Mazarura Kundai R, Kumar Pradeep, Choonara Yahya E
Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Science, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Expert Opin Drug Deliv. 2022 Sep;19(9):1149-1163. doi: 10.1080/17425247.2022.2121816. Epub 2022 Sep 15.
Combination therapies continue to improve therapeutic outcomes as currently achieved by polypharmacy. Since the introduction of the polypill, there has been a significant improvement in adherence and patient outcomes. However, the mass production of polypills presents a number of technical, formulation, and clinical challenges. The current one-size-fits-all approach ignores the unique clinical demands of patients, necessitating the adoption of a more versatile tool. That will be the novel, but not so novel, 3D printing.
The present review investigates this promising paradigm shift from one medication for all, to customized medicines, providing an overview of the current state of 3D-printed multi-active pharmaceutical forms, techniques applied and printing materials. Details on cost implications, as well as potential limitations and challenges are also elaborated.
3D printing of multi-active systems, is not only beneficial but also essential. With growing interest in this field, a shift in manufacturing, prescribing, and administration patterns is, at this point, unavoidable. Addressing limitations and challenges, as well as data presentation on clinical trial results, will aid in the acceleration of this technology's implementation. However, it is clear that 3D printing is not the end of it, as evidenced by the emerging 4D printing technology.
联合疗法持续改善着目前通过多种药物治疗所取得的治疗效果。自复方制剂问世以来,依从性和患者治疗效果有了显著改善。然而,复方制剂的大规模生产带来了诸多技术、制剂和临床方面的挑战。当前这种一刀切的方法忽视了患者独特的临床需求,因此需要采用一种更具通用性的工具。那将是新颖但又并非全新的3D打印技术。
本综述研究了从一种药物适用于所有人到定制药物这一有前景的范式转变,概述了3D打印多活性药物剂型的现状、应用的技术和打印材料。还阐述了成本影响的细节以及潜在的局限性和挑战。
多活性系统的3D打印不仅有益而且至关重要。随着该领域兴趣的不断增加,此时制造、处方和给药模式的转变是不可避免的。解决局限性和挑战以及临床试验结果的数据呈现,将有助于加速这项技术的应用。然而,很明显3D打印并非终点,新兴的4D打印技术就是证明。