Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles

© 2017 Elsevier B.V. Harmonized methodologies are urgently required for the taste evaluation of novel pediatric medicines. This study utilized in vitro, in vivo and clinical data to evaluate the palatability of a novel midazolam chocolate tablet. In vitro dissolution experiments showed the crushed...

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Main Authors: Cheung, Laurence, Nguyen, M., Tang, E., von Ungern Sternberg, B., Salman, S., Tuleu, C., Mohamed Ahmed, A., Soto, J., Lim, L.
Format: Journal Article
Published: Elsevier BV 2018
Online Access:http://hdl.handle.net/20.500.11937/67975
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author Cheung, Laurence
Nguyen, M.
Tang, E.
von Ungern Sternberg, B.
Salman, S.
Tuleu, C.
Mohamed Ahmed, A.
Soto, J.
Lim, L.
author_facet Cheung, Laurence
Nguyen, M.
Tang, E.
von Ungern Sternberg, B.
Salman, S.
Tuleu, C.
Mohamed Ahmed, A.
Soto, J.
Lim, L.
author_sort Cheung, Laurence
building Curtin Institutional Repository
collection Online Access
description © 2017 Elsevier B.V. Harmonized methodologies are urgently required for the taste evaluation of novel pediatric medicines. This study utilized in vitro, in vivo and clinical data to evaluate the palatability of a novel midazolam chocolate tablet. In vitro dissolution experiments showed the crushed tablet to release within 5 min 1.68 mg of midazolam into simulated saliva. This translated to a drug level of 0.84 mg/ml in the oral cavity, which would be higher than the midazolam bitterness detection threshold concentration of 0.03 mg/ml determined in a rat ‘brief access taste aversion’ (BATA) model. The visual analogue scale scores of patients aged 4–16 years prescribed with midazolam pre-surgery showed a clear preference for the midazolam chocolate tablets (3.35 ± 1.04, n = 20) compared to the control midazolam solution (1.47 ± 0.62, n = 17). The clinical data was in agreement with the in vivo rodent data in showing the novel chocolate tablet matrix to be effective at taste-masking the bitter midazolam.
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format Journal Article
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institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T10:35:58Z
publishDate 2018
publisher Elsevier BV
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spelling curtin-20.500.11937-679752018-05-18T08:05:51Z Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles Cheung, Laurence Nguyen, M. Tang, E. von Ungern Sternberg, B. Salman, S. Tuleu, C. Mohamed Ahmed, A. Soto, J. Lim, L. © 2017 Elsevier B.V. Harmonized methodologies are urgently required for the taste evaluation of novel pediatric medicines. This study utilized in vitro, in vivo and clinical data to evaluate the palatability of a novel midazolam chocolate tablet. In vitro dissolution experiments showed the crushed tablet to release within 5 min 1.68 mg of midazolam into simulated saliva. This translated to a drug level of 0.84 mg/ml in the oral cavity, which would be higher than the midazolam bitterness detection threshold concentration of 0.03 mg/ml determined in a rat ‘brief access taste aversion’ (BATA) model. The visual analogue scale scores of patients aged 4–16 years prescribed with midazolam pre-surgery showed a clear preference for the midazolam chocolate tablets (3.35 ± 1.04, n = 20) compared to the control midazolam solution (1.47 ± 0.62, n = 17). The clinical data was in agreement with the in vivo rodent data in showing the novel chocolate tablet matrix to be effective at taste-masking the bitter midazolam. 2018 Journal Article http://hdl.handle.net/20.500.11937/67975 10.1016/j.ijpharm.2017.10.060 Elsevier BV restricted
spellingShingle Cheung, Laurence
Nguyen, M.
Tang, E.
von Ungern Sternberg, B.
Salman, S.
Tuleu, C.
Mohamed Ahmed, A.
Soto, J.
Lim, L.
Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title_full Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title_fullStr Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title_full_unstemmed Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title_short Taste evaluation of a novel midazolam tablet for pediatric patients: In vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
title_sort taste evaluation of a novel midazolam tablet for pediatric patients: in vitro drug dissolution, in vivo animal taste aversion and clinical taste perception profiles
url http://hdl.handle.net/20.500.11937/67975