Ramchandani M, Robinson D
Integra LifeSciences Corporation, Plainsboro, NJ 08536, USA.
J Control Release. 1998 Jul 31;54(2):167-75. doi: 10.1016/s0168-3659(97)00113-2.
Poly(lactides-co-glycolides) [PLGA] are widely investigated biodegradable polymers and are extensively used in several biomaterials applications as well as drug delivery systems. These polymers degrade by bulk hydrolysis of ester bonds and break down into their constituent monomers, lactic and glycolic acids which are excreted from the body. The purpose of this investigation was to develop and characterize a biodegradable, implantable delivery system containing ciprofloxacin hydrochloride (HCl) for the localized treatment of osteomyelitis and to study the extent of drug penetration from the site of implantation into the bone. Osteomyelitis is an inflammatory bone disease caused by pyogenic bacteria and involves the medullary cavity, cortex and periosteum. The advantages of localized biodegradable therapy include high, local antibiotic concentration at the site of infection, as well as, obviation of the need for removal of the implant after treatment. PLGA 50:50 implants were compressed from microcapsules prepared by nonsolvent-induced phase-separation using two solvent-nonsolvent systems, viz., methylene chloride-hexane (non-polar) and acetone-phosphate buffer (polar). In vitro dissolution studies were performed to study the effect of manufacturing procedure, drug loading and pH on the release of ciprofloxacin HCl. The extent of penetration of the drug from the site of implantation was studied using a rabbit model. The results of in vitro studies illustrated that drug release from implants made by the nonpolar method was more rapid as compared to implants made by the polar method. The release of ciprofloxacin HCl. The extent of the penetration of the drug from the site of implantation was studied using a rabbit model. The results of in vitro studies illustrated that drug release from implants made by the nonpolar method was more rapid as compared to implants made by the polar method. The release of ciprofloxacin HCl from the implants was biphasic at < or = 20% w/w drug loading, and monophasic at drug loading levels > or = 35% w/w. In vivo studies indicated that PLGA 50:50 implants were almost completely resorbed within five to six weeks. Sustained drug levels, greater than the minimum inhibitory concentration (MIC) of ciprofloxacin, up to 70 mm from the site of implantation, were detected for a period of six weeks.
聚(丙交酯-共-乙交酯)[PLGA]是广泛研究的可生物降解聚合物,广泛应用于多种生物材料应用以及药物递送系统。这些聚合物通过酯键的本体水解而降解,并分解为其组成单体乳酸和乙醇酸,它们从体内排出。本研究的目的是开发并表征一种含盐酸环丙沙星的可生物降解、可植入的递送系统,用于骨髓炎的局部治疗,并研究药物从植入部位向骨组织渗透的程度。骨髓炎是一种由化脓性细菌引起的炎症性骨病,累及髓腔、皮质和骨膜。局部可生物降解疗法的优点包括感染部位局部抗生素浓度高,以及治疗后无需取出植入物。PLGA 50:50植入物由通过非溶剂诱导相分离制备的微胶囊压制而成,使用两种溶剂-非溶剂体系,即二氯甲烷-己烷(非极性)和丙酮-磷酸盐缓冲液(极性)。进行体外溶出研究以考察制备工艺、药物载量和pH对盐酸环丙沙星释放的影响。使用兔模型研究药物从植入部位的渗透程度。体外研究结果表明,与极性方法制备的植入物相比,非极性方法制备的植入物药物释放更快。盐酸环丙沙星的释放。使用兔模型研究药物从植入部位的渗透程度。体外研究结果表明,与极性方法制备的植入物相比,非极性方法制备的植入物药物释放更快。当药物载量≤20% w/w时,植入物中盐酸环丙沙星的释放为双相,而当药物载量≥35% w/w时为单相。体内研究表明,PLGA 50:50植入物在五到六周内几乎完全被吸收。在六周的时间内,在距植入部位70毫米处检测到持续的药物水平,高于环丙沙星的最低抑菌浓度(MIC)。