Challenges in Developing Stable and Efficient Probiotic Formulations

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Challenges in Developing Stable and Efficient Probiotic Formulations Morgan Laloux morgan.laloux@capsugel.com +32 491 73 20 53

Summary Challenges in Formulating Probiotics Formulating Probiotics in Capsules Increase Shelf Life: Low moisture capsules Protection from Stomach acidity: DRcaps Probiotics for Consumers with Swallowing Difficulties: Coni-Snap Sprinkle Capsules Combination Products: DUOCAP Conclusion 2 CONFIDENTIAL

Capsugel at a Glance World s Leading Provider of dosage form solutions for Health & Nutrition, OTC, Generics, Specialty & Branded Pharmaceuticals # 1 hard gelatin and vegetarian capsule manufacturer Innovative, High-Quality, Products, Services, global scalability Innovative drug-delivery technologies, specialized manufacturing, and a collaborative approach to address clients most pressing product development challenges 3

Challenges in Formulating Probiotics

Parameters Influencing Probiotics Stability Probiotics have to pass two main hurdles: Stability over shelf life Efficient delivery in appropriate site in the GI tract Parameters influencing Stability: Humidity Temperature Pressure/ temperature build up during tableting Coating stressful conditions Acid stomach conditions We will focus our presentation on solutions developed by Capsugel to efficiently formulate lyophilized probiotics 5

Formulating Probiotics In Capsules

Major Challenges in Formulating Probiotics in Capsules Challenges Maximum Shelf Life Strain survival and efficiency Specific needs of children and consumers with swallowing difficulties Combination products Capsugel Solution Adapt water content of capsule to offer best conditions ensuring long shelf life. Specific capsule was developed to ensure passage of probiotics through stomach. Easy-to-open capsule for sprinkle usage on food without capsule swallowing. DUOCAP : 2-in-1 capsules that allow effective delivery of combination products. 7

Increase Shelf Life: Low Moisture Capsules

Specialty Polymers: HPMC Capsules Capsugel has developed HPMC capsule line with different film compositions. Vcaps Plus Capsules Vcaps Capsules DRcaps Capsules Composed of Pure HPMC and water with no additives Rapid dissolution at all ph Composed of HPMC and a gelling agent Delayed dissolution at ph 1.2 Composed of HPMC and Gellan Gum High resistance to dissolution at ph 1.2 9

Mechanical Properties: HPMC Capsules Gelatin capsules exhibit reduced mechanical resistance when water content decreases. Standard HPMC have an increased mechanical stability at all humidities. For probiotic application Capsugel s propose low moisture HPMC capsule enabling increased shelf life of finished product. 10

Stability in Vcaps Low Moisture Packed in Alu / Alu Blister High stability observed with Low Moisture HPMC up to 24 months minimum 11

Stability in Vcaps Low Moisture Packed in Aluminum Tube with Desiccant High stability observed with Low Moisture HPMC up to 24 months minimum 12

Protection from Stomach Acidity: DRcaps capsules

Composition of DRcaps Composition: HPMC (Hypromellose) is produced from pine tree cellulose Gelling agent Water Properties: Capsule is resistant to dissolution in acidic media 14

In-Vitro Tests Capsugel evaluated the resistance of DRcaps capsules to acidic media by different methods: In-Vitro Dissolution In-Vitro Disintegration In Vitro GIT Model, SHIME (Prodigest - Simulator of the Human Intestinal Microbial Ecosystem). 15

DRcaps capsules: Acid Resistance In Vivo DRcaps capsule Human Clinical Study (N= 8 subjects) Key Study Findings: DRcaps capsules displayed delayed release properties Disintegration started approximately 52 minutes after ingestion For the majority of subjects, complete release took place in the intestine Complete release occurred 20 minutes after the onset of release 16

Probiotics for Consumers with Swallowing Difficulties: Coni-Snap Sprinkle Capsules

Rationale for Developing Coni-Snap Sprinkle Capsule Swallowing issues Coni-Snap Sprinkle Affects 35% of the general population and 18%-22% of all persons in long-term care facilities 45% of institutionalized elderly and 36 % of adolescent report swallowing issues Evaluation of product performance by 37 participants in 2 panels Parents of young children Elderly individuals (over 80) and not impaired 81% of Participants found new design easy to open 18

Combination Products DUOCAP capsules

DUOCAP Probiotic capsule DUOCAP technology creates an internal barrier to prevent water migration in probiotic internal capsule: Perfect for moisture sensitive compounds: Glycerol in external capsule prevents water absorption in internal capsule Designed to improve stability and facilitate delayed release Internal capsule can be DRcaps : delivers probiotic in intestine Could allow second ingredient to expand health claims (e.g. Vitamin D) 20

Proof of Concept Inner capsule Vcaps Plus size 3 Filled with 100% Probiotic Storage conditions: 4-8 C and 25 C/60% RH Filled in outside Vcaps Plus size 00 Containing glycerol Packaging: PP bottle (no desiccant) Tests performed: Total count viability performed by Capsugel QC department in Colmar Latest results: Stability confirmed after 24 months at 25C/60% RH for DUOCAP with glycerol in outer capsule 21

Stability Results Stability Study confirmed stability of probiotic in DUOCAP 22

Conclusion

Capsugel s Probiotic Portfolio Solutions Applications Polymer Increased shelf life can be obtained with low moisture HPMC capsule HPMC Low Moisture Survival and efficiency: probiotics are protected and delivered to intestine HPMC DUOCAP Alternative to Sticks and Sachets, Solves swallowability issues Synergy enhancement, efficacy in protecting probiotics in presence of other actives Gelatin and HPMC HPMC 24