Injectable PLGA Adefovir microspheres; the way for long term therapy of chronic hepatitis-B

Margrit M Ayoub1, Neveen G Elantouny2, Hanan M El-Nahas1

  • 1Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.

Insights

Sustained release Adefovir Poly-d,l-lactic-co-glycolic acid (PLGA) microspheres offer a convenient long-term treatment for chronic hepatitis-B. These microspheres reduce the need for daily dosing, improving patient compliance.

Area of Science:

  • Pharmaceutical Sciences
  • Biomaterials Science
  • Hepatology

Background:

  • Chronic hepatitis-B requires long-term antiviral therapy, often involving daily Adefovir dosing.
  • Daily medication regimens can lead to poor patient compliance and treatment inconvenience.
  • Poly-d,l-lactic-co-glycolic acid (PLGA) microspheres offer a potential solution for sustained drug delivery.

Purpose of the Study:

  • To formulate and characterize sustained-release Adefovir Poly-d,l-lactic-co-glycolic acid (PLGA) microspheres.
  • To evaluate the in vitro drug release and in vivo pharmacokinetic profile of the Adefovir-PLGA microspheres.
  • To assess the potential of Adefovir-PLGA microspheres as a long-term treatment for chronic hepatitis-B.

Main Methods:

  • Formulation of Adefovir-PLGA microspheres using varying drug:polymer ratios, polymer viscosity, and lactide content.
  • Characterization included entrapment efficiency, particle size distribution, scanning electron microscopy (SEM), Fourier transform infrared (FTIR) spectroscopy, and differential scanning calorimetry (DSC).
  • In vitro drug release studies were conducted over extended periods (up to 90 days), and in vivo pharmacokinetic studies were performed in rats following intramuscular injection.

Main Results:

  • Successful formulation of Adefovir-PLGA microspheres with entrapment efficiencies ranging from 55.83% to 86.95%.
  • FTIR and DSC analyses indicated significant drug-polymer interactions, while SEM showed smooth, nonporous microsphere surfaces.
  • In vitro release studies demonstrated sustained drug release over 90 days. In vivo studies showed a significant increase in Tmax, AUC0-t, and MRT, with a significant decrease in Cmax (p < 0.05).

Conclusions:

  • Adefovir-PLGA microspheres are a viable sustained-release formulation for managing chronic hepatitis-B.
  • The developed microspheres significantly prolong drug presence in the body compared to daily dosing.
  • This formulation offers a promising alternative to daily Adefovir administration, enhancing patient convenience and potentially improving treatment outcomes.

Related Concept Videos

Long-term Depression01:05

Long-term Depression

Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.4K
Long-term Depression01:03

Long-term Depression

Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
3.4K
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment01:08

Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment

Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
281
Hepatic Portal System01:21

Hepatic Portal System

The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
6.3K
Gene Therapy00:59

Gene Therapy

Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
27.7K
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
250