Department of Pharmacy and Pharmacology, University of the Witwatersrand, 7 York Road, Parktown, 2193,, Johannesburg, South Africa.
AAPS PharmSciTech. 2010 Jun;11(2):793-808. doi: 10.1208/s12249-010-9439-3. Epub 2010 May 6.
The purpose of this study was to develop and evaluate the bioadhesivity, in vitro drug release, and permeation of an intravaginal bioadhesive polymeric device (IBPD) loaded with 3'-azido-3'-deoxythymidine (AZT) and polystyrene sulfonate (PSS). Modified polyamide 6,10, poly(lactic-coglycolic acid), polyacrylic acid, polyvinyl alcohol, and ethylcellulose were blended with model drugs AZT and PSS as well as radio-opaque barium sulfate (BaSO4) and then compressed into caplet devices on a tableting press. One set of devices was coated with 2% w/v pentaerythritol polyacrylic acid (APE-PAA) while another remained uncoated. Thermal analysis was performed on the constituent polymers as well the IBPD. The changes in micro-environmental pH within the simulated human vaginal fluid due to the presence of the IBPD were assessed over a period of 30 days. Textural profile analysis indicated that the bioadhesivity of the APE-PAA-coated devices (3.699 +/- 0.464 N; 0.0098 +/- 0.0004 J) was higher than that of the uncoated devices (1.198 +/- 0.150 N; 0.0019 +/- 0.0001 J). In addition, BaSO4-facilitated X-ray imaging revealed that the IBPD adhered to pig vaginal tissue over the experimental period of 30 days. Controlled drug release kinetics was obtained over 72 days. During a 24-h permeation study, an increase in drug flux for both AZT (0.84 mg cm(-2) h(-1)) and PSS (0.72 mg cm(-2) h(-1)) was realized up to 12 h and thereafter a steady-state was achieved. The diffusion and dissolution dynamics were mechanistically deduced based on a chemometric and molecular structure modeling approach. Overall, results suggested that the IBPD may be sufficiently bioadhesive with desirable physicochemical and physicomechanical stability for use as a prolonged intravaginal drug delivery device.
本研究旨在开发和评估一种载有 3'-叠氮-3'-脱氧胸苷 (AZT) 和聚苯乙烯磺酸盐 (PSS) 的阴道内生物粘附聚合物装置 (IBPD) 的生物粘附性、体外药物释放和渗透性能。改性聚酰胺 6、10、聚乳酸-乙醇酸、聚丙烯酸、聚乙烯醇和乙基纤维素与模型药物 AZT 和 PSS 以及放射性不透射线的硫酸钡 (BaSO4) 混合,然后在压片机上压缩成胶囊设备。一组设备涂有 2%w/v 季戊四醇聚丙烯酸 (APE-PAA),另一组设备未涂层。对组成聚合物以及 IBPD 进行了热分析。在 30 天的时间内,评估了由于 IBPD 的存在而导致模拟人体阴道液中微环境 pH 值的变化。纹理分析表明,APE-PAA 涂层设备的生物粘附性 (3.699 +/- 0.464 N; 0.0098 +/- 0.0004 J) 高于未涂层设备 (1.198 +/- 0.150 N; 0.0019 +/- 0.0001 J)。此外,BaSO4 促进的 X 射线成像显示,IBPD 在 30 天的实验期间粘附在猪阴道组织上。在 72 天内实现了控释动力学。在 24 小时渗透研究中,AZT(0.84 mg cm(-2) h(-1))和 PSS(0.72 mg cm(-2) h(-1))的药物通量均增加,直至 12 小时,此后达到稳定状态。基于化学计量学和分子结构建模方法,推导出了扩散和溶解动力学的机制。总体而言,结果表明,IBPD 可能具有足够的生物粘附性,具有理想的物理化学和物理机械稳定性,可作为一种延长的阴道内药物递送装置。