1. Systemic delivery of bictegravir and tenofovir alafenamide using dissolving microneedles for HIV preexposure prophylaxis.
- Author
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Zhang C, Wu Y, Hutton ARJ, Hidayat Bin Sabri A, Hobson JJ, Savage AC, McCarthy HO, Paredes AJ, Owen A, Rannard SP, and Donnelly RF
- Subjects
- Animals, Male, Adenine administration & dosage, Adenine pharmacokinetics, Adenine analogs & derivatives, Adenine chemistry, Rats, Nanoparticles administration & dosage, Nanoparticles chemistry, Drug Liberation, Heterocyclic Compounds, 4 or More Rings pharmacokinetics, Heterocyclic Compounds, 4 or More Rings administration & dosage, Heterocyclic Compounds, 4 or More Rings chemistry, Pyridones administration & dosage, Pyridones pharmacokinetics, Drug Delivery Systems, Piperazines pharmacokinetics, Piperazines administration & dosage, Piperazines chemistry, Cyclopropanes administration & dosage, Cyclopropanes pharmacokinetics, Heterocyclic Compounds, 3-Ring pharmacokinetics, Heterocyclic Compounds, 3-Ring administration & dosage, Amides administration & dosage, Amides pharmacokinetics, Amides chemistry, Tenofovir administration & dosage, Tenofovir pharmacokinetics, Tenofovir analogs & derivatives, Rats, Sprague-Dawley, Alanine pharmacokinetics, Alanine administration & dosage, Alanine chemistry, Anti-HIV Agents administration & dosage, Anti-HIV Agents pharmacokinetics, Pre-Exposure Prophylaxis methods, HIV Infections prevention & control, Needles, Administration, Cutaneous
- Abstract
Human immunodeficiency virus (HIV) continues to pose a serious threat to global health. Oral preexposure prophylaxis (PrEP), considered highly effective for HIV prevention, is the utilisation of antiretroviral (ARV) drugs before HIV exposure in high-risk uninfected individuals. However, ARV drugs are associated with poor patient compliance and pill fatigue due to their daily oral dosing. Therefore, an alternative strategy for drug delivery is required. In this work, two dissolving microneedle patches (MNs) containing either bictegravir (BIC) or tenofovir alafenamide (TAF) solid drug nanoparticles (SDNs) were developed for systemic delivery of a novel ARV regimen for potential HIV prevention. According to ex vivo skin deposition studies, approximately 11% and 50% of BIC and TAF was delivered using dissolving MNs, respectively. Pharmacokinetic studies in Sprague Dawley rats demonstrated that BIC MNs achieved a long-acting release profile, maintaining the relative plasma concentration above the 95% inhibitory concentration (IC
95 ) for 3 weeks. For TAF MNs, a rapid release of drug and metabolism of TAF into TFV were obtained from the plasma samples. This work has shown that the proposed transdermal drug delivery platform could be potentially used as an alternative method to systemically deliver ARV drugs for HIV PrEP., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2024
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