Lapatinib nano-delivery systems: a promising future for breast cancer treatment
Gunjan Vasant Bonde1, Sarita Kumari Yadav1,2, Sheetal Chauhan3
1a Department of Pharmaceutical Engineering & Technology , Indian Institute of Technology, Banaras Hindu University , Varanasi , India.
Introduction:
Breast cancer stands the second prominent cause of death among women. For its efficient treatment, Lapatinib (LAPA) was developed as a selective tyrosine kinase inhibitor of receptors, overexpressed by breast cancer cells. Various explored delivery strategies for LAPA indicated its controlled release with enhanced aqueous solubility, improved bioavailability, decreased plasma protein binding, reduced dose and toxicity to the other organs with maximized clinical efficacy, compared to its marketed tablet formulation.
Areas Covered:
This comprehensive review deals with the survey, performed through different electronic databases, regarding various challenges and their solutions attained by fabricating delivery systems like nanoparticles, micelle, nanocapsules, nanochannels, and liposomes. It also covers the synthesis of novel LAPA-conjugates for diagnostic purpose.
Expert Opinion:
Unfortunately, clinical use of LAPA is restricted because of its extensive albumin binding capacity, poor oral bioavailability, and poor aqueous solubility. LAPA is marketed as the oral tablet only. Therefore, it becomes imperative to formulate alternate efficient multiparticulate or nano-delivery systems for administration through non-oral routes, for active/passive targeting, and to scale-up by pharmaceutical scientists followed by their clinical trials by clinical experts. LAPA combinations with capecitabine and letrozole should also be tried for breast cancer treatment.
Insights
New delivery systems enhance Lapatinib (LAPA) for breast cancer treatment. These strategies improve solubility and bioavailability, overcoming limitations of the oral tablet for better patient outcomes.
Area of Science:
- Pharmacology and Drug Delivery
- Oncology
- Biochemistry
Background:
- Breast cancer is a leading cause of death in women.
- Lapatinib (LAPA) is a tyrosine kinase inhibitor used for breast cancer.
- LAPA's clinical use is limited by poor solubility, bioavailability, and high albumin binding.
Purpose of the Study:
- To review challenges and solutions for LAPA delivery systems.
- To explore novel LAPA formulations for improved therapeutic efficacy.
- To cover LAPA-conjugates for diagnostic applications.
Main Methods:
- Comprehensive literature review of electronic databases.
- Survey of various LAPA delivery systems (nanoparticles, liposomes, etc.).
- Discussion of LAPA-conjugate synthesis for diagnostics.
Main Results:
- Explored delivery systems offer controlled release, enhanced solubility, and bioavailability.
- Strategies reduce LAPA's dose, toxicity, and plasma protein binding.
- Novel formulations show potential for maximized clinical efficacy compared to oral tablets.
Conclusions:
- Alternative non-oral delivery systems are crucial for LAPA.
- Multiparticulate or nano-delivery systems are needed for targeted administration.
- Further research into LAPA combinations and clinical trials is recommended.
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