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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.
Authors: Cheung LC
Nguyen M
Tang E
von Ungern Sternbeg BS
Salman S
Tuleu C
Mohamed Ahmed AHA
Soto J
Lim LY
Keywords: Adolescent
Drug Compounding
Drug Liberation
Feeding Behavior/drug effects
Flavoring Agents/chemistry
Midazolam/administration & dosage
Taste Perception/drug effects
Source: 535(1-2):194-200
Journal Title: International Journal of Pharmaceutics
Abstract: 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.
DOI: 10.1016/j.ijpharm.2017.10.060
PubMed URL:
Type: Journal Article
Affiliates: Princess Margaret Hospital for Children
University of Western Australia
QEII Medical Centre
University College London
Study/Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Scholarly and Clinical

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