Institute of Pharmaceutical Science, King's College London , Waterloo campus, 150 Stamford Street, SE1 9NH, London , UK +44 7448561223 ;
Expert Opin Drug Deliv. 2014 Feb;11(2):159-73. doi: 10.1517/17425247.2014.870151. Epub 2013 Dec 13.
Controlled-release injectable (CRI) formulations hold significant value for several indications. However, there have been very few successful developments and approvals due to various challenges that include limited polymer options, drug-excipient process incompatibility and complex scale-up/validation processes. Microemulsion technology, as reviewed in this article, promises to resolve many of these challenges.
In addition to its development and manufacturing advantages, feasibility to engineer microemulsion formulations by choosing its constituents and nature of formulation vis-à-vis drug candidate demonstrates capability of microemulsion to modulate in-vivo drug release and thereby optimize drug pharmacokinetics and pharmacodynamics. This potential of microemulsion has been used in a few studies to prolong in vivo drug residence time resulting in a more favorable benefit/risk profile for various drugs. Virtues of injectable microemulsion, results related to prolonged-release injectable microemulsion, impact on drug safety and efficacy and possible opportunities have been discussed. A detailed review of research work on microemulsions as well as other parenteral controlled-release formulations was conducted using PubMed, Science Direct and Google Scholar.
The fact that microemulsion formulations administered through subcutaneous or intramuscular route would undergo significantly prolonged elimination should be leveraged to develop novel CRI drug products. Such products will find enormous application for several drug candidates which have poor oral pharmacokinetics resulting into poor treatment outcome.
控释注射剂(CRI)制剂在多个适应症中具有重要价值。然而,由于各种挑战,包括有限的聚合物选择、药物-赋形剂工艺不相容性和复杂的放大/验证过程,仅有极少数成功的开发和批准。本文回顾了微乳技术,该技术有望解决许多这些挑战。
除了其开发和制造优势外,通过选择其组成和制剂的性质来设计微乳制剂的可行性,展示了微乳制剂调节体内药物释放的能力,从而优化药物的药代动力学和药效学。微乳制剂的这种潜力已在一些研究中用于延长体内药物滞留时间,从而为各种药物带来更有利的风险/效益比。本文讨论了注射用微乳的优点、延长释放注射用微乳的结果、对药物安全性和疗效的影响以及可能的机会。通过使用 PubMed、Science Direct 和 Google Scholar 对微乳和其他注射型控释制剂的研究工作进行了详细的综述。
通过皮下或肌肉途径给药的微乳制剂会经历显著延长的消除,这一事实应该被利用来开发新的 CRI 药物产品。对于许多口服药代动力学较差导致治疗效果不佳的药物候选物,这些产品将有巨大的应用潜力。