Abstract

Diacerein (DCN) is a hydrophobic osteoarthritis (OA) drug with short half-life and low oral bioavailability. Furthermore, DCN oral administration is associated with diarrhea which represents obstacle against its oral use. Hence, this article aimed at developing elastosomes (edge activator (EA)-based vesicular nanocarriers) as a novel transdermal system for delivering DCN efficiently and avoiding its oral problems. For achieving this goal, elastosomes were prepared according to 41.21 full factorial design using different EAs in varying amounts. The prepared formulae were characterized regarding their entrapment efficiency percentage (EE%), particle size (PS), polydispersity index (PDI), zeta potential (ZP) and deformability index (DI). Desirability function was employed using Design-Expert® software to select the optimal elastosomes (E1) which showed EE% of 96.25 ± 2.19%, PS of 506.35 ± 44.61 nm, PDI of 0.46 ± 0.09, ZP of −38.65 ± 0.91 mV, and DI of 12.74 ± 2.63 g. In addition, E1 was compared to DCN-loaded bilosomes and both vesicles exhibited superior skin permeation potential and retention capacity compared to drug suspension. In-vivo histopathological study was performed which ensured the safety of E1 for topical application. Furthermore, the pharmacokinetic study conducted in albino rabbits demonstrated that there was no significant difference in the rate and extent of DCN absorption from topically applied E1 compared to oral suspension. Multiple level C in-vitro in-vivo correlation showed good correlation between in-vitro release and in-vivo drug performance for E1 and DCN oral suspension. Overall, results confirmed the admirable potential of E1 to be utilized as novel carrier for transdermal delivery of DCN and bypassing its oral side effects.

Highlights

  • Diacerein (DCN) is a structural modifying osteoarthritis drug (SMOAD) which selectively inhibits interleukins-1b (IL-1b) in human monocytes that has a significant role in cartilage degeneration (Verbruggen, 2006; El-Laithy et al, 2015)

  • The adjusted and predicted R2 values are preferred to be close to each other in order to be in reasonable agreement (DeLoach & Ulbrich, 2007) which was achieved in all responses except polydispersity index (PDI) (Table 1)

  • Eight elastosomal formulations were prepared using film hydration technique according to a 41.21 full factorial design which was used to select the optimal elastosomes (E1) which showed promising skin permeation potential and retention capacity due to its ultradeformable properties

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Summary

Introduction

Diacerein (DCN) is a structural modifying osteoarthritis drug (SMOAD) which selectively inhibits interleukins-1b (IL-1b) in human monocytes that has a significant role in cartilage degeneration (Verbruggen, 2006; El-Laithy et al, 2015). It manages the symptoms of osteoarthritis (OA), targets the underlying pathology, and arrests the disease progression (Medhi et al, 2007; Dhaneshwar et al, 2013). DCN is orally administered frequently due to its short half-life (4 h; Moghddam et al, 2016). These factors collectively cause poor patient compliance and decreased adherence to DCN oral regimen

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