Development and In Vivo Evaluation of Sustained Release Microparticles Loaded with Levothyroxine for Hypothyroidism Treatment

J Pharm Sci. 2024 Jun;113(6):1566-1571. doi: 10.1016/j.xphs.2024.01.004. Epub 2024 Jan 15.

Abstract

Hypothyroidism is a chronic condition combated by a daily oral supplementation of levothyroxine. In addition to the need for frequent dosing, oral administration may result in variable absorption of the drug leading to a failure in achieving normal thyroid function. Therefore, the development of a long-acting injectable system capable of delivering the drug is necessary. This work was aimed at developing sustained release microparticles loaded with levothyroxine. The microparticles were produced through the emulsification-solvent evaporation method using 2 grades of biocompatible and biodegradable polyesters: poly(ᴅ,ʟ-lactide-co-glycolide) (PLGA) and poly(ᴅ,ʟ-lactide) (PLA). Both polymers produced microparticles with very similar sizes (1.9 µm) and zeta potential values (around -22.0 mV). However, PLA microparticles had a significantly higher drug loading (6.1% vs. 4.4%, respectively) and encapsulation efficiency (36.8%, vs. 26.1%, respectively) when compared to PLGA counterparts. While both types of microparticles displayed a biphasic release pattern in vitro, a slower rate of release was observed with PLA microparticles. Moreover, a similar biphasic release pattern was found in vivo, with an initial phase of rapid release followed by a slower phase in the subsequent 10 days. These results indicate the possibility of developing levothyroxine loaded polyester microparticles as a potential long-acting thyroid hormone replacement therapy.

Keywords: Hypothyroidism; Levothyroxine; PLA; PLGA; Polyester.

MeSH terms

  • Animals
  • Delayed-Action Preparations* / chemistry
  • Drug Carriers / chemistry
  • Drug Liberation*
  • Hypothyroidism* / drug therapy
  • Male
  • Microspheres
  • Particle Size*
  • Polyesters* / chemistry
  • Polylactic Acid-Polyglycolic Acid Copolymer* / chemistry
  • Rats
  • Thyroxine* / administration & dosage
  • Thyroxine* / chemistry
  • Thyroxine* / pharmacokinetics

Substances

  • poly(lactide)