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Published on: September 17, 2014
Injectable biodegradable bi-layered capsule for sustained delivery of bevacizumab in treating wet age-related macular
Pengfei Jiang1, Francisco J Chaparro2, Clayton T Cuddington1
1William G. Lowrie Department of Chemical and Biomolecular Engineering, The Ohio State University, 151 W. Woodruff Avenue, Columbus, OH 43210, USA.
Abstract:
Vascular endothelial growth factor (VEGF) is a key regulator of abnormal blood vessel growth. As such, bevacizumab-based inhibition of VEGF has been the clinically adopted strategy to treat colorectal and breast cancers as well as age-related macular degeneration (AMD). However, as the treatment of vascular diseases often requires a high drug concentration for a long period, the burst release of bevacizumab remains a critical limitation in anti-VEGF-based therapies. Maintaining bevacizumab at high concentrations over extended periods remains challenging due to insufficient drug loading capacity and drug-device interactions. We report the development of a polymeric based bi-layered capsule that could address these challenges by extending the release over one year, thereby providing an effective platform enabling treatment of chronic vascular diseases. Remarkably, the developed capsules have a bi-layered structure which ensures the structural integrity of the injectable capsules and appropriate diffusion of bevacizumab by providing optimal physical trapping and electrostatic interaction. Meanwhile, the central hollow design enables a higher drug loading to meet the need for long-term release of bevacizumab for several months to one year. Using an in vitro drug release assay, we demonstrated that the bi-layered capsule could produce longer-term local drug administration by intravitreal injection compared to previously reported devices. The capsules also present minimal toxicity and maintain anti-VEGF potency, suggesting that our approach may have the potential to treat vascular-related diseases using bevacizumab.
Insights
A novel bi-layered capsule effectively delivers bevacizumab for over a year, overcoming limitations in anti-VEGF therapy for vascular diseases. This innovation offers sustained drug release and high loading capacity.
Area of Science:
- Biomaterials Science
- Drug Delivery Systems
- Ophthalmology
Background:
- Vascular Endothelial Growth Factor (VEGF) inhibition with bevacizumab is crucial for treating cancers and age-related macular degeneration (AMD).
- Current anti-VEGF therapies face challenges with burst drug release and insufficient drug loading for long-term vascular disease treatment.
- Sustained delivery of high bevacizumab concentrations is needed for chronic vascular conditions.
Purpose of the Study:
- To develop a polymeric bi-layered capsule for extended, controlled release of bevacizumab.
- To address limitations of insufficient drug loading and drug-device interactions in anti-VEGF therapies.
- To create a platform for long-term treatment of chronic vascular diseases.
Main Methods:
- Development of a polymeric bi-layered capsule with a central hollow design.
- Utilized physical trapping and electrostatic interactions for optimal bevacizumab diffusion and structural integrity.
- Evaluated drug release kinetics using in vitro assays and assessed anti-VEGF potency and toxicity.
Main Results:
- The bi-layered capsule demonstrated extended bevacizumab release over one year, significantly longer than previous devices.
- The design enabled higher drug loading capacity, meeting requirements for prolonged therapy.
- In vitro studies confirmed minimal toxicity and sustained anti-VEGF potency of the released drug.
Conclusions:
- The developed bi-layered capsule platform offers an effective solution for sustained local delivery of bevacizumab.
- This approach has the potential to improve treatment outcomes for chronic vascular diseases requiring long-term anti-VEGF therapy.
- The capsule's design overcomes key limitations, paving the way for advanced therapeutic strategies.
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