pH selection and measurements
USP provides a wide acceptable pH range for PI ointment (pH = 1.5-6.5). As shown in
Figure 3, the best pH value was concluded to be equal to 4. All formulations were prepared according to this finding.
The effect of pH on available iodine
Table 3 lists the mean pH values (n = 3), for all formulations (F1-F17) immediately after production and also after 30 and 60 days incubation at 40°C, 75 % RH. According to results, a slight decrease ranged from 0.01 to 0.25 in pH unit was observed.
Povidone Iodine is an Iodophore that consists of Poly vinyl pyrolidone along with (I2) or (HI3). The germicidal activity of this Iodophore depends on the free iodine concentration (Available Iodine) in the solution. This can explain the effect of pH on the PI activity. A slight decrease in the pH value of the prepared formulations can be explained by the fact that, in aqueous solutions Iodine can exist in many different forms, but the reactions that may lead to pH decrease can be shown as follow:
It should be kept in mind that, I
2, I
- and HOI exhibit the germicidal activity (
20). Although a slight pH decrease was observed, all formulation did have the acceptable pH according to previously mentioned criteria.
| pH(Mean ± SD)
|
|---|
| Formulation | 0 Day | 30 Day | 60 Day |
|---|
| F1 | 3.60±0.01 | 3.49±0.01 | 3.64±0.01 |
| F2 | 3.54±0.01 | 3.31±0.01 | 3.45±0.01 |
| F3 | 3.50±0.01 | 3.31±0.01 | 3.42±0.01 |
| F4 | 3.54±0.01 | 3.30±0.01 | 3.40±0.01 |
| F5 | 3.54±0.01 | 3.40±0.01 | 3.51±0.01 |
| F6 | 3.52±0.01 | 3.45±0.01 | 3.60±0.01 |
| F7 | 3.60±0.01 | 3.54±0.02 | 3.64±0.01 |
| F8 | 3.60±0.01 | 3.54±0.01 | 3.62±0.02 |
| F9 | 3.60±0.01 | 3.54±0.01 | 3.58±0.01 |
| F10 | 3.60±0.03 | 3.51±0.01 | 3.57±0.01 |
| F11 | 3.61±0.02 | 3.55±0.01 | 3.59±0.01 |
| F12 | 3.63±0.01 | 3.56±0.01 | 3.60±0.01 |
| F13 | 3.65±0.02 | 3.57±0.01 | 3.58±0.00 |
| F14 | 3.69±0.02 | 3.56±0.01 | 3.58±0.00 |
| F15 | 3.65±0.02 | 3.54±0.01 | 3.59±0.01 |
| F16 | 3.66±0.02 | 3.56±0.01 | 3.61±0.01 |
| F17 | 3.67±0.02 | 3.58±0.01 | 3.61±0.01 |
| Fx | 3.99±0.06 | 3.98±0.01 | 3.99±0.02 |
In order to explain the pH variations, each PEG aqueous solution (5%w/v) was individually tested and the resulted pH values for PEG 400, 1000, 2000 and 4000 were 5.1, 4.1, 5.5 and 5.9 respectively. The pH value for different grades and different manufacturer of PEG may be different, due to the variations in manufacturing processes (pH = 4-7).
Measurement of Responses
Available iodine
As mentioned before, all prepared formulations (F1-F17) were subjected to Available iodine measurement immediately after preparation and 30 and 60 days after incubation at accelerated ICH condition (40°C, 75 % RH).
Figure 4 illustrates the differences of remained available iodine content in prepared formulations (F1-F17) and a commercial one (FX) after 30 and 60 days incubation at 40°C, 75% RH. All experiments were done at least 3 times (n = 3).
Differences of available iodine content in prepared formulations (F1-F17) and commercial one (FX) after 30 and 60 days incubation at 40°C, 75 % RH with the initial value
Available iodine content of the preparations immediately after production varied in the range of 98.98-103.72 % of the labeled claim. Although the commercial PI ointment was within the labeled shelf life but the available iodine was about 89.5%. After incubation for 30 and 60 days, the range was changed to 93.57-99.83 and 93.23-98.47 respectively. According to USP the acceptable assay results lies between 85 to 120% and it can be concluded that all formulations were accepted even after incubation in ICH accelerated stability condition. The presence of "Significant change" was also checked (
12,
13) and the results indicated that only a few formulations had available iodine below 95 percent and thus were not stable (F2, F3, F4 and F5).
This instability may be explained by possible physical or chemical linkage of Iodine to high molecular weight PEGs as all the instable formulations had higher contents of this component. Reducing agents such as impurities arising from polymerization process and known as by products have an adverse effect on the stability of the Iodine by incorporating in Red/Ox reactions (
19). Due to more sever polymerization needed in high molecular weight PEGs this can be another reason to explain the results. Another explanation can be made by micro environmental pH variations in the presence of high molecular weight PEGs that has a great effect on the amount of free iodine content (
20).
Rheological properties
The pesudoplastic behavior was revealed for all prepared formulations and the commercial ointment. The difference between measurements was considered statistically significant indicating that selected time points are able to differentiate the formulations and finally based on the rheological behavior the similar formulations to commercial ointment were identified.
Figure 5 illustrates; shear rates versus shear stresses for all formulations along with the commercial one.
Table 4 shows the results of fitting data to power low listing flow behavior index (n) and yield point (M) for prepared formulations along with a commercial one.
Shear rate versus shear stress for all formulations (F1-F17).
Figure 5 and
Table 4 both indicate a Pseudoplastic flow with a yield value (n or Flow behavior index < 1).
| Formula | n | M(Dyne/Cm2) |
|---|
| F1 | Y = 86.394x 0.7189 | 0.7189 | 86.394 |
| F2 | Y = 117.88x 0.6728 | 0.6728 | 117.88 |
| F3 | Y = 230.16x 0.6114 | 0.6114 | 230.16 |
| F4 | Y = 186.63x 0.6429 | 0.6429 | 186.63 |
| F5 | Y = 69.532x 0.7206 | 0.7206 | 69.532 |
| F6 | Y = 74.73x 0.7205 | 0.7205 | 74.73 |
| F7 | Y = 48.688x 0.7565 | 0.7565 | 48.688 |
| F8 | Y = 43.609x 0.7587 | 0.7587 | 43.609 |
| F9 | Y = 74.73x 0.7205 | 0.7205 | 74.73 |
| F10 | Y = 59.459x 0.747 | 0.747 | 59.459 |
| F11 | Y = 79.05x 0.7108 | 0.7108 | 79.05 |
| F12 | Y = 95.926x 0.7108 | 0.7108 | 95.926 |
| F13 | Y = 105.26x 0.6997 | 0.6997 | 105.26 |
| F14 | Y = 74.959x 0.7203 | 0.7203 | 74.959 |
| F15 | Y = 67.214x 0.7349 | 0.7349 | 67.214 |
| F16 | Y = 42.104x 0.7793 | 0.7793 | 42.104 |
| F17 | Y = 97.513x 0.6779 | 0.6779 | 97.513 |
| Fx | Y = 143.98x0.6781 | 0.6781 | 143.98 |
Rheological properties of each formulation immediately after preparation and then after incubation for 30 and 60 days (data not shown) were statistically significant (p < 0.05) based on ANOVA. Difference factors shown in
table 5 compare different formulations with an innovator commercial preparation.
| Difference Factor |
|---|
| F1 & Fx | 15.27 |
| F2 & Fx | 21.00 |
| F3 & Fx | 8.59 |
| F4 & Fx | 4.30 |
| F5 & Fx | 30.67 |
| F6 & Fx | 25.78 |
| F7 & Fx | 34.37 |
| F8 & Fx | 39.86 |
| F9 & Fx | 25.78 |
| F10 & Fx | 26.49 |
| F11 & Fx | 27.45 |
| F12 & Fx | 11.93 |
| F13 & Fx | 11.69 |
| F14 & Fx | 25.78 |
| F15 & Fx | 24.58 |
| F16 & Fx | 31.98 |
| F17 & Fx | 31.50 |
When a Difference factor is less than 15% two compared formulations can be estimated as similar (
21). According to
table 5 similar formulations in the case of rheological properties were F3, F4, F12 and F13. More detailed discussions have been provided in previous sections.
Water absorption measurements
Figure 6 shows the differences between Water absorption contents of all prepared formulations and a commercial ointment.
Differences between Water absorption contents after 30 with 60 days incubation for all prepared formulations and a commercial ointment
Water absorption percentage (WA%) is a key factor in the efficacy of the prepared PI ointment in exudative wound disinfection. Water absorbing ointments manage the exudates more efficiently as they remove the aqueous exudate form wound nearby (
22). Recently Noda
et al. presented a 26 ± 0.2% and 76 ± 0.5% water absorption capacity for different iodophoreointments (
16). Our prepared formulations had a WA% ranged from 14.66 to 53.55 percent. F16 and F13 had respectively the maximum and minimum WA% in tested formulations.
F16 with high WA% contains medium content of PEG 400 and PEG 1000 along with a high content of PEG 2000 and PEG 4000. This can be explained by the fact that higher polymerization in solid PEGs lead to higher water absorption in the final formulation. But there is no simple conclusion when all the mixtures where designed with higher solid components. Thus it is better to mention the best composition of PEG400: PEG 1000: PEG 2000: PEG4000 to be 4: 4: 12.5: 64.5.
Analysis of Mixture design
Model fitting
The best fit was selected by applying different models in a linear or quadratic term and the results are shown in
table 6.
| P-Value | MPE% | R-Square | Model Fitting | Term | Time | Test |
|---|
| 0.032 | 0.94 | 48.01% | Mixture Regression | Linear | 60 Days | Assay |
| 0.035 | 0.84 | 90.42% | Backward | Linear | 30 Days | N Index |
| 0.013 | 6.13 | 93.19% | Forward | Linear | 30 Days | Yield Point |
| 0.012 | 7.10 | 71.00% | Backward | Linear | 60 Day | Water Absorption |
Plots
All useful definitions of different plots have been presented elsewhere (
23). Briefly Response Trace Plot (RTP) shows each component effect on the response value. In this research four different response values were evaluated and each mixture had contained four components which were designed statistically using Mixture design approach. All plots perform the prediction based on the selected model in model fitting process. Data interpretation is described in details in Minitab software help (
24).
Response Trace Plots
The effects of each component on the different response values; total available iodine, rheological properties and water absorption, have been shown in
Figure7.
Response trace plots depicting the effect of each component on the evaluated responses a) available Iodine, b) yield value (M), c) n index, and d) water absorption content
Interpretations
PEG 400 has the main effect on Available iodine response due to its high slope value and accordingly the effect of PEG 2000 and 4000 are minimum and also similar to each other. Negative slope for PEG 4000 and 2000 traces, indicates an inverse proportion of these components on available iodine response.
The effect of PEG 1000 on N index as another response value shows a plateau (
Figure 7). This means that by increasing PEG 1000 the N index increases and finally reaches to a plateau and after that increasing the component content leads to the decrease in the response value. Negative slopes can be seen for PEG 4000 and 2000 traces.
According to findings when the amount of PEG 400 decreases and all other components increases, the yield value (m) increases.
Water absorption of the prepared semisolid formulations increased by increasing the amounts of solid components.
Although conclusions made from these plots are so useful but the software uses these plots only to introduce a schematic representation of its predictions.
Overlaid Contour Plots
Overlaid Counter Plots (OCP) are three dimensional representations of the effects of each component on a response value for a maximum of three components. OCPs have been shown in
Figure 8. This is a topographic illustration of the results and totally adds the color to the graph for better explanation. The internal dotted line triangle shows the region that is prepared in the laboratory and the remaining parts have been concluded by software prediction. The red lines inside is defined by the researcher as the desired values.
In available iodine the defined desired value is based on the definition of "Significant Change" according to ICH stability Guidelines (95% assay).
From a practical point of view, the appropriate yield value in delivering the semisolid preparation through its container has been ranged from 100-150 which allows the consumer to use the product by applying a minimum pressure to the container. In this research this is defined as the desired value for "m".
N index near to unit depicts a Newtonian behavior but as the prepared semisolids do not completely comply with this law and are categorized as Pseudoplastic systems, a desired value between 0.7-1 was defined.
According to previously published researches, the best value for water absorption was between 50-70%.
Overlaid counter plots depicting the effect of each component on the evaluated responses a) available Iodine, b) n index, c) yield value (M) and d) water absorption content
Optimization
After modeling the design and finding out the acceptable range of the evaluated components, the software proposes an optimized formulation (F
O). This formulation with composite desirability equal to 1 was prepared in the laboratory and all physicochemical properties as well as the efficacy and waster absorption rate was calculated and recorded (
Table 7).
| 365 Days | 0 Day | Test |
|---|
| 103.18± 0.28 | 106.08 ± 0.32 | Available Iodine |
| 3.33 ± 0.01 | 3.32 ± 0.01 | pH |
| 0.6956 | 0.6952 | N |
| 157.97 | 153.93 | M |
| 70.12 ± 0.43 | 68.68 ± 0.67 | W.A capacity |
Water absorption rate
Water absorption rate was performed in order to compare optimized formulation with commercial available preparations (
16). Cumulative amount of absorbed water normalized to surface area (mg/cm
2) was plotted against square root of time in
Figure 10. The calculated slope was normalized to surface area (6.1544 cm
2) and the rate was reported as 9.14 and 8.51 (mg/cm2/Min0.5) for prepared and commercial formulations, respectively.
Water absorption rate for Fo (diamond) and commercial formulation (Square).
Efficacy measurements
Different researchers have previously examined the efficacy of the novel transdermal dosage forms to ensure the desired therapeutic outcomes (
25).
MIC values were calculated to compare the efficacy of the optimized formulation with commercial ones (aqueous or semisolid) and also controls (Figure 12). The lower the MIC values indicate the fewer drugsarerequired to inhibit the bacterial growth in harvesting media. Results indicate a similar antiseptic effect of optimized formulation (Fo) compared to a commercial preparation (Fx) but a more potent action on staphylococcus aureus. This provides a very important advantage because this bacterium belongs to skin normal flora and is responsible for damaged skin infections in some complications such as; burning, trauma or
operative site infections and thus its suppression is needed in dermal wound healing processes. The accelerated stability study of Fo revealed no significant change according to ICH guidelines. No standard deviation of the results is presented because in each replicated sample (n = 3) the inhibitory concentration, was exactly the same. For better explanation the results for a pH adjusted aqueous solution (Sa) prepared in the laboratory and a commercial Behavazan aqueous preparation (Sc) are also presented in
Figure 11. The variations in the efficacy of commercial preparations may be due to inappropriate pH value, which leads to the iodine inactivity. Theseresultsareconsistent withthe previous results gained for the available iodine. This phenomenon is fully discussed in "pH selection and measurements" section of this report.
MIC comparison for optimized formulation (Fo) immediately after preparation (0day) and one year incubation (1 year), Commercial Mondipharma ointment (Fx), pH adjusted aqueous solution (Sa) and Commercial Behavazan aqueous preparation (Sc).