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Bioerodable Ketamine-Loaded Microparticles Fabricated Using Dissolvable Hydrogel Template Technology
Minze Zhu1, Andrew K Whittaker2, Maree T Smith3
1School of Pharmacy, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Abstract:
For severe cancer-related pain that is not relieved adequately by escalating doses of oral or parenterally administered strong opioid analgesics such as morphine, alone or in combination with an adjuvant drug such as ketamine, more invasive dosing routes may be warranted. One such approach involves surgical implantation of an intrathecal pump to deliver small doses of analgesic or adjuvant drugs in close proximity to the receptors that transduce their pain-relieving effects. However, the use of implanted devices is associated with a range of catheter-related problems. To address this, we have developed biodegradable microparticles loaded with the analgesic adjuvant drug, ketamine, for sustained release after a single bolus intrathecal injection. Drug-loaded poly(lactic-co-glycolic acid) (PLGA) microparticles were prepared using a dissolvable hydrogel template. Using PLGA with 3 different ratios of lactic acid to glycolic acid (L/G), relatively high ketamine loading and homogenous particle shape and size were achieved. Specifically, ketamine loading of PLGA5050, PLGA7525, and PLGA8515 in ester-terminated microparticles was 20.0%, 20.4%, and 18.9%, respectively. The microparticles were within the desired size range (20 μm diameter and 30 μm height) and in vitro release was sustained for ≥14 days with an acceptable initial burst release (∼10%-20%) achieved.
Insights
Biodegradable microparticles loaded with ketamine offer sustained pain relief for severe cancer pain. This novel approach avoids invasive pumps, providing effective treatment for at least 14 days after a single injection.
Area of Science:
- Biomaterials Science
- Pain Management
- Drug Delivery Systems
Background:
- Severe cancer pain often requires advanced treatment strategies when standard analgesics are insufficient.
- Intrathecal drug delivery via implanted pumps can be effective but carries risks of catheter-related complications.
- There is a need for less invasive, sustained-release drug delivery systems for intrathecal administration.
Purpose of the Study:
- To develop and characterize biodegradable poly(lactic-co-glycolic acid) (PLGA) microparticles for sustained intrathecal delivery of ketamine.
- To evaluate ketamine loading capacity and in vitro release kinetics of the developed microparticles.
Main Methods:
- Biodegradable PLGA microparticles loaded with ketamine were fabricated using a dissolvable hydrogel template.
- Microparticles were prepared using PLGA with three different lactic acid to glycolic acid ratios (50:50, 75:25, 85:15).
- Ketamine loading, particle size, morphology, and in vitro drug release were analyzed.
Main Results:
- Homogenous PLGA microparticles with high ketamine loading (18.9%-20.4%) were successfully prepared.
- Microparticles exhibited desired dimensions (approx. 20 μm diameter, 30 μm height).
- In vitro studies demonstrated sustained ketamine release for ≥14 days with a controlled initial burst release (10%-20%).
Conclusions:
- Biodegradable ketamine-loaded PLGA microparticles represent a promising alternative to implanted pumps for intrathecal pain management.
- This formulation allows for sustained drug release, potentially improving efficacy and patient compliance in managing severe cancer-related pain.
- Further investigation is warranted to assess the in vivo performance and safety of these microparticles for intrathecal administration.
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