Long-term intraocular pressure reduction with intracameral polycaprolactone glaucoma devices that deliver a novel anti-glaucoma agent

J Control Release. 2018 Jan 10:269:45-51. doi: 10.1016/j.jconrel.2017.11.008. Epub 2017 Nov 7.

Abstract

Long-term treatment of glaucoma, a major leading cause of blindness, is challenging due to poor patient compliance. Therefore, a drug delivery device that can achieve drug release over several months can be highly beneficial for glaucoma management. Here, we evaluate the long-term pharmacokinetics and therapeutic efficacy of polycaprolactone intracameral drug delivery devices in rabbit eyes. Our study showed that a single drug delivery device loaded with a proprietary hypotensive agent, DE-117, reduced intraocular pressure in normotensive rabbits significantly for 23weeks. In addition, we demonstrated that concentration of DE-117 and its hydrolyzed active form (hDE-117) was maintained in the aqueous humor and the target tissue (iris-ciliary body) up to 24weeks. Our proof-of-concept glaucoma implant shows potential as a long-term treatment that circumvents patient compliance barriers compared to current treatment via eye drops.

Keywords: Glaucoma; Implant; Ocular drug delivery.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antihypertensive Agents / administration & dosage*
  • Antihypertensive Agents / chemistry
  • Antihypertensive Agents / pharmacokinetics
  • Drug Administration Routes
  • Drug Delivery Systems*
  • Drug Liberation
  • Eye / metabolism
  • Glaucoma / drug therapy*
  • Intraocular Pressure / drug effects
  • Polyesters / administration & dosage*
  • Polyesters / chemistry
  • Polyesters / pharmacokinetics
  • Rabbits

Substances

  • Antihypertensive Agents
  • Polyesters
  • polycaprolactone