Abstract
Alfuzosin, a selective alpha-1a antagonistis is the most recently approved AARAS, with limited cardiac toxicity and exclusively used for lower urinary tract syndromes (LUTS). In order to reduce pill burden and better patient compliance modified release (MR) formulations have been developed. Alfuzosin MR tablet was developed by the use of hot-melt granulation techniques using mono- and diglycerides as rate controlling membranes to minimize health care cost and uses of costly excipients. The other purpose of the study was to evaluate in vitro-in vivo performance of the scale up batch in healthy human subjects for commercialization. The blend uniformity (mean ± RSD%), assay, cumulative percent dissolution at 24 h, hardness, and friability of the biobatch were 100.2 ± 0.05%, 100.43 ± 0.023%, 93.98%, 4.5 kg, 5 min, and 0.08%, respectively. The in vivo pharmacokinetic parameters under fasting conditions between test and reference formulations (Uroxatral 10 mg extended release tablets) were comparable. The 90% CI, geometric mean ratio (%) and power of C max, AUCT, and AUCI of the fasting study for the test and reference formulation were 99.03% to 122.78%, 109%, 0.998; 92.94% to 116.71%, 104%, 1; 98.17% to 124.01%, 110% 1, respectively. The scale up biobatch showed negligible difference in in vitro properties with respect to the pilot batch. The formulation developed with these agents was safe to use as there were no serious adverse events developed during the conduction of the clinical trial on the healthy subjects. Furthermore, the developed formulation was bioequivalent with respect to rate and extends of absorption to the reference formulation.
Highlights
The chronic prostatitis syndromes and symptomatic benign prostatic hyperplasia (BPH) are common among aged men and women [1]
It was concluded that mono- and diglycerides, lactose monohydrate, colloidal silicon dioxide, magnesium stearate, and talc were compatible with alfuzosin hydrochloride in the formulation
Since assay results of formulations and impurities were found within the acceptance criteria, the HPLC method was precise for quantification of impurities in alfuzosin hydrochloride active pharmaceutical ingredient (API)
Summary
The chronic prostatitis syndromes and symptomatic benign prostatic hyperplasia (BPH) are common among aged men and women [1]. The etiology of prostatitis syndrome remain elusive, it does appear to be associated with a high incidence of voiding dysfunction [2]. Lower urinary tract syndromes (LUTS) are sometimes associated with enlarged prostate, commonly referred to as BPH. The BPH sometimes causes blocks of bladder outflow [3] which cause pain and inflammation of the urinary tract. If untreated they can cause impair urinary frequency, nocturia, incomplete emptying, and urinary hesitancy
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