Drug Delivery and Device Development, Medimmune LLC, United States.
Drug Delivery and Device Development, Medimmune LLC, United States.
J Control Release. 2015 Dec 28;220(Pt A):465-475. doi: 10.1016/j.jconrel.2015.11.014. Epub 2015 Nov 14.
Chemotherapy is the traditional treatment for intermediate and late stage cancers. The search for treatment options with minimal side effects has been ongoing for several years. Drug delivery technologies that result in minimal or no side effects with improved ease of use for the patients are receiving increased attention. Polymer drug conjugates and nanoparticles can potentially offset the volume of drug distribution while enhancing the accumulation of the active drug in tumors thereby reducing side effects. Additionally, development of localized drug delivery platforms is being investigated as another key approach to target tumors with minimal or no toxicity. Development of in-situ depot-forming gel systems for intratumoral delivery of immuno-oncology actives can enhance drug bioavailability to the tumor site and reduce systemic toxicity. This field of drug delivery is critical to develop given the advent of immunotherapy and the availability of novel biological molecules for treating solid tumors. This article reviews the advances in the field of engineered in-situ gelling platforms as a practical tool for local delivery of active oncolytic agents to tumor sites.
化疗是中晚期癌症的传统治疗方法。多年来,人们一直在寻找副作用最小的治疗选择。能够减少副作用并提高患者使用便利性的药物输送技术越来越受到关注。聚合物药物偶联物和纳米颗粒有可能减少药物分布的体积,同时增加活性药物在肿瘤中的积累,从而减少副作用。此外,还在研究开发局部药物输送平台,作为另一种以最小毒性或无毒性靶向肿瘤的关键方法。开发用于肿瘤内递送免疫肿瘤学活性剂的原位储库形成凝胶系统可以提高药物在肿瘤部位的生物利用度并降低全身毒性。鉴于免疫疗法的出现和新型生物分子治疗实体瘤的出现,这一药物输送领域的发展至关重要。本文综述了工程化原位凝胶平台作为将活性溶瘤剂局部递送至肿瘤部位的实用工具的最新进展。
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