Rectal microbicides clinically relevant approach to the design of rectal specific placebo formulations 英文参考文献.docVIP

Rectal microbicides clinically relevant approach to the design of rectal specific placebo formulations 英文参考文献.doc

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Rectal microbicides clinically relevant approach to the design of rectal specific placebo formulations 英文参考文献

Wangetal.AIDSResearchandTherapy2011,8:12 /content/8/1/12 RESEARCH OpenAccess Rectalmicrobicides:clinicallyrelevantapproach tothedesignofrectalspecificplacebo formulations LinWang1,RogerLSchnaare1,CharleneDezzutti1,2,PeterAAnton3,LisaCRohan1,2,4* Abstract Background:Theobjectiveofthisstudyistoidentifythecriticalformulationparameterscontrollingdistribution andfunctionfortherectaladministrationofmicrobicidesinhumans.Fourplaceboformulationsweredesigned withawiderangeofhydrophiliccharacteristics(aqueoustolipid)andrheologicalproperties(Newtonian,shear thinning,thermalsensitiveandthixotropic).Aqueousformulationsusingtypicalpolymerstocontrolviscositywere iso-osmoticandbufferedtopH7.Lipidformulationsweredevelopedfromlipidsolvent/lipidgellingagentbinary mixtures.Testingincludedpharmaceuticalfunctionandstabilityaswellasinvitroandinvivotoxicity. Results:Theaqueousfluidplacebo,basedonpoloxamer,wasfluidatroomtemperature,thickenedandbecame shearthinningat37°C.Theaqueousgelplacebousedcarbopolasthegellingagent,wasshearthinningatroom temperatureandshowedatypicaldecreaseinviscositywithanincreaseintemperature.Thelipidfluidplacebo, myristylmyristateinisopropylmyristate,wasrelativelythinandtemperatureindependent.Thelipidgelplacebo, glycerylstearateandPEG-75stearateincaprylic/caprictriglycerides,wasalsoshearthinningatbothroom temperatureand37°Cbutwithsignificanttimedependencyorthixotropy.Allformulationsshowednorectal irritationinrabbitsandwerenon-toxicusinganexvivorectalexplantmodel. Conclusions:Fourplaceboformulationsrangingfromfluidtogelinaqueousandlipidformatswitharangeof rheologicalpropertiesweredeveloped,tested,scaled-up,manufacturedundercGMPconditionsandenrolledina formalstabilityprogram.Clinicaltestingoftheseformulationsasplaceboswillserveasthebasisforfurther microbicideformulationdevelopmentwithdrug-containingproducts. Background and men practice sex without condoms [4] even with Over33millionpeoplewerelivingwithHIVworldwide HIV-infectedpartners. in 2007, including 2.5 mil

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