Ocular pharmacokinetics of subconjunctivally administered cyclosporine in the rabbit

G S Kalsi1, G Gudauskas, N Bussanich

  • 1Department of Ophthalmology, University of British Columbia, Vancouver.

Insights

Subconjunctival cyclosporine delivery enhances ocular absorption and minimizes systemic exposure in rabbits compared to intravenous administration. This method offers a promising route for targeted ocular drug delivery.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Drug Delivery

Background:

  • Cyclosporine is an immunosuppressant used in treating various ocular conditions.
  • Understanding its ocular pharmacokinetics is crucial for optimizing treatment efficacy and safety.

Purpose of the Study:

  • To evaluate the ocular toxicity and pharmacokinetics of subconjunctival versus intravenous cyclosporine administration in rabbits.
  • To compare ocular and systemic drug concentrations following different administration routes.

Main Methods:

  • New Zealand white rabbits received subconjunctival or intravenous injections of cyclosporine.
  • Cyclosporine concentrations in aqueous humor, vitreous humor, blood, and urine were measured using high-pressure liquid chromatography at various time points.
  • Maximum tolerable dose and peak concentrations were determined.

Main Results:

  • Subconjunctival administration yielded significantly higher peak cyclosporine concentrations in aqueous (718 ng/mL) and vitreous (1078 ng/mL) humor compared to intravenous administration.
  • Intravenous administration resulted in no detectable aqueous humor levels and a peak vitreous concentration of 292 ng/mL.
  • Peak blood cyclosporine levels were 10 times lower after subconjunctival injection than after intravenous injection.

Conclusions:

  • Subconjunctival cyclosporine administration demonstrates superior ocular absorption compared to intravenous delivery.
  • This route effectively enhances drug concentration within ocular tissues while reducing systemic exposure in rabbits.
  • Subconjunctival administration represents a more efficient method for achieving therapeutic cyclosporine levels in the eye.