可生物降解的眼内治疗视网膜疾病:迄今为止的进展。

Biodegradable intraocular therapies for retinal disorders: progress to date.

机构信息

Research and Development Center, Santen Pharmaceutical Co. Ltd, Ikoma-shi, Nara, Japan.

出版信息

Drugs Aging. 2010 Feb 1;27(2):117-34. doi: 10.2165/11530970-000000000-00000.

Abstract

In general, it is difficult to achieve effective levels of drugs in the vitreous and the retina via topical and/or systemic administration. Intraocular drug delivery systems that achieve longer duration of pharmacological effect with lower administration frequency are urgently needed. Intraocular sustained drug release via implantable devices or injectable particles has been investigated for the treatment of various vitreoretinal disorders. Several non-biodegradable implants are available in clinical practice or in the late developmental phase: Vitrasert (ganciclovir intravitreal implant) for cytomegalovirus retinitis, Retisert (fluocinolone acetonide intravitreal implant) for non-infectious uveitis, Iluvien (fluocinolone acetonide intravitreal implant) for diabetic macular oedema, and NT-501 (a polymer implant containing human retinal epithelial cells genetically modified to secrete ciliary neurotrophic factor) for non-neovascular (dry) age-related macular degeneration and/or retinitis pigmentosa. Many biodegradable formulations, including different shapes of rods, nail-like plugs, discs, or micro- or nanoparticles, have also been investigated, but are not available as yet for the treatment of vitreoretinal disorders. The most developed biodegradable device, Ozurdex (dexamethasone intravitreal implant), is approved as first-line therapy for the treatment of macular oedema following branch retinal vein occlusion or central retinal vein occlusion. In this article, we review the progress of major biodegradable drug delivery systems currently in clinical trials or in experimental stages for the treatment of vitreoretinal disorders.

摘要

一般来说,通过局部和/或全身给药很难使玻璃体内和视网膜达到有效的药物浓度。目前迫切需要能够延长药物作用时间并降低给药频率的眼内药物传递系统。通过可植入装置或可注射颗粒实现的眼内药物持续释放已被用于治疗各种玻璃体视网膜疾病。目前有几种不可生物降解的植入物在临床实践或晚期开发阶段:用于巨细胞病毒视网膜炎的 Vitrasert(更昔洛韦眼内植入物)、用于非感染性葡萄膜炎的 Retisert(氟轻松醋酸酯眼内植入物)、用于糖尿病黄斑水肿的 Iluvien(氟轻松醋酸酯眼内植入物),以及用于非新生血管性(干性)年龄相关性黄斑变性和/或色素性视网膜炎的 NT-501(一种含有经基因修饰以分泌睫状神经营养因子的人视网膜上皮细胞的聚合物植入物)。许多可生物降解的制剂,包括不同形状的棒、钉状塞、盘状或微球或纳米颗粒,也已被研究,但尚未用于治疗玻璃体视网膜疾病。最先进的可生物降解装置 Ozurdex(地塞米松眼内植入物)已被批准作为治疗视网膜分支静脉阻塞或视网膜中央静脉阻塞后黄斑水肿的一线治疗药物。在本文中,我们回顾了目前处于临床试验或实验阶段的用于治疗玻璃体视网膜疾病的主要可生物降解药物传递系统的进展。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索