Abstract

There is an urgent need for new drugs to overcome the challenge of the ever-growing drug resistance towards tuberculosis. A new, highly efficient anti-tuberculosis drug, Perchlozone (thioureidoiminomethylpyridinium perchlorate, Pz), is only available in an oral dosage form, though injectable forms and inhalation solutions could be better alternatives, offering higher bioavailability. To produce such forms, nano- and micro-particles of APIs would need to be prepared as dispersions with carriers. We use this case study to illustrate the principles of selecting solvents and excipients when preparing such formulations. We justify the choice of water–THF (19.1 wt % THF) as solvent and mannitol as carrier to prepare formulations of Pz—a poorly soluble compound—that are suitable for injection or inhalation. The formulations could be prepared by conventional freeze-drying in vials, making the proposed method suitable for industrial scaling. A similar strategy for selecting the organic solvent and the excipient can be applied to other compounds with low water solubility.

Highlights

  • IntroductionTuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major threat to global health

  • We described the technique of obtaining fine particles of both individual compounds and their solid dispersions using freeze-drying

  • Pz is well soluble in pure DMSO, one must work with specially dried DMSO to avoid practical compliresidual solvent), one must work with specially dried DMSO to avoid practical cations

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Summary

Introduction

Tuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major threat to global health. In 2017 alone there were 6.6 million new cases of TB, including 600,000 new cases of multidrug-resistant (MDR) or rifampicin-resistant (RR) TB [1]. The COVID-19 pandemic has reversed years of global progress in tackling tuberculosis and for the first time in over a decade TB deaths have increased, according to the World Health Organization’s. 1.5 million people died from TB in 2020 [2].

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