Riphah Institute of Pharmaceutical Sciences, Riphah International University, Lahore Campus, Lahore.
Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad.
Int J Nanomedicine. 2018 Jun 8;13:3145-3161. doi: 10.2147/IJN.S164518. eCollection 2018.
The oral delivery of cancer chemotherapeutic drugs is challenging due to low bioavailability, gastrointestinal side effects, first-pass metabolism and P-glycoprotein efflux pumps. Thus, chemotherapeutic drugs, including Docetaxel, are administered via an intravenous route, which poses many disadvantages of its own. Recent advances in pharmaceutical research have focused on designing new and efficient drug delivery systems for site-specific targeting, thus leading to improved bioavailability and pharmacokinetics. A decent number of studies have been reported for the safe and effective oral delivery of Docetaxel. These nanocarriers, including liposomes, polymeric nanoparticles, metallic nanoparticles, hybrid nanoparticles, dendrimers and so on, have shown promising results in research papers and clinical trials. The present article comprehensively reviews the research efforts made so far in designing various advancements in the oral delivery of Docetaxel. Different strategies to improve oral bioavailability, prevent first-pass metabolism and inhibition of efflux pumping leading to improved pharmacokinetics and anticancer activity are discussed. The final portion of this review article presents key issues such as safety of nanomaterials, regulatory approval and future trends in nanomedicine research.
由于生物利用度低、胃肠道副作用、首过代谢和 P 糖蛋白外排泵的作用,癌症化疗药物的口服给药具有挑战性。因此,包括多西他赛在内的化疗药物通过静脉途径给药,这本身也存在许多缺点。药物研究的最新进展集中在设计新的和有效的药物传递系统,以实现靶向定位,从而提高生物利用度和药代动力学。已经有相当数量的研究报告了多西他赛的安全有效口服给药。这些纳米载体,包括脂质体、聚合物纳米粒子、金属纳米粒子、混合纳米粒子、树枝状大分子等,在研究论文和临床试验中都显示出了有前景的结果。本文全面综述了目前在设计多西他赛口服传递方面的各种进展所做的研究工作。讨论了提高口服生物利用度、防止首过代谢和抑制外排泵以改善药代动力学和抗癌活性的不同策略。本文的最后一部分介绍了纳米材料的安全性、监管批准和纳米医学研究的未来趋势等关键问题。