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Published on: October 6, 2022
Subdermal implants for HIV prevention with increased dapivirine release rates.
Siqi Wang1, Rand Z Murtadha1, R Karl Malcolm1
1School of Pharmacy, Medical Biology Centre, Queen's University Belfast, Belfast BT9 7BL, UK.
Researchers developed new dapivirine (DPV) subdermal implants for HIV prevention. Formulations achieved significantly higher DPV release rates compared to earlier versions, advancing long-acting pre-exposure prophylaxis (PrEP) options.
Area of Science:
- Biomedical Engineering
- Pharmacology
- Materials Science
Background:
- Dapivirine (DPV) vaginal rings are used for HIV prevention.
- Longer-acting antiretroviral products for HIV pre-exposure prophylaxis (PrEP) are needed.
- Previous DPV subdermal implants had low drug release rates.
Purpose of the Study:
- To develop next-generation dapivirine (DPV) subdermal implant formulations.
- To increase DPV daily release rates for potential HIV prevention.
- To evaluate different formulation strategies for enhanced drug delivery.
Main Methods:
- Formulation of reservoir-type implants with a Kolliphor® EL core.
- Fabrication of dip-coated reservoir implants with a rate-controlling membrane.
- Development of simple matrix-type silicone elastomer implants.
- In vitro evaluation of DPV release rates.
Main Results:
- Replacing the silicone core with Kolliphor® EL increased DPV solubility and flux by ~1.5-fold.
- Dip-coated implants achieved daily release rates of 19-41 µg/day.
- Matrix-type implants without a membrane delivered up to 185 µg/day.
Conclusions:
- New DPV implant formulations demonstrate significantly improved release rates.
- Formulation strategies influence DPV release from silicone subdermal implants.
- Findings provide a basis for further in vivo evaluation of these long-acting PrEP candidates.
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