T. Loftsson et al., Effect of cyclodextrins and polymers on triclosan availability and substantivity in toothpastes in vivo, J PHARM SCI, 88(12), 1999, pp. 1254-1258
The aqueous solubility of triclosan is only about 10 mu g/ mt. This very lo
w solubility can hamper its biological activity in the oral cavity, which c
ould explain the mixed clinical results obtained from triclosan toothpaste
trials. Triclosan availability in a silica-based toothpaste was improved th
rough cyclodextrin solubilization. The triclosan in vivo availability was o
ptimized through a series of phase-solubility studies and triclosan release
studies. It was found that in toothpastes, natural beta-cyclodextrin (beta
CD) was just as good a solubilizer as the more water-soluble beta CD deriv
atives. Furthermore, the amount of cyclodextrin could be reduced by as much
as 60% through the addition of a small amount of carboxymethylcellulose (C
MC), without affecting triclosan release from the toothpaste. Optimally, cy
clodextrins resulted in an almost 3-fold enhancement of triclosan availabil
ity compared to an identical toothpaste containing no cyclodextrin. In vivo
studies in humans showed that replacing triclosan with triclosan/ beta CD
in the toothpaste resulted in only moderate improvement in triclosan substa
ntivity. However, replacing triclosan with triclosan/beta CD/ CMC complex r
esulted in significant improvement in triclosan substantivity. Furthermore,
the in vivo studies showed that replacing free triclosan with triclosan/be
ta CD/CMC complex resulted in an almost 3-fold increase in initial triclosa
n concentration in saliva after brushing and about 2-fold increase in durat
ion of activity.