Abstract:
Cyclosporine-A (CsA) is a peptide agent which shows immunosuppressant activity so
it is used in treatment of lung transplantation having Bronchiolitis obliterans
syndrome. The small alveoli are compressed due to fibrosis in bronchiolitis obliterans
syndrome. Cyclosporine-A is administered by oral and intravenous route but these
routed shows side effect like systemic toxicity, pain at sight of injection, first pass
metabolism and highly metabolized in oral route due to enzymes secretion. So the aim
of the present investigation was to formulate and evaluate self-emulsified freeze dried
nasal powder for treatment of bronchiolitis obliterans. Fourier Transform Infrared
spectroscopic (FTIR) studies were performed to study drug and excipients
compatibility. Selection of oil and surfactant was carried out by solubility study of
cyclosporine-A in various oils and surfactants. The self-emulsified formulation of
Cyclosporine-A was prepared using olive oil (1.5 gm), tween-80 (1 gm), sodium
alginate bio-gel adhesive (0.5 gm) and water (50 gm). Different concentration of oil,
surfactant, bio-gel adhesive and water were optimized using Box Behnken Design.
Optimized self-emulsified formulation was converted into powder form by
lyophilization using mannitol: microcrystalline cellulose: respitose (1:1:1) for better
stability. Developed self-emulsified powder of cyclosporine-A was evaluated for
globule size, zeta potential and poly dispersity index (PDI) using Malvern zetasizer
NS90. Self-emulsification time and drug content was measured for prepared selfemulsified
freeze dried powder. Flow properties of developed self-emulsified freeze dried powder were evaluated by measuring carr’s index, angle of repose, hausner’s
ratio. In-vitro drug release study was performed on goat nasal mucosa using Franz
diffusion cell. Nasal toxicity study was performed on goat nasal mucosa to evaluated
nasal epithelium cell necrosis. Stability study was performed at accelerated condition.
Drug-excipients were found to be compatible to each other which were confirmed by
FTIR study. The solubility of cyclosporine-A was found to be 99.13+0.41 mg/ml and
59.32+0.11 mg/ml in olive oil and tween-80 respectively. Globule size, poly
dispersity index and zeta potential were found to be 131.9±0.54 nm, 0.11±0.0009 and
-10.2±0.14 mV respectively for optimized batch. Emulsification time and drug
content of optimized batch was found to be 0.8±0.001 second and 96.1±0.15%
respectively. Carr’s index, hausner’s ratio and angle of repose were found to be
18.38±0.11%, 1.097±0.001 and 31.21±0.09° respectively, which indicates good flow
property of freeze dried powder. In vitro drug release of self-emulsified freeze dried
powder and plain drug were found to be 96.93±0.81% and 41.43±0.56% in 4 hours
respectively. Absence of nasal cell necrosis and removal of epithelium cell of mucosa
was confirmed by histopathological examination of nasal mucosa. Stability study was
carried out of freeze-dried powder containing Cyclosporine-A was stable at
accelerated condition. The present study demonstrated that, self-emulsified freeze
dried nasal powder of cyclosporine-A is promising dosage form for intranasal
delivery with improved peptide absorption and patient compliance for treatment of
lung transplantation.