Comparative Study of Bilayered Vs. Trilayered Tablets for Optimized Maxalt Delivery in Migraine Treatment
Main Article Content
Abstract
Migraine is a disabling neurologic disorder that afflicts millions of people globally. Although treatments like Maxalt (rizatriptan benzoate) are available, traditional formulations can produce rapid absorption followed by a rapid decrease in plasma concentration after which therapeutic effects may not be optimal. Preformulation Studies Like other 5-HT1F agonist medications, Maxalt poses challenges due to its relatively low solubility and the potential for premature gastrointestinal absorption. In this study, bilayered and trilayered tablet formulations are compared for optimized delivery of Maxalt. Sustained drug release can be achieved via bilayered tablets, which are composed of two separate layers: a designated protective layer that protects the active pharmaceutical ingredient (API) from destruction in the gastric cavity, and a designated drug-release layer. Trilayered tablets contain an extra intermediate barrier, which may open up for many more well-controlled release profiles. Stacked structure of LbL assembly tablets polymers were selected, such as poly(lactic-co-glycolic acid) (PLGA), chitosan and sodium alginate. Tablets were characterized for physical properties (hardness, friability), morphological studies using scanning electron microscopy (SEM), and crystallinity studied using X-ray diffraction (XRD). The in vitro dissolution studies were performed at simulated gastric (pH 1.2) and intestinal (pH 6.8) conditions and the in vivo pharmacokinetic studies were carried out in Sprague–Dawley rats. These findings demonstrate that trilayered tablets are capable of delivering lower initial burst release and providing a more sustained drug plasma concentration than bilayered formulations and standard immediate-release tablets. These results indicate that bioavailability could be enhanced with a trilayered tablet and controlled Maxalt release could be achieved for acute migraine therapy. Clinical significance and recommendations for future studies are also explored.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Bansal, P., Shakya, P., Sharma, R., & Bansal, M. (2019). Bilayered and multilayered tablets: An innovative approach for controlled drug delivery. Journal of Drug Delivery Science and Technology, 51, 249-258.
https://doi.org/10.1016/j.jddst.2019.03.011
II. Bhatt, D., & Deshpande, A. (2020). Advances in controlled drug delivery: Bilayer and multilayer tablet formulations. International Journal of Pharmaceutics, 588, 119693.
https://doi.org/10.1016/j.ijpharm.2020.119693
III. Blicharski, T., Swiader, K., Serefko, A., Kulczycka-Mamona, S., Kolodziejczyk, M., & Szopa, A. (2019). Challenges in technology of bilayer and multi-layer tablets: A mini-review. Current Issues in Pharmacy and Medical Sciences, 32(2), 95-100. https://doi.org/10.2478/cipms-2019-0039
IV. Dodick, D. W. (2018). Migraine. The Lancet, 391(10127), 1315-1330.
https://doi.org/10.1016/S0140-6736(18)30478-1
V. Goadsby, P. J., Holland, P. R., Martins-Oliveira, M., Hoffmann, J., Schankin, C., & Akerman, S. (2017). Pathophysiology of migraine: A disorder of sensory processing. Physiological Reviews, 97(2), 553-622. https://doi.org/10.1152/physrev.00034.2015
VI. Gupta, A., & Sharma, P. (2021). Design and development of multilayered nano‐structured tablets for site‐specific drug delivery. International Journal of Pharmaceutics, 594, 120124.
https://doi.org/10.1016/j.ijpharm.2021.120124
VII. Hwang, K., Nguyen, T., Seok, S., Jo, H., Cho, C., Hwang, K., Kim, J., Park, C., Rhee, Y., & Park, E. (2019). Swellable and porous bilayer tablet for gastroretentive drug delivery: Preparation and in vitro-in vivo evaluation.. International journal of pharmaceutics, 118783
. https://doi.org/10.1016/j.ijpharm.2019.118783.
VIII. Jain, S., & Kumar, V. (2019). Recent advances in multilayered nano‐engineered tablets for site‐specific drug delivery. Drug Development and Industrial Pharmacy, 45(6), 897–910. https://doi.org/10.1080/03639045.2019.1571452
IX. Krymchantowski, A. V., & Bigal, M. E. (2021). Triptans: Advances in migraine therapy. Expert Opinion on Pharmacotherapy, 22(5), 567-578. https://doi.org/10.1080/14656566.2021.1877951
X. Kumar, A., & Bansal, N. (2020). Multilayered nano‐engineered tablets for controlled and site‐specific drug delivery: Formulation, evaluation, and in vivo studies. Journal of Controlled Release, 325, 312–325. https://doi.org/10.1016/j.jconrel.2020.04.056
XI. Lee, J. H., Kim, H., & Park, K. (2020). Controlled release and targeted delivery from multilayered nano‐engineered tablets: A comprehensive review. International Journal of Nanomedicine, 15, 123–
https://doi.org/10.2147/IJN.S242319
XII. Mahade, S. (2018). Functional performance of gadolinium zirconate/yttria stabilized zirconia multi-layered thermal barrier coatings (Doctoral dissertation, University West).
XIII. Mehta, S., & Rao, P. (2022). Evaluation of multilayered nano‐engineered tablets for improved site‐specific drug delivery. Drug Delivery, 29(4), 345–357. https://doi.org/10.1080/10717544.2022.2047521
XIV. Patel, S., & Desai, M. (2018). Formulation and evaluation of multilayered nano‐architectured tablets for controlled drug release. Journal of Pharmaceutical Sciences, 107(7), 2100–2110. https://doi.org/10.1016/j.xphs.2018.04.014
Banerjee, D., & Mukherjee, A. (2021). Formulation strategies for multilayered nano‐engineered tablets: Controlled release and targeted therapy applications. Journal of Drug Targeting, 29(5), 402–415.
https://doi.org/10.1080/1061186X.2021.1901234
XV. Saha, S., Bhowmick, M., & Goswami, R. (2019). Bilayer Tablet: Novel Technology Use in Extended
Release Drug Delivery System. Journal of Drug Delivery and Therapeutics.
https://doi.org/10.22270/jddt.v9i3-s.2877.
XVI. Sharma, R., & Singh, P. (2018). Development and characterization of multilayered nano‐structured tablets for enhanced bioavailability. Asian Journal of Pharmaceutical Sciences, 13(2), 150–158.
https://doi.org/10.1016/j.ajps.2017.11.002
XVII. Singh, R., & Kaur, H. (2019). Nano‐engineering of multilayered tablets: A novel approach for targeted drug delivery. European Journal of Pharmaceutics and Biopharmaceutics, 142, 35–45. https://doi.org/10.1016/j.ejpb.2019.01.005
XVIII. Thombre, A., Appel, L., Chidlaw, M., Daugherity, P., Dumont, F., Evans, L., & Sutton, S. (2004). Osmotic drug delivery using swellable-core technology. Journal of controlled release: official journal of the Controlled Release Society, 94 1, 75-89.
https://doi.org/10.1016/J.JCONREL.2003.09.009.
XIX. Wang, L., Li, X., & Zhang, Y. (2017).
Nanotechnology in oral drug delivery: Multilayered tablet systems. Advanced Drug Delivery Reviews, 117, 72–86.
https://doi.org/10.1016/j.addr.2017.06.005
XX. Yang, M., Wang, Y., Guo, J., Shan, L., Li, Y., Bai, X., Fan, Y., & Gao, C. (2013). Comparison of pharmacokinetics in beagle dogs of nimesulide bilayer tablets with dispersible tablets. Drug Development and Industrial Pharmacy,39,156 - 161. https://doi.org/10.3109/03639045.2012.662506.