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Development of a UC781 releasing polyethylene vinyl acetate vaginal ring

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Abstract

UC781 is potent, hydrophobic, non-nucleotide reverse transcriptase inhibitor (NNRTI) against the human immunodeficiency virus (HIV). UC781 is currently being investigated for use as a potential HIV microbicide. A study in rhesus macaques demonstrated that a 100-mg UC781-loaded silicone elastomer vaginal ring released limited amounts of UC781 into the vaginal fluid and tissue after 28 days. The reason for this was due to the hydrophobic nature and limited aqueous solubility of UC781. This study describes the manufacture of UC781-loaded polyethylene vinyl acetate (PEVA) vaginal rings, which have an improved in vitro release rate of UC781 when compared to UC781-loaded silicone elastomer vaginal rings. The study demonstrates that the UC781 in the PEVA rings is mostly in its amorphous form due to the rings being manufactured above UC781’s melting point. Furthermore, the rings do not show any signs of UC781 degradation, such as the presence of UC22.

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References

  1. Woolfson AD, Elliott GRE, Gilligan CA, Passmore CM. Design of an intravaginal ring for the controlled delivery of 17beta-estradiol as its 3-acetate ester. J Control Release. 1999;61:319–28.

    Article  PubMed  CAS  Google Scholar 

  2. Malcolm RK. Vaginal rings for controlled release drug delivery. In: Rathbone MJ, Hadgraft J, Roberts MS, Lane ME, editors. Modified release drug delivery technology. 2nd ed. New York: Informa Healthcare; 2008. p. 499–510.

    Google Scholar 

  3. Brucker C, Karck U, Merkle E. Cycle control, tolerability, efficacy and acceptability of the vaginal contraceptive ring, NuvaRing®: results of clinical experience in Germany. Eur J Contracept Reprod Health Care. 2008;13:31–8.

    Article  PubMed  CAS  Google Scholar 

  4. Woolfson AD, Malcolm RK, Gallagher RJ. Design of a silicone reservoir intravaginal ring for the delivery of oxybutynin. J Control Release. 2003;91:465–76.

    Article  PubMed  CAS  Google Scholar 

  5. Ahrendt HJ, Nisand I, Bastianelli C, Gomez MA, Gemzell-Danielsson K, Urdl W, et al. Efficacy, acceptability and tolerability of the combined contraceptive ring, NuvaRing, compared with an oral contraceptive containing 30 mg of ethinyl estradiol and 3 mg of drospirenone. Contraception. 2006;74:451–7.

    Article  PubMed  CAS  Google Scholar 

  6. Chaplin S, Peers T. NuvaRing: new combined hormonal contraceptive device. Prescriber. 1999;20:17–20.

    Article  Google Scholar 

  7. Woolfson AD, Malcolm RK, Gallagher R. Drug delivery by the intravaginal route. Crit Rev Ther Drug Carrier Syst. 2000;17:509–55.

    Article  PubMed  CAS  Google Scholar 

  8. Henriksson L, Stjernquist M, Boquist L, Cedergren I, Selinus I. A one-year multicenter study of efficacy and safety of a continuous, low-dose, estradiol-releasing vaginal ring (Estring) in postmenopausal women with symptoms and signs of urogenital aging. Am J Obstet Gynecol. 1996;174:85–92.

    Article  PubMed  CAS  Google Scholar 

  9. Woolfson AD, Malcolm RK, Morrow RJ, Toner CF, McCullagh SD. Intravaginal ring delivery of the reverse transcriptase inhibitor TMC 120 as an HIV microbicide. Int J Pharm. 2006;325:82–9.

    Article  PubMed  CAS  Google Scholar 

  10. Malcolm RK, Woolfson AD, Morrow RJ, Toner CF, McCullagh SD. Long-term, controlled release of the HIV microbicide TMC120 from silicone elastomer vaginal rings. J Antimicrob Chemother. 2005;56:954–6.

    Article  PubMed  CAS  Google Scholar 

  11. Balzarini J, De Clercq E. The thiocarboxanilides UC-10 and UC-781 have an additive inhibitory effect against human immunodeficiency virus type 1 reverse transcriptase and replication in cell culture when combined with other antiretroviral drugs. Antivir Chem Chemother. 1997;8:197–204.

    CAS  Google Scholar 

  12. Buckheit Jr RW, Hollingshead M, Stinson S, Fliakas-Boltz V, Pallansch LA, Roberson J, et al. Efficacy, pharmacokinetics, and in vivo antiviral activity of UC781, a highly potent, orally bioavailable nonnucleoside reverse transcriptase inhibitor of HIV type 1. AIDS Res Hum Retrovir. 1997;13:789–96.

    Article  PubMed  CAS  Google Scholar 

  13. Borkow G, Barnard J, Nguyen TM, Belmonte A, Wainberg MA, Parniak MA. Chemical barriers to human immunodeficiency virus type 1 (HIV-1) infection: retrovirucidal activity of UC781, a thiocarboxanilide nonnucleoside inhibitor of HIV-1 reverse transcriptase. J Virol. 1997;71:3023–30.

    PubMed  CAS  Google Scholar 

  14. Zussman A, Lara L, Lara HH, Bentwich Z, Borkow G. Blocking of cell-free and cell-associated HIV-1 transmission through human cervix organ culture with UC781. AIDS. 2003;17:653–61.

    Article  PubMed  CAS  Google Scholar 

  15. Parniak MA. Nonnucleoside reverse transcriptase inhibitors as anti-HIV-1 microbicides. AIDS. 2001;15:S56.

    Article  Google Scholar 

  16. Balzarini J, Naesens L, Verbeken E, Laga M, Van Damme L, Parniak M, et al. Preclinical studies on thiocarboxanilide UC-781 as a virucidal agent. AIDS. 1998;12:1129–38.

    Article  PubMed  CAS  Google Scholar 

  17. Patton DL, Cosgrove Sweeney YT, Balkus JE, Rohan LC, Moncla BJ, Parniak MA, et al. Preclinical safety assessments of UC781 anti-human immunodeficiency virus topical microbicide formulations. Antimicrob Agents Chemother. 2007;51:1608–15.

    Article  PubMed  CAS  Google Scholar 

  18. Schwartz JL, Kovalevsky G, Lai JJ, Ballagh SA, McCormick T, Douville K, et al. A randomized six-day safety study of an antiretroviral microbicide candidate UC781, a non-nucleoside reverse transcriptase inhibitor. Sex Transm Dis. 2008;35:414–9.

    Article  PubMed  CAS  Google Scholar 

  19. Hardy E, Hebling EM, Sousa MH, Almeida AF, Amaral E. Delivery of microbicides to the vagina: difficulties reported with the use of three devices, adherence to use and preferences. Contraception. 2007;76:126–31.

    Article  PubMed  CAS  Google Scholar 

  20. Zhang F, McGinity JW. Properties of sustained-release tablets prepared by hot-melt extrusion. Pharm Dev Technol. 1999;4:241–50.

    Article  PubMed  CAS  Google Scholar 

  21. Leuner C, Dressman J. Improving drug solubility for oral delivery using solid dispersions. Eur J Pharm Biopharm. 2000;50:47–60.

    Article  PubMed  CAS  Google Scholar 

  22. Rambali B, Verreck G, Baert L, Massart DL. Itraconazole formulation studies of the melt-extrusion process with mixture design. Drug Dev Ind Pharm. 2003;29:641–52.

    Article  PubMed  CAS  Google Scholar 

  23. Hülsmann S, Backensfeld T, Keitel S, Bodmeier R. Melt extrusion—an alternative method for enhancing the dissolution rate of 17β-estradiol hemihydrates. Eur J Pharm Biopharm. 2000;49:237–42.

    Article  PubMed  Google Scholar 

  24. Hancock BC, Zografi G. Characteristics and significance of the amorphous state in pharmaceutical systems. J Pharm Sci. 1997;86:1–12.

    Article  PubMed  CAS  Google Scholar 

  25. Loxley A, Mitchnick M, Okoh O, McConnell J, Goldman L, Morgan C, et al. Ethylene vinyl acetate intravaginal rings for the simultaneous delivery of the antiretroviral UC781 and contraceptive levonorgestrel. Drug Deliv Transl Res. 2011;1:247–55.

    Article  CAS  Google Scholar 

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Correspondence to Christopher McConville.

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McConville, C., Major, I., Friend, D.R. et al. Development of a UC781 releasing polyethylene vinyl acetate vaginal ring. Drug Deliv. and Transl. Res. 2, 489–497 (2012). https://doi.org/10.1007/s13346-012-0101-3

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