Overcoming Challenges in Pediatric Formulation with a Patient-Centric Design Approach: A Proof-of-Concept Study on the Design of an Oral Solution of a Bitter Drug
Designing oral formulations for children is very challenging, especially considering their
peculiarities and preferences. The choice of excipients, dosing volume and palatability are key issues
of pediatric oral liquid medicines. The purpose of the present study is to develop an oral pediatric
solution of a model bitter drug (ranitidine) following a patient centric design process which
includes the definition of a target product profile (TPP). To conclude on the matching of the developed
solution to TPP, its chemical and microbiological stability was analyzed over 30 days (stored
at 4 °C and room temperature). Simulation of use was accomplished by removing a sample with a
syringe every day. Taste masking was assessed by an electronic tongue. The developed formulation
relied on a simple taste masking strategy consisting in a mixture of sweeteners (sodium saccharine
and aspartame) and 0.1% sodium chloride, which allowed a higher bitterness masking effectiveness
in comparison with simple syrup. The ranitidine solution was stable for 30 days stored at 4 °C.
However, differences were noted between the stability protocols (unopened recipient and in‐use
stability) showing the contribution of the simulation of use to the formation of degradation products.
Stock solution was subjected to acid and alkali hydrolysis, chemical oxidation, heat degradation
and a photo degradation stability assessment. The developed pediatric solution matched the
TPP in all dimensions, namely composition suitable for children, preparation and handling adapted
to hospital pharmaceutical compounding and adequate stability and quality. According to the results,
in‐use stability protocols should be preferred in the stability evaluation of pediatric formulations.
