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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya</journal-id>
      <journal-id journal-id-type="publisher-id">.</journal-id>
      <journal-title>Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya</journal-title><issn pub-type="ppub">2621-4814</issn><issn pub-type="epub">2621-4814</issn><publisher>
      	<publisher-name>Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.33084/bjop.v5i1.2942</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group><subject>Co-amorphous</subject><subject>Candesartan cilexetil</subject><subject>L-Arginine</subject><subject>Liquid-assisted grinding</subject><subject>Solubility</subject></subj-group>
      </article-categories>
      <title-group>
        <article-title>Identification of Candesartan Cilexetil-L-Arginine Co-amorphous Formation and Its Solubility Test</article-title><subtitle>Identification of Candesartan Cilexetil-L-Arginine Co-amorphous Formation and Its Solubility Test</subtitle></title-group>
      <contrib-group><contrib contrib-type="author">
	<name name-style="western">
	<surname>Alatas</surname>
		<given-names>Fikri</given-names>
	</name>
	<aff>Department of Pharmaceutics, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Mutmainah</surname>
		<given-names>Erina Sifa</given-names>
	</name>
	<aff>Department of Pharmaceutics, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Ratih</surname>
		<given-names>Hestiary</given-names>
	</name>
	<aff>Department of Pharmaceutics, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Sutarna</surname>
		<given-names>Titta Hartyana</given-names>
	</name>
	<aff>Department of Pharmaceutics, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Soewandhi</surname>
		<given-names>Sundani Nurono</given-names>
	</name>
	<aff>School of Pharmacy, Institut Teknologi Bandung, Bandung, West Java, Indonesia</aff>
	</contrib></contrib-group>		
      <pub-date pub-type="ppub">
        <month>02</month>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>28</day>
        <month>02</month>
        <year>2022</year>
      </pub-date>
      <volume>5</volume>
      <issue>1</issue>
      <permissions>
        <copyright-statement>© 2022 Fikri Alatas, Erina Sifa Mutmainah, Hestiary Ratih, Titta Hartyana Sutarna, Sundani Nurono Soewandhi</copyright-statement>
        <copyright-year>2022</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-sa/4.0/"><p>This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.</p></license>
      </permissions>
      <related-article related-article-type="companion" vol="2" page="e235" id="RA1" ext-link-type="pmc">
			<article-title>Identification of Candesartan Cilexetil-L-Arginine Co-amorphous Formation and Its Solubility Test</article-title>
      </related-article>
	  <abstract abstract-type="toc">
		<p>
			The formation of co-amorphous is one alternative that can be attempted to enhance the solubility of drugs. The study aimed to identify the co-amorphous formation between candesartan cilexetil (CAN) and l-arginine (ARG) and to know its effect on the solubility and dissolution rate of candesartan cilexetil. Initial prediction of co-crystal formation was undertaken by observing differences in crystal morphology between the candesartan cilexetil-l-arginine (CAN-ARG) mixture and each of its initial components due to crystallization in ethanol. The CAN-ARG co-amorphous was produced by the liquid-assisted grinding (LAG) method with the same molar ratio of the CAN and ARG mixture using ethanol as solvent. The co-amorphous formation of CAN-ARG was identified by powder X-ray diffraction (PXRD) and differential scanning calorimetry (DSC) methods. The solubility and dissolution test was performed to know the impact of the co-amorphous CAN-ARG formation. The PXRD pattern of CAN-ARG of LAG result showed a very low peak intensity compared to pure CAN and ARG. The DSC thermogram of the CAN-ARG LAG result does not show any sharp endothermic peaks. The PXRD and DSC results reveal that CAN and ARG can form co-amorphous. The solubility and dissolution rate of candesartan cilexetil in co-amorphous CAN-ARG was better than that of pure CAN. It can be concluded, liquid-assisted grinding of CAN-ARG mixture is identified to form co-amorphous which has an impact on increasing the solubility and dissolution rate of candesartan cilexetil.
		</p>
		</abstract>
    </article-meta>
  </front>
  <body><sec>
			<title>INTRODUCTION</title>
				<p >Solubility is
one of the essential parameters besides permeability that affects the bioavailability
of active pharmaceutical ingredients (APIs), which impact pharmacological
responses. Increasing the solubility of an API can be attempted by converting
it into a solid form with a higher solubility than pure API. One approach that
can be taken to overcome the problem of poor solubility of an API is to change
crystalline solids to amorphous ones. The alteration of a crystalline solid to
an amorphous one can be accomplished by combining the API with an excipient,
either a polymer or a small molecule<bold>1</bold><bold>,</bold><bold>2</bold>. </p><p >Combining API
with a polymer to form an amorphous solid is known as a solid dispersion.
However, solid dispersion has a disadvantage due to the hygroscopicity of the
polymer in large quantities<bold>3</bold><bold>,</bold><bold>4</bold>. Modifying a crystalline solid from API with a small molecule often
results in an amorphous solid known as co-amorphous. The co-amorphous formation
is effective in increasing the solubility of some APIs. Co-amorphous is formed
when a crystalline API and a crystalline excipient undergo intermolecular
interactions, thereby preventing the rearrangement of their respective
molecular arrangements into separated crystal lattices and producing an amorphous
material<bold>5</bold><bold>,</bold><bold>6</bold>. Co-amorphous has better physical stability than the single amorphous form<bold>7</bold>.</p><p >Candesartan
cilexetil (CAN) is an ester prodrug of candesartan that is widely used as an
antihypertensive with its mechanism of action by blocking the angiotensin II
receptor. This API has poor solubility in water, but its permeability is high,
so it is classified into class II in the biopharmaceutics classification
system. This poor solubility can be a problem causing low dissolution and
bioavailability<bold>8</bold>. Several amino acids have been identified as being able to form
co-amorphous with some APIs with the effect of increasing their solubility<bold>9</bold>. One of the amino acids often used as a co-former in the co-amorphous
formation is L-arginine (ARG). Several drugs have been successfully increased
their solubility through the co-amorphous formation with L-arginine, including
indomethacin<bold>10</bold><bold>-</bold><bold>12</bold>, ibuprofen<bold>13</bold>, and hydrochlorothiazide<bold>14</bold>. </p><p >Co-amorphous
can be prepared by grinding or solvent-based techniques. Co-amorphous formation
often occurs due to inhibition of the crystallization process during
co-crystals or salts preparation. Some co-crystal or salt formers (co-formers)
can prevent the molecule rearrangement of an API from forming crystal due to
the API-coformer intermolecular interaction<bold>2</bold><bold>,</bold><bold>15</bold>. Co-crystal and salt formed from an API and a crystalline co-former do not
recrystallize immediately after the manufacturing process by the
liquid-assisted grinding (LAG) process. The grinding of two or more compounds
using liquid-assisted grinding (wet grinding) can cause crystal breakdown that
can induce intermolecular interactions to form new solid phases, such as
co-crystal<bold>16</bold><bold>,</bold><bold>17</bold><bold>,</bold> salt<bold>18</bold>, and co-amorphous<bold>19</bold><bold>,</bold><bold>20</bold>. This study aimed to identify the co-amorphous formation of candesartan
cilexetil-L-arginine (CAN-ARG) and to know its effect on the solubility and
dissolution rate of CAN.</p>
			</sec><sec>
			<title>MATERIALS AND METHODS</title>
				<p ><bold>Materials</bold></p><p >Candesartan
cilexetil and L-arginine were purchased from Afine Chemical Limited, Hangzhou,
China, and Merck, Indonesia, respectively. Solvents and reagents such as
ethanol, hydrochloric acid, sodium hydroxide, and potassium dihydrogen
phosphate were purchased from Merck, Indonesia. Instruments used in this study
include a polarizing microscope (Olympus BX-53), automatic mortar grinder
(Retsch RM 200), powder X-ray diffractometer (PRXD; Panalytical Empyrean),
differential scanning calorimeter (DSC; Shimadzu DSC-6 plus), orbital shaker
(IKA KS-260), dissolution tester (ZRS6G), and ultraviolet spectrophotometer.</p><p ><bold>Methods</bold></p><p >Observation of
crystal morphology by polarizing microscope</p><p >Crystal
morphology was observed using a polarizing microscope (Olympus BX-53) against
CAN, ARG, and a mixture of CAN-ARG recrystallized in ethanol. The test was
carried out by placing an amount of 1-3 mg of each CAN, ARG, and CAN-ARG on an
object glass which was dropped with one drop of ethanol and allowed until the
solvent evaporated. Observation of the crystal morphology of each sample was
carried out using a polarizing microscope at a magnification of 200X.</p><p >Preparation of CAN-ARG
co-amorphous by LAG</p><p >The
co-amorphous preparation was carried out by the LAG method<bold>21</bold><bold>,</bold><bold>22</bold>. The co-amorphous
preparation was carried out by grinding a mixture of 1.832 g (3 mmol) CAN and
0.522 g (3 mmol) ARG in an automatic mortar grinder (Retsch RM 200). The
grinding was carried out for 10 minutes with the addition of five drops of
ethanol until a soft and clear mass was formed. The soft mass was left in a
desiccator to dry, powdered, and sieved through a 60 mesh.</p><p >Detection of CAN-ARG
co-amorphous formation by PXRD</p><p >A total
of 500 mg of LAG results from CAN-ARG that have been powdered are placed in a
sample container and leveled. Scans were performed on a Panalytical Empyrean PXRD,
using a Cu anode at a current of 30 mA and a voltage of 40 kV at a 2θ angle
between 5 to 45°. The scanning under the same conditions was also performed on
pure CAN and ARG as initial components.</p><p >Detection of CAN-ARG
co-amorphous formation by DSC</p><p >About
3-5 mg of LAG powder from CAN-ARG was put in an aluminum crucible pan. The
aluminum crucible pan containing the sample was positioned in the Shimadzu
DSC-6 plus differential scanning calorimeter instrument and scanned at
temperature intervals of 30-250°C at a scan rate of 10°/minute. The scanning
under similar conditions was also executed on pure CAN and ARG as initial
components.</p><p >Solubility test</p><p >The
solubility tests were performed in the water at room temperature using the
shaker method<bold>23</bold>. Each as much as 50
mg of CAN-ARG co-amorphous and pure CAN powder was placed into a vial. Five mL
of water was put into the vial. The vial was placed in an orbital shaker at
ambient temperature and shaken for two days at 250 rotations per minute (rpm).
After shaking ends, the samples were filtered. The filtrate was measured using
an ultraviolet spectrophotometer at 251 nm. Each test was repeated three times.</p><p >Dissolution test</p><p >The dissolution test
was implemented as specified in the USP 40-NF 35 monograph of the CAN tablet<bold>24</bold>. The CAN-ARG
co-amorphous powder was sieved through a 60-mesh sieve, and the equivalent of
32 mg of CAN was weighed for dissolution testing. Sampling was executed as much
as 5 mL at 5, 10, 15, 20, 30, 45, and 60 minutes, and each sampling was
replaced with the same medium and volume. Corrections to the calculations were
made at each sampling point, and the amount of dissolved CAN was determined
using an ultraviolet spectrophotometer. Dissolution tests with the same medium
and conditions were also carried out on pure CAN. Each test was repeated six
times.</p>
			</sec><sec>
			<title>RESULTS AND DISCUSSION</title>
				<p >Crystal morphology</p><p >The crystals
morphology of the CAN-ARG mixture, pure CAN, and ARG after recrystallization in
ethanol were shown in <bold>Figure 1</bold>. Identification was carried out by
comparing the morphology of the CAN-ARG mixture with the respective crystal morphology
of pure CAN and ARG. The observations with a polarizing microscope at a
magnification of 200 times showed that the morphology of the recrystallized
CAN-ARG does not show any colors due to the interference of light from the
crystal lattice, but the result recrystallization only looks black. This
situation indicates that CAN-ARG forms an amorphous solid phase. This is
different from the crystal morphology of pure CAN and pure ARG, both of which
show crystalline morphology, characterized by light polarization that causes
the crystals to be colored. This initial microscopic indication can be used as
the basis for CAN-ARG co-amorphous preparation by a LAG method using ethanol to
accelerate the co-amorphous formation.</p><p ><bold>a b c  d</bold></p><p ><bold>Figure</bold><bold>1</bold><bold>.</bold> Morphology of (<bold>a</bold>) CAN,
(<bold>b</bold>) ARG, (<bold>c</bold>) CAN-ARG, and (<bold>d</bold>) and further zoom of CAN-ARG
mixture after recrystallized from ethanol compared its starting components
observed by polarizing microscope at a magnification of 200x</p><p >Preparation of
CAN-ARG co-amorphous by LAG</p><p >In the
preparation of co-amorphous CAN-ARG, ethanol solvent was used because this
solvent was able to dissolve both substances well. The addition of a solvent or
solvent mixture in the wet grinding method helps accelerate the achievement of
the amorphous state of each component, thereby increasing the movement of
molecules that can accelerate the interaction<bold>25</bold>. In the preparation
of CAN-ARG co-amorphous, ethanol was used as a solvent since this solvent could
dissolve both substances well. Visually, the co-amorphous powder obtained after
drying and grinding was white, the same as the powder of candesartan cilexetil
starting material.</p><p >Powder X-ray
diffraction</p><p >The X-ray
diffractograms of the CAN-ARG LAG result and the two basic components were
shown in <bold>Figure 2</bold>. The PXRD pattern
of CAN showed the number of sharp peaks, which indicate that the CAN starting
material was crystalline. The PXRD pattern of CAN powder corresponds to
candesartan cilexetil form 1 reported by Matsunaga et al<bold>26</bold>. As with CAN, the
PXRD pattern of ARG raw material was also crystalline. However, a different
PXRD pattern was shown on the LAG result of CAN-ARG. The PXRD pattern of the
LAG result of CAN-ARG showed a low peak intensity which indicates the formation
of an amorphous phase. The high-intensity peaks previously present in the pure
CAN and ARG disappeared. This situation indicates that CAN and ARG experienced
intermolecular interactions during the LAG process, which prevented the CAN and
ARG molecules from rearranging to form their respective crystal lattices and
finally resulted in an amorphous material known as co-amorphous<bold>27</bold>.</p><p ><bold>Figure</bold><bold>2</bold><bold>.</bold> PXRD patterns of CAN-ARG LAG
result, pure CAN, and pure ARG</p><p >DSC thermograms</p><p >DSC thermograms of
CAN-ARG LAG result, pure CAN, and pure ARG were shown in <bold>Figure 3</bold>. The DSC thermogram
showed that the thermal characteristics of the pure components of the starting
material (CAN and ARG) were different from those of the LAG of the CAN-ARG
mixture. A sharp endothermic peak at 177.26°C in the DSC thermogram of CAN is
due to the substance's melting, which corresponds to the melting point of the
Form 1 polymorph<bold>26</bold><bold>,</bold><bold>28</bold>. The DSC thermogram
of ARG showed two endothermic peaks, one sharp endothermic peak at 221.6°C
corresponding to its melting point and another endothermic peak around 80-100°C
due to the release of water molecules from the ARG raw material, which is
slightly hygroscopic. DSC thermogram of the two starting components has sharp
endothermic peaks that indicate both are crystalline. The DSC thermogram of the
CAN-ARG grinding result did not show any sharp endothermic peaks indicating the
co-amorphous formation. The formation of this co-amorphous was also confirmed
by the presence of a glass transition (Tg) at 53.45°C, which is a
characteristic of the amorphous form. The glass transition is the temperature
at which an amorphous solid begins to change from a glassy to a liquid state
when heated<bold>29</bold>.</p><p ><bold>Figure</bold><bold>3</bold><bold>.</bold> DSC thermograms of CAN-ARG LAG
result, CAN, and ARG</p><p >Solubility</p><p >The
solubility test aims to determine any changes in physicochemical properties
that occurred due to the CAN-ARG co-amorphous formation. The solubility of
CAN-ARG co-amorphous and pure CAN in water at room temperature were 2.837±0.080
and 0.009±0.001 mg/mL, respectively. The co-amorphous CAN-ARG showed 315-folds
higher solubility than pure CAN. The increase in solubility through the
formation of co-amorphous has been studied previously to increase the
solubility of valsartan up to 1000-folds compared to the pure substance<bold>30</bold>. The possible
reasons for this increase in solubility are that the co-amorphous form of
CAN-ARG does not have a regular molecular arrangement, so the energy required
to break the intermolecular bonds during the dissolution process is lower than
that of CAN crystals. Candesartan is a weak acid, and the solubility of CAN in
water depends on pH<bold>31</bold>. Therefore, the
increase in solubility could also be due to the ionization of CAN in the
presence of ARG (a weak base).</p><p >Dissolution</p><p >The dissolution rate
profiles of CAN-ARG co-amorphous and pure CAN in 0.05 M phosphate buffer
solution pH 6.5 containing 0.70% polysorbate 20 were shown in <bold>Figure 4</bold>. The dissolution
profiles showed that the CAN released from the co-amorphous CAN-ARG had reached
100% in less than 20 minutes. In contrast, the CAN released from pure CAN was
only 9.7% up to 45 minutes of testing. A significant increase in its solubility
caused the increasing dissolution rate of CAN in the CAN-ARG co-amorphous after
being co-amorphous.</p><p ><bold>Figure</bold><bold>4</bold><bold>.</bold> Dissolution profiles of
CAN-ARG co-amorphous compared to pure CAN</p>
			</sec><sec>
			<title>CONCLUSION</title>
				<p >The
co-amorphous formation between CAN and ARG has been identified by the
polarizing microscope, PXRD, and DSC of the LAG, which shows a CAN-ARG
co-amorphous formation between CAN and ARG. The CAN-ARG co-amorphous led to a
significant improvement in the solubility and dissolution rate of CAN.</p>
			</sec><sec>
			<title>ACKNOWLEDGMENT</title>
				<p >The financial support of
this study was obtained from the institute for research and community service
of Universitas Jenderal Achmad Yani.</p>
			</sec><sec>
			<title>AUTHORS’ CONTRIBUTION</title>
				<p >All authors have an
equal contribution in carrying out this study.</p>
			</sec><sec>
			<title>DATA AVAILABILITY</title>
				<p >None.</p>
			</sec><sec>
			<title>CONFLICT OF INTEREST</title>
				<p >The
authors have declared no conflict of interest.</p>
			</sec><sec>
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      <p>The financial support of this study was obtained from the institute for research and community service of Universitas Jenderal Achmad Yani.</p>
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