<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "https://jats.nlm.nih.gov/publishing/1.3/JATS-journalpublishing1-3.dtd"><article xml:lang="en" dtd-version="1.3" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article"><front><journal-meta><journal-id journal-id-type="issn">2685-5062</journal-id><journal-title-group><journal-title>Pharmacon: Jurnal Farmasi Indonesia</journal-title><abbrev-journal-title>pharmacon</abbrev-journal-title></journal-title-group><issn pub-type="epub">2685-5062</issn><issn pub-type="ppub">1411-4283</issn><publisher><publisher-name>Universitas Muhammadiyah Surakarta</publisher-name><publisher-loc>Main Building Siti Walidah 5th Floor, Pabelan, Kartasura, Sukoharjo, 57169. Jawa Tengah, INDONESIA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23917/pharmacon.v23i1.13899</article-id><title-group><article-title>Antibacterial Activity Test of Transdermal Patch Formulation of Methanolic Extract of Moringa (Moringa oleifera Lam.) Stem Bark Against Staphylococcus aureus</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Janah</surname><given-names>Reza Nur</given-names></name><address><country>Indonesia</country></address><xref ref-type="aff" rid="AFF-1"></xref></contrib><contrib contrib-type="author"><name><surname>Samodra</surname><given-names>Galih</given-names></name><address><country>Indonesia</country><email>galihsamodra@uhb.ac.id</email></address><xref ref-type="aff" rid="AFF-1"></xref><xref ref-type="corresp" rid="cor-1"></xref></contrib><contrib contrib-type="author"><name><surname>Nawangsari</surname><given-names>Desy</given-names></name><address><country>Indonesia</country></address><xref ref-type="aff" rid="AFF-2"></xref></contrib></contrib-group><contrib-group><contrib contrib-type="editor"><name><surname>Wahyuni</surname><given-names>Arifah</given-names></name><address><country>Indonesia</country></address><xref ref-type="aff" rid="EDITOR-AFF-1"></xref></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Setiawan</surname><given-names>Iwan</given-names></name><address><country>Indonesia</country></address></contrib></contrib-group><aff id="AFF-1"><institution content-type="dept">Undergraduate Pharmacy Study Program, Faculty of Health</institution><institution-wrap><institution>Harapan Bangsa University</institution><institution-id institution-id-type="ror">https://ror.org/05v0eqq44</institution-id></institution-wrap><country country="ID">Indonesia</country></aff><aff id="AFF-2"><institution content-type="dept">Pharmacy Education Study Program, Faculty of Health</institution><institution-wrap><institution>Harapan Bangsa University</institution><institution-id institution-id-type="ror">https://ror.org/05v0eqq44</institution-id></institution-wrap><country country="ID">Indonesia</country></aff><aff id="EDITOR-AFF-1">FarmasiUMS</aff><author-notes><corresp id="cor-1">Corresponding author: Galih Samodra, Undergraduate Pharmacy Study Program, Faculty of Health, Harapan Bangsa University, Indonesia.  Email: <email>galihsamodra@uhb.ac.id</email></corresp></author-notes><pub-date date-type="pub" iso-8601-date="2026-6-30" publication-format="electronic"><day>30</day><month>6</month><year>2026</year></pub-date><pub-date date-type="collection" iso-8601-date="2026-6-30" publication-format="electronic"><day>30</day><month>6</month><year>2026</year></pub-date><volume>23</volume><issue>1</issue><fpage>28</fpage><lpage>41</lpage><history><date date-type="received" iso-8601-date="2025-11-17"><day>17</day><month>11</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-6-25"><day>25</day><month>6</month><year>2026</year></date></history><permissions><copyright-statement>Copyright (c) 2026 Pharmacon: Jurnal Farmasi Indonesia</copyright-statement><copyright-year>2026</copyright-year><copyright-holder>Pharmacon: Jurnal Farmasi Indonesia</copyright-holder><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>Copyright (c) 2026 Pharmacon: Jurnal Farmasi Indonesia</license-p></license></permissions><self-uri xlink:href="https://journals2.ums.ac.id/pharmacon/article/view/13899" xlink:title="Antibacterial Activity Test of Transdermal Patch Formulation of Methanolic Extract of Moringa (Moringa oleifera Lam.) Stem Bark Against Staphylococcus aureus">Antibacterial Activity Test of Transdermal Patch Formulation of Methanolic Extract of Moringa (Moringa oleifera Lam.) Stem Bark Against Staphylococcus aureus</self-uri><abstract><p><italic>Staphylococcus aureus</italic> is an opportunistic pathogen that causes skin and systemic infections, which can lead to serious complications. Resistance to conventional antibiotics poses a major challenge in treating these infections. This study aims to determine the antibacterial activity of a transdermal patch containing methanol extract of <italic>Moringa oleifera</italic> Lam. bark against <italic>Staphylococcus aureus</italic>. The study design is experimental, using a transdermal patch formulation containing the extract in three different concentrations (4%, 8%, and 12%). The evaluation was conducted on the physical properties of the patch, including organoleptic properties, pH, weight uniformity, thickness, fold resistance, and stability test. The preference test and antibacterial activity test were conducted using the well diffusion method. The results showed that all patch formulations met the requirements for good physical characteristics. Antibacterial activity increased with increasing extract concentration, with the highest inhibition zone (21.06 mm) observed at 12% extract concentration. The acceptability test showed that the patch formulation was well accepted by the respondents. Thus, the transdermal patch formulation of methanolic extract of moringa bark has the potential as an alternative treatment for skin infections caused by Staphylococcus aureus.</p></abstract><kwd-group><kwd>Antibacterial</kwd><kwd>Moringa oleifera</kwd><kwd>Staphylococcus aureus</kwd><kwd>Trandermal Patch</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>File created by JATS Editor</meta-name><meta-value><ext-link xlink:title="JATS Editor" ext-link-type="uri" xlink:href="https://jatseditor.com">JATS Editor</ext-link></meta-value></custom-meta><custom-meta><meta-name>issue-created-year</meta-name><meta-value>2026</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec><title>INTRODUCTION</title><p>Staphylococcus aureus is an opportunistic pathogen that constitutes a major cause of both skin and systemic infections in humans, potentially resulting in a wide range of serious complications <xref ref-type="bibr" rid="BIBR-16">(Guo et al., 2020)</xref>. Infections caused by <italic>S. aureus</italic> may include boils, impetigo, acne, wound ulcers, pneumonia, and various skin infections characterized by redness, abscess formation and pus discharge (Deny <italic>et al.,</italic> 2020). This bacterium is a Gram-positive coccus that forming grape – like clusters and is frequently associated with skin infections.</p><p>The use of antibiotics represents one of the primary approaches for managing bacterial infections; however the increasing resistance to conventional antibiotics has emerged as a major concern in the healthcare field <xref ref-type="bibr" rid="BIBR-26">(Levy &amp; Bonnie, 2014)</xref>. In recent years, cases of antibiotic resistance have continued to rise globally <xref ref-type="bibr" rid="BIBR-55">(Zhao et al., 2019)</xref>. According to the World Health Organization (WHO), antibacterial resistance has become a major threat to global health and contributed to approximately 4.9 million deaths across 204 countries in 2019. The increasing prevalence of resistant strains has reduced the effectiveness of conventional therapies, highlighting the urgent need for alternative antibacterial agents derived from natural sources <xref ref-type="bibr" rid="BIBR-37">(Annisa &amp; Purnama Candra Robby, 2018)</xref>.</p><p><italic>Moringa (Moringa oleifera Lam.)</italic> is recognized as a multipurpose plant possessing various health benefits and notable antimicrobial activities <xref ref-type="bibr" rid="BIBR-6">(Bukar et al., 2010)</xref>. The methanolic extract of Moringa oleifera stem bark is known to contain bioactive compounds such as tannins, alkaloids, flavonoids, and steroids, which exhibit antibacterial activity against pathogenic bacteria in polar, semi-polar, and non-polar fractions, as well as anti-inflammatory and antioxidant properties <xref ref-type="bibr" rid="BIBR-54">(Zaffer et al., 2014)</xref>. Previous studies have demonstrated that the stem bark extract of Moringa oleifera is capable of inhibiting the growth of Staphylococcus aureus, producing inhibition zones of 10.08 mm, 11.8 mm, 15.00 mm, and 17.02 mm at concentrations of 1%, 2%, 3%, and 4%, respectively <xref rid="BIBR-7" ref-type="bibr">(Cholifah et al., 2020)</xref>.</p><p>However, most natural-based topical antibacterial formulations are still limited to conventional dosage forms such as ointments or creams, which may cause skin irritation and have a relatively short contact time <xref ref-type="bibr" rid="BIBR-46">(Tilarso et al., 2021)</xref>. Despite the established antibacterial potential of <italic>Moringa Oleifera</italic> Lam., its application in advanced drug delivery systems, particularly transdermal patches using stem bark extract, remains limited and has not been widely explored. In additions, the relationship between extract concertration and antibacterial activity within a transdermal patch system has not been clearly established.</p><p>To overcome these limitations, the transdermal patch drug delivery system offers several advantages, including controlled drug release, enhanced patient comfort, and reduced dosing frequency (<xref ref-type="bibr" rid="BIBR-19">(Jadhav et al., 2009)</xref>; <xref ref-type="bibr" rid="BIBR-53">(Yati &amp; Pamungkas, 2018)</xref>). A transdermal patch consists of a polymeric layer that enables the gradual and stable release of the active compound (<xref ref-type="bibr" rid="BIBR-9">(Sumit et al., 2019)</xref>; <xref ref-type="bibr" rid="BIBR-17">(Hanbali, 2019)</xref>).</p><p>These characteristics are particulary beneifial for plant-based extracts, which may exhibit limited stability and inconsistent bioavailability in conventional topical formulations. Furthermore, the selection of extract concentrations (4%, 8%, and 12%) in this study was based on previous findings demonstrating antibacterial activity at lower concentration (1-4%) <xref ref-type="bibr" rid="BIBR-7">(Cholifah et al., 2020)</xref>, with the aim of evaluating a concentration-dependent effect and optimizing antibacterial efficacy within the transdermal system.</p><p>Based on the aforementioned background, this study was conducted to develop and evaluate a transdermal patch formulation containing methanolic extract of Moringa oleifera Lam. stem bark at concentrations of 4%, 8%, and 12%, and to assess its antibacterial activity against Staphylococcus aureus using the well diffusion method. This study also aims to elucidate the relationship between extract concentration and antibacterial effectiveness within the formulated patch system, thereby contributing to the development of herbal topical formulations with potential as alternative treatments for skin infections caused by <italic>Staphylococcus aureus.</italic></p></sec><sec><title>METHODS</title><sec><title>Research Design</title><p>This study is an experimental laboratory research aimed at formulating and evaluating the antibacterial activity of transdermal patch formulations containing the methanolic extract of Moringa oleifera Lam. stem bark against Staphylococcus aureus. The research activities include extract preparation, patch formulation, evaluation of physical properties, stability testing, hedonic (preference) testing, and antibacterial activity assessment using the well diffusion method. The study was conducted from November 2024 to July 2025 at the Biology and Pharmaceutical Chemistry Laboratories of Harapan Bangsa University, in collaboration with the Biology Laboratories of Jenderal Soedirman University and Muhammadiyah University of Purwokerto.</p></sec><sec><title>Research Materials</title><p>The primary test material was the stem bark of Moringa oleifera Lam., obtained from the Sumampir area, North Purwokerto, Banyumas Regency, Central Java. Plant identification was carried out at the Biology Laboratory, Faculty of Applied Science and Technology, Jenderal Soedirman University, to verify the authenticity of the plant species used.</p><p>Other chemicals used in this study included methanol, 95% ethanol, hydroxypropyl methylcellulose (HPMC), polyvinylpyrrolidone K-25 (PVP K-25), propylene glycol, dimethyl sulfoxide (DMSO), distilled water, Nutrient Agar (NA), and a bacterial culture of Staphylococcus aureus. The positive control used was an Oxy patch containing chlorhexidine diacetate, while the negative control consisted of a patch without any active ingredient.</p></sec><sec><title>Research Ethics Approval</title><p>The ethical approval for this health-related research was submitted to the Health Research Ethics Committee of Harapan Bangsa University.</p></sec><sec><title>Plant Identification</title><p>The identification of the Moringa oleifera Lam. stem was carried out to verify the authenticity of the plant material used. The identification process was conducted at the Biology Laboratory, Faculty of Applied Science and Technology, Jenderal Soedirman University</p></sec><sec><title>Sample Preparation</title><sec><title>Plant Material Preparation</title><p>The Moringa oleifera stem bark samples were obtained from the Sumampir area, North Purwokerto, Banyumas Regency, Central Java. The samples were thoroughly washed, cut into small pieces, and dried using a drying cabinet at a temperature of 70°C. Once dried, the samples were ground into a fine and uniform powder, then stored in a sealed container <xref ref-type="bibr" rid="BIBR-7">(Cholifah et al., 2020)</xref>.</p></sec><sec><title>Extraction Process</title><p>The extraction was carried out using the maceration method. A total of 100 grams of Moringa oleifera stem bark powder was macerated in 500 mL of methanol for three days, with stirring every 24 hours at room temperature and protected from direct sunlight <xref ref-type="bibr" rid="BIBR-7">(Cholifah et al., 2020)</xref>. The maceration filtrate was then filtered and concentrated using a rotary evaporator at 60°C, followed by evaporation in a water bath at 70°C until a thick extract was obtained. The extract yield was calculated using the following formula (<xref ref-type="bibr" rid="BIBR-10">(Dewatisari et al., 2018)</xref>; <xref rid="BIBR-49" ref-type="bibr">(Wahyuni et al., 2024)</xref>).</p></sec></sec><sec><title>Phytochemical Screening</title><sec><title>Flavonoid Test</title><p>A total of 1 gram of the extract was mixed with concentrated hydrochloric acid (HCl) in a test tube and heated for 15 minutes in a water bath. The appearance of a red or yellow coloration indicated a positive result for the presence of flavonoid compounds such as flavones, chalcones, and aurones <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</p></sec><sec><title>Alkaloid Test</title><p>A total of 2 grams of the extract was mixed with 5 mL of 2N HCl, heated, then cooled, and divided into three test tubes containing 1 mL each. Different reagents were added to each tube: a positive result for alkaloids was indicated by the formation of a white or yellow precipitate with Mayer’s reagent, a brown precipitate with Wagner’s reagent, and an orange precipitate with Dragendorff’s reagent <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</p></sec><sec><title>Terpenoid and Steroid Test</title><p>A total of 2 grams of the extract was mixed with 2 mL of ethyl acetate in a test tube and shaken. The ethyl acetate layer was separated, dropped onto a spot plate, and allowed to dry. Subsequently, two drops of acetic anhydride and one drop of concentrated sulfuric acid were added. A positive result for terpenoids was indicated by the appearance of a red or yellow color, while a green coloration indicated the presence of steroids <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</p></sec><sec><title>Saponin Test</title><p>A total of 1 gram of the extract was mixed with 10 mL of hot water in a test tube, then cooled and vigorously shaken for 10 seconds. The formation of a stable froth measuring 1–10 cm in height that persisted for more than 10 minutes and did not disappear after the addition of one drop of 2N HCl indicated a positive result for saponins <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</p></sec><sec><title>Tannin Test</title><p>A total of 1 gram of the extract was mixed with 10 mL of hot water in a test tube and boiled for 5 minutes. The resulting filtrate was then added with 3–4 drops of FeCl₃ solution. The appearance of a bluish-green or dark green coloration indicated the presence of catechol-type tannins, while a dark blue coloration suggested the presence of pyrogallol-type tannins <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</p></sec><sec><title>Formulation of the Transdermal Patch</title><p>The transdermal patch formulations were prepared at three different extract concentrations: 4%, 8%, and 12% <xref ref-type="bibr" rid="BIBR-21">(Kalsum et al., 2023)</xref>.</p><table-wrap id="table-1" ignoredToc=""><label>Tabel 1</label><caption><p>Components of the Transdermal Patch Formulation</p></caption><table rules="all" frame="box"><thead><tr><th align="left" colspan="1" valign="top"><bold>Components</bold></th><th valign="top" align="left" colspan="1"><bold>F0</bold></th><th valign="top" align="left" colspan="1"><bold>F1</bold></th><th align="left" colspan="1" valign="top"><bold>F2</bold></th><th align="left" colspan="1" valign="top"><bold>F3</bold></th><th align="left" colspan="1" valign="top"><bold>Function</bold></th></tr></thead><tbody><tr><td valign="top" align="left" colspan="1">Methanolic extract of Moringa oleifera stem bark (%)</td><td align="left" colspan="1" valign="top">–</td><td valign="top" align="left" colspan="1">4</td><td valign="top" align="left" colspan="1">8</td><td align="left" colspan="1" valign="top">12</td><td colspan="1" valign="top" align="left">Active ingredient</td></tr><tr><td valign="top" align="left" colspan="1">HPMC (%)</td><td align="left" colspan="1" valign="top">3</td><td valign="top" align="left" colspan="1">3</td><td align="left" colspan="1" valign="top">3</td><td valign="top" align="left" colspan="1">3</td><td valign="top" align="left" colspan="1">Film-forming polymer</td></tr><tr><td valign="top" align="left" colspan="1">PVP K-25 (%)</td><td colspan="1" valign="top" align="left">1</td><td align="left" colspan="1" valign="top">1</td><td align="left" colspan="1" valign="top">1</td><td valign="top" align="left" colspan="1">1</td><td colspan="1" valign="top" align="left">Hydrophilic polymer</td></tr><tr><td valign="top" align="left" colspan="1">Propilen glikol (mL)</td><td valign="top" align="left" colspan="1">0.5</td><td colspan="1" valign="top" align="left">0.5</td><td valign="top" align="left" colspan="1">0.5</td><td colspan="1" valign="top" align="left">0.5</td><td valign="top" align="left" colspan="1">Plasticizer</td></tr><tr><td colspan="1" valign="top" align="left">DMSO (mL)</td><td valign="top" align="left" colspan="1">0.1</td><td valign="top" align="left" colspan="1">0.1</td><td colspan="1" valign="top" align="left">0.1</td><td align="left" colspan="1" valign="top">0.1</td><td align="left" colspan="1" valign="top">Penetration enhancer</td></tr><tr><td valign="top" align="left" colspan="1">Etanol 95% ad (mL)</td><td valign="top" align="left" colspan="1">10</td><td valign="top" align="left" colspan="1">10</td><td align="left" colspan="1" valign="top">10</td><td align="left" colspan="1" valign="top">10</td><td align="left" colspan="1" valign="top">Solvent</td></tr></tbody></table></table-wrap><p>HPMC was dissolved in hot distilled water and allowed to stand for 15 minutes until fully swollen. PVP K-25 was dissolved separately in hot distilled water, and the two solutions were then combined and stirred until homogeneous. The Moringa oleifera stem bark extract was dissolved in 95% ethanol, followed by the addition of propylene glycol and DMSO. Both mixtures were combined, thoroughly mixed, and the total volume was adjusted to 30 mL. The mixture was poured into silicone molds with a diameter of 2.5 cm, dried at 40°C for 10 hours, and stored in a desiccator for 20 hours <xref ref-type="bibr" rid="BIBR-21">(Kalsum et al., 2023)</xref>.</p></sec></sec><sec><title>Evaluation of Physical Properties of the Patch</title><sec><title>Organoleptic Test</title><p>This test was conducted visually to assess the shape, color, odor, and texture of the patch formulation <xref ref-type="bibr" rid="BIBR-15">(Gunarti et al., 2024)</xref>.</p></sec><sec><title>Weight Uniformity Test</title><p>Three patches were randomly selected from each formulation and weighed. The patches were considered uniform if the coefficient of variation (CV) was less than 5% <xref ref-type="bibr" rid="BIBR-51">(Wardani &amp; Saryanti, 2021)</xref>.</p></sec><sec><title>Thickness Test</title><p>The thickness of the patch was measured using a screw micrometer at three different points. An acceptable patch thickness should not exceed 1 mm <xref ref-type="bibr" rid="BIBR-4">(Balaji et al., 2012)</xref>.</p></sec><sec><title>Folding Endurance Test</title><p>The patch was repeatedly folded at the same position until it broke. A satisfactory folding endurance is indicated by more than 200 folds <xref ref-type="bibr" rid="BIBR-19">(Jadhav et al., 2009)</xref>.</p></sec><sec><title>pH Test</title><p>The patch was immersed in 2 mL of distilled water for two hours at room temperature, after which the pH was measured using a pH meter. A safe pH range for topical formulations is between 4.5 and 6.5 <xref ref-type="bibr" rid="BIBR-27">(Mariadi &amp; Bernardi, 2023)</xref>.</p></sec><sec><title>Cycling Test</title><p>This test was conducted to evaluate the physical stability of the transdermal patch containing Moringa oleifera stem bark methanolic extract by storing the formulation at 50°C for 12 hours, followed by 35°C for 12 hours, repeated for 6 cycles. Observations indicated no physical changes in the shape, odor, color, thickness, or weight uniformity of the patch <xref rid="BIBR-33" ref-type="bibr">(Nurmesa et al., 2019)</xref>.</p></sec><sec><title>Hedonic (Preference) Test</title><p>A total of 20 panelists evaluated the color, aroma, and skin sensation of the patch using a 5-point scale (1 = dislike, 5 = like very much)<xref ref-type="bibr" rid="BIBR-11">(Dira &amp; Dewi, 2022)</xref>.</p></sec><sec><title>Antibacterial Activity Test</title><p>The antibacterial activity was evaluated using the well diffusion method. The well diffusion method was selected due to its suitability for evaluating antibacterial activity of extract-based and semi-solid formulations, allowing diffusion of active compounds into the agar medium. A total of 25 mL of Nutrient Agar (NA) was mixed with 25 μL of Staphylococcus aureus suspension, homogenized, and poured into sterile Petri dishes to solidify. The bacterial suspension was standardized to 0.5 McFarland turbidity prior to use. Wells with a diameter of approximately 6 mm were created to accommodate the samples: positive control (Oxy patch), negative control (patch without active ingredient), and transdermal patches containing methanolic extract of <italic>Moringa oleifera</italic> stem bark at concentrations of 4%, 8%, and 12% <xref ref-type="bibr" rid="BIBR-7">(Cholifah et al., 2020)</xref>. Each sample was tested in triplicate (n=3) in three independent experiments. The plates were incubated for 24 hours at 37°C <xref ref-type="bibr" rid="BIBR-47">(Formulasi Sediaan Salep Dan Uji Aktivitas Antibakteri Ekstrak Etanol Daun Bidara Arab (Ziziphus spina-christi (L.) Desf) Terhadap Bakteri Staphylococcus Epidermidis, 2022)</xref>. The diameter of the inhibition zones was measured in milimeters using a caliper and expressed as mean ± standard deviation <xref rid="BIBR-1" ref-type="bibr">(Aprilia et al., 2017)</xref>.</p></sec></sec><sec><title>Data Analysis</title><p>The data from the physical evaluations were analyzed using SPSS software. All antibacterial activity data were expressed as mean ± standard deviation from triplicate measurements. Normality was assessed using the Shapiro–Wilk test, and homogeneity was tested with Levene’s test. If the data were normally distributed and homogeneous, analysis was performed using One-Way ANOVA; otherwise, the non-parametric Friedman test was applied. Results were presented as mean ± standard deviation with a 99% confidence level.</p></sec></sec><sec><title>RESULT AND DISCUSSION</title><sec><title>Research Ethics Approval Results</title><p>This study was an experimental laboratory investigation assessing the sensory acceptance of transdermal patches containing methanolic extract of Moringa oleifera stem bark through a hedonic test by panelists. As it involved human subjects, ethical approval was obtained from the Health Research Ethics Committee of Harapan Bangsa University (No. B.LPPM-UHB/558/06/2025), valid from June 3, 2025, to July 3, 2026. The ethical process adhered to the seven WHO standards, CIOMS Guidelines, and the principles of respect for persons, beneficence, and justice from The Belmont Report to ensure participant rights and safety <xref ref-type="bibr" rid="BIBR-45">(Throne, 2024)</xref>. Additionally, the study emphasized social value and fairness, as highlighted by <xref ref-type="bibr" rid="BIBR-48">(Delden &amp; Graaf, 2017)</xref>. With this ethical approval, the research was deemed appropriate, scientific, and responsibly conducted.</p></sec><sec><title>Plant Identification Results</title><p>The plant material used was the stem bark of Moringa oleifera Lam. Prior to use, identification was conducted at the Environmental Laboratory, Faculty of Biology, Jenderal Soedirman University to verify the authenticity and identity of the plant. The results confirmed that the sample was indeed Moringa oleifera Lam.</p></sec><sec><title>Preparation Results of Methanolic Extract of <italic>Moringa oleifera</italic> Stem Bark</title><p>The methanolic extract of Moringa oleifera stem bark was obtained as a viscous extract with a greenish-brown color, a characteristic odor, and a bitter taste. Based on  <xref ref-type="fig" rid="figure-2">Figure 1</xref> From 1,200 grams of powdered sample, 30.364 grams of concentrated extract were obtained, yielding 25.30%. This yield was higher than those reported by <xref rid="BIBR-32" ref-type="bibr">(Nugrahani &amp; Ayuwardani, 2023)</xref> at 2.188% and <xref ref-type="bibr" rid="BIBR-2">(Ariyanti &amp; A, 2019)</xref> at 18.96%, which may be influenced by factors such as particle size, moisture content, and maceration duration.</p><fig id="figure-2" ignoredToc=""><label>Figure 1</label><caption><p>Methanolic Extract of Moringa oleifera Stem Bark</p></caption><graphic mime-subtype="png" mimetype="image" xlink:href="https://journals2.ums.ac.id/pharmacon/article/download/13899/6006/78121" loading="false"><alt-text>Image</alt-text></graphic></fig><p>The yield of 25.30% complies with the standard specified in the <italic>Indonesian Herbal Pharmacopoeia</italic> which requires a minimum yield of 9.2% for bark samples.</p></sec><sec><title>Phytochemical Screening Test Results</title><p>Based on <bold><xref ref-type="table" rid="table-2">Table 2</xref></bold>, the results of the phytochemical screening revealed that the methanolic extract of <italic>Moringa oleifera</italic> Lam. stem bark contains various secondary metabolites. The alkaloid test showed a positive result, indicated by the formation of a brown precipitate after the addition of Wagner’s reagent. Both terpenoid and steroid tests were positive, as evidenced by the appearance of yellow and green colors, respectively. The addition of concentrated HCl in the flavonoid test produced a red coloration, confirming the presence of flavonoids. The saponin test showed the formation of a stable foam layer approximately 2.5 cm high after the addition of 2N HCl, while the tannin test yielded a dark green color following FeCl₃ addition. These findings confirm that the extract contains alkaloids, flavonoids, terpenoids, steroids, saponins, and tannins.</p><table-wrap id="table-2" ignoredToc=""><label>Table 2</label><caption><p>Results of Phytochemical Screening</p></caption><table rules="all" frame="box"><thead><tr><th align="left" colspan="1" valign="top"><bold>Test Parameter</bold></th><th valign="top" align="left" colspan="1"><bold>Result</bold></th><th colspan="1" valign="top" align="left"><bold>Reference Description</bold></th></tr></thead><tbody><tr><td align="left" colspan="1" valign="top">Alkaloids</td><td colspan="1" valign="top" align="left">+</td><td colspan="1" valign="top" align="left">Formation of a brown precipitate with Wagner’s reagent indicates the presence of alkaloids <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</td></tr><tr><td colspan="1" valign="top" align="left">Terpenoids</td><td valign="top" align="left" colspan="1">+</td><td valign="top" align="left" colspan="1">Formation of a yellow color indicates the presence of terpenoids <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</td></tr><tr><td align="left" colspan="1" valign="top">Steroids</td><td valign="top" align="left" colspan="1">+</td><td valign="top" align="left" colspan="1">Formation of a green color indicates the presence of steroids <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</td></tr><tr><td align="left" colspan="1" valign="top">Flavonoids</td><td valign="top" align="left" colspan="1">+</td><td valign="top" align="left" colspan="1">Formation of a red or orange-yellow color indicates the presence of flavonoids <xref ref-type="bibr" rid="BIBR-28">(Muthmainnah, 2017)</xref>.</td></tr><tr><td valign="top" align="left" colspan="1">Tanins</td><td valign="top" align="left" colspan="1">+</td><td valign="top" align="left" colspan="1">Formation of a greenish-black color indicates the presence of tannins <xref rid="BIBR-28" ref-type="bibr">(Muthmainnah, 2017)</xref>.</td></tr></tbody></table></table-wrap><p>Based on <xref ref-type="table" rid="table-3">Table 3</xref>, the organoleptic evaluation showed that increasing the extract concentration intensified the color from greenish-brown to dark brown and enhanced the characteristic odor of <italic>Moringa oleifera.</italic> The color change was associated with the presence of flavonoids and tannins, which are major polyphenolic compounds in the methanolic stem bark extract <xref ref-type="bibr" rid="BIBR-15">(Gunarti et al., 2024)</xref>. Despite these changes, all formulations remained homogenous and physically stable, indicating uniform distribution of the active ingredients within the polymer matrix. Similar observations have been reported by <xref ref-type="bibr" rid="BIBR-21">(Kalsum et al., 2023)</xref> who found that higher concentration of plant extracts increased color intensity without compromising formulation stability.</p><p>The weight uniformity test demonstrated that all formulations complied with the acceptance criterion (CV ≤ 5%) <xref ref-type="bibr" rid="BIBR-23">(Kristianti et al., 2024)</xref>. Although formula F1 exhibited a slightly higher CV value, all formulations remained within the acceptable range. Variations in patch weight may be influenced by formulation homogeneity, viscosity, drying conditions, and cutting precision <xref rid="BIBR-36" ref-type="bibr">(Pratiwi et al., 2020)</xref>. In addition, polymer composition contributes to weight consistency, with PVP tending to increase variability and HPMC improving uniformity <xref ref-type="bibr" rid="BIBR-41">(Shah et al., 2011)</xref>. Statistical analysis revealed a significant effect of extract concentration on patch weight (p = 0.003; p &lt; 0.05), althought the differences were not substantial enough to affect overall product uniformity.</p><p>Patch thickness increased proportionally with extract concentration, ranging from 0.25 mm in F0 to 0.77 mm in F3, while remaining within the acceptable specification <xref ref-type="bibr" rid="BIBR-4">(Balaji et al., 2012)</xref>. This trend may be attributed to increased film density and viscosity caused by the higher extract content <xref ref-type="bibr" rid="BIBR-12">(Fakruddin et al., 2019)</xref>. similar findings were reported by <xref ref-type="bibr" rid="BIBR-42">(Singh &amp; Bali, 2016)</xref> who demonstrated a direct relationship between active ingredient concentration and patch thickness. While thicker films may improve mechanical strength, excessive thickness can potentially reduce drug release efficiency <xref ref-type="bibr" rid="BIBR-50">(Wahyuni et al., 2023)</xref>. ANOVA confirmed significant differences among formulations p-value of 0.000 (p &lt; 0.05).</p><p>Based on <xref ref-type="table" rid="table-3">Table 3</xref>, all formulations exhibited folding endurance values above 200, indicating adequate flexibility and resistance to mechanical stress <xref rid="BIBR-19" ref-type="bibr">(Jadhav et al., 2009)</xref>. The observed increase in folding endurance with higher extract concentrations may be related to enhanced matrix density and the plasticizing effect of propylene glycol, which improves film elasticity (<xref ref-type="bibr" rid="BIBR-25">(Latif et al., 2022)</xref>; <xref rid="BIBR-42" ref-type="bibr">(Singh &amp; Bali, 2016)</xref>; <xref ref-type="bibr" rid="BIBR-51">(Wardani &amp; Saryanti, 2021)</xref>). These finding are consistent with previous studies showing that increased matrix viscosity contributes to improved mechanical performance of transdermal films. Statistical analysis showed significant differences among formulation p-value of 0.000 (p &lt; 0.05).</p><p>The pH values of all formulations ranged from 4.5 to 6.20, indicating compatibility with topical application requirements <xref ref-type="bibr" rid="BIBR-27">(Mariadi &amp; Bernardi, 2023)</xref>. Variations in pH were likely influenced by interactions between the extract constituents and excipients, which helped maintain formulation stability <xref ref-type="bibr" rid="BIBR-20">(Jain et al., 2024)</xref>. The slightly higher pH observed in F2 and the decrease in F3 may be associated with differences in the relative contribution of phytochemicals, including flavonoids and tannins <xref ref-type="bibr" rid="BIBR-52">(Yamamoto et al., 2015)</xref>. similar pH behavior has been reported in herbal based transdermal systems, where excipients extract interactions play an important role in maintaining formulation stability <xref ref-type="bibr" rid="BIBR-20">(Jain et al., 2024)</xref>. ANOVA analysis indicated significant differences among formulations p-value of 0.000 (p &lt; 0.05).</p><table-wrap id="table-3" ignoredToc=""><label>Table 3</label><caption><p>Physical Evaluation Results Of The Transdermal Patch</p></caption><table frame="box" rules="all"><thead><tr><th valign="top" align="left" colspan="1"><bold>Parameters</bold></th><th align="left" colspan="1" valign="top"><bold>F0</bold></th><th align="left" colspan="1" valign="top"><bold>F1</bold></th><th colspan="1" valign="top" align="left"><bold>F2</bold></th><th valign="top" align="left" colspan="1"><bold>F3</bold></th></tr></thead><tbody><tr><td align="left" colspan="1" valign="top">Color</td><td align="left" colspan="1" valign="top">Clear white</td><td align="left" colspan="1" valign="top">Transparent greenish-brown</td><td valign="top" align="left" colspan="1">Dark brown</td><td valign="top" align="left" colspan="1">Dark brown</td></tr><tr><td align="left" colspan="1" valign="top">Odor</td><td align="left" colspan="1" valign="top">Odorless</td><td valign="top" align="left" colspan="1">Characteristic odor of <italic>Moringa oleifera</italic> stem bark methanolic extract</td><td align="left" colspan="1" valign="top">Characteristic odor of <italic>Moringa oleifera</italic> stem bark methanolic extract</td><td valign="top" align="left" colspan="1">Characteristic odor of <italic>Moringa oleifera</italic> stem bark methanolic extract</td></tr><tr><td valign="top" align="left" colspan="1">Shape andCharacteristics</td><td valign="top" align="left" colspan="1">Round, thin, smooth, and elastic</td><td colspan="1" valign="top" align="left">Round, thin, smooth, and elastic</td><td valign="top" align="left" colspan="1">Round, thin, smooth, and elastic</td><td align="left" colspan="1" valign="top">Round, thin, smooth, and elastic</td></tr><tr><td valign="top" align="left" colspan="1">Weight Uniformity (gram)</td><td valign="top" align="left" colspan="1">(0.15 ± 0.01)</td><td valign="top" align="left" colspan="1">(0.17 ± 0.01)</td><td valign="top" align="left" colspan="1">(0.18 ± 0.02)</td><td valign="top" align="left" colspan="1">(0.22 ± 0.01)</td></tr><tr><td align="left" colspan="1" valign="top">CV(%)</td><td valign="top" align="left" colspan="1">4.6</td><td align="left" colspan="1" valign="top">0.58</td><td align="left" colspan="1" valign="top">3.8</td><td valign="top" align="left" colspan="1">3.1</td></tr><tr><td valign="top" align="left" colspan="1">Thickness (mm)</td><td valign="top" align="left" colspan="1">(0.25 ±0.02)</td><td align="left" colspan="1" valign="top">(0.40± 0.04)</td><td valign="top" align="left" colspan="1">(0.54 ±0.05)</td><td colspan="1" valign="top" align="left">(0.77 ±0.04)</td></tr><tr><td colspan="1" valign="top" align="left">Folding Endurance (times)</td><td align="left" colspan="1" valign="top">(369 ± 25.05)</td><td align="left" colspan="1" valign="top">(474 ± 24.87)</td><td valign="top" align="left" colspan="1">(609 ± 32.51)</td><td valign="top" align="left" colspan="1">(736 ± 29.54)</td></tr><tr><td align="left" colspan="1" valign="top">pH value</td><td valign="top" align="left" colspan="1">(4.57 ±0.20)</td><td align="left" colspan="1" valign="top">(5.23 ±0.32)</td><td align="left" colspan="1" valign="top">(6.2 ±0.1)</td><td align="left" colspan="1" valign="top">(6.1±0.20)</td></tr></tbody></table></table-wrap><fig id="figure-1" ignoredToc=""><label>Figure 2</label><caption><p>Organoleptic Characteristics of the Transdermal Patches, including observations of color, texture, surface uniformity, and odor.</p></caption><graphic loading="false" mime-subtype="png" mimetype="image" xlink:href="https://journals2.ums.ac.id/pharmacon/article/download/13899/6006/78122"><alt-text>Image</alt-text></graphic></fig></sec><sec><title>Cycling Test</title><sec><title>Organoleptic Stability Test Results</title><p>Based on the results of the organoleptic evaluation, all transdermal patch formulations containing methanolic extract of <italic>Moringa oleifera</italic> stem bark showed no observable changes in odor, shape, or color during six stability testing cycles (<xref ref-type="fig" rid="figure-1">Figure 2</xref>). Therefore, the formulations were considered organoleptically stable throughout the stability testing process.</p><p>Based on <xref ref-type="table" rid="table-4">Table 4</xref>, the pH of the formulations decreased with increasing extract concentration, ranging from F0 (±6.3) to F3 (±4.6); however, all formulations remained within the safe range of 4.5–6.5 <xref ref-type="bibr" rid="BIBR-27">(Mariadi &amp; Bernardi, 2023)</xref>. This decrease was attributed to the acidic nature of the extract and chemical reactions such as hydrolysis and the formation of acidic compounds during storage (<xref ref-type="bibr" rid="BIBR-30">(Nitiariksa &amp; Iskandar, 2021)</xref>; <xref ref-type="bibr" rid="BIBR-43">(Sugiharta &amp; Ningsih, 2021)</xref>; <xref ref-type="bibr" rid="BIBR-52">(Yamamoto et al., 2015)</xref>). Components such as HPMC, PVP, propylene glycol, and DMSO contributed to maintaining pH stability <xref ref-type="bibr" rid="BIBR-21">(Kalsum et al., 2023)</xref>. Results from the Repeated Measures ANOVA indicated that F0–F2 remained stable (p &gt; 0.05), whereas F3 (p = 0.007) showed a significant change due to the higher concentration of acidic extract <xref ref-type="bibr" rid="BIBR-5">(Banerjee et al., 2014)</xref>. The folding endurance values increased from F0 (361 ± 1) to F3 (668 ± 3.78), all exceeding the standard threshold of &gt;200 folds, indicating good elasticity and mechanical strength of the patches <xref ref-type="bibr" rid="BIBR-19">(Jadhav et al., 2009)</xref>. This increase corresponds to the higher extract concentration, which enhances the film structure and flexibility (<xref ref-type="bibr" rid="BIBR-25">(Latif et al., 2022)</xref>; <xref ref-type="bibr" rid="BIBR-42">(Singh &amp; Bali, 2016)</xref>). Formula F3 demonstrated the highest folding endurance, consistent with <xref ref-type="bibr" rid="BIBR-51">(Wardani &amp; Saryanti, 2021)</xref> who stated that patches with folding endurance ≥200 exhibit strong and elastic matrices. The Repeated Measures ANOVA results showed p-values for F0–F3 greater than 0.05, indicating that all formulations were stable in terms of folding endurance.</p><table-wrap id="table-4" ignoredToc=""><label>Table 4</label><caption><p>Cycling Test Results of Transdermal Patch</p></caption><table frame="box" rules="all"><thead><tr><th align="left" colspan="1" valign="top"><bold>No</bold></th><th align="left" colspan="1" valign="top"><bold>pH Stability Test</bold></th><th align="left" colspan="1" valign="top"><bold>F0</bold></th><th align="left" colspan="1" valign="top"><bold>F1</bold></th><th align="left" colspan="1" valign="top"><bold>F2</bold></th><th valign="top" align="left" colspan="1"><bold>F3</bold></th></tr></thead><tbody><tr><td colspan="1" rowspan="6" valign="top" align="left">1</td><td valign="top" align="left" colspan="1">1</td><td valign="top" align="left" colspan="1">(6.3 ±0.15)</td><td valign="top" align="left" colspan="1">(6.0 ±0.1)</td><td valign="top" align="left" colspan="1">(5.5 ±0.1)</td><td colspan="1" valign="top" align="left">(4.7 ±0.2)</td></tr><tr><td valign="top" align="left" colspan="1">2</td><td valign="top" align="left" colspan="1">(6.3 ±0.1)</td><td colspan="1" valign="top" align="left">(6.0 ±0.1)</td><td align="left" colspan="1" valign="top">(5.5±0.26)</td><td valign="top" align="left" colspan="1">(4.76±0.32)</td></tr><tr><td valign="top" align="left" colspan="1">3</td><td align="left" colspan="1" valign="top">(6.3 ±0.1)</td><td valign="top" align="left" colspan="1">(5.9 ±0.1)</td><td align="left" colspan="1" valign="top">(5.5 ±0.2)</td><td align="left" colspan="1" valign="top">(4.76±0.15)</td></tr><tr><td valign="top" align="left" colspan="1">4</td><td align="left" colspan="1" valign="top">(6.3 ±0.2)</td><td colspan="1" valign="top" align="left">(5.9 ±0.1)</td><td valign="top" align="left" colspan="1">(5.5 ±0.1)</td><td valign="top" align="left" colspan="1">(4.63 ±0.32)</td></tr><tr><td align="left" colspan="1" valign="top">5</td><td valign="top" align="left" colspan="1">(6.3 ±0.26)</td><td valign="top" align="left" colspan="1">(5.9 ±0.2)</td><td valign="top" align="left" colspan="1">(5.4±0.15)</td><td align="left" colspan="1" valign="top">(4.6 ±0.1)</td></tr><tr><td valign="top" align="left" colspan="1">6</td><td align="left" colspan="1" valign="top">(6.33±0.20)</td><td valign="top" align="left" colspan="1">(5.9±0.15)</td><td align="left" colspan="1" valign="top">(5.4±0.20)</td><td valign="top" align="left" colspan="1">(4.6 ±0.26)</td></tr><tr><td colspan="1" rowspan="13" valign="top" align="left">2</td><td valign="top" align="left" colspan="5">Weight Uniformity Stability Test</td></tr><tr><td valign="top" align="left" colspan="1">1</td><td align="left" colspan="1" valign="top">(0.21 ± 0.02)</td><td align="left" colspan="1" valign="top">(0.22 ± 0.02)</td><td align="left" colspan="1" valign="top">(0.34 ± 0.03)</td><td valign="top" align="left" colspan="1">(0.36 ± 0.05)</td></tr><tr><td align="left" colspan="1" valign="top">CV</td><td valign="top" align="left" colspan="1">0.05%</td><td valign="top" align="left" colspan="1">0.07%</td><td valign="top" align="left" colspan="1">0.13%</td><td align="left" colspan="1" valign="top">0.15%</td></tr><tr><td align="left" colspan="1" valign="top">2</td><td align="left" colspan="1" valign="top">(0.21 ± 0.25)</td><td valign="top" align="left" colspan="1">(0.22 ± 0.23)</td><td colspan="1" valign="top" align="left">(0.34 ± 0.02)</td><td valign="top" align="left" colspan="1">(0.36 ± 0.03)</td></tr><tr><td valign="top" align="left" colspan="1">CV</td><td valign="top" align="left" colspan="1">0.21%</td><td align="left" colspan="1" valign="top">0.06%</td><td valign="top" align="left" colspan="1">0.05%</td><td align="left" colspan="1" valign="top">0.11%</td></tr><tr><td align="left" colspan="1" valign="top">3</td><td valign="top" align="left" colspan="1">(0.20 ± 0.03)</td><td valign="top" align="left" colspan="1">(0.22 ± 0.03)</td><td valign="top" align="left" colspan="1">(0.34 ± 0.01)</td><td valign="top" align="left" colspan="1">(0.36 ± 0.01)</td></tr><tr><td colspan="1" valign="top" align="left">CV</td><td align="left" colspan="1" valign="top">0.16%</td><td align="left" colspan="1" valign="top">0.17%</td><td valign="top" align="left" colspan="1">0.035%</td><td valign="top" align="left" colspan="1">0.03%</td></tr><tr><td align="left" colspan="1" valign="top">4</td><td align="left" colspan="1" valign="top">(0.20 ± 0.02)</td><td valign="top" align="left" colspan="1">(0.22 ± 0.04)</td><td valign="top" align="left" colspan="1">(0.33 ± 0.03)</td><td colspan="1" valign="top" align="left">(0.34 ± 0.04)</td></tr><tr><td colspan="1" valign="top" align="left">CV</td><td align="left" colspan="1" valign="top">0.085%</td><td align="left" colspan="1" valign="top">0.22%</td><td valign="top" align="left" colspan="1">0.12%</td><td valign="top" align="left" colspan="1">0.14%</td></tr><tr><td valign="top" align="left" colspan="1">5</td><td align="left" colspan="1" valign="top">(0.20 ± 0.02)</td><td valign="top" align="left" colspan="1">(0.21 ± 0.03)</td><td align="left" colspan="1" valign="top">(0.33 ± 0.02)</td><td valign="top" align="left" colspan="1">(0.34 ± 0.03)</td></tr><tr><td valign="top" align="left" colspan="1">CV</td><td colspan="1" valign="top" align="left">0.10%</td><td colspan="1" valign="top" align="left">0.21%</td><td valign="top" align="left" colspan="1">0.05%</td><td valign="top" align="left" colspan="1">0.12%</td></tr><tr><td align="left" colspan="1" valign="top">6</td><td colspan="1" valign="top" align="left">(0.20 ±0.05)</td><td valign="top" align="left" colspan="1">(0.21 ±0.02)</td><td align="left" colspan="1" valign="top">(0.32 ±0.03)</td><td valign="top" align="left" colspan="1">(0.34 ±0.05)</td></tr><tr><td align="left" colspan="1" valign="top">CV</td><td align="left" colspan="1" valign="top">0.3%</td><td valign="top" align="left" colspan="1">0.18%</td><td valign="top" align="left" colspan="1">0.09%</td><td valign="top" align="left" colspan="1">0.20%</td></tr><tr><td colspan="1" rowspan="7" valign="top" align="left">3</td><td colspan="5" valign="top" align="left">Folding Endurance Stability Test</td></tr><tr><td valign="top" align="left" colspan="1">1</td><td align="left" colspan="1" valign="top">(362 ± 2)</td><td align="left" colspan="1" valign="top">(453 ± 6.08)</td><td valign="top" align="left" colspan="1">(559 ± 27.4)</td><td align="left" colspan="1" valign="top">(668 ± 8.54)</td></tr><tr><td colspan="1" valign="top" align="left">2</td><td valign="top" align="left" colspan="1">(361 ± 1.52)</td><td valign="top" align="left" colspan="1">(453 ± 5.68)</td><td align="left" colspan="1" valign="top">(559 ± 28.3)</td><td align="left" colspan="1" valign="top">(668 ± 3.78)</td></tr><tr><td align="left" colspan="1" valign="top">3</td><td valign="top" align="left" colspan="1">(361 ± 2.64)</td><td valign="top" align="left" colspan="1">(454 ± 4.58)</td><td valign="top" align="left" colspan="1">(559 ± 17.03)</td><td colspan="1" valign="top" align="left">(361 ± 2.64)</td></tr><tr><td valign="top" align="left" colspan="1">4</td><td valign="top" align="left" colspan="1">(361 ± 1)</td><td colspan="1" valign="top" align="left">(454 ± 1)</td><td valign="top" align="left" colspan="1">(550 ± 9.60)</td><td valign="top" align="left" colspan="1">(667 ± 10)</td></tr><tr><td valign="top" align="left" colspan="1">5</td><td valign="top" align="left" colspan="1">(361 ± 2)</td><td align="left" colspan="1" valign="top">(454 ± 2)</td><td align="left" colspan="1" valign="top">(560 ±2)</td><td valign="top" align="left" colspan="1">(666 ± 11.5)</td></tr><tr><td colspan="1" valign="top" align="left">6</td><td align="left" colspan="1" valign="top">(361 ± 2.51)</td><td align="left" colspan="1" valign="top">(454 ± 3)</td><td valign="top" align="left" colspan="1">(560 ± 2)</td><td valign="top" align="left" colspan="1">(667 ± 15.7)</td></tr><tr><td rowspan="7" valign="top" align="left" colspan="1">4</td><td align="left" colspan="5" valign="top">Thickness Stability Test</td></tr><tr><td valign="top" align="left" colspan="1">1</td><td valign="top" align="left" colspan="1">(0.31 ± 0.045)</td><td valign="top" align="left" colspan="1">(0.42 ± 0.033)</td><td align="left" colspan="1" valign="top">(0.53 ± 0.030)</td><td valign="top" align="left" colspan="1">(0.58 ± 0.014)</td></tr><tr><td colspan="1" valign="top" align="left">2</td><td align="left" colspan="1" valign="top">(0.31 ± 0.036)</td><td valign="top" align="left" colspan="1">(0.42 ± 0.033)</td><td valign="top" align="left" colspan="1">(0.53 ± 0.024)</td><td align="left" colspan="1" valign="top">(0.58 ± 0.024)</td></tr><tr><td valign="top" align="left" colspan="1">3</td><td valign="top" align="left" colspan="1">(0.31 ± 0.022)</td><td align="left" colspan="1" valign="top">(0.41± 0.014)</td><td align="left" colspan="1" valign="top">(0.53 ± 0.017)</td><td align="left" colspan="1" valign="top">(0.58 ± 0.057)</td></tr><tr><td colspan="1" valign="top" align="left">4</td><td align="left" colspan="1" valign="top">(0.31 ± 0.043)</td><td align="left" colspan="1" valign="top">(0.41 ± 0.028)</td><td valign="top" align="left" colspan="1">(0.53 ± 0.022)</td><td valign="top" align="left" colspan="1">(0.58 ± 0.053)</td></tr><tr><td colspan="1" valign="top" align="left">5</td><td colspan="1" valign="top" align="left">(0.32 ± 0.024)</td><td align="left" colspan="1" valign="top">(0.41 ± 0.017)</td><td colspan="1" valign="top" align="left">(0.53 ± 0.045)</td><td valign="top" align="left" colspan="1">(0.58 ± 0.075)</td></tr><tr><td colspan="1" valign="top" align="left">6</td><td valign="top" align="left" colspan="1">(0.31 ± 0.012)</td><td align="left" colspan="1" valign="top">(0.41 ± 0.015)</td><td valign="top" align="left" colspan="1">(0.53 ± 0.026)</td><td valign="top" align="left" colspan="1">(0.58 ± 0.015)</td></tr></tbody></table></table-wrap><p>Based on <xref ref-type="table" rid="table-4">Table 4</xref>, the six-cycle evaluation showed an increase in the mean values with increasing extract concentration, ranging from 0.21 in F0 to 0.38 in F3. All formulations exhibited coefficient of variation (CV) values between 0.03% and 0.3%, which were well below the acceptable limit of ≤5%, indicating good weight uniformity (<xref ref-type="bibr" rid="BIBR-31">(Novia &amp; Noval, 2021)</xref>; <xref ref-type="bibr" rid="BIBR-51">(Wardani &amp; Saryanti, 2021)</xref>).</p><p>The low CV values demonstrate stable and homogeneous weight distribution among the patches, reflecting a consistent formulation process <xref ref-type="bibr" rid="BIBR-35">(Pratasik et al., 2019)</xref>. Results of the Repeated Measures ANOVA test showed p-values &gt; 0.05 for all formulations (F0–F3), confirming that all transdermal patch formulations were stable in terms of weight uniformity.</p><p>All formulations exhibited a thickness of less than 1 mm, meeting the criteria for an ideal transdermal patch <xref rid="BIBR-4" ref-type="bibr">(Balaji et al., 2012)</xref>. The mean thickness increased with extract concentration, ranging from 0.31 mm in F0 to 0.58 mm in F3, and remained stable up to the sixth cycle. The uniform thickness indicates a homogeneous formulation mixture <xref ref-type="bibr" rid="BIBR-35">(Pratasik et al., 2019)</xref>.</p><p>The increase in thickness is influenced by film density and the higher concentration of HPMC polymer (<xref ref-type="bibr" rid="BIBR-12">(Fakruddin et al., 2019)</xref>; <xref ref-type="bibr" rid="BIBR-21">(Kalsum et al., 2023)</xref>). Stable thickness also contributes to comfort during skin application <xref ref-type="bibr" rid="BIBR-51">(Wardani &amp; Saryanti, 2021)</xref>. he Repeated Measures ANOVA results showed p-values greater than 0.05 for all formulations, indicating no significant difference; thus, the patches were considered stable in terms of thickness.</p><p>This study has several limitations. The evaluation was primarily limited to the physicochemical properties, hedonic characteristics, and in vitro antibacterial activity of the transdermal patch formulations containing methanolic extract of Moringa oleifera stem bark. In addition, stability assessment was restricted to accelerated testing, while long-term stability under real-time storage conditions was not evaluated.</p><p>The antibacterial activity was assessed against only one bacterial strain, which may not fully represent the broader antimicrobial potential of the formulation. Furthermore, drug release kinetics and skin permeation profiles were not investigated, limiting the understanding of active compound delivery through the skin. Therefore, future studies should include long-term stability testing, broader-spectrum antimicrobial evaluations, and in vitro or ex vivo permeation studies to provide a more comprehensive assessment of the efficacy and therapeutic potential of the developed transdermal patch.</p></sec><sec><title>Hedonic Test</title><p>The analysis using the Friedman test revealed significant differences in color, aroma, and skin sensation (Asymp. Sig &lt; 0.05). Formula F1 obtained the highest mean ranks for color (3.25) and skin sensation (3.63), indicating an attractive greenish-brown appearance with a smooth and elastic texture (<xref ref-type="bibr" rid="BIBR-44">(Supit et al., 2015)</xref>; <xref ref-type="bibr" rid="BIBR-38">(Qamariah et al., 2022)</xref>).</p><p>Formula F0 showed the highest score for aroma due to its odorless characteristic (<xref ref-type="bibr" rid="BIBR-24">(Lamusu, 2018)</xref>; <xref rid="BIBR-22" ref-type="bibr">(Khalisa et al., 2021)</xref>). Overall, Formula F1 was the most preferred by the panelists and has the greatest potential to be developed as the optimal transdermal patch formulation containing the methanolic extract of <italic>Moringa oleifera</italic> Lam. stem bark.</p><table-wrap id="table-5" ignoredToc=""><label>Table 5</label><caption><p>Sensory Evaluation of Transdermal Patch Formulations</p></caption><table frame="box" rules="all"><thead><tr><th align="left" colspan="1" valign="top"><bold>Parameter</bold></th><th align="left" colspan="1" valign="top"><bold>Formula</bold></th><th align="left" colspan="1" valign="top"><bold>Mean rank</bold></th><th align="left" colspan="1" valign="top"><bold>Asymp Sig</bold></th></tr></thead><tbody><tr><td align="left" colspan="1" rowspan="4" valign="top">Color</td><td align="left" colspan="1" valign="top">F0</td><td align="left" colspan="1" valign="top">2.45</td><td valign="top" align="left" colspan="1">0.010</td></tr><tr><td align="left" colspan="1" valign="top">F1</td><td colspan="1" valign="top" align="left">3.25</td><td align="left" colspan="1" valign="top"></td></tr><tr><td valign="top" align="left" colspan="1">F2</td><td align="left" colspan="1" valign="top">2.13</td><td valign="top" align="left" colspan="1"></td></tr><tr><td valign="top" align="left" colspan="1">F3</td><td valign="top" align="left" colspan="1">2.17</td><td valign="top" align="left" colspan="1"></td></tr><tr><td colspan="1" rowspan="4" valign="top" align="left">Aroma</td><td colspan="1" valign="top" align="left">F0</td><td valign="top" align="left" colspan="1">3.25</td><td align="left" colspan="1" valign="top">0.000</td></tr><tr><td align="left" colspan="1" valign="top">F1</td><td align="left" colspan="1" valign="top">3.15</td><td align="left" colspan="1" valign="top"></td></tr><tr><td align="left" colspan="1" valign="top">F2</td><td align="left" colspan="1" valign="top">2.10</td><td align="left" colspan="1" valign="top"></td></tr><tr><td align="left" colspan="1" valign="top">F3</td><td align="left" colspan="1" valign="top">1.50</td><td valign="top" align="left" colspan="1"></td></tr><tr><td align="left" colspan="1" rowspan="4" valign="top">Skin Sensation</td><td valign="top" align="left" colspan="1">F0</td><td align="left" colspan="1" valign="top">3.13</td><td valign="top" align="left" colspan="1">0.000</td></tr><tr><td valign="top" align="left" colspan="1">F1</td><td valign="top" align="left" colspan="1">3.63</td><td align="left" colspan="1" valign="top"></td></tr><tr><td valign="top" align="left" colspan="1">F2</td><td align="left" colspan="1" valign="top">1.58</td><td colspan="1" valign="top" align="left"></td></tr><tr><td valign="top" align="left" colspan="1">F3</td><td valign="top" align="left" colspan="1">1.68</td><td valign="top" align="left" colspan="1"></td></tr></tbody></table></table-wrap><fig id="figure-3" ignoredToc=""><label>Figure 3</label><caption><p>Visual comparison applied on human skin for hedonic evaluation</p></caption><graphic loading="false" mime-subtype="png" mimetype="image" xlink:href="https://journals2.ums.ac.id/pharmacon/article/download/13899/6006/78123"><alt-text>Image</alt-text></graphic></fig></sec></sec><sec><title>Antibacterial Activity</title><table-wrap id="table-6" ignoredToc=""><label>Table 6</label><caption><p>Antibacterial Activity of Transdermal Patch Formulations Expressed as Inhibition Zone Diameter Against Staphylococcus aureus</p></caption><table frame="box" rules="all"><thead><tr><th valign="top" align="left" colspan="1"><bold>Sample</bold></th><th valign="top" align="left" colspan="1"><bold>Inhibition Zone Diameter (mm)</bold></th><th valign="top" align="left" colspan="1"><bold>Inhibition Category</bold></th></tr></thead><tbody><tr><td valign="top" align="left" colspan="1">F0</td><td align="left" colspan="1" valign="top">0.00</td><td align="left" colspan="1" valign="top">Weak</td></tr><tr><td colspan="1" valign="top" align="left">Positive Control</td><td align="left" colspan="1" valign="top">6.82</td><td valign="top" align="left" colspan="1">Moderate</td></tr><tr><td align="left" colspan="1" valign="top">F1</td><td valign="top" align="left" colspan="1">10.51</td><td valign="top" align="left" colspan="1">Strong</td></tr><tr><td align="left" colspan="1" valign="top">F2</td><td colspan="1" valign="top" align="left">16.24</td><td valign="top" align="left" colspan="1">Strong</td></tr><tr><td valign="top" align="left" colspan="1">F3</td><td valign="top" align="left" colspan="1">21.06</td><td valign="top" align="left" colspan="1">Very strong</td></tr></tbody></table></table-wrap><p>Based on <xref ref-type="table" rid="table-6">Table 6</xref>, the negative control showed no inhibitory activity, whereas the positive control (Oxy patch) exhibited a moderate inhibition zone of 6.82 mm <xref ref-type="bibr" rid="BIBR-40">(Sarwo et al., 2025)</xref>. Based on <xref ref-type="fig" rid="figure-4">Figure 4</xref> Inhibitory effect against Staphylococcus aureus increaseswith extract concentration: F1 = 10.51 mm, F2 = 16.24 mm, dan F3 = 21.06 mm <xref ref-type="bibr" rid="BIBR-13">(Faradina et al., 2019)</xref>. The antibacterial activity is attributed to the presence of bioactive compounds such as flavonoids, tannins, alkaloids, terpenoids, and saponins, which can disrupt bacterial cell walls and inhibit metabolic processes (<xref ref-type="bibr" rid="BIBR-34">(Paikra et al., 2017)</xref>; <xref ref-type="bibr" rid="BIBR-14">(Fauzan et al., 2019)</xref>; <xref ref-type="bibr" rid="BIBR-29">(Nay, 2023)</xref>). The increase in extract concentration (4–12%) was directly correlated with enhanced bacterial inhibition <xref ref-type="bibr" rid="BIBR-39">(Rompas et al., 2022)</xref>.</p><fig id="figure-4" ignoredToc=""><label>Figure 4</label><caption><p>Antibacterial Activity of Transdermal Patch</p></caption><graphic loading="false" mime-subtype="jpeg" mimetype="image" xlink:href="https://journals2.ums.ac.id/pharmacon/article/download/13899/6006/78124"><alt-text>Image</alt-text></graphic></fig><sec><title>Final Interpretation</title><p>Based on the overall results, formula F3 containing 12% extract exhibited the best physical properties, high stability, favorable acceptability, and the strongest antibacterial activity. These findings indicate that the methanolic extract of <italic>Moringa oleifera</italic> Lam. stem bark has promising potential to be developed as an active ingredient in transdermal patch formulations for the treatment of skin infections caused by <italic>Staphylococcus aureus</italic> (<xref ref-type="bibr" rid="BIBR-6">(Bukar et al., 2010)</xref>; <xref ref-type="bibr" rid="BIBR-46">(Tilarso et al., 2021)</xref>).</p></sec></sec></sec><sec><title>CONCLUSIONS</title><p>Based on the results of this study, the transdermal patch formulation containing methanolic extract of <italic>Moringa Oleifera</italic> Lam. Stem bark met the required standards for physical and stability evaluations, including organoleptic properties, weight uniformity, thickness, and folding endurance.</p><p>The antibacterial activity test against <italic>Staphylococcus aureus</italic> demonstrated a concentration-dependent increase in inhibitory activity, with inhibition zones of 10.51 mm, 16.24 mm, and 21.06 mm for formulas F1, F2, and F3, respectively, indicating that formula F3 exhibited the strongest antibacterial effect. However, based on the hedonic evaluation, formula F1 showed the highest level of panelist preference in terms of color, aroma, and skin sensation.</p><p>These findings indicate a trade-off between antibacterial efficacy and patient acceptability, where higher extract concentrations enhance antibacterial activity but may reduce sensory acceptance. Therefore, while formula 3 is the most effective in terms of antibacterial activity, formula 1 demonstrates greater potentialfor practical application due to its higher user acceptability. Further optimization is required to achieve a balnced formulation with both high efficacy and favorable patient compliance.</p></sec><sec><title>ACKNOWLEDGMENT</title><p>The authors express their sincere appreciation to Harapan Bangsa University, Purwokerto, for providing laboratory facilities and technical support throughout this research. The authors also acknowledge the Biology Laboratory, Jenderal Soedirman University, for assistance in plant identification, and Muhammadiyah University of Purwokerto for their collaboration in microbiological analyses.</p><p>This study received no specific funding from governmental, commercial, or not-for-profit organizations.</p></sec><sec><title>AUTHORS’ CONTRIBUTIONS</title><p>All authors contributed equally to this research.</p></sec><sec><title>CONFLICT OF INTERESTS</title><p>The authors have no financial, personal, or professional relationships that could inappropriately influence (or be perceived to influence) this work.</p></sec><sec><title>ETHICAL CONSIDERATION</title><p>The study complied with ethical standards. Human volunteers for the hedonic test provided written informed consent, and the protocol was approved by the Health Research Ethics Committee of Harapan Bangsa University, approval number B.LPPM-UHB/558/06/2025. 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