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International Journal of Pharmaceutics 441 (2013) 9–18

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International Journal of Pharmaceutics


journal homepage: www.elsevier.com/locate/ijpharm

Formulation and optimization of desogestrel transdermal contraceptive patch


using crystallization studies
Vishal Sachdeva a , Yun Bai a , Agis Kydonieus b , Ajay K. Banga a,∗
a
Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, Mercer University, Atlanta, GA 30341, USA
b
Agile Therapeutics, Princeton, NJ 08540, USA

a r t i c l e i n f o a b s t r a c t

Article history: Levonorgestrel (LNG) is the most commonly used progestin in contraception. In this study, we report
Received 20 August 2012 the use of an alternative progestin, desogestrel, for transdermal contraception. The drug was found to be
Received in revised form 5 December 2012 significantly more permeable as compared to LNG (p < 0.05). Crystallization studies were used to select
Accepted 12 December 2012
the best adhesive among acrylate (Duro-Tak 87-4098 and Duro-Tak 87-202A) and polyisobutylene (PIB,
Available online 20 December 2012
Duro-Tak 87-608A) pressure sensitive adhesives by determining the drug’s saturation solubility in them.
The use of copovidone and mineral oil as formulation excipients was investigated to increase drug loading
Keywords:
in the PIB adhesive. Physical characterization of the patches was performed using in vitro drug release,
Desogestrel
Contraceptive
content analysis, patch weight and thickness variations and rolling ball tack and peel adhesion studies.
Transdermal patch Optimized patches were evaluated for in vitro transdermal delivery across hairless rat skin. The saturation
Acrylate adhesive solubility of desogestrel was found to be approximately 49.3% (w/w) and 55.6% (w/w) in Duro-Tak 87-
Polyisobutylene adhesive 4098 and Duro-Tak 87-202A acrylate adhesives, respectively. The saturation solubility of desogestrel was
Crystallization significantly lower (3–4%, w/w) in the PIB adhesive. Mineral oil (10%, w/w) and copovidone (30%, w/w)
were found to be optimum for increasing drug loading and patch cosmetics. Results from the physical
characterization studies suggest that a uniform and reproducible 7 day drug-in-adhesive patch could be
developed.
© 2012 Elsevier B.V. All rights reserved.

1. Introduction regarding the structural comparison between the two drugs can
be found in this publication (Lammers et al., 1998). Currently,
Progestogens are one of the most commonly used families of several oral combination contraceptive preparations containing
drugs for contraception. These are known to produce their phar- desogestrel and ethinyl estradiol are available in the US mar-
macological effect by suppressing pituitary gonadotropin secretion ket. These are marketed under several brands names including
resulting in follicular development inhibition and ovulation inhi- Apri® ; AzuretteTM ; Caziant® ; Cyclessa® ; Desogen® ; EmoquetteTM ;
bition and also by altering the cervical mucus to inhibit sperm Kariva® ; Mircette® ; Ortho-Cept® ; Reclipsen® and VelivetTM . These
penetration. Progestogens used in the past were useful but in oral preparations are available as 21 or 28 tablet packages. The
an attempt to develop more potent drugs for improved and safe tablets have to be administered at the same time daily and missed
contraception, scientists synthesized levonorgestrel by chemical tablets have to be followed by specific guidelines to compen-
modification. However, improvement in progestogenic activity was sate for missed doses (Lexi-Drugs and Online., 2012). Minimum
associated with simultaneous rise in intrinsic androgenic activity. daily dose of desogestrel for a woman with a regular menstrual
To reduce latter, scientists suggested reduction in progestogenic cycle is 60 ␮g/day (100 ␮g/day for levonorgestrel). However, most
dose or further chemical modification of the molecule. This led marketed oral preparations consist of 150 ␮g drug (2.5 times the
to the development of a new generation of progestogens. Des- required dose), to provide enhanced safety margin. This increased
ogestrel was the first of these to be developed for commercial drug loading in tablets has been reasoned as required because the
use in Europe in 1981 for oral contraception. In comparison to majority of the users have been reported to forget taking one or two
levonorgestrel, desogestrel showed improved in vitro binding affin- pills per cycle. Furthermore, the drug is known to undergo first pass
ity to progesterone receptors and greater progestogenic effect on metabolism with oral bioavailability reported to be around 84%
endometrial histology and ovulation inhibition. Further discussion and the elimination half life of desogestrel following a single dose
is known to be 12.4 ± 1.9 h (Lammers et al., 1998). Thus, despite
improved progestogenic activity, desogestrel in the currently avail-
∗ Corresponding author. Tel.: +1 678 547 6243; fax: +1 678 547 6423. able oral dosage forms is associated with the inconvenience of
E-mail address: banga ak@mercer.edu (A.K. Banga). taking one pill daily, risk of pregnancy due to non-compliance

0378-5173/$ – see front matter © 2012 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.ijpharm.2012.12.014
10 V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18

with required regimen, unnecessary higher systemic drug expo- patches has occurred in the past and has been reported in the
sure, high first pass metabolism and short elimination half life. literature (Lipp, 1998; Lipp and Muller-Fahrnow, 1999; Ma et al.,
Considering these limitations, delivery of desogestrel from a simple 1996; Yu et al., 1991). Most recently, the rotigotine patch (Neupro® )
transdermal patch appears to be more reasonable. This is because was recalled from the market in 2008 due to drug crystallization
transdermal delivery systems offer several advantages including issues, as snowflake like crystals were detected on the patch sur-
reduced systemic drug exposure, bypass of first pass metabolism, face (Chaudhuri, 2008). Thus, investigation into the crystallization
suitability for drugs with short half lives, ease of self administration potential of a drug in a specific formulation and the use of alter-
and termination and widespread acceptance of another available nate approaches to prevent it are essential for the development
weekly patch product for delivery of a different steroid (Banga, of an acceptable and efficient transdermal product. A number of
2011; Sitruk-Ware, 1995). different approaches have been reported by which crystallization
Transdermal patch technology has advanced tremendously in a patch can be eliminated. These include reducing drug loading
since the first scopolamine patch was introduced in the market in below the saturation solubility, pro-drug usage where the pro-
1979. It is due to today’s advanced patch making technology that drug has higher solubility in the formulation, use of co-solvents
nearly a billion patches are manufactured every year (Prausnitz and to increase solubility, adhesive modification to increase solubility
Langer, 2008). These transdermal patches are classified into three of the drug in the adhesive, and crystallization inhibitors (Lipp,
types: drug in adhesive (consists of drug directly dispersed into 1998). Among these the use of additives such as crystallization
adhesive polymer), reservoir (consists of a drug reservoir between inhibitors and/or solublizers has been reported widely in the lit-
a backing membrane and rate controlling membrane with a skin erature (Cilurzo et al., 2005; Jain and Banga, 2010; Kim and Choi,
contacting adhesive layer) and matrix (consists of a drug reser- 2002; Kotiyan and Vavia, 2001; Lipp, 1998; Ma et al., 1996; Schulz
voir in the center with a peripheral adhesive ring around the et al., 2011). These additives include polyvinylpyrrolidone (PVP)
edges) patches (Ghosh et al., 1997; Subedi et al., 2010; Tan and and its derivatives, copovidone, crospovidone, dextrin derivatives,
Pfister, 1999). The selection of the most appropriate design of the mannitol, polyethylene glycol, polypropylene glycol, poloxamer,
transdermal system would depend upon several factors such as Tween 80® , Labrasol® and glycerin (Jain and Banga, 2010; Kim
physicochemical properties of the drug, intended duration of appli- and Choi, 2002; Lipp, 1998; Ma et al., 1996; Schulz et al., 2011).
cation, drug amount to be delivered, whether or not dose titration A number of mechanisms have been proposed in the literature by
will be required and others. Among the three designs mentioned which these additives might prevent crystallization. These include
above, the drug in adhesive patches is the simplest and the most additives getting adsorbed on the crystal surfaces, preventing the
commonly used design. In this, the drug is incorporated directly crystal nucleation process, and co-precipitate formation between
into an adhesive and is layered in between the backing membrane the drug and the additives to form amorphous solids, i.e., forming a
and a release liner (Lipp and Muller-Fahrnow, 1999). These patches solid “solution”, which is a more plausible explanation of this phe-
offer advantages of being simple and elegant with smaller and nomenon. Incorporation of these additives in the patch formulation
thinner dimensions. From the manufacturing point of view, drug- helps in maintaining higher amounts of drug in the patch and in
in-adhesive matrix type patches offer advantages such as lack of achieving higher drug flux across the skin for a longer time period.
drug leakage issues and ease of manufacturing over other trans- The hypothesis of crystallization inhibition is not well established;
dermal systems (Kim and Choi, 2002; Minghetti et al., 2007). It is for example it was recently shown that PVP acts as a solubilizing
due to all these reasons why drug in adhesive patches have gained agent for levonorgestrel and not as a crystallization inhibitor (Jain
increased popularity among patients in the last two decades (Jain and Banga, 2010).
and Banga, 2010; Lipp and Muller-Fahrnow, 1999). Drug release In this study, a 7 day transdermal drug in adhesive contraceptive
from a drug in adhesive patch depends directly upon the drug patch using desogestrel was prepared, optimized and evaluated. For
concentration in the patch and follows first order kinetics. Upon this, both slide and patch crystallization studies were performed to
release from the patch the drug diffuses passively through the skin determine the saturation solubility of the drug in the patch compo-
layers to reach the systemic circulation, to produce the desired nents. The use of two acrylate adhesives and one polyisobutylene
therapeutic effect. In order to facilitate this passive diffusion of (PIB) adhesive was investigated. In order to increase drug loading
the drug from the transdermal patches, a supersaturated state in the PIB adhesive without causing crystallization, the use of two
would be preferred in these patches (Hadgraft, 1999; Latsch et al., additives – copovidone (Plasdone® S-630) and mineral oil were also
2004; Lipp, 1998; Tan and Pfister, 1999). Supersaturation refers to investigated. In vitro skin permeation studies were then performed
a state in which the drug amount solubilized in a given vehicle using optimized patches. Physical characterization of these patches
exceeds its saturation solubility. In such a state, increase in the was also performed using drug release studies, patch content anal-
drug’s thermodynamic activity is associated with an increase in ysis, patch thickness and weight variation studies, rolling ball tack
drug permeation. However, such systems are metastable (thermo- test and peel adhesion test.
dynamically unstable) and there is high probability that the drug
will crystallize within such systems during storage (Kim and Choi,
2002; Ma et al., 1996; Minghetti et al., 2007; Variankaval et al., 2. Materials and methods
1999).
Crystallization generally initiates with the formation of an 2.1. Materials
embryo by collision of single drug molecules. The continuation
of such collisions between the molecules results in an increase Desogestrel, copovidone (Plasdone® S-630), backing mem-
in the critical radius of the embryo that does not re-dissolve brane (2 mil polyester with an ethylene vinyl acetate copolymer,
easily, resulting in the formation of a drug crystal. The crystal ScotchpakTM 9732 from 3M) and release liner (3 mil fluoropolymer-
growth then continues until a state of saturation is achieved (Lipp, coated polyester film, ScotchpakTM 9744 from 3M) were provided
1998). The development of crystals in transdermal patches is unde- by Agile Therapeutics, Inc. (Princeton, NJ, USA). Mineral oil was
sirable because it makes them unstable, could allow dangerous obtained from Sigma–Aldrich (St. Louis, MO, USA). Acrylate PSA
amounts of drug to be delivered, influences skin permeation neg- adhesives (Duro-Tak 87-4098 and Duro-Tak 87-202A) and a poly-
atively and reduces the esthetic appeal of the product leading to isobutylene (PIB) adhesive (Duro-Tak 87-608A) were obtained as
reduced patient product acceptability (Kim and Choi, 2002; Ma gift samples from Henkel Corporation (Dusseldorf, Germany). PEG-
et al., 1996). Crystallization of sex steroids in drug-in-adhesive 400, gentamycin sulfate, tetra hydrogen furan (THF), and HPLC
V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18 11

grade methanol were purchased from Fisher Scientific (Pittsburgh, below. Pre-determined amounts of drug, adhesive, ethyl acetate
PA, USA). Deionized water was used for the HPLC analysis. and/or additives (copvidone/mineral oil) were weighed into a glass
container with lid and sealed using a parafilm to minimize loss
2.2. Skin for permeation studies of organic solvents. PIB consist of 38% solid content and the wet
weight of this adhesive was back calculated accordingly for weigh-
Hairless rat skin was used to evaluate the permeation of des- ing into the glass container. The formulation was stirred for 2 h
ogestrel from the final optimized patch. Skin was isolated from using a magnetic stirrer to form a homogenous mixture. The mix-
hairless rats (male, 8–10 weeks old and 350–400 g in weight) that ture was then casted on the release liner using a Gardner film
were obtained from Charles River (Wilmington, MA, USA). All the casting knife (BYK-AG-4300 series, Columbia, MD, USA) and the
animals were allowed to get acclimatized for at least 1 week prior cast sheet was dried in an oven at 60 ◦ C for 17 min. The pur-
to their use in any experiment. All the studies were performed as pose of this drying step was to evaporate organic solvents and
per the protocol approved by the Institutional Animal Care and for this reason the drug to adhesive ratio for patch formulations
Use Committee (IACUC) at Mercer University. Hairless rats were was calculated based on adhesive’s dry weight. Following drying,
euthanized by carbon dioxide asphyxiation prior to the perme- the entire sheet was laminated using a backing membrane which
ation experiment and its abdominal skin was carefully excised was placed on the cast film using a roller, ensuring no air pock-
using a pair of scissors and forceps. The underlying subcutaneous ets were formed. This sheet was observed for crystallization by
fat was removed from the excised skin and the abdominal skin visual inspection and under polarized microscope (Leica DM 750)
thus obtained (∼1 mm thick) was used for the permeation experi- for nine consecutive days and again after a month. This longer dura-
ments. tion of observation of a month was essential because crystallization
sometimes did not occur immediately following patch preparation
2.3. Slide crystallization studies because the diffusion coefficient of steroids is known to be low
in high viscosity adhesive matrix systems (Lipp, 1998). Following
For these studies, desogestrel or levonorgestrel was dissolved each microscopic evaluation, the patches were heat sealed in Barex
in THF (400 mg/ml). A drop of this solution was then transferred pouches (PET/LDPE/AL foil/Barex) (American Packaging Corpora-
using a pipette on a glass slide. The slide was then placed under the tion, Rochester, NY, USA) and stored at room temperature. Crystal
hood for air drying at room temperature to allow the organic sol- images were taken using a DFC-280 camera which was attached
vents to evaporate. Drug crystals thus obtained on the slide were to the microscope. The sheets showing no crystal formation dur-
observed under a polarized microscope (Leica DM 750) for nine ing the duration of observation (at least 1 month) were used for
consecutive days and again after a month. Crystal images were permeation studies. For all permeation and physical characteriza-
taken at 10× or 100× magnification (as specified) using a DFC- tion studies, patches of the desired size were cut out of the above
280 camera which was attached to the microscope. Similar studies mentioned prepared sheets.
were performed to determine the saturation solubility of the drug
in the additives copovidone (drug:copovidone – 100:0, 99.5:0.5, 2.5. Permeation studies
99:1, 98.5:1.5, 98:2, 97:3, 96:4, 95:5, 92.5:7.5, 90:10, 87:13, 84:16,
80:20, 70:30, 60:40, 50:50, 30:70, 20:80, 10:90, 0:100, w/w) and The 7 day permeation studies were performed using in vitro
mineral oil (10%, w/w). For this the drug and the additive were Franz diffusion cells (PermeGear, Inc., Hellertown, PA, USA) hav-
mixed together in THF in different (w/w) ratios and the slides were ing an effective diffusion surface area of 0.64 cm2 (n ≥ 3). In order
observed for crystals. For saturation solubility of desogestrel in to compare the permeability of levonorgestrel and desogestrel,
acrylate PSA adhesives (Duro-Tak 87-4098 and Duro-Tak 87-202A) saturated solution of each drug was prepared separately in PEG-
and PIB PSA adhesives (Duro-Tak 87-608A) both slide and patch 400. These served as corresponding donor solutions. The receptor
crystallization studies were performed. For the slide crystallization phase consisted of PEG 400 having gentamycin sulfate (80 mg/L).
studies with adhesives, drug and adhesive were mixed in different Gentamycin sulfate was added to the receptor phase to prevent
ratios to achieve a concentration range, diluted with equal amount microbial growth during the 7 day study (Chisty et al., 2002; Valiveti
of methanol and mounted on glass slides. The highest concentra- et al., 2004). During the entire study the receptor phase was main-
tion at which no crystals were observed was considered as the tained at 37 ◦ C with constant stirring at 600 rpm. Freshly excised
drug’s saturation solubility in the respective adhesive (Foreman and cleaned hairless rat abdominal skin was obtained on the day
et al., 2002). Several drug concentrations in adhesive were inves- of the experiment. This isolated skin was placed in between the
tigated for Duro-Tak 87-4098 (7.7, 10.4, 29.4, 45.5, 55.6 and 62.5%, donor and the receptor compartments and the entire set up was
w/w), Duro-Tak 87-202A (39.4, 46.7, 49.3, 56.5, 62.8 and 66.1%, then secured in place using a clamp. Donor solution (0.5 ml) was
w/w) and Duro-Tak 87-608A (2, 4, 7.5, 10 and 20%, w/w). The solid then loaded into the donor cells using a pipette and the top was
content (left following evaporation of solvent) percentages used to covered using a parafilm and a silver foil. Samples (0.5 ml) were
calculate the wet weight of adhesives were 38.5% for Duro-Tak 87- withdrawn at predetermined time points (24, 48, 72, 96, 120, 144,
4098, 40% for Duro-Tak 87-202A and 38% for Duro-Tak 87-608A. 168 h) and replaced with equal volume of fresh receptor fluid. The
For patch crystallization studies, patches were prepared using the samples obtained were analyzed for drug content (levonorgestrel
procedure described below at various drug concentrations in adhe- or desogestrel) using HPLC. Using exactly the same protocol as
sive and observed for crystallization for at least one month. The described above, permeation experiments (n ≥ 4) were then per-
concentrations investigated for drug in PIB alone patches were 2, formed using the final optimized desogestrel patches across the
3, 4, 7.5, 10 and 20% (w/w) and for drug in 10% mineral oil in PIB hairless rat abdominal skin. The only difference was that instead
patches were 3.7, 4.4, 5, 7.5 and 10% (w/w). Slides or patches pre- of using the saturated desogestrel solution as donor, desogestrel
pared using exactly the same procedure but without drug served containing patches were used. Transdermal patches, big enough to
as corresponding controls. cover the receptor compartment top were cut out of the cast sheets,
the release liner was removed and the patches were placed on the
2.4. Drug in adhesive patch preparation skin such that the adhesive side of the patch was facing the stratum
corneum side of the skin. The donor cell was then placed and the
The drug in adhesive transdermal patches was prepared for crys- entire set up was secured using a clamp. All samples obtained were
tallization and permeation studies using the procedure described analyzed using HPLC.
12 V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18

2.6. In vitro drug release study few modifications (Matejicek and Kuban, 2007). The Alliance high
performance liquid chromatography (HPLC) system (Waters Corp.,
The 7 day patch release studies were performed (n = 6) using MA, USA) equipped with a photodiode array detector (Waters
in vitro Franz diffusion cells (Jain and Banga, 2010; Jain et al., 2003). 2996) was employed. Phenomenex RP C6 Luna 5␮ column (Phen-
Patches of 1 cm2 were cut out of the prepared patch sheets and omenex, Torrance, CA) set at 35 ◦ C was employed for gradient
the backing membrane side of these patches was then glued to elution method. The mobile phase consisted of methanol and
parafilm using a cyano-acrylate adhesive to allow easy handling water. The gradient method was initiated with the use of a 70:30
and mounting of the patches on the Franz diffusion cells. The recep- (methanol:water) solution, followed by a change of the mobile
tor compartment consisted of PEG 400 having gentamycin sulfate phase composition to 100% methanol over the next 7 min. This
(80 mg/L) and was maintained at 37 ◦ C with constant stirring at methanol:water (100:0) composition was maintained till the 10th
600 rpm. The release liner was removed from the patches and the minute and then the mobile phase composition was changed again
active portion of the patch was placed on the receptor compart- to a composition of 70:30 (methanol:water) by the 12th minute.
ment (adhesive side facing receptor fluid) ensuring absence of any The run time of each injection was 15 minutes and the injection
air bubbles in between the patches and the receptor fluid. The donor volume was 100 ␮l. The flow rate of the mobile phase throughout
cell was then placed on the receptor compartment and the entire the run was 1.5 ml/min. The wavelengths used for the detection of
set up was secured using a clamp. Samples (0.5 ml) were taken at levonorgestrel and desogestrel were 244 nm and 210 nm, respec-
predetermined time points (1, 3, 4, 6, 8, 10, 12, 24, 36, 48, 60, 72, tively, and the retention times for the two drugs were around 6 min
84, 96, 108, 120, 132, 144, 156, 168 h) and replaced with equal vol- and 8.5 min, respectively. The standard curve was linear over the
ume of fresh receptor fluid. The samples obtained were analyzed range of 0.5–100 ␮g.
for desogestrel using HPLC.
2.11. Statistical analysis
2.7. Weight and thickness variation of optimized patches
All the results presented in the graphs are an average of at least
Weight variation of the prepared patches was also determined
n = 3 trials and the error bars represent the standard errors (SE).
by cutting 32 individual patches, 1 cm2 in surface area and recor-
Student t-test and analysis of variance (ANOVA) were used to deter-
ding their weight. The average weight of the backing membrane and
mine statistically significant differences. The p-value used in this
release liner having exactly the same area was then subtracted from
study was 0.05.
the weight of each patch to obtain the actual weight of the contents
in the active portion of the patch. The average weight of each patch
along with the standard error was reported. The thickness of the 3. Results and discussion
patches was measured using an Absolute Digimatic caliper (Model
# CD-6-CS, Mitutoyo, Tokyo, Japan) and was reported. Six 1 cm2 3.1. Desogestrel vs. levonorgestrel permeation studies
patches were cut from the patch sheets and the thickness of the
individual patches was measured. The objective of this study was to investigate the development
of a 7 day drug-in-adhesive contraceptive patch using desogestrel
2.8. Rolling ball tack test as the progestin molecule. Transdermal delivery of desogestrel
has been described in the patent literature (Lipp et al., 1995) but
To determine the tack of optimized desogestrel patches, a RBT- research studies have not been reported in the past to the best of
100 rolling ball tack tester (Chem Instruments, Fairfield, OH, USA) the author’s knowledge. Therefore, it was essential to first deter-
was used. The equipment provides a convenient method for quan- mine desogestrel’s passive permeation profile across the skin. In
tifying an adhesive’s ability to adhere to another surface. The these studies, permeation of levonorgestrel was also performed
equipment consists of a metallic inclined trough and a ball. The test simultaneously for comparison as it is one of the most commonly
involved placing the metallic ball at the top of trough’s inclined sur- used progestins for contraception. In vitro permeation studies were
face and allowing it to roll down the incline by pressing a spring performed across hairless rat skin using Franz diffusion cells. A
lever. The distance traveled by the ball between the end of the solution of PEG-400 saturated with either drug (levonorgestrel or
trough and the point where the ball stopped on the adhesive was desogestrel) was used as donor solution in the permeation stud-
measured. The test was performed in quadruplicate and the average ies. The average flux and the cumulative amount are shown in
distance traveled by the ball on the patch was reported. Fig. 1A and B respectively and the values were significantly higher
for desogestrel as compared to levonorgestrel (p < 0.05). Average
2.9. Peel adhesion test cumulative amount of desogestrel and levonorgestrel at the end of
7 days was found to be 389.4 ± 6.2 ␮g/cm2 and 1.8 ± 0.1 ␮g/cm2 ,
The bond strength of the optimized patches was determined respectively (Fig. 1B). These results suggest that desogestrel can
using a PA-1000-180 180◦ peel adhesion tester (Chem Instruments, passively permeate through skin without the use of permeation
Fairfield, OH, USA). The equipment provides a convenient method enhancers and its permeability was significantly higher than that
for quantifying the force required to pull a flexible patch away from of levonorgestrel. Mathematical algorithms that predict the per-
a non-flexible material (stainless steel) that is positioned parallel meability of drugs through skin, based on the physicochemical
to the patch. One end of the test specimen strip was placed in the properties such as partition coefficient (log P), molecular weight
load (10 lb) cell grip and the other end of the test specimen was and melting point have been described in the literature (Barratt,
made to adhere to the test platform. The minimum, average and 1995; Potts and Guy, 1992). These models are more directional
maximum force registering in the process of peeling the patch from than precise in their predictions. For example one of the algorithms
the stainless steel were determined and recorded. uses only log P and molecular weight to predict permeation. How-
ever, the values of log P and molecular weight of desogestrel and
2.10. Quantitative analysis levonorgestrel are almost identical (log P 4; MW 310.47 Da vs. log
P 3.8; MW 312.45 Da) which would predict similar permeability
Analysis of the amount of drug in the samples was performed between the two progestins. Other algorithms that include melting
using a chromatographic method described in the literature with point would predict that desogestrel will have higher permeability
V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18 13

Fig. 1. Desogestrel vs. levonorgestrel permeation studies. Average drug flux (A, left) and average cumulative amount (B, right) plots for desogestrel (rounds) and levonorgestrel
(diamonds) across hairless rat skin from PEG solution saturated with drug. The error bars indicate the mean standard error (SE).

due to its lower melting point (Drug Bank and Database., 2012). the preparation of desogestrel transdermal patches (two acrylate
It is evident from the experimental results that the use of deso- adhesives; Duro-Tak 87-4098 and Duro-Tak 87-202A and one PIB
gestrel for the development of a transdermal contraceptive patch adhesive; Duro-Tak 87-608A). Chemically, acrylate adhesives are
is not only of interest due to its higher progestogenic activity and formed by the copolymerization of acrylic acid, acrylic esters, and
reduced androgenic activity but also due to its better skin perme- functional monomers such as vinyl acetate whereas PIB adhesives
ation profile over that of levonorgestrel, which would allow one to are homopolymers of isobutylene (Tan and Pfister, 1999). More
develop a much smaller and more elegant patch. specifically, Duro-TakTM 87-4098 was a vinyl acetate/2-ethylhexyl
acrylate copolymer without any reactive functional groups (non-
3.2. Crystallization studies curing). Duro-Tak 87-202A was an all acrylic copolymer containing
a high level of hydroxyl functional acrylate monomer and was
Having confirmed desogestrel’s skin permeability potential, the one of the most hydrophilic grades available. Duro-Tak 87-608A,
next aim was to identify its saturation solubility in the patch to a fully saturated hydrocarbon polymer without any functional
avoid crystallization. Drug crystallization in drug in adhesive trans- groups consisted of poly-isobutylene rubber solution and was very
dermal patches is a critical issue as discussed earlier. Thus, it was hydrophobic. This information about the compositional differences
essential to perform the crystallization studies at an early product of the adhesives was obtained from the product’s technical data
development stage and adopt suitable approaches to prevent its sheet supplied by the manufacturer. The saturation solubility of
occurrence in the final product. Slide crystallization studies were desogestrel in these adhesives was determined using the slide
performed first to determine the saturation solubility of the drug method discussed earlier as well as crystallization studies on com-
in different patch excipients. A similar study was performed with plete patches. Determination of the saturation solubility of the drug
levonorgestrel for comparison. The use of these types of studies for in the adhesives/polymers is critical as it determines the maximum
identifying crystal formation and determining the saturation solu- amount of drug that can be incorporated into the patch to ensure
bility of drugs has been reported in the literature before (Foreman maximum drug delivery without concern for long term instabil-
et al., 2002; Jain and Banga, 2010). In the absence of any additive, ity and crystallization. Therefore, to predict saturation solubility
drug crystals were observed for both pure desogestrel (Fig. 2A) and of drug in adhesives/polymers Foreman et al. proposed an alter-
levonorgestrel (Fig. 2B) within 2 days following evaporation of the native and relatively faster method involving slide crystallization
organic solvent. studies (Foreman et al., 2002). This approach of studying crystal-
lization offers several benefits including simplicity of the method,
3.2.1. Drug crystallization in acrylate adhesives determination of saturation solubility in individual or combina-
The next aim of the study was to select an appropriate adhesive tion of excipients and use of very small amounts of drug and/or
and determine the drug’s saturation solubility in the adhesive and excipients.
all other components comprising the patch. Selection of an adhe- Using Foreman’s method the upper limit of the saturation sol-
sive for the development of a transdermal patch is critical to ensure ubility of desogestrel in Duro-Tak 87-4098 was found to be less
proper contact between the patch and the skin throughout the use- than 56.5% (w/w) and it was taken as 49.3% (w/w) (Fig. 3). This was
ful life of the patch. A number of different classes of the pressure based on the observation that slides having 56.5, 62.8 and 66.1%
sensitive adhesives are available for use in transdermal patch devel- (w/w) drug in Duro-Tak 87-4098 adhesive developed drug crys-
opment because they adhere to skin with light pressure and leave tals within the observation time period of 1 month whereas the
no residue upon removal, are easy to use, are stable to environ- slide containing 49.3% drug (Fig. 3) and lower drug amounts did
mental changes and have good appearance. A number of different not crystallize.
factors should be considered while selecting an adhesive including In an attempt to identify an adhesive with lower saturation sol-
biocompatibility (non-irritant and non-sensitizing to skin), formu- ubility with an intention to reduce drug loading in the final patch,
lation compatibility (inert to drug/formulation components and another acrylate adhesive (Duro-Tak 87-202A) was studied. The
allow for desired drug solubility), delivery system compatibility saturation solubility of desogestrel in this adhesive was found to
(allow required drug/enhancers diffusivity and permeability) and be even higher i.e. between 55.6% (w/w) and 62.5% (w/w) as drug
adhesive properties (adequate tack, cohesive strength and skin crystals were seen in the slides having 62.5% (w/w) (Fig. 4) con-
adhesion). The three most commonly used pressure sensitive adhe- centration or higher (not shown) but not at 55.6% (w/w). Among
sives are PIB, acrylates (polyacrylate copolymers) and silicones the two acrylate adhesives investigated, the saturation solubility of
(polysiloxanes). Three different adhesives were investigated for desogestrel in Duro-Tak 87-4098 was lower suggesting that more
14 V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18

Fig. 2. Drug crystals, pure desogestrel (A, left) and pure levonorgestrel (B, right), observed on slides at 100× magnification on the second day following evaporation of the
organic solvent.

Fig. 3. Desogestrel crystallization study in acrylic adhesive Duro-Tak 87-4098. Photomicrograph captured at 10× magnification showing absence of drug crystals at 49.3%
(w/w) concentration and presence of drug crystals at 56.5, 62.8 and 66.1% (w/w) concentration.

Fig. 4. Desogestrel crystallization study in acrylic adhesive Duro-Tak 87-202A. Picture captured at 10× magnification showing absence of drug crystals at 55.6% (w/w)
concentration and presence of drug crystals at 62.5% (w/w) concentration.
V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18 15

efficient use of the drug could be made using Duro-Tak 87-4098 as Table 1
Final patch composition. Final composition of optimized patches weighing 300 mg
the PSA in the patch.
and having an area of 15 cm2 . Patches of 1 cm2 were cut out of these sheets and used
for various studies.
3.2.2. Drug crystallization in PIB adhesive
Constituents Patch weight Patch weight after
The third adhesive investigated was the PIB adhesive (Duro-Tak
before drying (mg) drying (mg)
87-608A). The PIB adhesive was tested in slides and patches at dif-
ferent drug concentration including 2, 3, 4, 7.5, 10 and 20% (w/w). PIB+10% mineral oil
PIB 678.7 256.4
Crystals were observed at 7.5, 10 and 20% (w/w) concentrations
Mineral oil 30 30
within 9 days (Fig. 5) while crystals appeared at 4% (w/w) concen- Copovidone 1 1
tration on slide after 3 weeks (Fig. 5, bottom left). No crystals were Desogestrel 12.6 12.6
seen at 2% (w/w) or 3% (w/w) concentrations suggesting that the Total weight of sheet 300
saturation solubility of the drug in PIB was between 3 and 4% (w/w) PIB – polyisobutylene.
concentrations. These results indicate that slide/patch crystalliza-
tion studies can be helpful in the development of drug-in-adhesive
formulation. The findings discussed above indicate that the satu- above and the studies with levonorgestrel [12], the prevention of
ration in the patch could be achieved with reduced drug amount crystallization is due to the solubility of the respective progestins
when PIB is used as the patch adhesive. This is beneficial from both in the copovidone.
the manufacturing and environmental safety point of view. The lat- Besides copovidone, the use of mineral oil as a solublizer was
ter is one of the concerns that the FDA has expressed for safety also investigated to improve desogestrel solubility in the PIB adhe-
issues FDA (2010) and the FDA has been encouraging the transder- sive. Other intended benefits of incorporating mineral oil in the
mal manufacturing companies to develop products that minimize patch were to soften the drug patch, increase the value of the diffu-
the amount of drug that is left behind after the useful life of the sion coefficient and decrease the resistance offered by the patch
patch. PIB has been reported to have broad acceptance for various matrix to the diffusion of the drug through it, especially since
FDA-regulated applications including transdermal drug delivery steroids have been known to have low diffusion coefficients in
devices (Tan and Pfister, 1999). Other benefits that make PIB a such high viscosity adhesive matrix systems (Lipp, 1998). Similar to
better adhesive for a desogestrel transdermal system include its copovidone, it was essential to determine the saturation solubility
inertness, stability, flexibility and its long term adhesive properties of desogestrel in the mineral oil. PIB patches were prepared con-
needed for the development of a 7 day patch. The last two bene- taining 10% mineral oil and the drug amount was varied at 3.7, 4.4,
fits have been attributed to the amorphous characteristics and low 5, 7.5 and 10% (w/w) concentrations. After ten months of observa-
glass transition temperature of PIB (Tan and Pfister, 1999). The use tion the only patch that did not show crystal formation was the one
of PIB has been reported to be more preferable for lipophilic drugs containing 3.7% (w/w) drug (Fig. 7), indicating that the saturation
with reduced polarity and low solubility parameter profile, which solubility of desogestrel is between 3.7 and 4.4% (w/w).
is the case with desogestrel (Tan and Pfister, 1999). Considering the Based on the saturation solubility numbers obtained earlier
above mentioned benefits, PIB was selected for the preparation of for the drug in 10% mineral oil in PIB adhesive (4%) and copovi-
patches for the remaining studies. done (70%), an optimized patch sheet was prepared (Table 1). For
this, desogestrel equaling 90% of the saturation solubility of drug
3.2.3. Drug crystallization in additives (Plasdone® S-630 and obtained for each patch component (adhesive, copovidone and
mineral oil) mineral oil) was weighed and transdermal patch was prepared. The
Incorporation of additives to increase drug loading was purpose of adding 90% of drug with respect to its saturation solu-
attempted as the saturation solubility in the PIB adhesive alone bility value instead of 100% was to take into account deviations due
was low (3–4%, w/w concentration). Some increase in drug loading to non-ideal conditions and thus minimize the probability of drug
was considered to be beneficial in order to keep the drug concen- crystallization. On the other hand a high drug amount (90%) will
tration in the patch fairly constant over the 7 day period of patch ensure a high concentration gradient across the skin throughout
use. The two additives investigated were copovidone (Plasdone® S- the useful life of the patch.
630) and mineral oil. Slide crystallization studies were performed
again to determine the saturation solubility of the drug in copovi- 3.3. Permeation studies using optimized patches
done. In this experiment, desogestrel and copovidone were mixed
in THF at different (w/w) ratios and observed on slides for crys- The optimized patches were used to evaluate desogestrel per-
tallization. Crystals formed on the slides for some of the ratios meation profile across hairless rat skin. Rodents serve as a useful
(drug:copovidone – 100:0, 99:1, 95:5, 92.5:7.5, 90:10 and 80:20) alternative animal skin model for in vitro and/or in vivo studies. This
are shown in Fig. 6. is due its small size, availability, convenient handling and housing
It is clear from the images that the number and the size of the benefits. However, rodent’s and human’s skins have substantial
crystal was reduced and the time to initial observation of crystal differences in physicochemical properties including thickness,
formation increased with increasing amount of copovidone. For follicle density, skin layers composition, and number of sebaceous
example the first crystals in the 87:13 and 84:16 slides were found glands. Therefore future studies should be performed with human
within a month’s time period whereas the first crystals in the 80:20 cadaver skin to more adequately assess the feasibility of this patch
slide were seen only after 2 months. Slides having drug and copovi- for commercial purposes. Fig. 8A and B shows the average flux and
done in 70:30, 60:40, 50:50 and lower (w/w) ratios did not show cumulative amount of desogestrel delivered following permeation
crystals even after a period of 6 months. The exact saturation sol- across the hairless rat skin from the optimized patches as well
ubility could not be determined, but it is somewhere between 70 as from the saturated PEG-400 solution (discussed earlier). The
and 80% (w/w) concentration. Using a conservative approach, the average cumulative amount of desogestrel delivered at the end of
lowest percentage, i.e., 70% (w/w) was assumed as the saturation 7 days from the patch was found to be 93.4 ± 7.1 ␮g/cm2 and the
solubility of the drug in copovidone to ensure no crystallization average flux was found to be 0.7 ± 0.1 ␮g/cm2 /day, respectively.
would occur in the optimized patches. The reduction in crystalliza- The saturated PEG solution showed significantly higher average
tion achieved with copovidone has been reported in the literature cumulative amount of drug delivered as well as flux values when
as well (Jain and Banga, 2010). However, in our studies as indicated compared to that delivered from the optimized patches (p < 0.05).
16 V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18

Fig. 5. Desogestrel crystallization study in PIB adhesive Duro-Tak 87-608A. Picture captured at 100× magnification showing presence of drug crystals at 10% (w/w) concen-
tration in patch, 7.5% (w/w) concentration in patch, 4% (w/w) concentration on slide (bottom left) and 4% (w/w) concentration in patch (bottom right).

This suggests that there is a greater resistance for drug diffusion characterized for their drug release profile, weight and thickness
through the adhesive matrix of the patch when compared to the variation, content analysis and tack and peel adhesion.
drug diffusion through the PEG-400 solution. The in vitro release profile of the drug observed during the 7 day
study is shown in Fig. 9. The average cumulative amount released
3.4. Physical characterizations of optimized patches at the end of the 7th day was 519.1 ± 20.1 ␮g/cm2 , representing
62% of the drug contained in the patch. A steady and continuous
Following skin permeation evaluation, other important phys- release of the drug was observed following a parabolic release,
ical characteristics of the patches was determined. Patches were which is the expected release profile and indicates that the drug

Fig. 6. Saturation solubility of desogestrel in copovidone. Pictures captured at 100× magnification showing presence of crystals in the slides at 100%, 99%, 95%, 92.5%, 90%
and 80% (w/w) concentration of drug in drug-copovidone mixture. No crystals were seen on slides with lower drug in copovidone (w/w) ratios.
V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18 17

Fig. 7. Desogestrel crystallization study in PIB adhesive with mineral oil. Pictures captured at 100× magnification showing absence of crystals in the patch containing 10%
(w/w) mineral oil and 3.7% (w/w) drug in PIB and presence of crystals in the patch containing 10% (w/w) mineral oil and 10% (w/w) drug in PIB.

A B
7 Patch 450 Patch
Average Flux (µg/sq.cm/hr) ± SE

Saturated PEG solution Saturated PEG soultion

Average Cumulative Amt. of


400
6
350

(µg/sq.cm) ± SE
5
300
4 250
3 200
150
2
100
1 50
0 0
0 50 100 150 200 0 100 200
Time (hours) Time (hours)

Fig. 8. Desogestrel permeation studies. Average drug flux (A, left) and average cumulative amount (B, right) plots for desogestrel delivered across hairless rat skin from PEG
solution saturated with drug (diamonds) and optimized patches (squares). The error bars indicate the mean standard error (SE).

was uniformly distributed throughout the patch. Content analy- was 15.8 ± 0.1 mg. The test for thickness variation indicated that the
sis (n = 7) was also performed by extracting the drug from 1 cm2 average thickness of the patch was 0.3 ± 0.0 mm including the back-
patches using 10 ml methanol and shaking at 400 rpm for 2.5 days. ing and the release liner. The thickness of the release liner and back-
HPLC analysis of the drug extract indicated uniformity of drug con- ing membrane without the drug-adhesive-layer was found to be
tent in the patches with a standard error of less than three percent. 0.1 ± 0.0 mm. The above results indicate that the optimized patches
Test of weight variation conducted for the patches (n = 32) showed were uniform in weight and thickness as well as drug content.
that the average weight of the patch (1 cm2 ), excluding the weight The peel adhesion and the tack of the optimized patches were
of the release liner and backing membrane, was 18.7 ± 0.4 mg. The also evaluated. Excellent adhesion of a transdermal system is cru-
average weight of the backing and release liner, each of 1 cm2 area, cial for contraception, because proper surface contact with the skin
is required to ensure constant delivery of the drug (Sitruk-Ware,
1995). Peel adhesion test was performed to determine adhesive
property of the patch. The average force required to peel the patch
Average Cumulative Amt. of (µg/sq.cm) ±

600
from the stainless steel test surface was found to be 2237.6 ± 89.8 g
with a minimum and a maximum average force of 2033.9 ± 113.5 g
500
and 2564.3 ± 99.1 g, respectively. Rolling ball tests were performed
to determine the tack of the optimized patches. The average dis-
400
tance traveled by the metallic ball in the rolling ball tack test was
300 was found to be 1.8 ± 0.0 cm. The results for the peel adhesion and
SE

rolling ball tack tests confirm that the adhesive and tack properties
200 of the patches were not compromised because of the incorpora-
tion of the additives. The use of rolling ball tack test and 180◦ peel
100 adhesion test for development of transdermal systems has been
reported in the literature. For the rolling ball tack test, interpre-
0 tation is based on the distance traveled by the ball. The greater
distance traveled by the ball indicates toward the reduced tack of
0 50 100 150 200
the adhesive. In the work performed by Minghetti et al. 1999 the
Time (hours)
authors assumed a tack value of zero, if the distance traveled by
Fig. 9. In vitro drug release studies. Average cumulative amount of desogestrel
the ball was more than 25 cm. For peel adhesion test, the force
released. The error bars indicate the mean standard error (SE). required to peel away a patch from a rigid surface is determined
18 V. Sachdeva et al. / International Journal of Pharmaceutics 441 (2013) 9–18

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Conflict of interest
ethynylestradiol, gestodene, levonorgestrel, cyproterone acetate and deso-
gestrel. Anal. Chim. Acta 588, 304–315.
This project was funded by Agile Therapeutics and one of the Minghetti, P., Cilurzo, F., Montanari, L., 1999. Evaluation of adhesive properties of
authors, A. Banga, has served as a consultant to Agile in the past. patches based on acrylic matrices. Drug Dev. Ind. Pharm. 25, 1–6.
Minghetti, P., Cilurzo, F., Pagani, S., Casiraghi, A., Assandri, R., Montanari, L.,
2007. Formulation study of oxybutynin patches. Pharm. Dev. Technol. 12,
Acknowledgements 239–246.
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669.
We want to thank Agile Therapeutics for funding this research Prausnitz, M.R., Langer, R., 2008. Transdermal drug delivery. Nat. Biotechnol. 26,
project. We would also like to acknowledge Miss Suprita Tawde for 1261–1268.
her valuable suggestions during the project. Schulz, M., Fussnegger, B., Bodmeier, R., 2011. Influence of adsorbents in transdermal
matrix patches on the release and the physical state of ethinyl estradiol and
levonorgestrel. Eur. J. Pharm. Biopharm. 77, 240–248.
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