Exner Agata A, Saidel Gerald M
Case Western Reserve University, Department of Radiology, 11100 Euclid Avenue, Cleveland, OH 44106-5056, USA.
Expert Opin Drug Deliv. 2008 Jul;5(7):775-88. doi: 10.1517/17425247.5.7.775.
Drug-eluting polymer implants present a compelling parenteral route of administration for cancer chemotherapy. With potential for minimally invasive, image-guided placement and highly localized drug release, these delivery systems are playing an increasingly important role in cancer management. This is particularly true as the use of labile proteins and other bioactive molecules is likely to increase in the upcoming years.
In this review, we present the current trends in the application of Pre-formed and in situ-forming systems as drug-eluting implants for cancer chemotherapy.
We outline the clinically available options as well as up-and-coming technologies and their advantages and challenges. We also describe ongoing related innovations with image-guided drug delivery, mathematical modeling of implanted delivery systems and implanted drug delivery in combination with other therapies.
RESULTS/CONCLUSION: Whether used alone or combined with other minimally invasive procedures, drug-eluting polymeric implants will play a significant role in the future of cancer management.
药物洗脱聚合物植入物为癌症化疗提供了一种极具吸引力的非肠道给药途径。由于具有微创、影像引导下放置以及高度局部药物释放的潜力,这些给药系统在癌症治疗中发挥着越来越重要的作用。随着不稳定蛋白质和其他生物活性分子的使用在未来几年可能会增加,情况尤其如此。
在本综述中,我们介绍了预制和原位形成系统作为癌症化疗药物洗脱植入物应用的当前趋势。
我们概述了临床上可用的选择以及新兴技术及其优缺点。我们还描述了影像引导药物递送、植入式给药系统的数学建模以及植入式药物递送与其他疗法相结合的相关创新进展。
结果/结论:无论单独使用还是与其他微创程序联合使用,药物洗脱聚合物植入物都将在未来癌症治疗中发挥重要作用。