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Researchers Discover Breakthrough Drug Delivery Method By Changing Shape of Pill

ErnieKey writes: Researchers at the UCL School of Pharmacy, University College London have found a way to change the rate of dissolution within medication via a 3D printing method. Researchers used MakerBot's water- soluble filament, cut it into tiny pieces and mixed in acetaminophen. They then used the Filabot extruder to extrude a drug infused filament. With this filament they printed odd shaped pills and tested them to see what effect different shapes had on the speed at which they dissolved. What they concluded was that these odd shaped pills allowed for different rates of absorption, enabling custom medications for patients.

66 comments

  1. Surface area to volume by Anonymous Coward · · Score: 5, Insightful

    Surface area to volume ratio found to affect rate of dissolution, details at 11.

    1. Re:Surface area to volume by pushing-robot · · Score: 2

      Indeed, other than the words '3D printing', why is this news? It's not exactly rocket science.

      ...ok, well, it kinda is

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    2. Re:Surface area to volume by Livius · · Score: 4, Funny

      But it's with a 3-D printer! That makes it novel and non-obvious, right? The patent system couldn't be wrong...

    3. Re:Surface area to volume by afaiktoit · · Score: 2

      even rockets use this tech! changing the shape of solid rocket boosters inner surface changes the rate of burn.

    4. Re:Surface area to volume by OzPeter · · Score: 4, Funny

      But it's with a 3-D printer! That makes it novel and non-obvious, right?

      Wait until I incorporate a drone in the 3D printing process .. that'll really shake up the drug delivery industry!

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    5. Re:Surface area to volume by Anonymous Coward · · Score: 2, Funny

      No need; systemd will incorporate this functionality within a year.

    6. Re:Surface area to volume by Trax3001BBS · · Score: 1

      Surface area to volume ratio found to affect rate of dissolution, details at 11.

      I read the article hoping it was beyond High School basics. But nope, I wouldn't want my name on it.

      Wonder who paid for this "research", as it would of been cheaper to of just read Wikipedia http://en.wikipedia.org/wiki/S...

    7. Re:Surface area to volume by Lumpy · · Score: 1

      Exactly, I am afraid that if "researchers" that should know this basic property are just now discovering it.... IT means the value of an advanced degree is complete and utter rubbish.

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    8. Re:Surface area to volume by Bengie · · Score: 1

      It was printed from the internet, patent it!

    9. Re:Surface area to volume by Anonymous Coward · · Score: 0

      what is it about biomedical technology that drives you people crazy ?
      I mean think about it: personalized shapes for pills
      the lawsuits
      the hideous cost involved for FDA clearance
      etc

      and it is always like this on slashdot, anything involving biomedical research; now matter how crazy, how impractical, no matter how little relation there is between cutting edge RnD and patient care, it gets lapped up
      I mean, seriously, this should be something the slashdot community is talking about: why are people so willing to accept nonsense seriously when it is biomedical ?

    10. Re:Surface area to volume by Anonymous Coward · · Score: 0

      Surface area to volume ratios have been exploited in pharmacokinetics for as long as I can remember. As you pointed out, this is not news. What makes this a bigger deal is that novel geometric shapes seem to have an effect. That is, two uniquely different shapes might have the same surface area to volume ratio, but there will be a difference in how long it takes for each to dissolve. This is the new concept.

      As someone going through pharmacy school right now there is no one else exploring this to my knowledge in academia. Formulations are a big deal; and getting things just right can make or break a new drug. This method of altering dissolution rates means the excipients in the drug do not need to be altered. This is also a big deal because changing excipients or finding one that works correctly can also make or break a new drug.

    11. Re:Surface area to volume by MikeKD · · Score: 1

      Undoing mod mistake.

    12. Re:Surface area to volume by Irate+Engineer · · Score: 1

      Surface area to volume ratio found to affect rate of dissolution, details at 11.

      Unfortunately it's not nearly that simple. If pills were simply dropped into a static solution and allowed to dissolve, you'd be right. The problem is that mechanical mixing occurs in the stomach, something which varies a lot from individual to individual.

      Pharmaceutical companies work very hard to try to make generic pill formats that ensure consistent delivery. They test the dissolution rates in stirred beakers and try to correlate those results to delivery rates in animal models and human testing. Even if they hit upon the right shape, some percentage of patients will not get correct dosage delivery due to their stomach physiology. The ability to print a more (or less) dissoluble form would help these patients.

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    13. Re:Surface area to volume by lister+king+of+smeg · · Score: 1

      But it's with a 3-D printer! That makes it novel and non-obvious, right?

      Wait until I incorporate a drone in the 3D printing process .. that'll really shake up the drug delivery industry!

      Prior art autonamous replicating drones on Star Trek TNG season 1 "arsenal of freedom" and it didn't turn out well for the people that made them either.

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    14. Re:Surface area to volume by Anonymous Coward · · Score: 1

      two uniquely different shapes might have the same surface area to volume ratio, but there will be a difference in how long it takes for each to dissolve.

      This still seems like it could be due to some straightforward geometry. Take the sphere for instance, SA/V ratio (3/r) will change as the pill dissolves (the radius r will decrease with time). If dissolution rate is a function of SA/V then that will slow down over time. They don't fit any equations to the data, but the smooth curves for % drug release over time shown in Fig 7 make me think these results can be calculated rather easily.

    15. Re:Surface area to volume by GLMDesigns · · Score: 1
      Because before 3D printing this couldn't be done - now could it? At least AFAIK.

      Yes people hype 3D printing to death but 3D printing is still a useful tooll.

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    16. Re:Surface area to volume by Anonymous Coward · · Score: 0

      Shouldn't they account for actual surface area rather than just external surface (eg check the porosity) and THEN try to see how much an effect geometry has due to turbulence, etc? The former is known to be important.

      If you assume no porosity, only surface erosion, these results do not make much sense. Compare the results from the two different sized spheres...it looks like the results may be due to how tightly the filaments are packed.

    17. Re:Surface area to volume by Anonymous Coward · · Score: 0

      Yeah, that's the dumbest thing about this article. Those pill shapes could all be made with conventional molds, just like pills have always been made. I was expecting some shaped that only a 3D printer could make, but no. It's just another 3D printer for no reason other than they are cool.

    18. Re:Surface area to volume by SJester · · Score: 1

      The experiments were made simpler with 3D printing, it allowed different shapes to be produced easily. But making pills in different shapes is quite doable without a 3D printer, and surface area to volume has been known to affect dissolution rate since... I don't know, the sixteenth century? Maybe earlier. Just look at the pill all the way to the right. It's shaped like a Life Saver candy. That candy got its distinctive shape from limitations on the equipment which produced it - a pharmaceutical pill-making machine. And pills come in only a few basic rounded shapes because it's rather difficult to get patients to swallow a large spiky pyramid. Plus dissolution rates have been manipulated for a very long time by altering the binding agents and coatings, so this "new" tech is not adding new capabilities either, except maybe individually printing pills for each patient. There's no news here, it's just a retread of "on a computer" patents.

    19. Re:Surface area to volume by GLMDesigns · · Score: 1
      Yes surface area to volume has been understood - but having the technology to make the surface area to volume just so for a person with physical characteristics (gender, age, weight, x, y ,z) with condition x as opposed to condition y has not existed.

      You make a pill and it takes t amount of time to dissolve for 95% of the population. But for some people it would dissolve much quicker and others much longer.

      Of course I didn't read the f'ing article but being able to further fine tune the delivery of medicine a good idea. And 3D printing can be used to create pills (objects) with a dramatically altered surface to volume ratio.

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    20. Re:Surface area to volume by Anonymous Coward · · Score: 0

      I'm thinking the surface should erode at a rate proportional to its area. For a sphere we can say dr/dt=A*4*pi*r^2, where r is the radius and A is a constant related to the rate at which the surface dissolves. From that you can integrate then easily get to 1-mt/m0, which is the proportion of mass that has dissolved at any given time that they plotted: 1-mt/m0 = 1- [1/(1+4*pi*A*r0*t)^3]. This can be made to fit the sphere datas pretty well up to ~70% dissolved, but A does not appear to be constant which doesn't make much sense.

      That does not account for the tablets breaking apart, internal surfaces the solvent may gain access to, or the drug diffusing out of the filament. That PVA filament sounds like it dissolves pretty quickly (faster than drug diffusion?) though we don't have data on what happened under the conditions used here. There is not enough data to make sense of these results if you ask me. I do not think the surface area they measured is the same thing that others in this thread think they did.

      Anyway, hope the authors read this found it helpful in figuring out what was going on.

    21. Re:Surface area to volume by Anonymous Coward · · Score: 0

      yeah, I also thought of it years ago, but lacked the research tools; principle applies to everything, custom made, OPTMAL forms...

    22. Re:Surface area to volume by Anonymous Coward · · Score: 0

      I guarantee you that they aren't claiming to have discovered it. They do have to have data to show the FDA though - they're pretty uptight about that, even in cases like this, where it's obvious.

  2. Pharmacist here by Anonymous Coward · · Score: 3, Informative

    Shape and rate of dissolution are already well known, and heavily used.

    1. Re:Pharmacist here by Anonymous Coward · · Score: 0

      Yeah; not a pharmacist myself, but I've done some reading on drug delivery tech and I'm not sure what the innovation is supposed to be over matrix methods apart from "we did it with a 3D printer".

    2. Re:Pharmacist here by Anonymous Coward · · Score: 1

      The patient personalization part? Though could argue that back in the day of hand crafted medicine it already was and that this is just 'with a 3d printer'....

  3. So which dissolves faster? by fustakrakich · · Score: 5, Funny

    Fred or Dino?

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  4. fast-acting and slow release combined? by Anonymous Coward · · Score: 1

    This raises the question of why nobody currently offers a slow-release alalgesic coated with a layer of fast-acting analgesic. Seems like that would be just the thing for immediate relief without having to keep popping pills.

    1. Re:fast-acting and slow release combined? by Anonymous Coward · · Score: 0

      That's definitely already done with some drugs; think Ambien CR works this way, for example (might be thinking of one of the other Z-drugs, though).

    2. Re:fast-acting and slow release combined? by spasm · · Score: 5, Informative

      That's how most of the '-contin' formulations work (eg oxycontin). You make tiny pellets of the analgesic, add a thin layer of wax to some, a thicker layer to some, a thicker yet layer to some, then make up a pill containing some pellets with no coating, and some with each of the increasingly thicker layers of wax. When you swallow the pill, the stuff with no layer goes into immediate effect (so you get fast acting relief). The acid in your stomach starts dissolving the wax around the rest, with the different thicknesses of wax acting to give a continuous release of the remaining analgesic. Different formulations have differing amounts of the initial uncoated analgesic.

    3. Re:fast-acting and slow release combined? by fluffernutter · · Score: 2

      This actually sounds a lot cheaper and more practical than 3D printing a billion pills.

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    4. Re: fast-acting and slow release combined? by Anonymous Coward · · Score: 0

      But but 3D printer!

    5. Re:fast-acting and slow release combined? by spasm · · Score: 2

      And we've been doing it since at least the 1940s with everything from pharmaceuticals to fertilizer and hence it's extremely well developed and cheap technology.

  5. More 3D printing hype? by Anonymous Coward · · Score: 0

    I thought we reached peak hype last year. Jesus Christ, is putting a different nozzle on my Cake Mate tube also 3D printing?

  6. Alanis Morissette by pipingguy · · Score: 3, Funny

    Ironically, it is a Jagged Little Pill.

    1. Re:Alanis Morissette by wulfhere · · Score: 0

      Ironically, it is a Jagged Little Pill.

      Slow. Clap.

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    2. Re: Alanis Morissette by Buck+Feta · · Score: 3, Funny

      I would also slow clap, but I've got one hand in my pocket.

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  7. What?! by jargonburn · · Score: 2
    Different shapes affect the rate of dissolution?? It's almost like changing the surface area actually DOES something!

    Didn't actually RTFA, though, so my sarcasm may be unwarranted. You have been warned! :-)

    1. Re:What?! by CanadianMacFan · · Score: 4, Informative

      They kept the surface area constant between the shapes.

    2. Re:What?! by penguinoid · · Score: 3, Insightful

      They kept the surface area constant between the shapes.

      Doesn't matter since the relative surface areas will change as it dissolves.

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    3. Re:What?! by Alsee · · Score: 2

      Your sarcasm was fully warranted.
      They "discovered" that the dissolution rate is essentially equal to surface area over volume.

      For their next experiment they will 3D print it as a loose powder and see if that has any effect.

      -

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    4. Re:What?! by Anonymous Coward · · Score: 0

      I don't think they know the real surface area involved here. They measure the external surface area (eg the sphere would be 4piR^2) but have no idea how porous the tablets are.

    5. Re:What?! by Anonymous Coward · · Score: 0

      Doesn't look like it. The densities vary. The density appears to determine the dissolution rate more than anything else.

  8. A little hard to swallow.. by cahuenga · · Score: 2

    those pyramid shaped pills . Almost as bad as the suppositories.

  9. Congratulate the efforts, but success to be proven by Trachman · · Score: 4, Informative

    The study is an attempt to find correlation between the surface area and dissolution rate.... Every year there are are trillions of pills manufactured pharmaceutical companies and there are many parameters that are being tested, all branch of one of the pharmacology and it is called pharmaceutics, http://en.wikipedia.org/wiki/P... . You can bet that in pharmaceutical manufacturing is super efficient and yes, for the manufacturing of this kind of scale, there is always a demand for improvement and innovations. Happy to encourage scientific research in academia, but announcing 3D printed pills a breakthrough is a bit of exaggeration, but that is not to say that there is no practical application to it.

    Custom 3D sculpturing is a blast from 17th and 18th century, when pharmacists ground and mixed medications and it was a manual process. Article is clear that 3D printing may allow to customize absorption rate... This needs to be approved by FDA, at least in USA, before the regular patient can acquire it.

    That being said, this will be just one of many medication delivery methods competing with already established methods and curious reader can, again, get a glimpse to the methods here: http://en.wikipedia.org/wiki/T...

  10. Futurama by excelsior_gr · · Score: 4, Funny

    - I can't swallow that!
    - Well then good news! It's a suppository!

    1. Re:Futurama by techno-vampire · · Score: 1

      Yes! And it's got lots and lots of sharp spikes to make it dissolve faster.

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    2. Re:Futurama by Brett+Buck · · Score: 1

      "Did everyone take their anti-pressure pils?"
          "YES! Stop Asking!"

  11. Did they test the rate in an actual human or by Anonymous Coward · · Score: 0

    Did they test the rate in an actual human or just in solution? Human biology is remarkably complex. The physical properties (including movement) of the stomach and intestines greatly affect dissolution rates.

    Sounds like that just dissolved different shaped pills in a solution (which is simply just surface area) and extrapolated. Good luck IRL, morons.

  12. Indeed. by Anonymous Coward · · Score: 0

    They found out that the best delivery method for Viagra is little cock-shaped pills.

    1. Re:Indeed. by Eunuchswear · · Score: 1

      So you get hard when you swallow cocks?

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  13. Rocket Motors work this way-Ask Rocket Scientist by Anonymous Coward · · Score: 0

    Rocket Motors have been using this technique the last 70+ yrs.

  14. raises hand by PopeRatzo · · Score: 1

    Is the Maker Bot water-soluble filament safe to digest? I'd google it to find out, but I prefer the human contact of a question answered.

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    1. Re:raises hand by jdschulteis · · Score: 1

      Is the Maker Bot water-soluble filament safe to digest? I'd google it to find out, but I prefer the human contact of a question answered.

      I had the same question and I don't mind googling: It appears water-soluble filament is poly vinyl alcohol, which is reasonably safe to ingest in small amounts. From the linked abstract: " A critical evaluation of the existing information on PVA supports its safety for use as a coating agent for pharmaceutical and dietary supplement products."

  15. In hindsight, a no-brainer by Anonymous Coward · · Score: 0

    OK, its a kind-of minor thing that can have implications. If you go to any eepybird mentos/coke website, you can see (for yourself) that the physical surface of a substance can radically affect the diffusion rate (large surface area = large rate), and rapid absorption can be attained by going away from perfectly round/smooth surfaces to one with highly fragmented micro-surface features. They already know that micro surface features can prevent spread of disease (microban makes millions per year selling this technology to hospitals). Given all the available previous information, designing pills to have modified drug delivery rates seems like a technology who's time has come.

  16. Stupid idea by Mishotaki · · Score: 1

    Too bad it's a stupid idea, it's defeated if someone bites into the pill or crushes them, just like my mother does, because they can't swallow all those big pills.

  17. Pyramid Pill... by Anonymous Coward · · Score: 0

    ...looks like it would be especially fun to swallow.

  18. The shape is to ensure you can ingest it! by Anonymous Coward · · Score: 0

    If they need to mess with the surface, just make it a bit larger to accommodate internal passages that increase the total surface area, but leave the functional geometry of the boundary surface as it is so that the pills are still as easy to swallow.

  19. patents on shapes by just+another+AC · · Score: 1

    Apple got a patent on making their product a certain shape (rounded corners).

    Big pharma didn't want to miss out on the action, but they sure took their time to catch up.

  20. Magically delicious by supton · · Score: 1

    Did they try all the shapes from Lucky Charms? I want to know which marshmallow is going to give me the best delivery of time-release aspirin.

  21. University College London by Eunuchswear · · Score: 1

    So they probably used paracetemol.

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  22. Potential for abuse? by blindseer · · Score: 1

    Which shape will get me highest the fastest? That's what I expect will be the most common question asked.

    I see many possible problems with this, getting it FDA approved is just one of them. What will prevent someone from printing a hollow pill and stealing what what supposed to go in the middle to sell on the black market? The pills could be weighed but the pills could be filled with something of equal mass like sugar, sand, or something not so inert.

    Will these pills be printed at the pharmacy? I seem to recall previous issues with poorly monitored medicine factories that did not require FDA oversight because they weren't "making" drugs as it was defined in law, they were merely mixing drugs that were made elsewhere and doing so in less than sanitary conditions. The FDA has failed us before and state agencies didn't feel compelled to pick up the slack, or was prevented from doing so by federal law.

    Seems to me that there would be much less costly means to meter dosages than printing each pill individually. I can see this being used like it was described in the article, testing shapes in the real world before going through an expensive process of tooling up for mass production.

    Edible 3D printing material could allow for making pills that carry all kinds of substances. Also, assuming high enough resolution on the printing process someone could make fake drugs. The little image on the label of what the pills inside a bottle should like like may no longer be sufficient to prevent theft of medicines, for example.

    I can think of all kinds of legal and beneficial uses of technology like this too. As soon and someone reveals how this technology can be used for illegal activities in a public enough forum that some congresscritter sees it I suspect we're going to see a law passed that will ban or severely restrict this technology. I'll give the total freak out over the people that printed a firearm as an example of what kind of freak out to expect.

    Good stuff, but the technology will very likely be held up by a government that cannot allow the public to have the freedom to experiment on their own.

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  23. Makerbot = not good by Anonymous Coward · · Score: 0

    Have fun replacing your makerbot smart extruder frequently, paying lots of $$$ for it.

      I'm still using my first extruder on my Mendel, 4 years usage.

  24. Millenials are stupid by Anonymous Coward · · Score: 0

    I'm sure there will be no negative side effects from having 100% of the active ingredient of a medication be absorbed into your blood stream in a matter of seconds. Pills are specifically designed to release their medicinal goodness over time for a reason. The only people that will benefit from this "research" are addicts looking to get their high's quicker.