The rational design and development of a dual chamber vaginal/rectal microbicide gel formulation for HIV prevention.

The rational design and development of a dual chamber vaginal/rectal microbicide gel formulation for HIV prevention.
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DOI:
10.1016/j.antiviral.2015.06.010
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发表时间:
2015-08
期刊:
影响因子:
7.6
通讯作者:
Buckheit, Robert W., Jr.
Buckheit, Robert W., Jr.
中科院分区:
医学2区
文献类型:
--
作者:
Ham, Anthony S.;Nugent, Sean T.;Peters, Jennifer J.;Katz, David F.;Shelter, Cory M.;Dezzutti, Charlene S.;Boczar, Ashlee D.;Buckheit, Karen W.;Buckheit, Robert W., Jr.

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The DuoGel™ was developed for safe and effective dual chamber administration of antiretroviral drugs to reduce the high incidence of HIV transmission during receptive vaginal and anal intercourse. The DuoGel™s containing IQP-0528, a non-nucleoside reverse transcriptase inhibitor (NNRTI), were formulated from GRAS excipients approved for vaginal and rectal administration. The DuoGel™s were evaluated based upon quantitative physicochemical and biological evaluations defined by a Target Product Profile (TPP) acceptable for vaginal and rectal application. From the two primary TPP characteristics defined to accommodate safe rectal administration three DuoGel™ formulations (IQB3000, IQB3001, and IQB3002) were developed at pH 6.00 and osmolality ≤ 400 mmol/kg. The DuoGel™s displayed no in vitro cellular or bacterial toxicity and no loss in viability in ectocervical and colorectal tissue. IQB3000 was removed from consideration due to reduced NNRTI delivery (~65% reduction) and IQB3001 was removed due to increase spread resulting in leakage. IQB3002 containing IQP-0528 was defined as our lead DuoGel™ formulation, possessing potent activity against HIV-1 (EC50 = 10 nM). Over 12 month stability evaluations, IQB3002 maintained formulation stability. This study has identified a lead DuoGel™ formulation that will safely deliver IQP-0528 to prevent sexual HIV-1 transmission in the vagina and rectum.
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