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  • Formulation development and evaluation of Sitagliptin Phosphate Monohydrate sustained release tablet by using natural polymers

  • 1M Pharmacy, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra
    2Department of Pharmaceutics, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra
    3Department of Pharmaceutical Chemistry, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra

Abstract

In 2007, sitagliptin, the first drug in a new family of oral glucose-lowering drugs, was introduced to the UK market. When hyperglycemia is present, it suppresses the secretion of glucagon and increases the secretion of insulin. The goal of the current study is to use lactose as a diluent in a direct compression approach to create a novel drug delivery system: sustained release tablets of the antidiabetic medication sitagliptin phosphate monohydrate. FTIR investigations were used to rule out the drug-excipient interaction. Using xanthan gum (X1) and microcrystalline cellulose (MCC) (X2), nine formulations of sitagliptin phosphate tablets were created based on factors like hardness and dissolving profile. Organoleptic characteristics, hardness, friability, weight fluctuation, and in vitro drug release were assessed for the manufactured batches. Each formulation exhibited a sluggish rate of disintegration and minimal weight fluctuation. The formulation made with 27.5% xanthan gum ended up being the best overall out of nine potential formulations. This optimized formulation (F5) showed good dissolution profile with 99.61% drug release within 10 hours. It was concluded that sustained release tablets of Sitagliptin Phosphate Monohydrate can be successfully formulated by using Xanthan gum natural polymer.

Keywords

Sitagliptin Phosphate, Xanthan gum, Microcrystalline cellulose, Hyperglycemia

Introduction

Diabetes mellitus, which is sometimes just called diabetes, is a metabolic condition that results in elevated blood sugar levels. Insulin transports blood sugar into your cells so that it can be stored or used as fuel. [1]

Types of diabetes

There are a few different types of diabetes:

Type 1: An autoimmune condition is type 1 diabetes. The cells that produce insulin in the pancreas are attacked and destroyed by the immune system. The reason for this strike is unknown.

Type 2: When sugar accumulates in your blood and your body grows resistant to insulin, type 2 diabetes develops. Type 2 diabetes is the most prevalent kind, with 90% to 95% of persons with the disease having this reliable source.

Gestational: High blood sugar during pregnancy is known as gestational diabetes. This kind of diabetes is brought on by the placenta's production of insulin-blocking substances. [2]

Type 1 diabetes

What specifically causes type 1 diabetes is unknown to doctors. The pancreatic beta cells that produce insulin are unintentionally attacked and destroyed by the immune system. Some persons may have a genetic component. A virus may also trigger an attack on the immune system. [3]

Figure 1: Autoimmune attack in type 1 diabetes

Type 2 diabetes

Genetics and lifestyle factors work together to cause type 2 diabetes. Being obese or overweight also raises your risk. Your cells become more resistant to the effects of insulin on blood sugar when you carry excess weight, particularly in your abdomen. This illness is inherited. Genes that increase the risk of type 2 diabetes and obesity are shared by family members. [4]

Figure 2: Type 2 Diabetes

Gestational diabetes

Hormonal changes during pregnancy might lead to gestational diabetes. Hormones produced by the placenta reduce the sensitivity of a pregnant person's cells to the effects of insulin. Insulin resistance, which occurs when muscle and adipose cells are unable to react appropriately to normal insulin levels, is a hallmark of type 2 diabetes, a chronic metabolic illness. The Centers for Disease Control and Prevention predict that there are currently 26 million Americans with type 2 diabetes mellitus (DM), and by 2050, that number is expected to quadruple. One Diabetes is referred to be a "silent killer" because, if left untreated, chronic complications kill people more frequently than hyperglycemic crises.  [2,3] One inhibitor of dipeptidyl peptidase-4 (DPP-4) is sitagliptin phosphate. Sitagliptin inhibits the enzyme dipeptidyl peptidase 4 (DPP-4) in a competitive manner. The gastrointestinal hormones GLP-1 and GIP, which are produced in reaction to a meal, are broken down by this enzyme. They can decrease the pancreatic release of glucagon and boost insulin secretion by blocking GLP-1 and GIP inactivation. Blood glucose levels are brought closer to normal as a result. Designing and refining Sitagliptin Phosphate sustained release tablets using the direct compression technique was the aim of this work. Directly compressible lactose was used to compress the optimum formulation into tablets. A dosage of 100 mg of sitagliptin phosphate was administered. Therefore, Sitagliptin Phosphate sustained release tablets were made in order to preserve the medicine's bioavailability and lower the frequency of drug administration. [5]

Purpose of the Study

The oral route of administration remains the most popular because of its many benefits, which include patient compliance, simplicity of intake, pain avoidance, and adaptability. The most often used dose forms are capsules and tablets. Taking traditional dosage forms on time and more than once a day causes variations in the drug's plasma concentration, which can cause missed doses. Sustained release formulations have been created to get around this. The benefits of these include less blood level swings, fewer doses, improved patient convenience and adherence, fewer negative side effects, and lower total medical expenses.

AIM:

To formulate and evaluate Sitagliptin Phosphate Monohydrate sustained release tablet by using natural polymers for type 2 diabetes mellitus.

OBJECTIVE

  • To procure drug excipients and polymer from different sources.
  • To study compatibility of drug and excipients used for the formulation of sustained release tablets.
  • To prepare and evaluate sustained release tablets using natural polymers.
  • To optimize of prepared formulation on the basis of its dissolution profile.
  • To prepare a stable dosage form and perform its stability study.

Drug Profile

Sitagliptin

Chemical structure:

Colour: White

Molecular Formula: C16H20F6N5O6P

Catagory: Antidiabetic

Synonyms: Sitagliptin Phosphate, Januvia

CAS No.: 654671-77-9

Molecular Weight: 523.32 g/mol

Melting Point: 206-208 0C

Bioavailability:  87 %

BCS Classification: class-III (High soluble low permeable)

Dose: 100 mg twice a day with or without food [8,9]

MATERIALS & METHOD

Ingredients List

Table 1: Ingredients used for Sitagliptin Phosphate Monohydrate sustained release tablet

Sr.no.

Ingredients

Role

1.

Sitagliptin Phosphate Monohydrate

Anti-diabetic

2.

Xanthan gum

Sustained release polymer

3.

Microcrystalline cellulose (MCC)

Binder

4.

Lactose

Diluent

5.

Magnesium stearate

Lubricant

6.

Talc

Glidant

Prepration of Sitagliptin Phosphate Monohydrate sustained release tablet

  1. Sitagliptin PM, Xanthan gum, Microcrystalline cellulose (MCC), Lactose, Magnesium stearate and Talc were passed through mesh no. 60 separately and collected.
  2. Sitagliptin PM, Xanthan gum and Lactose were mixed uniformly with gentle trituration using mortar and pestle to get a uniform mixture.
  3. After trituration mixer was placed in a RMG (Rapid Mixer Granulator) for 30 mins at 150 rpm.
  4. Finally, magnesium stearate and talc were added and mixing was continued for further 5 min.
  5. The mixed blend of drug and excipients were compressed using 10.5 mm punch on 10 stations “B” Tooling Rotatory Tablet Punching Machine to produce convex faced tablets, weighing 350 mg each.

Before tablet preparation, the mixture blend of all the ingredients were subjected to precompression parameters like Angle of repose, Bulk density, Tapped density, Compressibility index and Hausner’s ratio.

EXPERIMENTAL WORK

1. Preformulation study:

A.  Drug Characterization:

 Drug characterization parameters such as colour, odour and appearance were analysed for the procured drug samples

Table 2: Drug characterization parameters

Colour

White

Odour

Odourless

Appearance

Fine powder

B.  Determination of melting point:

The melting point of Sitagliptin PM was found to be in the range of 206-208 0C which comply with reported melting point of Sitagliptin PM

C.  Solubility study:

The solubility study of Sitagliptin PM was carried out by using different solvent systems as per the literature. The solubility results were shown in table

Table 3: Results for solubility study

Sr.no

Solvent

Observation

1.

Methanol

Soluble

2.

Phosphate buffer 6.8 pH

Soluble

3.

0.1 N Hydrochloric acid

Soluble

4.

Water

Soluble

UV-visible spectrophotometric analysis

The UV-visible spectrophotometric analysis of drug was carried out 0.1N hydrochloric acid as well as Phosphate buffer 6.8 pH were used as solvent system for determination of λ max 40 µg/ml of Sitagliptin PM sample was used and λ max was found as 266 nm for 0.1N HCl and 267 nm for PB 6.8 pH respectively.

Figure 3: 40 PPM solution of Sitagliptin PM in 0.1 N hydrochloric acid

Figure 4: 40 PPM solution of Sitagliptin PM in Phosphate buffer 6.8 pH

Preparation of Calibration curve for Sitagliptin PM in 0.1 N Hydrochloric acid

The calibration curve of Sitagliptin PM was drawn by measuring the absorbance of different concentrations in 0.1N hydrochloric acid at 266 nm

Table 4: Calibration curve for Sitagliptin PM in 0.1N Hydrochloric acid

Sr.no.

Concentration (ppm)

Absorbance

1.

10

0.0475

2.

20

0.0981

3.

30

0.1311

4.

40

0.1708

5.

50

0.2139

Figure 5: Calibration curve for Sitagliptin PM in 0.1N Hydrochloric acid

The calibration curves were linear and obeyed Beer-Lambert’s law in the concentration range 10-50 μg/ml. The correlation coefficient values were 0.9964 indicating excellent linearity of the data.

B. Preparation of Calibration curve for Sitagliptin PM in Phosphate buffer 6.8 pH:

The calibration curve of Sitagliptin PM was drawn by measuring the absorbance of different concentrations in phosphate buffer 6.8 pH at 267 nm.

Table 5: Calibration curve for Sitagliptin in Phosphate buffer 6.8 pH

Sr.no.

Concentration (ppm)

Absorbance

1.

10

0.0418

2.

20

0.0782

3.

30

0.1079

4.

40

0.1347

5.

50

0.1795

Figure 6: Calibration curve for Sitagliptin PM in phosphate buffer 6.8

Drug excipient compatibility study:

Drug excipient interaction studies are significant for the successful formulation of every dosage form. Fourier Transform Infrared (FTIR) Spectroscopy studies were used for the assessment of physicochemical compatibility and interactions, which helps in the prediction of interaction between drug and other excipients. In the current study 1:1 ratio was used for preparation of physical mixtures used for analyzing of compatibility studies.

Table 6: Drug excipient compatibility

Ingredient

Ratio

Initial

Condition

40°C/75% RH

(Accelerated)

1 month

Sitagliptin Phosphate monohydrate

NA

White

NCC

Sitagliptin PM: Xanthan gum

1:1

White

NCC

Sitagliptin PM: MCC

1:1

White

NCC

Sitagliptin PM: Lactose

1:1

White

NCC

Sitagliptin PM: Magnesium stearate

1:1

White

NCC

Sitagliptin PM: Talc

1:1

White

NCC

Note- NCC means No Conformational Change

Formulation development of Sustained Release Tablets

All the formulations were prepared by Direct Compression method. The compositions of different formulations are given in Table.

Table 7: Formulation strategy

Sr.No.

Ingredients

Quantity (mg)

F1

F2

F3

F4

F5

F6

F7

F8

F9

1

Sitagliptin Phosphate monohydrate

128.5

128.5

128.5

128.5

128.5

128.5

128.5

128.5

128.5

2

Xanthan gum

87.5

87.5

87.5

96.25

96.25

96.25

105

105

105

3

Microcrystalline cellulose (MCC)

52.5

61.25

70

52.5

61.25

70

52.5

61.25

70

4

Lactose

67.5

58.75

50

58.75

50

41.25

50

41.25

32.5

5

Magnesium stearate

7

7

7

7

7

7

7

7

7

6

Talc

7

7

7

7

7

7

7

7

7

Total weight of tablet

350 mg.

Evaluation of formulated batches:

A. Precompression parameters

The powder blend from all the batches were evaluated for density and flow property parameters which includes Bulk density, Tapped density, Compressibility index, Hausner’s ratio and Angle of repose.

Table 8: Precompression parameters

Batches

Bulk density

Tapped density

Compressibility index

Hausner’s ratio

Angle of repose

F1

0.4545

0.5224

12.99

1.15

29.25

F2

0.4516

0.5147

12.26

1.14

28.39

F3

0.4487

0.5109

12.18

1.14

30.41

F4

0.4545

0.5263

13.64

1.16

29.79

F5

0.4403

0.5147

14.47

1.17

30.03

F6

0.4321

0.4930

12.35

1.14

27.5

F7

0.4605

0.5303

13.16

1.15

28.39

F8

0.4403

0.5000

11.95

1.14

29.01

F9

0.4516

0.5109

11.61

1.13

29.29

B. Post compression parameters:

1. Physical appearance:

The tablets from all trial batches were white round convex shaped beveled edge with having plane upper and lower side.

2. Thickness and diameter:

The thickness and diameter for all the tablets were measured by using Vernier caliper by picking the tablets randomly. Thickness was found in the range from 5.0 mm to 5.2 mm respectively and diameter was found in the range of 9.7 – 9.9 mm. Uniformity in the values indicates that formulations were compressed without sticking to the dies and punches.

3. Hardness:

Monsanto hardness tester was used for the determination of hardness for all the batches Hardness was found to be in range of 7.5 kg/cm2 to 9 kg/cm2. The hardness for all formulated batches were uniform and possess good mechanical strength with sufficient hardness

4. Friability

Tablets from all batches were evaluated by using Roche Friabilator and Friability was acceptable range 0.29 to 0.86 (Less than 1%). The result was given in table

Table 9: Post compression parameters

Batches

Thickness (mm)

Diameter (mm)

Hardness (kg/cm2)

Friability (%)

F1

5.1±0.1

9.9±0.1

7.5±0.5

0.29

F2

5.0±0.2

9.8±0.2

8±0.5

0.56

F3

5.0±0.2

9.9±0.1

8±0.5

0.29

F4

5.1±0.1

9.7±0.1

7.5±0.5

0.58

F5

5.0±0.2

9.8±0.2

8.5±0.5

0.56

F6

5.1±0.2

9.8±0.2

8.5±0.5

0.29

F7

5.0±0.1

9.9±0.2

8±0.5

0.58

F8

5.2±0.3

9.7±0.2

8.5±0.5

0.59

F9

5.1±0.2

9.8±0.2

9±0.5

0.86

5.Drug content

Drug content uniformity test was performed for all formulated batches and results were expressed in table 10. The drug content was found to be between 98- 102 % which was under specified limit.

Table 10: Drug content

Batches

Drug content

F1

100.61

F2

101.82

F3

101.21

F4

101.52

F5

100.91

F6

101.82

F7

100.91

F8

100.61

F9

100.00

7. In vitro dissolution test:

The in vitro evaluation of all the formulated batches were carried out for 10 hrs. by using 0.1N hydrochloric acid (0 – 2 hrs.) and Phosphate buffer 6.8 pH (3 – 10 hrs.)

Table 11: In vitro dissolution

Time (hrs.)

Batches

 

% Cumulative Drug Release (%)

F1

F2

F3

F4

F5

F6

F7

F8

F9

1

8.76

8.01

8.34

8.67

7.75

7.53

7.75

6.80

6.72

2

20.15

17.96

19.03

18.37

18.99

18.77

18.53

17.71

19.05

3

38.75

38.57

39.05

28.27

28.53

27.33

26.71

25.02

25.65

4

51.08

48.91

49.58

40.57

39.55

40.37

39.83

35.09

34.79

5

62.07

59.90

60.57

51.56

50.54

51.36

50.82

46.08

45.78

6

74.59

71.03

72.10

65.99

62.65

64.48

61.65

55.51

54.62

7

85.71

83.33

82.20

73.49

71.38

72.22

71.14

65.61

64.41

8

95.21

91.02

89.59

81.26

79.59

80.43

77.60

75.01

72.29

9

95.94

93.83

94.06

89.36

90.93

86.08

85.70

81.42

78.29

10

96.51

97.67

96.62

98.55

99.61

96.41

92.90

89.71

87.70

Figure 7: In vitro dissolution study

Evaluation of optimized batch:

Table 12: Evaluation of optimized batch

Sr.no.

Evaluation parameter

Results

1.

Thickness

5.1 mm

2.

Diameter

9.8 mm

3.

Hardness

8.5 kg/cm2

4.

Friability

0.56 %

5.

Drug content

100.91 %

6.

In vitro dissolution (%CDR)

99.61%

Stability study

The optimized formulation batch of Sitagliptin Phosphate Monohydrate sustained release tablet was wrapped in an aluminum foil and subjected to 40 ± 20C temperature and 75 ± 5% RH in stability chamber for the period of 1 months. The formulation was analyzed for Physical appearance, Thickness, Hardness, Drug content and Dissolution study. In any rational design of dosage forms for drug, the stability of the active component is the major criteria in determining their acceptance or rejection. Stability studies were carried out as per ICH Q1A(R2) guidelines.

Table 13: Stability study

Evaluation parameters

Results

Physical appearance

White round convex shaped

Thickness

5.1±0.2

Hardness

8.5 kg/cm2

Drug content

99.73 %

Dissolution study

96.61%

RESULT AND DISCUSSION

1. Weight variation: The weight of 20 tablets was determined, and the average weight is calculated. The individual weights of the tablets not vary more than 5% from the average weight.

2. Hardness: The hardness of the tablets was determined using a tablet hardness tester. The tablets should have sufficient hardness to withstand handling and transportation. Hardness of optimized F5 formulation was 8.5 kg/cm2

3. Friability: The friability of the tablets was determined using a friability tester. The tablets are subjected to tumbling action, and the percentage weight loss is calculated. The percentage weight loss should not be more than 1%.

4. Dissolution: The dissolution rate of the tablets is determined using a dissolution apparatus. The tablets are placed in a basket, and the basket is rotated in a dissolution medium. The amount of Sitagliptin Phosphate Monohydrate released from the tablet is measured at various time intervals. This optimized formulation (F5) showed good dissolution profile with 99.61% drug release within 10 hours.

5. Content uniformity: The content uniformity of the tablets is determined by assaying the Sitagliptin Phosphate Monohydrate content in 10 tablets individually. The amount of drug in each tablet should be within 85-115% of the labeled amount.

6. Stability: The stability of the tablets is determined by storing them at 25°C/60% RH for 1 month. The physical appearance, drug content, dissolution rate, and other parameters are monitored periodically to assess the stability of the tablets.

By evaluating the above parameters, we can ensure the quality and effectiveness of the sustained release Tablet of Sitagliptin Phosphate Monohydrate The chosen Sitagliptin Phosphate Monohydrate did not interact with the polymers, according to FTIR analyses of the drug and excipients. Sitagliptin sustained release tablets were significantly impacted by the drug polymer ratio. Every powder mix demonstrated the appropriate flow characteristics in accordance with pharmacopoeial standards. Following a 10-hour dissolving analysis, it was discovered that the drug release from formulations F1, F2, F3, F4, F5, F6, F7, F8, and F9 was 96.51%, 97.67%, 96.62%, 98.55%, 99.61%, 96.41%, 92.90%, 89.71%, and 87.70%, respectively. According to stability investigations, the physical properties and invitro drug release profiles of the manufactured Sitagliptin Phosphate Monohydrate tablets in optimized formulation F5 did not significantly alter. Formulation F5 was refined and used to create sustained release tablets. The results of many quality control tests performed on the prepared tablets are displayed in table No. 12.

CONCLUSION

The current study comes to the conclusion that by lowering the frequency of dosages, continuous drug administration of sitagliptin phosphate monohydrate may be an effective strategy to extend the duration of action of the medication. According to the current study, administering sitagliptin phosphate monohydrate should be done with a sustained drug delivery system. It was discovered that the F5 formulation was the most optimized.

REFERENCES

  1. Kumar, Roshan, Purabi Saha, Yogendra Kumar, Soumitra Sahana, Anubhav Dubey, and Om Prakash. "A review on diabetes mellitus: type1 & Type2." World Journal of Pharmacy and Pharmaceutical Sciences 9, no. 10 (2020): 838-850.
  2. Gadsby, Roger. "Efficacy and safety of sitagliptin in the treatment of type 2 diabetes." Clinical Medicine. Therapeutics 1 (2009): CMT-S2313.
  3. Herman, G. A., P. P. Stein, N. A. Thornberry, and JA17392725 Wagner. "Dipeptidyl peptidase?4 inhibitors for the treatment of type 2 diabetes: focus on sitagliptin." Clinical Pharmacology & Therapeutics 81, no. 5 (2007): 761-767
  4. Saeedi, Pouya, Inga Petersohn, Paraskevi Salpea, Belma Malanda, Suvi Karuranga, Nigel Unwin, Stephen Colagiuri et al. "Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas." Diabetes research and clinical practice 157 (2019): 107843.
  5. Ali, Mohammed K., Kai McKeever Bullard, Giuseppina Imperatore, Stephen R. Benoit, Deborah B. Rolka, Ann L. Albright, and Edward W. Gregg. "Reach and use of diabetes prevention services in the United States, 2016-2017." JAMA network open 2, no. 5 (2019): e193160-e193160.
  6. Haq, Furqan Ul, Abuzar Siraj, Muhammad Atif Ameer, Tanveer Hamid, Mansoor Rahman, Salman Khan, Saad Khan, and Sarwat Masud. "Comparative review of drugs used in diabetes mellitus—new and old." Journal of Diabetes Mellitus 11, no. 04 (2021): 115-131.
  7. Ahrén, Bo, Jens J. Holst, Hans Mårtensson, and Börk Balkan. "Improved glucose tolerance and insulin secretion by inhibition of dipeptidyl peptidase IV in mice." European journal of pharmacology 404, no. 1-2 (2000): 239-245.
  8. National Center for Biotechnology Information. "PubChem Compound Summary for CID11591741, Sitagliptinphosphatemonohydrate" PubChem, https://pubchem.ncbi.nm.nih.gov /compound /Sitagliptin-phosphate-monohydrate. 2024
  9. Drucker DJ, Nauck MA. The incretin system: Glucagon like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors in type 2 diabetes. Lancet. 2006; 368:1696–1705.
  10. Pavani, J., B. Deepika, K. Nagaraju, T. Regupathi, K. N. V. Rao, and K. Rajeswar Dutt. "Formulation development and in vitro evaluation of sustained release matrix tablets of tramadol hydrochloride." Innovat International Journal of Medical & Pharmaceutical Sciences 2, no. 6 (2017): 28-38.
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  16. Ahren, Bo. "Novel combination treatment of type 2 diabetes DPP-4 inhibition+ metformin." Vascular health and risk management 4, no. 2 (2008): 383-394.
  17. Charoo, Naseem A., Daud B. Abdallah, Ahmed Abdalla Bakheit, Kashif Ul Haque, Hassan Ali Hassan, Bertil Abrahamsson, Rodrigo Cristofoletti et al. "Biowaiver monograph for immediate-release solid oral dosage forms: sitagliptin phosphate monohydrate." Journal of pharmaceutical sciences 111, no. 1 (2022): 2-13.
  18. Thornberry, Nancy A., and Ann E. Weber. "Discovery of JANUVIA™(Sitagliptin), a Selective Dipeptidyl Peptidase IV Inhibitor for the Treatment of Type2 Diabetes." Current topics in medicinal chemistry 7, no. 6 (2007): 557-568.

Reference

  1. Kumar, Roshan, Purabi Saha, Yogendra Kumar, Soumitra Sahana, Anubhav Dubey, and Om Prakash. "A review on diabetes mellitus: type1 & Type2." World Journal of Pharmacy and Pharmaceutical Sciences 9, no. 10 (2020): 838-850.
  2. Gadsby, Roger. "Efficacy and safety of sitagliptin in the treatment of type 2 diabetes." Clinical Medicine. Therapeutics 1 (2009): CMT-S2313.
  3. Herman, G. A., P. P. Stein, N. A. Thornberry, and JA17392725 Wagner. "Dipeptidyl peptidase?4 inhibitors for the treatment of type 2 diabetes: focus on sitagliptin." Clinical Pharmacology & Therapeutics 81, no. 5 (2007): 761-767
  4. Saeedi, Pouya, Inga Petersohn, Paraskevi Salpea, Belma Malanda, Suvi Karuranga, Nigel Unwin, Stephen Colagiuri et al. "Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas." Diabetes research and clinical practice 157 (2019): 107843.
  5. Ali, Mohammed K., Kai McKeever Bullard, Giuseppina Imperatore, Stephen R. Benoit, Deborah B. Rolka, Ann L. Albright, and Edward W. Gregg. "Reach and use of diabetes prevention services in the United States, 2016-2017." JAMA network open 2, no. 5 (2019): e193160-e193160.
  6. Haq, Furqan Ul, Abuzar Siraj, Muhammad Atif Ameer, Tanveer Hamid, Mansoor Rahman, Salman Khan, Saad Khan, and Sarwat Masud. "Comparative review of drugs used in diabetes mellitus—new and old." Journal of Diabetes Mellitus 11, no. 04 (2021): 115-131.
  7. Ahrén, Bo, Jens J. Holst, Hans Mårtensson, and Börk Balkan. "Improved glucose tolerance and insulin secretion by inhibition of dipeptidyl peptidase IV in mice." European journal of pharmacology 404, no. 1-2 (2000): 239-245.
  8. National Center for Biotechnology Information. "PubChem Compound Summary for CID11591741, Sitagliptinphosphatemonohydrate" PubChem, https://pubchem.ncbi.nm.nih.gov /compound /Sitagliptin-phosphate-monohydrate. 2024
  9. Drucker DJ, Nauck MA. The incretin system: Glucagon like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors in type 2 diabetes. Lancet. 2006; 368:1696–1705.
  10. Pavani, J., B. Deepika, K. Nagaraju, T. Regupathi, K. N. V. Rao, and K. Rajeswar Dutt. "Formulation development and in vitro evaluation of sustained release matrix tablets of tramadol hydrochloride." Innovat International Journal of Medical & Pharmaceutical Sciences 2, no. 6 (2017): 28-38.
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Samadhan Bandagar
Corresponding author

M Pharmacy, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra

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Dr. Prashant Malpure
Co-author

Department of Pharmaceutics, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra

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Dr. Gokul Talele
Co-author

Department of Pharmaceutical Chemistry, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra

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Shraddha Bhavsar
Co-author

Department of Pharmaceutics, Matoshri College of pharmacy, Eklahare, Nashik, Maharashtra

Samadhan Bandagar*, Shraddha Bhavsar, Dr. Gokul Talele, Dr. Prashant Malpure, Formulation development and evaluation of Sitagliptin Phosphate Monohydrate sustained release tablet by using natural polymers, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 5, 3956-3968. https://doi.org/10.5281/zenodo.15501129

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