The
aim of this study was to evaluate the benefits of a ternary
amorphous solid dispersion (ASD) that was designed as an immediate-release
tablet with a high drug load (e.g., 40% w/w) to produce heightened
maintenance of drug supersaturation during dissolution testing, which
will be henceforth referred to as the “maintenance ability”.
Ternary ASD granules were produced by hot melt extrusion (HME) and
were comprised of itraconazole (ITZ) 50%, hypromellose (HPMC) 20%,
and mesoporous silica (XDP) 30%, where amorphous ITZ incorporated
into HPMC was efficiently absorbed in XDP pores. The ternary ASD granules
containing a high-viscosity HPMC (AF4M) produced a significantly heightened
maintenance ability of drug supersaturation in neutral pH dissolution
media in which crystalline ITZ solubility is below 1 μg/mL.
The final tablet formulation contained 80% w/w of the ASD granules
(40% w/w ITZ), had an acceptable size, and exhibited both sufficient
tablet hardness and disintegration. The dissolution behavior of the
ternary ASD tablet exhibited a supersaturation maintenance ability
similar to that of the ASD granules. Under neutral conditions, the
ternary ASD tablet showed immediate and higher ITZ release compared
with the binary ASD tablets, and this phenomenon could be explained
by the difference in ITZ/AF4M particle size in the tablet. In high-resolution
scanning electron microscopy (SEM), it was observed that ITZ and AF4M
in the ternary formulation could easily form nano-sized particles
(<1 μm) during the absorption process into/onto XDP pores
prepared by HME, which contributed to the immediate ITZ release from
the ternary ASD tablet under neutral pH conditions. Therefore, the
ternary ASD containing high-viscosity HPMC and mesoporous silica prepared
by HME made it possible to design a high ASD content, small-size tablet
with an ideal dissolution profile in biorelevant media, and we expect
that this technology can be applied for continuous HME ASD manufacturing.