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Control of skin carcinoma via sonidegib-loaded transbilosomes
Rowayda Mohamed Ahmed1, Maha M Ghalwash2, Amr Gamal Fouad3
1Department of Anatomy and Embryology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Abstract:
The uncontrolled proliferation of abnormal skin cells is the hallmark of skin carcinoma. Sonidegib (SDB), a potent Hedgehog pathway inhibitor, is clinically approved for the treatment of skin carcinoma. However, its therapeutic utility is restricted by poor bioavailability, high hydrophobicity, and significant systemic adverse effects. This study aimed to develop an intratumor SDB-loaded transbilosomes (SLT) formulation to improve localised therapeutic efficacy and mitigate systemic toxicity. Several SLT formulations were developed and optimised using Design-Expert® software. The optimised SLT formulation was evaluated for safety, intratumor retention, and efficacy using a DMBA-induced skin carcinoma rat model. Results demonstrated that the optimal SLT formulation achieved a 68.87% reduction in drug release after 24 h compared to free SDB. Pharmacokinetic evaluation revealed a 7.78-fold increase in relative systemic bioavailability compared to oral SDB. In vivo efficacy studies showed an 84.22% reduction in tumour volume in the intratumor SLT-treated group, with no observed fatalities compared to the oral SDB. Histopathological and safety assessments confirmed the significant antiproliferative effects and the favourable preliminary safety profile of the intratumor SLT formulation. These findings suggest that the intratumor SLT formulation provides an effective option for the management of skin carcinoma.
Insights
This study developed an intratumor Sonidegib-loaded transbilosomes (SLT) formulation to enhance skin carcinoma treatment. The SLT formulation improved drug delivery, reduced side effects, and significantly shrank tumors.
Area of Science:
- Dermatology
- Nanotechnology
- Pharmacology
Background:
- Skin carcinoma is characterized by uncontrolled abnormal skin cell proliferation.
- Sonidegib (SDB), a Hedgehog pathway inhibitor, treats skin carcinoma but has poor bioavailability and systemic toxicity.
- Current limitations necessitate improved drug delivery systems for Sonidegib.
Purpose of the Study:
- To develop and optimize an intratumor Sonidegib-loaded transbilosomes (SLT) formulation.
- To enhance localized therapeutic efficacy and mitigate systemic adverse effects of Sonidegib.
- To evaluate the safety and efficacy of the SLT formulation in a preclinical skin carcinoma model.
Main Methods:
- Formulation development and optimization of SLT using Design-Expert® software.
- Evaluation of drug release kinetics and pharmacokinetics of SLT.
- Assessment of intratumor retention, in vivo efficacy, and safety in a DMBA-induced skin carcinoma rat model.
Main Results:
- The optimized SLT formulation demonstrated a 68.87% reduction in drug release compared to free SDB.
- Intratumor SLT showed a 7.78-fold increase in relative systemic bioavailability versus oral SDB.
- In vivo studies revealed an 84.22% reduction in tumor volume with the SLT formulation and a favorable safety profile.
Conclusions:
- Intratumor SLT formulation effectively improves localized delivery and therapeutic efficacy for skin carcinoma.
- The developed SLT formulation mitigates systemic toxicity associated with Sonidegib treatment.
- Intratumor SLT represents a promising strategy for managing skin carcinoma with enhanced safety and efficacy.
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