Self-nanoemulsifying drug delivery system to improve transcorneal permeability of voriconazole: in-vivo studies

J Pharm Pharmacol. 2020 Jul;72(7):889-896. doi: 10.1111/jphp.13265. Epub 2020 Apr 15.

Abstract

Objective: This study investigates the effectiveness of self-nanoemulsifying drug delivery system (SNEDDS) in improving voriconazole transcorneal permeability.

Methods: Voriconazole-SNEDDS was prepared with isopropyl myristate, PEG 400, Tween 80® and Span 80® and was subjected for physicochemical characterization after reconstitution with NaCl 0.9% (1/9; v/v). In-vitro antifungal activity was assessed and compared with the marketed formulation. In-vivo studies, namely ocular irritation test via modified Draize test and pharmacokinetic study, were investigated using rabbit as animal model.

Key findings: Voriconazole-SNEDDS presented a droplet size of 21.353 ± 0.065 nm, a polydispersity index of 0.123 ± 0.003, a pH of 7.205 ± 0.006 and an osmolarity of 342.667 ± 2.517 mOsmol/l after reconstitution with NaCl 0.9%. Voriconazole-SNEDDS minimum inhibitory concentration (MIC90 ) was similar to the one of marketed formulation for Candida species while it was significantly lower (P < 0.001) for Aspergillus fumigatus. Draize test revealed that Voriconazole-SNEDDS was safe for ocular administration. Voriconazole maximum concentration (5.577 ± 0.852 µg/ml) from SNEDDS was higher than marketed formulation (Cmax = 4.307 ± 0.623 µg/ml), and the Tmax was delayed to 2 h. The area under the concentration-time curve value of Voriconazole-SNEDDS was improved by 2.419-fold.

Conclusion: Our results suggest that SNEDDS is a promising carrier for voriconazole ocular delivery and this encourages further clinical studies.

Keywords: minimum inhibitory concentration aqueous humour; mycotic keratitis; ocular delivery; self-nanoemulsifying drug delivery system; voriconazole.

MeSH terms

  • Administration, Ophthalmic
  • Animals
  • Antifungal Agents / pharmacokinetics
  • Biological Availability
  • Drug Delivery Systems / methods*
  • Drug Liberation
  • Emulsions
  • Eye Infections, Fungal / drug therapy*
  • Hexoses* / chemistry
  • Hexoses* / pharmacology
  • Microbial Sensitivity Tests
  • Myristates* / chemistry
  • Myristates* / pharmacology
  • Nanocomposites / therapeutic use
  • Permeability
  • Polyethylene Glycols* / chemistry
  • Polyethylene Glycols* / pharmacology
  • Polysorbates* / chemistry
  • Polysorbates* / pharmacology
  • Rabbits
  • Surface-Active Agents / chemistry
  • Surface-Active Agents / pharmacology
  • Voriconazole / pharmacokinetics*

Substances

  • Antifungal Agents
  • Emulsions
  • Hexoses
  • Myristates
  • Polysorbates
  • Surface-Active Agents
  • sorbitan monooleate
  • isopropyl myristate
  • Polyethylene Glycols
  • polyethylene glycol 400
  • Voriconazole