Expert Opinion on Drug Delivery最新文献

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Biomedical applications of PLGA nanoparticles in nanomedicine: advances in drug delivery systems and cancer therapy. PLGA纳米颗粒在纳米医学中的生物医学应用:药物递送系统和癌症治疗的进展。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-06-23 DOI: 10.1080/17425247.2023.2223941
Asghar Narmani, Roghayyeh Jahedi, Ehsan Bakhshian-Dehkordi, Saeid Ganji, Mahnaz Nemati, Ruhollah Ghahramani-Asl, Kave Moloudi, Seyed Mohammad Hosseini, Hamed Bagheri, Prashant Kesharwani, Ali Khani, Bagher Farhood, Amirhossein Sahebkar
{"title":"Biomedical applications of PLGA nanoparticles in nanomedicine: advances in drug delivery systems and cancer therapy.","authors":"Asghar Narmani,&nbsp;Roghayyeh Jahedi,&nbsp;Ehsan Bakhshian-Dehkordi,&nbsp;Saeid Ganji,&nbsp;Mahnaz Nemati,&nbsp;Ruhollah Ghahramani-Asl,&nbsp;Kave Moloudi,&nbsp;Seyed Mohammad Hosseini,&nbsp;Hamed Bagheri,&nbsp;Prashant Kesharwani,&nbsp;Ali Khani,&nbsp;Bagher Farhood,&nbsp;Amirhossein Sahebkar","doi":"10.1080/17425247.2023.2223941","DOIUrl":"10.1080/17425247.2023.2223941","url":null,"abstract":"<p><strong>Introduction: </strong>During the last decades, the ever-increasing proportion of patients with cancer has been led to serious concerns worldwide. Therefore, the development and use of novel pharmaceuticals, like nanoparticles (NPs)-based drug delivery systems (DDSs), can be potentially effective in cancer therapy.</p><p><strong>Area covered: </strong>Poly lactic-co-glycolic acid (PLGA) NPs, as a kind of bioavailable, biocompatible, and biodegradable polymers, have approved by the Food and Drug Administration (FDA) for some biomedical and pharmaceutical applications. PLGA is comprised of lactic acid (LA) and glycolic acid (GA) and their ratio could be controlled during various syntheses and preparation approaches. LA/GA ratio determines the stability and degradation time of PLGA; lower content of GA results in fast degradation. There are several approaches for preparing PLGA NPs that can affect their various aspects, such as size, solubility, stability, drug loading, pharmacokinetics, and pharmacodynamics, and so on.</p><p><strong>Expert opinion: </strong>These NPs have indicated the controlled and sustained drug release in the cancer site and can use in passive and active (via surface modification) DDSs. This review aims to provide an overview of PLGA NPs, their preparation approach and physicochemical aspects, drug release mechanism and the cellular fate, DDSs for efficient cancer therapy, and status in the pharmaceutical industry and nanomedicine.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":"20 7","pages":"937-954"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10385614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 5
Utilization of endogenous albumin trafficking pathways in the lungs has potential to modestly increase the lung interstitial access and absorption of drug delivery systems after inhaled administration. 肺部内源性白蛋白运输途径的利用有可能适度增加吸入给药后肺间质进入和药物递送系统的吸收。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-08-08 DOI: 10.1080/17425247.2023.2244881
Jibriil P Ibrahim, Neville J Butcher, Ashok Kothapalli, Christopher N Subasic, Joanne T Blanchfield, Andrew K Whittaker, Michael R Whittaker, Lisa M Kaminskas
{"title":"Utilization of endogenous albumin trafficking pathways in the lungs has potential to modestly increase the lung interstitial access and absorption of drug delivery systems after inhaled administration.","authors":"Jibriil P Ibrahim,&nbsp;Neville J Butcher,&nbsp;Ashok Kothapalli,&nbsp;Christopher N Subasic,&nbsp;Joanne T Blanchfield,&nbsp;Andrew K Whittaker,&nbsp;Michael R Whittaker,&nbsp;Lisa M Kaminskas","doi":"10.1080/17425247.2023.2244881","DOIUrl":"10.1080/17425247.2023.2244881","url":null,"abstract":"<p><strong>Objectives: </strong>Drug delivery systems typically show limited access to the lung interstitium and absorption after pulmonary delivery. The aim of this work was to undertake a proof-of-concept investigation into the potential of employing endogenous albumin and albumin absorption mechanisms in the lungs to improve lung interstitial access and absorption of inhaled drug delivery systems that bind albumin.</p><p><strong>Methods: </strong>The permeability of human albumin (HSA) through monolayers of primary human alveolar epithelia, small airway epithelia, and microvascular endothelium were investigated. The pulmonary pharmacokinetics of bovine serum albumin (BSA) was also investigated in efferent caudal mediastinal lymph duct-cannulated sheep after inhaled aerosol administration.</p><p><strong>Results: </strong>Membrane permeability coefficient values (P<sub>app</sub>) of HSA increased in the order alveolar epithelia<small airway epithelia<microvascular endothelium, where the permeability of HSA through small airway and microvascular endothelia were approximately 4- and 28-fold higher than alveolar epithelia, respectively. Only 6.5% of the delivered BSA aerosol dose was absorbed from the lungs of sheep over 5 days, although half of the absorbed dose was absorbed via the lung lymph.</p><p><strong>Conclusion: </strong>Drug delivery systems that bind endogenous albumin may show a modest increase in lung permeability and absorption after inhaled delivery compared to systems that do not efficiently bind albumin.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1145-1155"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Synthetic engineered bacteria for cancer therapy. 用于癌症治疗的合成工程菌。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-07-29 DOI: 10.1080/17425247.2023.2241367
Tong Gong, Jinhui Wu
{"title":"Synthetic engineered bacteria for cancer therapy.","authors":"Tong Gong,&nbsp;Jinhui Wu","doi":"10.1080/17425247.2023.2241367","DOIUrl":"10.1080/17425247.2023.2241367","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer mortality worldwide highlights the urgency for advanced therapeutic methods to fill the gaps in conventional cancer therapies. Bacteriotherapy is showing great potential in tumor regression due to the motility and colonization tendencies of bacteria. However, the complicated in vivo environment and tumor pathogenesis hamper the therapeutic outcomes. Synthetic engineering methods endow bacteria with flexible abilities both at the extracellular and intracellular levels to meet treatment requirements. In this review, we introduce synthetic engineering methods for bacterial modifications. We highlight the recent progress in engineered bacteria and explore how these synthetic methods endow bacteria with superior abilities in cancer therapy. The current clinical translations are further discussed. Overall, this review may shed light on the advancement of engineered bacteria for cancer therapy.</p><p><strong>Areas covered: </strong>Recent progress in synthetic methods for bacterial engineering and specific examples of their applications in cancer therapy are discussed in this review.</p><p><strong>Expert opinion: </strong>Bacteriotherapy bridges the gaps of conventional cancer therapies through the natural motility and colonization tendency of bacteria, as well as their synthetic engineering. Nevertheless, to fulfill the bacteriotherapy potential and move into clinical trials, more research focusing on its safety concerns should be conducted.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":"20 7","pages":"993-1013"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10002428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Sustained release ocular drug delivery systems for glaucoma therapy. 用于青光眼治疗的缓释眼部药物递送系统。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-06-12 DOI: 10.1080/17425247.2023.2219053
Zinah K Al-Qaysi, Ian G Beadham, Sianne L Schwikkard, Joseph C Bear, Ali A Al-Kinani, Raid G Alany
{"title":"Sustained release ocular drug delivery systems for glaucoma therapy.","authors":"Zinah K Al-Qaysi,&nbsp;Ian G Beadham,&nbsp;Sianne L Schwikkard,&nbsp;Joseph C Bear,&nbsp;Ali A Al-Kinani,&nbsp;Raid G Alany","doi":"10.1080/17425247.2023.2219053","DOIUrl":"10.1080/17425247.2023.2219053","url":null,"abstract":"<p><strong>Introduction: </strong>Glaucoma is a group of progressive optic neuropathies resulting in irreversible blindness. It is associated with an elevation of intraocular pressure (>21 mm Hg) and optic nerve damage. Reduction of the intraocular pressure (IOP) through the administration of ocular hypotensive eye drops is one of the most common therapeutic strategies. Patient adherence to conventional eye drops remains a major obstacle in preventing glaucoma progression. Additional problems emerge from inadequate patient education as well as local and systemic side effects associated with adminstering ocular hypotensive drugs.</p><p><strong>Areas covered: </strong>Sustained-release drug delivery systems for glaucoma treatment are classified into extraocular systems including wearable ocular surface devices or multi-use (immediate-release) eye formulations (such as aqueous solutions, gels; ocular inserts, contact lenses, periocular rings, or punctual plugs) and intraocular drug delivery systems (such as intraocular implants, and microspheres for supraciliary drug delivery).</p><p><strong>Expert opinion: </strong>Sustained release platforms for the delivery of ocular hypotensive drugs (small molecules and biologics) may improve patient adherence and prevent vision loss. Such innovations will only be widely adopted when efficacy and safety has been established through large-scale trials. Sustained release drug delivery can improve glaucoma treatment adherence and reverse/prevent vision deterioration. It is expected that these approaches will improve clinical management and prognosis of glaucoma.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":"20 7","pages":"905-919"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 1
Factors affecting the preparation of nanocrystals: characterization, surface modifications and toxicity aspects. 影响纳米晶体制备的因素:表征、表面修饰和毒性方面。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-05-26 DOI: 10.1080/17425247.2023.2218084
Shirleen Miriam Marques, Lalit Kumar
{"title":"Factors affecting the preparation of nanocrystals: characterization, surface modifications and toxicity aspects.","authors":"Shirleen Miriam Marques, Lalit Kumar","doi":"10.1080/17425247.2023.2218084","DOIUrl":"10.1080/17425247.2023.2218084","url":null,"abstract":"<p><strong>Introduction: </strong>The fabrication of well-defined nanocrystals in size and form is the focus of much investigation. In this work, we have critically reviewed several recent instances from the literature that shows how the production procedure affects the physicochemical properties of the nanocrystals.</p><p><strong>Areas covered: </strong>Scopus, MedLine, PubMed, Web of Science, and Google Scholar were searched for peer-review articles published in the past few years using different key words. Authors chose relevant publications from their files for this review. This review focuses on the range of techniques available for producing nanocrystals. We draw attention to several recent instances demonstrating the impact of various process and formulation variables that affect the nanocrystals' physicochemical properties. Moreover, various developments in the characterization techniques explored for nanocrystals concerning their size, morphology, etc. have been discussed. Last but not least, recent applications, the effect of surface modifications, and the toxicological traits of nanocrystals have also been reviewed.</p><p><strong>Expert opinion: </strong>The selection of an appropriate production method for the formation of nanocrystals, together with a deep understanding of the relationship between the drug's physicochemical properties, unique features of the various formulation alternatives, and anticipated in-vivo performance, would significantly reduce the risk of failure during human clinical trials that are inadequate.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":"20 7","pages":"871-894"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10009552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Strategies for overcoming the biological barriers associated with the administration of inhaled monoclonal antibodies for lung diseases. 克服与肺部疾病吸入单克隆抗体给药相关的生物屏障的策略。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-09-16 DOI: 10.1080/17425247.2023.2260310
Maria Gabriella Matera, Luigino Calzetta, Barbara Rinaldi, Mario Cazzola, Paola Rogliani
{"title":"Strategies for overcoming the biological barriers associated with the administration of inhaled monoclonal antibodies for lung diseases.","authors":"Maria Gabriella Matera,&nbsp;Luigino Calzetta,&nbsp;Barbara Rinaldi,&nbsp;Mario Cazzola,&nbsp;Paola Rogliani","doi":"10.1080/17425247.2023.2260310","DOIUrl":"10.1080/17425247.2023.2260310","url":null,"abstract":"<p><strong>Introduction: </strong>Monoclonal antibodies (mAbs) should be administered by inhalation rather than parenterally to improve their efficiency in lung diseases. However, the pulmonary administration of mAbs in terms of aerosol technology and the formulation for inhalation is difficult.</p><p><strong>Areas covered: </strong>The feasible or suitable strategies for overcoming the barriers associated with administering mAbs are described.</p><p><strong>Expert opinion: </strong>Providing mAbs via inhalation to individuals with lung disorders is still difficult. However, inhalation is a desirable method for mAb delivery. Inhaled mAb production needs to be well thought out. The illness, the patient group(s), the therapeutic molecule selected, its interaction with the biological barriers in the lungs, the formulation, excipients, and administration systems must all be thoroughly investigated. Therefore, to create inhaled mAbs that are stable and efficacious, it will be essential to thoroughly examine the problems linked to instability and protein aggregation. More excipients will also need to be manufactured, expanding the range of formulation design choices. Another crucial requirement is for novel carriers for topical delivery to the lungs since carriers might significantly enhance proteins' stability and pharmacokinetic profile.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1085-1095"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10670945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The importance of dissolution for orally inhaled drug products: pharmaceutical, regulatory, and clinical considerations. 口服吸入药物产品溶出度的重要性:药物、监管和临床考虑。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-04-24 DOI: 10.1080/17425247.2023.2205636
Karin Somby, Martin Hingle, Ivana Tomic, Ben Forbes
{"title":"The importance of dissolution for orally inhaled drug products: pharmaceutical, regulatory, and clinical considerations.","authors":"Karin Somby,&nbsp;Martin Hingle,&nbsp;Ivana Tomic,&nbsp;Ben Forbes","doi":"10.1080/17425247.2023.2205636","DOIUrl":"10.1080/17425247.2023.2205636","url":null,"abstract":"Almost all current orally inhaled drug products (OIDPs) are for the treatment of respiratory diseases, and many have been designed using molecular or formulation strategies to retain drug in the lungs. After deposition in the lungs, the rate at which aerosol particles release drug into the lung lining fluid is a determinant of local bioavailability for drugs with poor solubility. Slow dissolution provides an absorption rate-limiting mechanism for prolonging lung exposure to an inhaled drug and extending the duration of pharmacodynamic effects. Historically, the Inhalation Ad Hoc Advisory Panel of the United States (US) Pharmacopoeia (2008) considered that there was an absence of ‘compelling evidence that dissolution testing is kinetically important for currently approved inhaled drug products’; a conclusion supported in 2012 by an IPAC-RS Dissolution Working Group [1]. Paradoxically, there has since been an intensification of interest in dissolution testing for OIDPs, driven at least in part by the US Food and Drug Administration sponsorship of research in this area [2,3]. More recently, solubility has been proposed as a key attribute of the drug substance and dissolution as a key attribute of the drug product under the foundational principles of an inhaled biopharmaceuticals classification system (iBCS) [4]. This brings closer the prospect of dissolution being recognized formally as a critical quality attribute for certain classes of OIDP and that in vitro dissolution methods will be required to characterize OIDPs in a way that is biorelevant, predictive, and can be used with confidence by medicine developers and regulators. Developing a biorelevant dissolution assay for OIDPs is challenging in practice, requiring collection of a relevant aerosol fraction, a dissolution apparatus, and dissolution medium that replicate the key determinants of dissolution in the lungs and methods for data analysis and interpretation. This article summarizes briefly recent developments in dissolution testing with a focus on pharmaceutical, regulatory, and clinical relevance (Figure 1).","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1033-1036"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Oral delivery of biomacromolecules by overcoming biological barriers in the gastrointestinal tract: an update. 通过克服胃肠道中的生物屏障口服生物大分子:最新进展。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-07-13 DOI: 10.1080/17425247.2023.2231343
Shiyun Liu, Xiangce Wen, Xin Zhang, Shirui Mao
{"title":"Oral delivery of biomacromolecules by overcoming biological barriers in the gastrointestinal tract: an update.","authors":"Shiyun Liu,&nbsp;Xiangce Wen,&nbsp;Xin Zhang,&nbsp;Shirui Mao","doi":"10.1080/17425247.2023.2231343","DOIUrl":"10.1080/17425247.2023.2231343","url":null,"abstract":"<p><strong>Introduction: </strong>Biomacromolecules have proven to be an attractive choice for treating diseases due to their properties of strong specificity, high efficiency, and low toxicity. Besides greatly improving the patient's complaint, oral delivery of macromolecules also complies with hormone physiological secretion, which has become one of the most innovative fields of research in recent years.</p><p><strong>Areas covered: </strong>Oral delivery biological barriers for biomacromolecule, transport mechanisms, and various administration strategies were discussed in this review, including absorption enhancers, targeting nanoparticles, mucoadhesion nanoparticles, mucus penetration nanoparticles, and intelligent bionic drug delivery systems.</p><p><strong>Expert opinion: </strong>The oral delivery of biomacromolecules has important clinical implications; however, these are still facing the challenges of low bioavailability due to certain barriers. Various promising technologies have been developed to overcome the barriers and improve the therapeutic effect of oral biomacromolecules. By considering safety and efficacy comprehensively, the development of intelligent nanoparticles based on the GIT environment has demonstrated some promise in overcoming these barriers; however, a more comprehensive understanding of the oral fate of oral biomacromolecules is still required.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1333-1347"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10150226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Continuous subcutaneous levodopa-carbidopa for the treatment of advanced Parkinson's disease: is it an improvement on other delivery? 持续皮下注射左旋多巴卡比多巴治疗晚期帕金森病:与其他药物相比有改善吗?
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-09-10 DOI: 10.1080/17425247.2023.2253146
Sheila A Doggrell
{"title":"Continuous subcutaneous levodopa-carbidopa for the treatment of advanced Parkinson's disease: is it an improvement on other delivery?","authors":"Sheila A Doggrell","doi":"10.1080/17425247.2023.2253146","DOIUrl":"10.1080/17425247.2023.2253146","url":null,"abstract":"<p><strong>Introduction: </strong>Parkinson's disease (PD) is the second most common neurodegenerative disease and is growing in prevalence and disability. The standard treatment for PD is oral levo-dopa (LD) with carbidopa (CD). As PD progresses, despite higher doses of LD/CD, plasma levels of LD fluctuate, and may be associated with motor fluctuations and dyskinesia.</p><p><strong>Areas covered: </strong>The development of two new subcutaneous preparations of LD/CD (ND0612 and ABBV-951) for the treatment of motor fluctuations in PD is described in detail. Both reduce motor fluctuations and dyskinesia with minor infusion site adverse events. A third subcutaneous preparation, DIZ102, is in early-stage development.</p><p><strong>Expert opinion: </strong>The premise for using continuous release LD in advanced PD is that steady state levels of LD will prevent motor fluctuations/dyskinesia, but this is not the whole story, and will limit the benefits of subcutaneous continuous release LD. With its present pump system ND0612 cannot be used as monotherapy, whereas ABBV-951 can be. Having to combine with oral LD/CD will complicate the use of ND0612. Both ND0612 and ABBV-951 only cause modest reductions in OFF time. It is not clear whether these subcutaneous preparations will have more benefits than the intestinal gel, which also reduces OFF time and dyskinesia.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1189-1199"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10251463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The impact of common pharmaceutical excipients on the gut microbiota. 常见药用辅料对肠道微生物群的影响。
IF 6.6 2区 医学
Expert Opinion on Drug Delivery Pub Date : 2023-07-01 Epub Date: 2023-06-18 DOI: 10.1080/17425247.2023.2223937
Santhni Subramaniam, Srinivas Kamath, Amin Ariaee, Clive Prestidge, Paul Joyce
{"title":"The impact of common pharmaceutical excipients on the gut microbiota.","authors":"Santhni Subramaniam,&nbsp;Srinivas Kamath,&nbsp;Amin Ariaee,&nbsp;Clive Prestidge,&nbsp;Paul Joyce","doi":"10.1080/17425247.2023.2223937","DOIUrl":"10.1080/17425247.2023.2223937","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing attention is being afforded to understanding the bidirectional relationships that exist between oral medications and the gut microbiota, in an attempt to optimize pharmacokinetic performance and mitigate unwanted side effects. While a wealth of research has investigated the direct impact of active pharmaceutical ingredients (APIs) on the gut microbiota, the interactions between inactive pharmaceutical ingredients (i.e. excipients) and the gut microbiota are commonly overlooked, despite excipients typically representing over 90% of the final dosage form.</p><p><strong>Areas covered: </strong>Known excipient-gut microbiota interactions for various classes of inactive pharmaceutical ingredients, including solubilizing agents, binders, fillers, sweeteners, and color additives, are reviewed in detail.</p><p><strong>Expert opinion: </strong>Clear evidence indicates that orally administered pharmaceutical excipients directly interact with gut microbes and can either positively or negatively impact gut microbiota diversity and composition. However, these relationships and mechanisms are commonly overlooked during drug formulation, despite the potential for excipient-microbiota interactions to alter drug pharmacokinetics and interfere with host metabolic health. The insights derived from this review will inform pharmaceutical scientists with the necessary design considerations for mitigating potential adverse pharmacomicrobiomic interactions when formulating oral dosage forms, ultimately providing clear avenues for improving therapeutic safety and efficacy.</p>","PeriodicalId":12229,"journal":{"name":"Expert Opinion on Drug Delivery","volume":" ","pages":"1297-1314"},"PeriodicalIF":6.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 3
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