Documente Academic
Documente Profesional
Documente Cultură
Antnio J. Almeida
Research Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculdade de Farmcia Universidade de Lisboa Portugal aalmeida@ff.ul.pt
INOVATIVE DRUGS
The recent tremendous advances in health science technology and inexorable progress in related scientific innovations, coupled with changes in population demographics and the colouring of political agendas with the economics of disease, are all acting in concert to take the pharmaceutical industry into exciting and challenging new dimensions. G. Gregoriadis (2002)
INOVATIVE DRUGS
New drug delivery systems Genomics Biotechnology Neurosciences Gene Therapy Bioinformatics Proteomics Metalolomics
Inovative Drugs
DIFFERENT APPROACHES
PHYSICAL APPROACH Macroscopic systems activated by physical processes (capsules, granules, etc)
CHEMICAL APPROACH Chemical modification of drugs (derivative preparation, salts, pro-drugs, association to polymers, etc.) PHARMACEUTICAL APPROACH (pharmaceutical formulation)
BIOCHEMICAL / BIOTECHNOLOGICAL APPROACH Naturally occurring macromolecules Cells Colloidal polymeric or lipid systems
Time
in vivo
Drug concentration in serum
0
12
18
Time (hour)
A.J. Almeida, 2007
Convencional Release Modified Release Delayed Release Prolonged Release Controlled Release Drug Targeting
SKF
Spansule
ALZA
Progestasert
A.J. Almeida, 2007
Oros
Ocusert
Biological problems
Biodegradation by digestive enzymes Short in vivo half-life Imunogenicity Complex metabolism Dificulty in crossing mucosal barriers No access to some compartments
PROTEIN DRUGS
9 Investigation of alternative administration routes (nasal, rectal, pulmonary, etc.); 9 Investigation of alternative prolonged or pulsed release drug delivery systems; 9 Investigation of new dosage forms that can provide protection against premature
degradation;
PARTICULATE SYSTEMS
liposomes cochleates nanocapsules iscoms Particulate cubosomes Systems microemulsions niosomes microspheres transfersomes nanoparticles micelles nanosuspensions virosomes
COLLOIDAL SYSTEMS
Definition IUPAC
COLLOIDAL
The term refers to a state of subdivision, implying that the molecules or polymolecular particles dispersed in a medium have at least in one direction a dimension roughly between 1 nm and 1 m, or that in a system discontinuities are found at distances of that order.
COLLOIDAL SYSTEMS
Microparticles Solid particles made of polymeric or solid lipid materials Podem conter o frmaco disperso, encapsulado ou adsorvido superfcie. Microspheres (1 m) Microcapsules (reservoir systems) Microparticles (matrix systems)
9 9 9 9 9 9 9 9 9 9 9
A.J. Almeida, 2007
poly(lactide-co-glycolide) (PLGA) poly--caprolactone (PCL) poly(hydroxibutiric acid) (PHB) polyorthoesters polyanhydrides polyphosfazenes polyalkylcianoacrylates (PIBCA ou PHCA) proteins (albumine, gelatine, gliadines) starch chitosan alginate
Type II
Type III
9 Drug release by polymer enzymatic degradation. 9 Drug release rate is controlled by the rate of the enzymatic reaction. 9 Predominat use in controlled release from biodegradable polymers often used in
particulate carriers (e.g. albumine, gelatine, polyalkylcianoacrylates).
multiple emulsion
Polymer in organic solvent Drug + water + emulsifying agent w/o emulsion B Aqueous phase + surfactant
10
multiple emulsion
Drug+ Water + Emulsifying agent w/o emulsion B Aqueous phase heated at same temperature
Emulsion 2
Cooling
11
Washing CaCl2
Fluid-bed drying
12
Sterilization
Stability
13
LIPOSOMES 9physical and chemical stability problems 9no cheap liposome available 9marketed products but behind expectations
POLYMERIC NANOPARTICLES 9input: 30 years of research 9no output: no products on the market
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The term used to describe a specific cure for syphilis, which would attack the syphilis spirochaete while having no effect whatsoever on human tissue.
Specificity
Carrier Drug
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Exclusive delivery to specific compartments (and/or diseases) Access to previously inaccessible sites (e.g. intracellular infections) Protection of drug and body from unwanted deposition, which could lead to unwanted reactions and metabolism, etc. Controlled rate and modality of delivery to pharmacological receptor Reduction in the amount of drug employed
0,01
10
100
ACTIVE TARGETING Magnetic fields Lynphotropic adjuvants MPS blocking Receptor mediated processes Immunotherapy 0,1 Diametre (m)
A.J. Almeida, 2007
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DRUG TARGETING
Soluble carriers (monoclonal antibodies, dextrans, soluble synthetic polymers) Particulate carriers (liposomes, microspheres, nanoparticles, etc.) Target-specific recognition moieties (monoclonal antibodies, carbohydrates) Antibody-directed enzyme/prodrug therapy Virus-directed enzyme/prodrug therapy
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LIPID NANOPARTICLES
9 Lipophilic colloidal delivery system (R.H. Mller, Berlin; M.R. Gasco, Turin); 9 Efficient and non-toxic drug carrier specially for lipophilic drug molecules; 9 Composed of physiological / well tolerated excipients e.g. GRAS (= similar to emulsions and liposomes); 9 Possess solid matrix (= similar to polymeric nanoparticles); 9 Protective properties 9 Controlled release properties 9 Colloidal dimensions and controlled release behaviour enable drug protection and administration by parenteral and non-parenteral routes.
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LIPID NANOPARTICLES
9 Versatility 9Parenteral administration (Fundar et al, 2000) 9Brain delivery (Fundar et al, 2000) 9Ocular delivery (Cavalli et al, 2002) 9Rectal delivery (Sznitowska et al, 2001) 9Oral delivery (Garca-Fuentes et al, 2002) 9Topical delivery (Souto et al, 2004) 9 Potential vaccine delivery systems (Almeida et al, 1997) 9 Large scale production possible using lines available in pharmaceutical plants (i.e. lines for parenteral emulsions (Mller et al, 2001)
SLN PREPARATION
Solvent Evaporation
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High-Pressure Homogenisation
SLN suspension
PhD Thesis
20
Basic principles: 9equipment can be qualified and validated 9accepted by regulatory authorities in production lines used for parenterals 9existing industrial production lines for i.v. parenteral emulsions can be used 9all production lines developed for SLN are usable
21
Liquid nitrogen
Micronization
High-Pressure Homogenisation
SLN suspension
homogeneous matrix
lipid-enriched core
drug-enriched core
22
PROBLEMS ASSOCIATED WITH SLN Formation of perfect crystalline structure during storage ( modification) drug expulsion
Souto (2007)
9 Physical stability of aqueous solution 9 Gel formation 9 Particle aggregation 9 High water content of dispersions (70 - 95%) 9 Need to remove too much water in tablet / pellet production 9 Dosing problems (e.g. dispersion for soft gelatin capsules, lipid particle content max. 30%)
Souto (2007)
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not just mixing solid lipids but: controlled nanostructuring of lipid matrix
9 to accommodate drug 9 to control release 9 to trigger release
A.J. Almeida, 2007
Souto (2007)
LIPID NANOPARTICLES
Advantages:
higher drug load, firm incorporation (e.g. 1% Retinol in SLN, 6% in NLC)
Oil-loaded particle
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melting
Micronisation in a powder-mill
Pre-mix using a highspeed homogeniser Lipid composition Hard fats (Softisan 142 and Witepsol E85) Cetyl alcohol Propyleneglycol palmitostearate (Monosteol) PEG 300 mono-, di-stearate (Superpolystate) Surfactant Poloxamer 188 Tween 80
25
Day 1 Day 10
NANOENCAPSULATION OF LYSOZYME IN LN
MW
Water
S/CA
W/CA
Mono
Sup
26
NANOENCAPSULATION OF LYSOZYME IN LN
140 Lysozyme activity (%) 120 100 80 60 40 20 0
MW 97.0 KDa 66.2 KDa 45.0 KDa 31.0 KDa 21.5 KDa 14.4 KDa
Ct
Initial
Sup Soft/CA
LN
Initial
Sup Wit/CA
LN
Lipid matrix
Particle Size Laser diffraction (m sd) D50 0.600.00 D90 1.860.02 D50 0.580.00 D90 0.930.01
S 142/CA W E85/CA
DEVELOPMENT OF OVA-CONTAINING LN
Lipid composition
gliceryl behenate (Compritol 888 ATO) gliceryl palmitosterarate (Precirol ATO 5) cetyl Alcohol
Surfactant
Tween 80
Speed rate
8 000 - 10 000 rpm
solidification
27
SLN (nm) Lipid (%) 6 Pr Cp W/AC Pr Cp W/Ac Pr Cp W/Ac dmt=3d 103 171 284 196 240 252 230 373 307 dmt=30d 115 168 280 205 253 265 200 378 289
OVA SLN (nm) dmt=3d 128 196 314 dmt=30d 153 205 320
10
ENTRAPMENT EFFICIENCY
Tween 80
Lipid
Pr
3 30 3 30 3 30 3 30 3 30 3 30 3 30 3 30 3 30
2%
6%
Cp W/CA Pr
8%
Cp W/CA Pr
10%
Cp W/CA
60%
100%
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80 70 OVA released (%) 60 50 40 30 20 10 0 45.0 KDa 0 5 10 15 20 25 30 35 Time (day) 31.0 KDa 97.0 KDa 66.2 KDa
Protein Integrity
MW LNsup 1W 2W 3W
Conc.OVA (%)
ADSORPTION STUDIES
7 80 70
10 82 79
Desorption profiles
Conc. OVA (%) 100 80 60 40 20 0 0 250 500 750 time (min) 1000 1250 1500 25C 15C
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PULMONARY ADMINISTRATION
The Lung
Unique features that can facilitate systemic delivery via pulmonary administration of drugs:
Large surface rea (75 m2). Good vascularisation. Large capacity for solute exchange. Ultra-thineness of the alveolar epithelium (0.1-0.5 mm). First-pass metabolism is avoided.
Advantages
100 80
Lung
60
40 20 0 80 60 40 20 0 80 60 40 20 0 6 Time (hour)
Free Liposomal (0,7 m) PLGA Microencapsulated (0,7 m) Kidney Blood
Avoids instability in blood stream and uptake by the MPS. Allows high concentrations of drug in the lungs
24
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A leading cause of death around the world, accounting for 13% of newly diagnosed cancers and 30% of all cancer deaths. Very low survival rate (14% in 5 years; mean survival time 14 months). Metastatic disease starts at very early stages, particularly in SCLC, the majority of patients with lung cancer having metastatic disease at the time of diagnosis. Metastasis spread mainly via the lymphatics to the lymph nodes, liver, brain, bones and adrenal glands. Early diagnosis is crucial to increase survival rate and staging is critically dependent upon the involvement of the lymph nodes that drain the region containing the tumour. Chemotherapy plays an important role alongside surgery and radiation therapy, but lung cancer is usually diagnosed at an incurable stage.
Lung perfusion imaging is based on the trapping of i.v. injected radiolabelled albumin microspheres (10-50m) in the capillary bed of the lung: Technetium [99m Tc] Microspheres Injection (Ph Eur).
I.v. injected radiolabelled PLGA microspheres have also been proposed for lung imaging (Delgado et al. 2000).
Several
particulate
carriers
have
been
used
for
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Lipid Nanoparticles Administration have been studied by parenteral and non-parenteral routes.
To investigate LN as a potential drug carrier to the lungs and, through alveolar airways, to the lymphatic system, thus optimising concentration at the tumour site or at distant metastasis sites.
To evaluate LN in vivo fate after pulmonary absorption upon nebulisation and delivery to laboratory animals.
NANOPARTICLE PRODUCTION
Lipid composition
gliceryl behenate (Compritol 888 ATO) gliceryl palmitosterarate (Precirol ATO 5) cetyl Alcohol solidification
Surfactant
Tween 80
Speed rate
8 000 - 10 000 rpm
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Me
Me
99mTcO 4
NaCl
Me
NH
NH
Me
Me
N OH
N OH
Me
Lipid Nanoparticles
Radiolabelled LN
- Scintigraphy
Labelling efficiency
Ultrasonic nebulization
anaesthetised male Wistar rats
Particle size
CHARACTERISATION OF 99mTc-HMPAO-LN
ASPECT
PARTICLE SIZE
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CHARACTERISATION OF 99mTc-HMPAO-LN
Radiochemical Purity (TLC) Labelling efficiency: 972%
99mTc-HMPAO
99mTc-HMPAO
99mTc-HMPAO-LN
t0
t0
Sys I t30
Sys II t30
Sys I
Sys II
butanone
A.J. Almeida, 2007
butanone
BIODISTRIBUTION
99mTc-HMPAO
99mTc-HMPAO-LN
35
BIODISTRIBUTION
3 min
8 min
60 min
99mTc-HMPAO
99mTc-HMPAO-LN
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LYMPHATIC DISTRIBUTION
Lungs
T1/2 10 min
Axillary nodes
Periaortic nodes
Inguinal nodes
35 30 % activity/g of tissue 25 20 15 10 5 0
Se ru ly m m Ax ph illa no ry de ly In m s gu ph in no al de ly m s ph no de s Li ve r Sp le en Th yr oi d Ki dn ey s rt Br Sm ai al n li nt e La st in rg e e in te st in e Te st ic le s s Lu ng He a Ur in e
Pe r
ia o
r ti c
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Tissue 2 min Brain Blood Lungs Kidneys Intestines Liver Urine 2.10.1 11.00.4 3.70.8 6.51.1 15.41.7 13.91.9 0.40.4
% Dose in Organ 10 min 2.10.2 10.51.1 3.10.2 6.30.2 15.80.2 10.20.4 3.20.3 30 min 1.80.2 9.40.2 3.10.1 6.60.4 19.80.3 10.40.4 9.50.1 60 min 2.00.2 8.60.3 2.80.3 6.41.2 21.51.5 8.61.0 14.60.3
120 100
% Activity/g % activity/g
80 60 40 20 0 3 8 15 Time (min)
(n=4; meansd)
30
60
38
99mTc-HMPAO-LN
90 80 70
% activity/g
60 50 40 30 20 10 0 3 8 15 Time (min) 30 60
Stomach Liver Aortic lymph nodes Axillary lymph nodes Inguinal lymph nodes
(n=4; meansd)
99mTc-HMPAO
90 80 70
% activity/g
60 50 40 30 20 10 0 3 8 15 Time (min) 30
60
(n=4; meansd)
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ALVEOLAR CLEARANCE
Uptake of 1.1 m fluorescent polystyrene particles administered i.n. to mice
Eyles et al (2001). Vaccine
15 min
24 h
Dendritic cells
Peribronchial LN
6h
A.J. Almeida, 2007
24 h
LN
B MA L T
Lymphatics
Possible Mechanisms
Dissolution Macrophage phagocytosis Direct passage Uptake by vascular system Movement into the lymphatic system Axonal translocation to CNS
Interstitium
Pleura
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PRELIMINARY STUDY
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UV
Background:
Topical application of SLN have been used for therapeutic or cosmetic
purposes.
Reduced release of sunscreens from SLN when compared to emulsions Reduced side effects SLN may be formulated in creams, gels, sprays, allowing modulated drug
release.
Is it so ?
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NANOPARTICLE PRODUCTION
Lipid melting melting heating heating Aq.phase Emulsification
Lipid composition gliceryl behenate (Compritol 888 ATO) gliceryl palmitosterarate (Precirol ATO 5) Surfactant Tween 80 Speed rate 8 000 - 10 000 rpm Model Drugs Octylmethoxycinamate (OMC)
Homogenization solidification
Formulation
C (empty)
C-OMC
P (empty)
P-OMC
Time (months) 1 12 16 1 12 16 1 6 16 1 6 16
D50 147,0 80,4 102,2 16,5 33,9 14,9 221,6 269,4 289,1 144,7 59,3 87,2
Particle size (nm) D90 174,3 320,4 201,8 83,6 41,4 49,5 247,3 269,4 289,1 203,3 139,8 202,4
PI D95 206,6 320,4 201,8 105,3 41,4 49,5 247,3 269,4 289,1 241,0 186 268 0,516 0,546 0,529 0,541 0,443 0,418 0,541 0,176 0,614 0,204 0,589 0,586
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350 300
NL PR/OMC
NL CP/OMC
0,5
1,0
1,5
2,0
2,5
3,0
15 12 9 6 3 0 0,0
NL CP/OMC
NL PR/OMC
3,0
9,0
12,0
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IN VIVO STUDIES
16 female volunteers (24 to 54 years old; phototypes II and III 10-day application trial on the antero-external surface of both legs 3 different areas studied corresponding: LN-OMC formulation LN blank formulation non-treated area (1 negative control per leg). Experimental challenge: controlled exposure of volunteers to a UV radiation source (Sunny HB-406 Solarium, Phillips) Parameter measured: skin colorimetry (erythema and melanisation indexes), TEWL and elasticity.
50 cm
Fonte de Radiao
IN VIVO RESULTS
Erythema
10 9 8 7 6 5 4 3 2 1 0 0 3 5 Time (days) 7 10
70 68
Melanisation (AU)
LN Neg Cont LN-OMC Neg Cont
Melanisation
Erythema (AU)
66 64 62 60 58 56 0 3 5
Time (days)
10
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MARKETED PRODUCTS
Nanobase Yamanouchi/Poland
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AIM Production of drug-lipid micro- and nanoparticles by a PGSS (particles from gas saturated solutions) process, as an alternative method.
MAIN ADVANTAGES
9 9 9
Avoid the use of solvents Particles are obtained as a dry powders, instead of suspensions Mild pressure and temperature conditions
PGSS System
(A) (B) (C) (D) (E) CO2 supply cylinder Gas compressor CO2 storage cylinder Mixing cell Collecting chamber
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12
180 160 10
r( m )
140 46 120
su Pres
ar) re (b
100 80
% Released
60 40
T F L c o m m erc ia l
20 0 0 6 12
18
24
Time (hours)
Lysozyme Biological Activity Lysozyme particles produced from solutions with an ethanol mole fraction of C = 0.28 showed no significant loss of activity.
48
CONCLUSIONS (I)
LN show suitable properties to become one of the most versatile nanoparticulate carriers for drug and protein delivery. Several drug incorporation techniques are applicable, including protein adsorption. Inhalation may be an effective route to deliver LN, representing an alternative to the intraperitonial route for targeting colloidal carriers to the lymphatics. LN present lymphatic tropism, thus providing the possibility of using radiolabelled LN as a lymphoscintigraphic agent, and allowing the direct delivery of cytotoxic drugs to lung cancer in limited or extensive stage. The limited amount of particle retention in lungs may allow the use of LN as a sustained release formulation in chronic lung therapy. LN show an effective control release of lipophilic drugs, whici is suitable for percutaneous absorption, with a minimum permeation thus making LN a safe vehicle for sunscreen agents.
CONCLUSIONS (II)
In vivo results do not confirm early reports, i.e. LN on their own no not improve significantly TEWL and elasticity (results not shown).
Melanisation index was the only parameter that showed a trend, demonstrating that LN present some protective capacity against UV radiation in vivo.
SCF techniques can be successfully applied to the formulation of solid lipid microand nanoparticles with controlled-release characteristics.
Using a modified SCF technique, it is possible to produce LN containing intact and biologically active protein molecules.
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ACKNOWLEDGEMENTS
Faculdade de Farmcia, Lisboa Ana Cerdeira Ana Filipa Azevedo Helena Florindo Jorge Galhardas Jorge Moita Jos A. G. Morais Lus F. Gouveia Lus M. Rodrigues Mafalda Videira Paulo Ferreira Almeida Freie Universtt, Berlin Rainer H. Mller Stephan Runge IBILI, Coimbra Ana Cristina Santos Filomena Botelho J.J. Pedroso de Lima Institut de Recerca Oncolgica, Barcelona Angels Fabra
A.J. Almeida, 2007
UNFAB, INETI, Lisboa Eugnia Cruz Lusa Corvo Manuela Gaspar IBET, Oeiras Manuel Carrondo Antnio Cunha Ldia Gonalves IST, Lisboa Edmundo Gomes de Azevedo Henrique Matos Jun Li Miguel ngelo Rodrigues LEF, Lisboa Ascenso Farinha Cristina Toscano
Instituto Tecnolgico Nuclear, Lisboa Maria dos Anjos Neves Lurdes Gano Laboratrio Sorolgico, SA Patrcia Cruz London School of Pharmacy (CDDR) H.Oya Alpar S. Pandit
Fundao para a Cincia e a Tecnologia Tecnimede, SA Laboratrio Sorolgico, SA SINDEPEDIP- IMUNOPOR Fundao C. Gulbenkian DAAD, Germany INVOTAN
OLD LISBON
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MODERN LISBON
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