate promising
avenues for Finasteride in dermatological problems while
exploiting the potential of liposomes through topical route
and call for further intensive investigations.
6.
7.
8.
9.
10.
11.
12.
ACKNOWLEDGMENTS
13.
14.
15.
REFERENCES
16.
1. Stoner, E. The clinical development of a 5 alpha-reductase
inhibitor, finasteride. J. Steroid Biochem. Mol. Biol. 1990,
37, 375378.
2. Xu, Y.; Dalrymple, S.L.; Becker, R.E.; Denmeade, S.R.;
Issacs, J.T. Pharmacologic basis for the enhanced efficacy of
dutasteride against prostatic cancers. Clin. Cancer Res. 2006,
12, 40724079.
3. Canby-Hagino, E.D.; Brand, T.C.; Hernandez, J.; Thompson,
I.M. Chemoprevention of prostate cancer with finasteride.
Expert Opin. Pharmacother. 2006, 7, 899905.
4. Teillac, P.; Abrahamsson, P.A. The role of Finasteride in the
management of BPH and in the prevention of prostate cancer. Eur. Urol. Suppl. 2006, 5, 627.
5. Thompson, M.; Goodman, P.J.; Tangen, C.M.; Lucia, M.S.;
Miller, G.J.; Ford, L.G.; Lieber M.M.; Cespedes, R.D.;
Atkins, J.N.; Lippman, S.M.; . Carlin, S.M; Ryan, A.;
Szczepanek, C.M.; Crowley, J.J.; Coltman Jr., C.A. The
17.
18.
19.
influence of finasteride on the development of prostate cancer. N. Engl. J. Med. 2003, 349, 215224.
Geller, J. Five-year follows up of patients with benign prostatic hyperplasia treated with finasteride. Eur. Urol. 1995,
27, 267273.
Gormley, G.J.; Stoner, E.; Bruskewitz, R.C.; ImperatoMcGinley, J.; Walsh, P.C.; McConnell, J.D.; Andriole, G.L.;
Geller, J.; Bracken, B.R.; Tenover, J.S. The effect of finasteride in men with benign prostatic hyperplasia. N. Engl. J.
Med. 1992, 327, 11851191.
Chen, W.; Zouboulis, C.C.; Orfanos, C.E. The 5 alphareductase system and its inhibitors. Recent development and
its perspective in treating androgen-dependent skin disorders. Dermatology 1996, 193, 177184.
Van Neste, D. Natural scalp hair regression in preclinical
stages of male androgenetic alopecia and its reversal by finasteride. Skin Pharmacol. Physiol. 2006, 19, 168176.
Moghetti, M.; Castello, R.; Magnani, C.M.; Tosi, F.; Negri, C.;
Armanini, D.; Bellotti, G.; Muggeo, M. Clinical and hormonal effects of 5 alpha-reducatse inhibitor finasteride in
idiopathic hirsutism. J. Clin. Endocrinol. Metab. 1994, 79,
1151121.
Meidan, V.M.; Touitou E. Treatments for androgenetic
alopecia and alopecia areata: current options and future prospects. Drugs 2001, 61, 5369.
Wong, L.; Morris, R.S.; Chang, L.; Spahn, M.A.; Stanczy, F.Z.;
Lobo, R.A. A prospective randomized trial comparing finasteride to spironolactone in the treatment of hirsute women.
J. Clin. Endocrinol. Metab. 1995, 80, 233238.
Shapiro, J.; Kaufman, K.D. Use of finasteride in the treatment of men with androgenetic alopecia (male pattern hair
loss). J. Invest. Dermatol. Symp. Proc. 2003, 8, 2023.
Mellin, T.N.; Busch, R.D.; Rasmusson, G.H. Azasteroids as
inhibitors of testosterone 5 alpha-reductase in mammalian
skin. J. Steroid Biochem. Mol. Biol. 1993, 44, 121131.
Diani, A.R.; Mulholland, M.J.; Shull, K. Hair growth effects
of oral administration of finasteride, a steroid 5-alphareductase inhibitor, alone and in combination with topical
minoxidil in the balding stump tail macaque. J. Clin.
Endocrinol. Metab. 1992, 74, 345350.
Propecia (Finasteride): Information for health care professionals. Merck & Co. Inc. Whitehouse Station, NJ 08889,
USA. Available at http://www.propecia.com/finasteride/
propecia/consumer/index.jsp. Accessed 10 Septemeber 2006
Chen, C.; Puy, L.A.; Simrad, J.; Li., X.; Singh, S.M.; Labrie, F.
Local and systemic reduction by topical finasteride or flutamide of hamster flank organ size and enzymatic activity.
J. Invest. Dermatol. 1995, 105, 678682.
Choudhry, R.; Hodgin, M.B.; Vander Kwast, T.H.;
Brinkmann, A.O.; Boersma, W.J. Localization of androgen
receptors in human skin by immunohistochemistry: implications for the hormonal regulation of hair growth, sebaceous gland and sweat glands. J. Endocrinol. 1992, 133,
467475.
Price, V.H.; Menefee, E.; Sanchez, M.; Kaufman, K.D.
Changes in hair weight in men with androgenetic alopecia
after treatment with finasteride (1 mg daily): Three- and 4year results. J. Am. Acad. Dermatol. 2006, 55, 7174.
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.
601
Pharmaceutical Development and Technology Downloaded from informahealthcare.com by JHU John Hopkins University on 10/01/13
For personal use only.