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微针技术的治疗应用与药物经济学

Therapeutic applications and pharmacoeconomics of microneedle technology.

作者信息

Richter-Johnson Jolanda, Kumar Pradeep, Choonara Yahya E, du Toit Lisa C, Pillay Viness

机构信息

a Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutics Sciences , Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2018 Aug;18(4):359-369. doi: 10.1080/14737167.2018.1485100. Epub 2018 Jun 14.

Abstract

INTRODUCTION

Microneedle (MN) arrays contain a backing plate with multiple microscopic projections to puncture the skin and can be used to deliver drug in a minimally invasive way. Advantages of MNs are numerous including administration of large molecules, avoiding first-pass metabolism, ease of administration, lack of pain, site-specific drug targeting, and dose reduction due to increased absorption efficacy. The growth in the transdermal market has been fueled by an increasing number of chronic disease patients and a demand for easy and pain-free drug administration.

AREAS COVERED

This paper highlights the use of MNs as a drug delivery system and discusses their potential market impact from a cost perspective. A number of clinical trials have been conducted and are listed to illustrate the potential applications of MNs for therapeutic use. Furthermore, the cosmetic market has made use of the MN technology, indicating that MNs can be used safely, efficaciously, and on a commercial scale. Furthermore, the cost-effectiveness of MNs is discussed.

EXPERT COMMENTARY

For MNs to become commercially available for therapeutic use, a number of factors will need to be considered: safety, ease of use, manufacturing and storage, uptake, effectiveness, and regulatory requirements.

摘要

引言

微针(MN)阵列包含一个带有多个微小突起的背板,用于刺破皮肤,可用于以微创方式给药。微针的优点众多,包括大分子给药、避免首过代谢、给药方便、无痛、药物靶向特定部位以及由于吸收效率提高而减少剂量。慢性病患者数量的增加以及对简便无痛给药的需求推动了透皮市场的增长。

涵盖领域

本文重点介绍了微针作为药物递送系统的应用,并从成本角度讨论了它们对潜在市场的影响。已开展了多项临床试验并列出,以说明微针在治疗用途方面的潜在应用。此外,美容市场已采用微针技术,这表明微针可安全、有效地进行商业规模使用。此外,还讨论了微针的成本效益。

专家评论

微针要实现治疗用途的商业化,需要考虑多个因素:安全性、易用性、制造与储存、吸收、有效性和监管要求。

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