Development and gamma scintigraphy evaluation of gastro retentive calcium ion-based oral formulation: an innovative approach for the management of gastro-esophageal reflux disease (GERD)

Abstract

Calcium chloride is an essential calcium channel agonist which plays an important role in the contraction of muscles by triggering calcium channel. First time hypothesized about its role in the treatment of GER (gastro-esophageal reflux) and vomiting disorder due to its local action. There are two objectives covered in this study as first, the development and optimization of floating formulation of calcium chloride and another objective was to evaluate optimized formulation through gamma scintigraphy in human subjects. Gastro retentive formulation of calcium chloride was prepared by direct compression method. Thirteen tablet formulations were designed with the help of sodium chloride, HPMC-K4M, and carbopol-934 along with effervescing agent sodium bicarbonate and citric acid. Formulation (F8) fitted best for Korsmeyer–Peppas equation with an R² value of 0.993. The optimized formulation was radiolabelled with ^99mTc-99 m pertechnetate for its evaluation by gamma scintigraphy. Gastric retention (6 h) was evaluated by gamma scintigraphy in healthy human subjects and efficacy of present formulation confirmed in GER positive human subjects. Gamma scintigraphy results indicated its usefulness in order to manage GERD. Stability studies of the developed formulation were carried out as per ICH guidelines for region IV and found out to be stable for 24 months.

Keywords:

• GERD
• ⁹⁹mTc
• calcium chloride
• HPMC-K4M
• carbopol
• floating formulation

Acknowledgements

Authors are thankful to Dr. A.K. Singh, Director, Institute of Nuclear Medicine and Allied Sciences (INMAS), for providing guidance and necessary support for conducting this research work.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

Authors are thankful to Dr. A.K. Singh, Director, Institute of Nuclear Medicine and Allied Sciences (INMAS), for providing guidance and necessary support for conducting this research work.