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Individualized dosing strategies in breast cancer chemotherapy: Evidence for therapeutic drug monitoring-guided docetaxel treatment 乳腺癌化疗的个体化给药策略:治疗药物监测引导的多西他赛治疗的证据。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-09 DOI: 10.1016/j.ejps.2025.107407
Ya-Min Liu , Wei Huang , Yong-Zhe Tang , Hai Zhang , Sheng-Ying Qin , Jin Zhang , Jun-Wei Fan , Rui-Zhuo Ouyang , Hai-Ou Yang , Xiao-Qing Zhang

Background

Docetaxel is a first-line chemotherapy drug for breast cancer and is traditionally dosed based on body surface area (BSA). However, this method often leads to significant inter-patient variability and a high incidence of adverse drug reactions (ADRs). Therapeutic drug monitoring (TDM) offers a personalized dosing approach that may improve drug safety and efficacy. This study aimed to evaluate the clinical and pharmacoeconomic benefits of TDM-guided dosing compared to traditional BSA-based dosing in breast cancer patients receiving docetaxel-based chemotherapy.

Methods

A randomized controlled study was conducted at the Department of Breast Surgery, IPMCH, from October 2022 to July 2024. A total of 208 breast cancer patients were enrolled and randomly assigned to two groups: the BSA group (n = 104) and the TDM-guided pharmacokinetics (PK) group (n = 104). Adverse drug reactions—including hematological, gastrointestinal, skin, neurotoxic, and cardiotoxic events—were monitored and compared between groups. Liver function markers (ALT, AST, ALP) and pharmacoeconomic data (treatment-related costs) were also assessed. Statistical analyses included univariate and interaction models to evaluate the impact of dosing strategy on ADRs and costs.

Results

Patients in the TDM-guided PK group exhibited significantly lower levels of ALT, AST, and ALP, indicating reduced hepatic toxicity. Gastrointestinal ADRs—including nausea, diarrhea, and constipation—were less frequent and less severe in the PK group compared to the BSA group. Overall, the incidence and severity of ADRs were markedly reduced in the PK group. Pharmacoeconomic analysis demonstrated consistently lower treatment-related costs in the PK group. Both univariate and interaction analyses confirmed the clinical and economic benefits of TDM-guided dosing.

Conclusion

TDM-guided docetaxel dosing significantly reduced ADRs and improved cost efficiency in breast cancer chemotherapy. These findings support the implementation of TDM as a superior strategy to traditional BSA-based dosing, with potential to enhance both patient safety and healthcare resource utilization.
背景:多西他赛是乳腺癌的一线化疗药物,传统上是基于体表面积(BSA)给药。然而,这种方法往往会导致显著的患者间差异和高发生率的药物不良反应(adr)。治疗药物监测(TDM)提供了一种个性化的给药方法,可以提高药物的安全性和有效性。本研究旨在评估在接受多西他赛化疗的乳腺癌患者中,tdm引导给药与传统bsa为基础的给药相比的临床和药物经济效益。方法:于2022年10月至2024年7月在IPMCH乳房外科进行随机对照研究。共纳入208例乳腺癌患者,随机分为两组:BSA组(n=104)和tdm引导药代动力学组(n=104)。监测药物不良反应,包括血液学、胃肠道、皮肤、神经毒性和心脏毒性事件,并比较两组之间的差异。还评估了肝功能指标(ALT、AST、ALP)和药物经济学数据(治疗相关费用)。统计分析包括单变量和相互作用模型,以评估给药策略对不良反应和成本的影响。结果:tdm引导下的PK组患者ALT、AST、ALP水平明显降低,表明肝毒性降低。与BSA组相比,PK组的胃肠道不良反应(包括恶心、腹泻和便秘)发生频率和严重程度较低。总的来说,PK组不良反应的发生率和严重程度明显降低。药物经济学分析表明,PK组的治疗相关费用始终较低。单变量分析和相互作用分析都证实了tdm引导给药的临床和经济效益。结论:tdm引导下多西紫杉醇给药可显著降低乳腺癌化疗不良反应,提高成本效益。这些发现支持TDM作为一种优于传统bsa给药策略的实施,具有提高患者安全和医疗资源利用的潜力。
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引用次数: 0
Pharmacokinetic profile of dexamethasone in urine and plasma after single and multiple oral administration: Relevance to doping controls 单次和多次口服地塞米松在尿和血浆中的药代动力学特征:与兴奋剂控制的相关性。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 DOI: 10.1016/j.ejps.2025.107405
Sergi Coll , Claudia Bressan , Núria Monfort , Ana Aldea-Perona , Marcel·lí Carbó , Rosa Ventura
Dexamethasone (DEX) is prohibited in sports competitions when administered by all injectable, oral or rectal routes, and is permitted at all times when administered by all other routes. The present work aimed to assess the urinary excretion profile of DEX after single and multiple oral administrations to verify the suitability of the new minimum reporting level (MRL) of 60 ng/mL established by the World Anti-Doping Agency to distinguish allowed and prohibited administrations. Moreover, the minimum washout period of three days established for out-of-competition treatments with oral glucocorticoids will be evaluated.
DEX was administered to healthy volunteers using two different oral treatments: single administration (4 mg, n = 8 male volunteers) and multiple administrations (2 mg/12 h for 5 days, n = 8 male volunteers). Urine and plasma samples collected before and after administration were analysed using liquid chromatography-tandem mass spectrometry. DEX and 6β‑hydroxy-DEX, were the predominant compounds detected in urine, with peak urinary excretion observed within the first 4 h post-dose. DEX concentrations exceeded the new MRL mainly within 12 h after a single dose, with one volunteer showing levels above this threshold up to 24–36 h. In the multiple-dose study, most of the DEX concentrations remained above 60 ng/mL after the second dose and throughout the dosing period and declined quickly after the final dose. Plasma DEX kinetics was defined by an open bicompartmental model with a first order oral absorption. DEX was detectable up to 48 h post-administration. In the multiple dose study, the steady-state concentrations were reached soon after the first dose, and DEX showed no evidence of accumulation. CORT levels decreased rapidly after both single and multiple administrations due to suppression of the hypothalamic-pituitary-adrenal axis. Recovery times varied among volunteers.
The MRL of 60 ng/mL proved appropriate for distinguishing permitted from prohibited use with a 3-day washout, though further studies on non-systemic routes are recommended to refine sensitivity.
地塞米松(DEX)禁止在体育比赛中通过所有注射、口服或直肠途径给药,而允许在任何时候通过所有其他途径给药。本研究旨在评估单次和多次口服给药后DEX的尿排泄情况,以验证世界反兴奋剂机构(World Anti-Doping Agency)建立的60 ng/mL最低报告水平(MRL)的适用性,以区分允许和禁止给药。此外,将评估口服糖皮质激素的非竞赛治疗的最小洗脱期为三天。对健康志愿者进行两种不同的口服治疗:单次给药(4mg, n= 8名男性志愿者)和多次给药(2mg /12h,连续5天,n= 8名男性志愿者)。用液相色谱-串联质谱法分析给药前后的尿液和血浆样本。DEX和6β-羟基DEX是尿中检测到的主要化合物,在给药后的前4小时内观察到尿排泄高峰。DEX浓度主要在单次给药后12小时内超过新的MRL,有一名志愿者在24-36小时内均高于该阈值。在多次给药研究中,大多数DEX浓度在第二次给药后和整个给药期间保持在60 ng/mL以上,并在最后一次给药后迅速下降。血浆DEX动力学定义为具有一级口服吸收的开放双室模型。给药后48小时仍可检出DEX。在多次给药的研究中,首次给药后很快就达到了稳态浓度,DEX没有出现积累的迹象。由于下丘脑-垂体-肾上腺轴的抑制,单次和多次给药后CORT水平迅速下降。志愿者的恢复时间各不相同。60 ng/mL的MRL被证明适合区分允许和禁止使用3天的洗脱期,尽管建议对非全身途径进行进一步研究以提高灵敏度。
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引用次数: 0
Update on clinical trials of intra-articular disease-modifying osteoarthritis drugs inducing cartilage regeneration 关节内疾病改善性骨关节炎药物诱导软骨再生的临床试验进展。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 DOI: 10.1016/j.ejps.2025.107403
Luca Morici , Ines Nikolic
Osteoarthritis is the most common degenerative joint disease affecting millions of people in the world and leading to disability. Currently, the only available treatments on the market are symptomatic therapies for pain and inflammation. There are no intra-articular drugs that can restore the cartilage matrix, also known as disease-modifying osteoarthritis drugs (DMOADs). This review focuses on all clinical trials of pro-anabolic DMOADs, which stimulate the regeneration of the cartilage matrix by inducing the differentiation of mesenchymal progenitors into chondrocytes, a process known as chondrogenesis. This review also discussed some pathways of chondrocytes, which boost the transcription of genes involved in the production of extracellular matrix components. Finally, the review also covers some implants in the commercial and clinical phases for cartilage repair.
骨关节炎是最常见的退行性关节疾病,影响着世界上数百万人,并导致残疾。目前,市场上唯一可用的治疗方法是对症治疗疼痛和炎症。目前还没有能够恢复软骨基质的关节内药物,也就是所谓的改善疾病的骨关节炎药物(DMOADs)。本文综述了促合成代谢DMOADs的所有临床试验,DMOADs通过诱导间充质祖细胞向软骨细胞的分化来刺激软骨基质的再生,这一过程被称为软骨形成。本文还讨论了促进细胞外基质成分产生相关基因转录的软骨细胞的一些途径。最后,回顾了一些在商业和临床阶段用于软骨修复的植入物。
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引用次数: 0
Mechanistic insights into semi-solid extrusion 3D printing of indomethacin-nicotinamide cocrystal-loaded oral fast-dissolving films 机械洞察半固体挤出3D打印吲哚美辛-烟酰胺共晶负载口服快速溶解膜。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 DOI: 10.1016/j.ejps.2025.107404
Maha F. Emam , Elina Harju , Atte Junnila , Kirsi Mikkonen , Teemu Tomberg , Clare Strachan , Anssi-Pekka Karttunen , Leena Peltonen
The growing demand for personalized medicine requires adaptable dosage forms capable of addressing challenges associated with poorly soluble drugs. Cocrystals offer a powerful strategy to enhance solubility, while semi-solid extrusion (SSE) 3D printing enables flexible, patient-tailored manufacturing. This study establishes a systematic framework for developing oral fast-dissolving films (OFDFs) incorporating indomethacin–nicotinamide (IND–NIC) cocrystals using SSE 3D printing. Critical Material Attributes (CMAs), HPMC–glycerol base, sodium starch glycolate (SSG), and varying cocrystal loadings, were systematically adjusted to evaluate their influence on key ink and film Critical Quality Attributes (CQAs).
All inks displayed desirable shear-thinning behaviour, with IND–NIC cocrystals and SSG synergistically reinforcing the structural network for reliable extrusion and shape fidelity. Solid-state analyses (XRPD, DSC, PLM, Raman microscopy) confirmed preservation of the cocrystal form throughout ink preparation, printing, and short-term storage. The 3D printed OFDFs exhibited uniform thickness, weight, and drug content with minimal variability across batches, and displayed humidity-dependent mechanical behaviour that varied with cocrystal loading.
All formulations achieved rapid drug release, exceeding 80 % IND dissolution within 30 min. Dissolution profiles were consistent across cocrystal loadings and remained statistically equivalent for films printed from inks stored for up to 2 days, as well as for the 3-day redispersed ink, confirming that the structural reinforcement required for printability does not compromise rapid release performance.
Overall, this work provides mechanistic insight into the formulation–process–performance relationships governing SSE 3D printing of cocrystal-loaded OFDFs and highlights the potential of this green, low-temperature platform for decentralized, patient-centric manufacturing of fast-dissolving dosage forms.
对个性化医疗日益增长的需求需要适应性强的剂型,能够解决与难溶性药物相关的挑战。共晶提供了强大的策略来提高溶解度,而半固态挤出(SSE) 3D打印可以实现灵活的、量身定制的制造。本研究建立了一个系统的框架,用于使用SSE 3D打印技术开发含有吲哚美辛-烟酰胺(IND-NIC)共晶的口服速溶膜(OFDFs)。系统地调整了关键材料属性(CMAs)、hpmc -甘油碱、淀粉乙醇酸钠(SSG)和不同的共晶负载,以评估它们对关键油墨和薄膜关键质量属性(cqa)的影响。所有油墨都表现出理想的剪切减薄行为,IND-NIC共晶和SSG协同增强结构网络,以实现可靠的挤压和形状保真度。固态分析(XRPD, DSC, PLM,拉曼显微镜)证实了共晶形式在油墨制备,印刷和短期储存过程中的保存。3D打印的ofdf具有均匀的厚度、重量和药物含量,批次之间的变化最小,并且显示出随共晶负载变化的湿度依赖的机械行为。所有制剂均实现药物快速释放,30分钟内IND溶出度超过80%。在不同的共晶负载下,溶解曲线是一致的,并且对于用储存了2天的油墨打印的薄膜,以及用3天的再分散油墨打印的薄膜,在统计上是相同的,这证实了印刷性所需的结构增强不会影响快速释放性能。总的来说,这项工作为控制共晶负载ofdf的SSE 3D打印的配方-工艺-性能关系提供了机制见解,并突出了这种绿色,低温平台的潜力,用于分散,以患者为中心的快速溶解剂型制造。
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引用次数: 0
The relationship between PDE4 and AQP5 in lung tissue under inflammatory conditions: An experimental study 炎症条件下肺组织PDE4与AQP5关系的实验研究
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 DOI: 10.1016/j.ejps.2025.107400
Ayse Bozkurt , Zafer Bayraktutan , Erdem Toktay , Adem Kara , Zekai Halici , Elif Cadirci

Objective

This study aimed to examine the relationship between Phosphodiesterase 4 (PDE4) and Aquaporin-5 (AQP5) under Lipopolysaccharide (LPS) induced-inflammatory condition.

Methods

Inflammatory Acute lung injury (ALI) was induced by intratracheal LPS (5 mg/kg) administration. Rolipram (intraperitoneal) was used as PDE4 inhibiting agent at three different doses (1, 3 and 5 mg/kg) in rat groups. 24 h after LPS administration lung tissues obtained and following analyses performed. AQP5, Phosphodiesterase 4D (PDE4D), Cyclic adenosine monophosphate (cAMP) levels were evaluated for determination of the relationship between these parameters. Also Interleukin-6 (IL-6), Tumor necrosis factor-α (TNF-α), Nuclear factor kappa B (NF-κB), Mitogen-activated protein kinase (MAPK) levels were evaluated as ALI markers.

Results

LPS-induced ALI resulted in increased PDE4 enzyme and inflammatory marker levels (IL-6, TNF-α, NF-κB and MAPK) and decreased AQP5 and cAMP levels. Inhibition of PDE4 enzyme to increase cAMP levels by Rolipram resulted in increased AQP5 expression and decreased inflammatory condition and in lung tissues. These results were supported by histopathological and immunhistochemical results.

Conclusion

The fact that this study observed a decreases PDE4 expression and increases in AQP5 expression upon Rolipram administration might indicate a close relationship of these two parameters in inflammatory lung disease.
目的:探讨脂多糖(LPS)诱导炎症状态下磷酸二酯酶4 (PDE4)与水通道蛋白5 (AQP5)的关系。方法:气管内注射LPS (5 mg/kg)诱导炎性急性肺损伤(ALI)。大鼠组采用罗利普兰(Rolipram,腹腔注射)作为PDE4抑制剂,剂量分别为1、3、5 mg/kg。LPS给药24小时后获得肺组织并进行以下分析。评估AQP5、磷酸二酯酶4D (PDE4D)、环磷酸腺苷(cAMP)水平,以确定这些参数之间的关系。白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)、核因子κB (NF-κB)、丝裂原活化蛋白激酶(MAPK)水平作为ALI的标志物。结果:脂多糖诱导的ALI导致PDE4酶和炎症标志物(IL-6、TNF-α、NF-κB和MAPK)水平升高,AQP5和cAMP水平降低。罗利普兰抑制PDE4酶增加cAMP水平,导致AQP5表达增加,炎症状况和肺组织减轻。这些结果得到了组织病理学和免疫组织化学结果的支持。结论:本研究观察到罗利普兰给药后PDE4表达降低,AQP5表达升高,可能提示这两个参数在炎症性肺病中的关系密切。
{"title":"The relationship between PDE4 and AQP5 in lung tissue under inflammatory conditions: An experimental study","authors":"Ayse Bozkurt ,&nbsp;Zafer Bayraktutan ,&nbsp;Erdem Toktay ,&nbsp;Adem Kara ,&nbsp;Zekai Halici ,&nbsp;Elif Cadirci","doi":"10.1016/j.ejps.2025.107400","DOIUrl":"10.1016/j.ejps.2025.107400","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the relationship between Phosphodiesterase 4 (PDE4) and Aquaporin-5 (AQP5) under Lipopolysaccharide (LPS) induced-inflammatory condition.</div></div><div><h3>Methods</h3><div>Inflammatory Acute lung injury (ALI) was induced by intratracheal LPS (5 mg/kg) administration. Rolipram (intraperitoneal) was used as PDE4 inhibiting agent at three different doses (1, 3 and 5 mg/kg) in rat groups. 24 h after LPS administration lung tissues obtained and following analyses performed. AQP5, Phosphodiesterase 4D (PDE4D), Cyclic adenosine monophosphate (cAMP) levels were evaluated for determination of the relationship between these parameters. Also Interleukin-6 (IL-6), Tumor necrosis factor-α (TNF-α), Nuclear factor kappa B (NF-κB), Mitogen-activated protein kinase (MAPK) levels were evaluated as ALI markers.</div></div><div><h3>Results</h3><div>LPS-induced ALI resulted in increased PDE4 enzyme and inflammatory marker levels (IL-6, TNF-α, NF-κB and MAPK) and decreased AQP5 and cAMP levels. Inhibition of PDE4 enzyme to increase cAMP levels by Rolipram resulted in increased AQP5 expression and decreased inflammatory condition and in lung tissues. These results were supported by histopathological and immunhistochemical results.</div></div><div><h3>Conclusion</h3><div>The fact that this study observed a decreases PDE4 expression and increases in AQP5 expression upon Rolipram administration might indicate a close relationship of these two parameters in inflammatory lung disease.</div></div>","PeriodicalId":12018,"journal":{"name":"European Journal of Pharmaceutical Sciences","volume":"217 ","pages":"Article 107400"},"PeriodicalIF":4.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145721652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protective effects of SA-31 in a psychostimulant-induced neurotoxicity model using SH-SY5Y cells SA-31在精神兴奋剂诱导的SH-SY5Y细胞神经毒性模型中的保护作用。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-07 DOI: 10.1016/j.ejps.2025.107399
Charles E. Amankwa , Biddut DebNath , Arlene Abraham , Olivia Young , Sudershan R Gondi , Michael J Forster , Ritu A. Shetty , Suchismita Acharya

Background

Cocaine- and methamphetamine (METH)-induced mitochondrial dysfunction and oxidative stress are key contributors to the neuropathology of psychostimulant addiction. These effects are often accompanied by epigenetic alterations, mitochondrial damage, and the accumulation of reactive oxygen species (ROS). Methionine synthase (MS) plays a critical role in epigenetic regulation and neuronal survival and may offer neuroprotection against psychostimulant-induced toxicity. We hypothesize that SA-31, a novel thiourea-based analog of TEMPOL, will attenuate cocaine or METH induced decrease in antioxidant, anti-inflammatory, and MS activities in neuronal cells.

Methods

SA-31 was synthesized and characterized via 1H NMR and mass spectrometry. Human SH-SY5Y dopaminergic neural cells were exposed to tert‑butyl hydrogen peroxide (TBHP), cocaine hydrochloride, or methamphetamine (METH), with or without co-treatment with SA-31 for 24 h. Cell viability was measured using MTT assays. MS activity, IL-1β, superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase levels were assessed via ELISA. Mitochondrial function was evaluated using Seahorse-based oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) assays.

Results

SA-31 (10–100 µM) significantly protected cells from TBHP-, cocaine-, and METH-induced cytotoxicity. TBHP and METH reduced MS activity, which was significantly restored by SA-31. The compound also reversed cocaine-induced reductions in SOD, GPx, and catalase and lowered pro-inflammatory IL-1β levels. Additionally, SA-31 (1–100 µM) enhanced mitochondrial respiration and glycolytic activity.

Conclusion

These findings suggest that SA-31 confers neuroprotection by enhancing MS activity, upregulating antioxidant defenses, and improving mitochondrial function. Further studies in rodent models of addiction are planned to evaluate its therapeutic potential for psychostimulant use disorders and related neurodegenerative conditions.
背景:可卡因和甲基苯丙胺(冰毒)诱导的线粒体功能障碍和氧化应激是精神兴奋剂成瘾神经病理的关键因素。这些影响通常伴随着表观遗传改变、线粒体损伤和活性氧(ROS)的积累。蛋氨酸合成酶(Methionine synthase, MS)在表观遗传调控和神经元存活中起关键作用,并可能对精神兴奋剂引起的毒性提供神经保护。我们假设SA-31,一种新的基于硫脲的TEMPOL类似物,将减弱可卡因或冰毒引起的神经细胞抗氧化、抗炎和MS活性的下降。方法:合成SA-31,采用1H NMR和质谱法对其进行表征。将人SH-SY5Y多巴胺能神经细胞暴露于过氧化叔丁基氢(thbhp)、盐酸可卡因或甲基苯丙胺(METH)中,与SA-31或不与SA-31共同处理24小时。采用MTT法测定细胞活力。ELISA法检测MS活性、IL-1β、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)、过氧化氢酶(过氧化氢酶)水平。采用海马耗氧率(OCR)和细胞外酸化率(ECAR)检测评估线粒体功能。结果:SA-31(10-100µM)对thbhp、可卡因和meth诱导的细胞毒性有显著的保护作用。TBHP和甲基安非他明降低MS活性,SA-31显著恢复MS活性。该化合物还逆转了可卡因诱导的SOD、GPx和过氧化氢酶的减少,并降低了促炎IL-1β水平。此外,SA-31(1-100µM)可增强线粒体呼吸和糖酵解活性。结论:这些发现提示SA-31通过增强MS活性、上调抗氧化防御和改善线粒体功能来发挥神经保护作用。研究人员计划在啮齿动物成瘾模型中进一步研究,以评估其治疗精神兴奋剂使用障碍和相关神经退行性疾病的潜力。
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引用次数: 0
High-throughput screening of amorphous solid dispersions: a systematic approach to enhance bioaccessibility of a poorly soluble drug 非晶固体分散体的高通量筛选:一种提高难溶性药物生物可及性的系统方法。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-06 DOI: 10.1016/j.ejps.2025.107401
Malte Bøgh Senniksen , Justus Johann Lange , Wiebke Saal , Patrick O’Dwyer , Martin Kuentz , Brendan T. Griffin , Susanne Page , Jennifer Dressman , Nicole Wyttenbach
Poor aqueous solubility and thereby poor and/or variable bioavailability of drug candidates is frequently overcome by developing enabling formulations such as amorphous solid dispersions (ASDs). This study proposes a systematic, miniaturized approach to evaluate the ASD developability of an active pharmaceutical ingredient (API) based on i) assessment of glass forming ability ii) assessment of the supersaturation potential of the neat API by supersaturation/permeation testing, iii) selection of an appropriate ASD carrier system using high-throughput dissolution screening of ASD films and iv) performing high-throughput dissolution/permeation testing of ASD films. The model drug candidate, RO6897779, exhibited good glass forming ability. Eight pharmaceutical polymers (CAP, Eudragit® E, Eudragit® L100, HPMC 100LV, HPMCAS-M, PVP K25, PVP VA64, and Soluplus®) were screened as ASD carriers by high-throughput dissolution testing at drug loads of 20, 30 and 40 % [w/w]. Due to poor performance of the binary systems, ternary ASDs containing Soluplus® were prepared at surfactant loads of 4, 6 and 8 % [w/w] and subsequently, high-throughput dissolution/permeation studies were conducted on selected compositions. The composition containing RO6897779 at a drug load of 20 % in Soluplus®[w/w] with the addition of 6 % [w/w] SDS yielded the best performance, but was inferior to the permeation of supersaturated neat RO6897779. Further studies should be conducted to assess the ability of this four-step, miniaturized approach to predict optimal ASD formulations over a broad range of API physicochemical properties.
通过开发诸如无定形固体分散体(asd)之类的使能配方,经常可以克服候选药物的水溶性差和因此较差和/或可变的生物利用度。本研究提出了一种系统的、小型化的方法来评估活性药物成分(API)的ASD显影性,该方法基于i)评估玻璃形成能力ii)通过过饱和/渗透测试评估纯API的过饱和电位,iii)使用高通量ASD膜溶出筛选选择合适的ASD载体系统,iv)进行ASD膜的高通量溶出/渗透测试。模型候选药物RO6897779具有良好的玻璃化能力。通过高通量溶出试验筛选8种药物聚合物(CAP、Eudragit®E、Eudragit®L100、HPMC 100LV、HPMCAS-M、PVP K25、PVP VA64和Soluplus®)作为ASD载体,载药量分别为20%、30%和40% [w/w]。由于二元体系的性能较差,在表面活性剂负载为4,6和8% [w/w]的情况下,制备了含有Soluplus®的三元asd,随后对选定的组合物进行了高通量溶解/渗透研究。在Soluplus®[w/w]中添加6% [w/w] SDS时,含RO6897779的组合物在载药量为20%时的渗透性最好,但其渗透性不如过饱和纯RO6897779。进一步的研究应该评估这种四步、小型化的方法在广泛的原料药物理化学性质下预测最佳ASD配方的能力。
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引用次数: 0
Longitudinal monitoring of nanofibrillar cellulose hydrogel medical implants in mice using positron emission tomography 利用正电子发射断层扫描对纳米纤维纤维素水凝胶医用植入物在小鼠体内的纵向监测。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-06 DOI: 10.1016/j.ejps.2025.107402
Xiaoqing Zhuang , Jenni Virta , Heidi Liljenbäck , Lauri Paasonen , Anu J. Airaksinen , Anne Roivainen , Xiang-Guo Li
Nanofibrillar cellulose (NFC) hydrogel has emerged as a promising implantable material for therapeutic applications. In this study, the relatively longer-lived positron-emitting radionuclide zirconium-89 was chelated to the octadentate deferoxamine (DFO*)-conjugated NFC hydrogel ([89Zr]Zr-DFO*-NFC) to enable longitudinal monitoring of its in vivo fate using positron emission tomography techniques. Following subcutaneous implantation in healthy mice, [89Zr]Zr-DFO*-NFC retained radioactivity at the implant site for at least 14 days, with minimal signal detected in the kidneys, urinary bladder, and overlying skin. In contrast, mice receiving a control formulation of [89Zr]Zr-oxalate mixed with NFC hydrogel showed progressive accumulation of radioactivity in the bones, consistent with known [89Zr]Zr-oxalate distribution patterns, and only limited retention at the implant site by Day 7. These findings demonstrate that [89Zr]Zr-DFO*-NFC hydrogel implants exhibit high in vivo stability with negligible systemic release following subcutaneous implantation, supporting their potential use as safe and traceable biomaterial platforms.
纳米纤维纤维素(NFC)水凝胶是一种很有前途的植入式治疗材料。在本研究中,将寿命相对较长的正电子发射放射性核素锆-89螯合到八牙状去铁胺(DFO*)共轭的NFC水凝胶([89Zr]Zr-DFO*-NFC)上,利用正电子发射断层扫描技术对其体内状态进行纵向监测。在健康小鼠皮下植入后,[89Zr]Zr-DFO*-NFC在植入部位保持至少14天的放射性,在肾脏、膀胱和覆盖的皮肤中检测到最小的信号。相比之下,接受[89Zr]草酸锆与NFC水凝胶混合的对照制剂的小鼠显示,放射性在骨骼中渐进式积累,与已知的[89Zr]草酸锆分布模式一致,并且在第7天仅在植入部位保留有限。这些研究结果表明,[89Zr]Zr-DFO*-NFC水凝胶植入物具有很高的体内稳定性,皮下植入后的全身释放可以忽略不计,支持其作为安全和可追溯的生物材料平台的潜在应用。
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引用次数: 0
Dual-functionalized mesoporous silica nanoparticles for topical axitinib delivery to the posterior eye segment 双功能化介孔二氧化硅纳米颗粒用于局部阿西替尼后眼段输送。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-05 DOI: 10.1016/j.ejps.2025.107398
Li Xu , Zih-An Chen , Cheng-Hsun Wu , Yi-Ping Chen , Si-Han Wu , Chung-Yuan Mou , Ching-Li Tseng , Yueh Chien , Hardy Wai-Hong Chan , Tien-Chun Yang , Shih-Hwa Chiou
Topical drug delivery to the posterior eye segment remains a significant challenge due to ocular anatomical barriers, particularly in diseases such as wet age-related macular degeneration (AMD), where treatment typically relies on frequent intravitreal (IVT) injections of anti-angiogenic agents. In this study, we present a non-invasive eye drop formulation of axitinib (AXT), a potent vascular endothelial growth factor receptor (VEGFR) inhibitor, encapsulated within 25-nm dual-functionalized mesoporous silica nanoparticles (AXT@dual-MSNs) engineered for efficient retinal delivery. The nanoparticles feature sulfonate-functionalized mesopores that enhanced AXT loading and solubilization, along with a PEGylated/quaternary ammonium-modified surface that improved colloidal stability and favored intramesopore drug confinement. Following topical administration, AXT@dual-MSNs achieved retinal accumulation via the conjunctiva-sclera-choroid pathway, effectively bypassing the corneal route. A pharmacokinetic analysis confirmed rapid, transscleral delivery of AXT with therapeutically relevant concentrations in the retina. In a laser-induced choroidal neovascularization (CNV) mouse model, a well-established surrogate for wet AMD, AXT@dual-MSN eyedrops significantly suppressed neovascular lesion formation, outperforming free-drug eyedrops and IVT AXT injection. Notably, the formulation exhibited excellent ocular tolerance, with no evidence of local toxicity or contralateral eye exposure. This work introduces a novel nanocarrier system capable of overcoming the longstanding delivery barrier to the posterior eye segment via eyedrops, offering a safe, effective, and clinically translatable alternative to IVT injections. The modular design of AXT@dual-MSNs also holds promise for expanding topical access to other hydrophobic or labile therapeutics targeting retinal diseases.
由于眼部解剖障碍,局部药物递送到眼后段仍然是一个重大挑战,特别是在湿性年龄相关性黄斑变性(AMD)等疾病中,治疗通常依赖于频繁的玻璃体内(IVT)注射抗血管生成药物。在这项研究中,我们提出了一种非侵入性滴眼液制剂阿西替尼(axitinib, AXT),一种有效的血管内皮生长因子受体(VEGFR)抑制剂,包裹在25纳米双功能化介孔二氧化硅纳米颗粒(AXT@dual-MSNs)中,用于有效的视网膜递送。纳米颗粒具有磺酸功能化的介孔,增强了AXT的负载和增溶性,同时具有聚乙二醇化/季铵修饰的表面,提高了胶体稳定性,有利于孔内药物约束。在局部给药后,AXT@dual-MSNs通过结膜-巩膜-脉络膜途径实现视网膜积聚,有效绕过角膜途径。药代动力学分析证实快速,经巩膜传递AXT与治疗相关的浓度在视网膜。在激光诱导脉络膜新生血管(CNV)小鼠模型中,AXT@dual-MSN滴眼液显著抑制新生血管病变的形成,优于无药滴眼液和IVT AXT注射。值得注意的是,该配方表现出良好的眼部耐受性,没有局部毒性或对侧眼睛暴露的证据。这项工作介绍了一种新的纳米载体系统,能够克服长期以来通过滴眼液进入后眼段的输送障碍,提供了一种安全、有效和临床可翻译的IVT注射替代方案。AXT@dual-MSNs的模块化设计也有望扩大局部访问其他疏水或不稳定的治疗针对视网膜疾病。
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引用次数: 0
Development and optimization of Soluplus®/Pluronic-based polymeric micelles for bicalutamide delivery: characterization, lyophilization, stability, and cellular studies 用于比卡鲁胺递送的Soluplus®/ pluronic聚合物胶束的开发和优化:表征、冻干、稳定性和细胞研究。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-05 DOI: 10.1016/j.ejps.2025.107395
Nihal Tugce Ozaksun , Tugce Tayyar , Aysun Ozdemir , Mustafa Ark , Tuba Incecayir
Polymeric micelles are promising nanocarriers for improving the solubility and therapeutic efficacy of poorly water-soluble drugs. In this study, bicalutamide (BIC)-loaded polymeric micelles were developed and optimized using central composite design (CCD) by varying two formulation factors: the Soluplus® percentage (%) and the Pluronic F127/Pluronic F68 ratio (w/w). The selected formulations exhibited favorable physicochemical properties with particle size (PS) below 100 nm, low polydispersity index (PDI) (≤ 0.066), and high encapsulation efficiencies (EE) (up to 90.6 %). Transmission electron microscopy (TEM) confirmed the spherical and monodisperse structure. The micelles exhibited near-neutral zeta potentials. Lyophilization with trehalose did not significantly alter particle size or uniformity. In vitro release studies demonstrated sustained drug release profiles for 72 h, and in vitro solubility measurements revealed a significant increase (∼161 to 335-fold) compared to free BIC. The formulations also remained colloidally stable upon dilution and were physically stable for up to 6 months at 4 °C, 25 °C/60 % Relative Humidity (RH), and 40 °C/75 % RH. Cellular uptake studies in the human prostate cancer (PC-3) cell line confirmed effective internalization of the micelles. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays demonstrated a concentration- and time-dependent cytotoxicity. F7 exhibited superior cytotoxicity among the tested formulations, compared to free BIC, while its blank formulation showed no significant toxicity, indicating favorable biocompatibility. These results suggest that the developed polymeric micelle systems have potential as stable and biocompatible delivery systems for BIC, warranting further investigation.
聚合物胶束是一种很有前途的纳米载体,可以改善水溶性差药物的溶解性和治疗效果。本研究采用中心复合设计(CCD),通过改变两个配方因子:Soluplus®百分比(%)和Pluronic F127/Pluronic F68比(w/w),开发并优化了bicalutamide (BIC)负载聚合物胶束。所选配方具有良好的物理化学性能,粒径小于100 nm,多分散性指数(PDI)低(≤0.066),包封效率(EE)高(可达90.6%)。透射电镜(TEM)证实了其球形和单分散结构。胶束表现出接近中性的zeta电位。海藻糖冻干不显著改变颗粒大小和均匀性。体外释放研究显示药物持续释放72小时,体外溶解度测量显示与游离BIC相比显着增加(~ 161至335倍)。在4°C, 25°C/60%相对湿度(RH)和40°C/75%相对湿度下,制剂在稀释后仍保持胶体稳定,物理稳定长达6个月。人类前列腺癌(PC-3)细胞系的细胞摄取研究证实了胶束的有效内化。3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四唑(MTT)测定显示出浓度和时间依赖性的细胞毒性。与游离BIC相比,F7的细胞毒性较好,而其空白配方无明显毒性,表明其具有良好的生物相容性。这些结果表明,所开发的聚合物胶束系统具有作为稳定和生物相容性的BIC递送系统的潜力,值得进一步研究。
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引用次数: 0
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European Journal of Pharmaceutical Sciences
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