Fenoldopam mesylate for treating psoriasis: A new indication for an old drug

Int J Pharm. 2020 Jan 5:573:118726. doi: 10.1016/j.ijpharm.2019.118726. Epub 2019 Nov 9.

Abstract

Fenoldopam, a highly selective dopamine receptor agonist, is available in clinics as Corlopam™ i.v. for the management of severe hypertension. Recent reports demonstrate its anti-proliferative activity in vitro in a dose dependent manner. However, stability issues of the drug due to its susceptibility to oxidation, pH sensitivity, poor transdermal flux, and the barrier properties of skin present challenges to develop a topical formulation of fenoldopam. The aim of the present study is to suggest a stable topical formulation of fenoldopam for the treatment of psoriasis. Water washable ointment and glycerin-based carbopol anhydrous gel of fenoldopam intended for topical delivery were prepared and evaluated in vitro and in vivo. Results from pH dependent stability studies suggest the necessity to maintain acidic pH in final formulations. The presence of an acidic adjuster in ointment and unneutralised carbopol dispersion of anhydrous gel maintain the desired acidic environment in the formulations. Stability studies of prepared formulations performed for 90 days indicate that the drug remains stable in formulations. In vivo studies demonstrate the applicability of the formulations for better skin penetration, skin compliance, and photosafety. Efficacy studies using an imiquimod induced psoriasis model confirm the promising application of developed fenoldopam topical formulations for psoriasis.

Keywords: Fenoldopam; Imiquimod induced psoriasis model; Psoriasis; Skin penetration; Stability; Topical delivery.

MeSH terms

  • Acrylic Resins / chemistry
  • Administration, Cutaneous
  • Animals
  • Chemistry, Pharmaceutical
  • Disease Models, Animal
  • Dopamine Agonists / administration & dosage*
  • Dopamine Agonists / pharmacokinetics
  • Dopamine Agonists / pharmacology
  • Drug Carriers / chemistry
  • Drug Stability
  • Fenoldopam / administration & dosage*
  • Fenoldopam / pharmacokinetics
  • Fenoldopam / pharmacology
  • Gels
  • Glycerol / chemistry
  • Hydrogen-Ion Concentration
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Ointments
  • Psoriasis / drug therapy*
  • Skin / metabolism
  • Skin Absorption*

Substances

  • Acrylic Resins
  • Dopamine Agonists
  • Drug Carriers
  • Gels
  • Ointments
  • carboxypolymethylene
  • Fenoldopam
  • Glycerol