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Controlled release technology for anti-angiogenesis treatment of posterior eye diseases: Current status and
Chi Ming Laurence Lau1, Yu Yu2, Ghodsiehsadat Jahanmir1
1Department of Chemical and Biological Engineering, The Hong Kong University of Science and Technology, Hong Kong.
Abstract:
Antiangiogenic therapeutics, such as corticosteroids, VEGF targeting antibodies and aptamers have been demonstrated effective in controlling retinal and choroidal neovascularization related vision loss. However, to manage the chronic conditions, it requires long term and frequent intravitreal injections of these drugs, resulting in poor patient compliance and suboptimal treatment. In addition, emerging drugs such as tyrosine kinase inhibitors and siRNAs received much expectations, but the late stage clinical trials encountered various obstacles. Controlled release technology could improve the existing treatment regimen by extending therapeutic duration, reducing risks and burdens caused by frequent injections, and enabling new drugs to overcome the hurdles of translation. Here, we give qualitative and quantitative discussions about the principle mechanisms of polymeric reservoir, polymeric matrix and hydrogel systems. We also reveal the design rationales of the existing drug delivery and release systems in preclinical and clinical stages. Lastly, the animal models of ocular angiogenesis diseases are critically reviewed, which could help to facilitate the translation of controlled release technologies from bench to bedside.
Insights
Controlled release technology offers a promising solution for ocular angiogenesis, improving patient compliance and enabling new therapies by reducing frequent intravitreal injections.
Area of Science:
- Ophthalmology
- Biomaterials Science
- Drug Delivery Systems
Background:
- Current antiangiogenic therapies for retinal and choroidal neovascularization require frequent intravitreal injections, leading to poor patient compliance and suboptimal treatment outcomes.
- Emerging therapeutics like tyrosine kinase inhibitors and siRNAs face clinical translation challenges.
- Controlled release technology presents a strategy to overcome these limitations by extending drug duration and reducing injection frequency.
Purpose of the Study:
- To review the principles and mechanisms of polymeric reservoir, polymeric matrix, and hydrogel systems for controlled drug release in ocular applications.
- To analyze the design rationales of current drug delivery and release systems in preclinical and clinical stages for ocular angiogenesis.
- To critically evaluate animal models for ocular angiogenesis diseases to facilitate the translation of controlled release technologies.
Main Methods:
- Qualitative and quantitative discussions on controlled release mechanisms (polymeric reservoir, matrix, hydrogels).
- Review of existing drug delivery and release systems in preclinical and clinical studies.
- Critical analysis of animal models for ocular angiogenesis diseases.
Main Results:
- Detailed explanation of controlled release principles for ocular drug delivery.
- Insights into the design and application of current controlled release systems.
- Comprehensive review of relevant animal models for evaluating therapeutic efficacy.
Conclusions:
- Controlled release technologies can significantly improve the management of chronic ocular angiogenesis by enhancing therapeutic duration and patient compliance.
- Understanding the mechanisms of different controlled release systems is crucial for optimizing ocular drug delivery.
- Effective animal models are essential for the successful translation of novel controlled release technologies from research to clinical practice.
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