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Journal of Integrative Medicine ›› 2019, Vol. 17 ›› Issue (3): 192-204.doi: 10.1016/j.joim.2019.03.001

• Original Experimental Research • Previous Articles     Next Articles

Discovery and preclinical development of IIIM-160, a Bergenia ciliata-based anti-inflammatory and anti-arthritic botanical drug candidate

Sandip B. Bharatea(), Vikas Kumarb, Sonali S. Bharateb, Bikarma Singhc, Gurdarshan Singhb, Amarinder Singhb, Mehak Guptab, DeepikaSinghd, AjayKumarb, Surjeet Singhb, Ram A. Vishwakarmaa   

  1. a Medicinal Chemistry Division, Indian Institute of Integrative Medicine (Council of Scientific and Industrial Research), Jammu 180001, India
    b PK-PD Toxicology & Formulation Division, Indian Institute of Integrative Medicine (Council of Scientific and Industrial Research), Jammu 180001, India
    c Biodiversity and Applied Botany Division, Indian Institute of Integrative Medicine (Council of Scientific and Industrial Research), Jammu 180001, India
    d Quality Control and Quality Assurance Division, Indian Institute of Integrative Medicine (Council of Scientific and Industrial Research), Jammu 180001, India
  • Received:2018-06-07 Accepted:2018-11-02 Online:2019-05-05 Published:2019-05-17

Objective
Bergenia ciliata (Haw.) Sternb. is used in the Indian traditional system of medicine to treat various ailments including rheumatism and to heal wounds. The objective of the present study was to perform a preclinical characterization of the B. ciliata-based botanical extract IIIM-160.
Methods
IIIM-160 was chemically standardized and analyzed for heavy metal content, aflatoxins, pesticides and microbial load. The in vitro and in vivo efficacies were determined in suitable models of inflammation, arthritis and nociception. An acute oral toxicity study was performed in Swiss albino mice. A suitable oral formulation was developed and characterized.
Results
Bergenin was found to be the major component (9.1% w/w) of IIIM-160. The botanical lead displayed inhibition of lipopolysaccharide-induced production of proinflammatory cytokines in THP-1 cells, with selectivity toward interleukin-6 (IL-6) and had an excellent safety-window. It showed anti-inflammatory, anti-arthritic and antinociceptive activity in animal models and was not toxic at oral doses up to 2?g/kg in Swiss-albino mice. The gastroretentive, sustained-release capsule formulation showed sustained-release of the bergenin over the period of 24?h, resulting in improved plasma-exposure of bergenin in Sprague–Dawley rats.
Conclusion
The dual-activity of IL-6 inhibition and antinociception marks the suitability of IIIM-160 for treating rheumatoid arthritis. This study will serve as the benchmark for further research on this botanical formulation.

Key words: Botanical preclinical candidate, IIIM-160, Bergenia ciliata, Arthritis, Gastroretentive sustained release formulation, Bergenin

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