Semi-solid prodrug nanoparticles for long-acting delivery of water-soluble antiretroviral drugs within combination HIV therapies

Nat Commun. 2019 Mar 29;10(1):1413. doi: 10.1038/s41467-019-09354-z.

Abstract

The increasing global prevalence of human immunodeficiency virus (HIV) is estimated at 36.7 million people currently infected. Lifelong antiretroviral (ARV) drug combination dosing allows management as a chronic condition by suppressing circulating viral load to allow for a near-normal life; however, the daily burden of oral administration may lead to non-adherence and drug resistance development. Long-acting (LA) depot injections of nanomilled poorly water-soluble ARVs have shown highly promising clinical results with drug exposure largely maintained over months after a single injection. ARV oral combinations rely on water-soluble backbone drugs which are not compatible with nanomilling. Here, we evaluate a unique prodrug/nanoparticle formation strategy to facilitate semi-solid prodrug nanoparticles (SSPNs) of the highly water-soluble nucleoside reverse transcriptase inhibitor (NRTI) emtricitabine (FTC), and injectable aqueous nanodispersions; in vitro to in vivo extrapolation (IVIVE) modelling predicts sustained prodrug release, with activation in relevant biological environments, representing a first step towards complete injectable LA regimens containing NRTIs.

Publication types

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

MeSH terms

  • Anti-Retroviral Agents / chemistry
  • Anti-Retroviral Agents / pharmacokinetics
  • Anti-Retroviral Agents / therapeutic use*
  • Computer Simulation
  • Drug Delivery Systems*
  • Drug Therapy, Combination
  • Emtricitabine / blood
  • Emtricitabine / chemistry
  • Emtricitabine / metabolism
  • Emtricitabine / pharmacokinetics
  • Emulsions
  • HIV Infections / drug therapy*
  • Humans
  • Nanoparticles / therapeutic use*
  • Prodrugs / chemistry
  • Prodrugs / therapeutic use*
  • Solubility
  • Water / chemistry*

Substances

  • Anti-Retroviral Agents
  • Emulsions
  • Prodrugs
  • Water
  • Emtricitabine