scholarly journals Influence of Chitosan Swelling Behaviour on Controlled Release of Tenofovir from Mucoadhesive Vaginal Systems for Prevention of Sexual Transmission of HIV

Marine Drugs ◽  
2017 ◽  
Vol 15 (2) ◽  
pp. 50 ◽  
Author(s):  
Fernando Notario-Pérez ◽  
Araceli Martín-Illana ◽  
Raúl Cazorla-Luna ◽  
Roberto Ruiz-Caro ◽  
Luis-Miguel Bedoya ◽  
...  
Author(s):  
María-Dolores Veiga-Ochoa ◽  
Roberto Ruiz-Caro ◽  
Raúl Cazorla-Luna ◽  
Araceli Martín-Illana ◽  
Fernando Notario-Pérez

AIDS ◽  
2012 ◽  
Vol 26 (10) ◽  
pp. 1223-1229 ◽  
Author(s):  
Marie Laga ◽  
Peter Piot

2013 ◽  
pp. 103-118
Author(s):  
Audrey Pettifor ◽  
Molly Rosenberg ◽  
Sinead Delany-Moretlwe

Polymers ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 483 ◽  
Author(s):  
Raúl Cazorla-Luna ◽  
Araceli Martín-Illana ◽  
Fernando Notario-Pérez ◽  
Luis-Miguel Bedoya ◽  
Paulina Bermejo ◽  
...  

Young sub-Saharan women are a group that is vulnerable to the sexual transmission of HIV. Pre-exposure prophylaxis through vaginal microbicides could provide them an option for self-protection. Dapivirine has been demonstrated to have topical inhibitory effects in HIV, and to provide protection against the sexual transmission of this virus. This paper reports on the studies into swelling behaviour, bioadhesion and release carried out on dapivirine tablets based on chitosan, locust bean gum and pectin, to select the most suitable formulation. The modified simulated vaginal fluid led to a high solubility of dapivirine and allowed the dapivirine release profiles to be characterized in sink conditions; this aqueous medium is an alternative to organic solvents, which are not a realistic option when evaluating systems whose behaviour varies in aqueous and organic media. Of the formulations evaluated, dapivirine/pectin tablets containing 290 mg of polymer and 30 mg of dapivirine present the most moderate swelling, making them the most comfortable dosage forms. Their high bioadhesive capacity would also allow the formulation to remain in the action zone and release the drug in a sustained manner, pointing to this formulation as the most promising candidate for future evaluations of vaginal microbicides for the prevention of HIV.


Pharmaceutics ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 232 ◽  
Author(s):  
Araceli Martín-Illana ◽  
Fernando Notario-Pérez ◽  
Raúl Cazorla-Luna ◽  
Roberto Ruiz-Caro ◽  
María Dolores Veiga

Sub-Saharan African women are still at risk from the human immunodeficiency virus (HIV), and sex with men is the main route of transmission. Vaginal formulations containing antiretroviral drugs are promising tools to give women the power to protect themselves. The aim of this work was to obtain freeze-dried bigels containing pectin, chitosan, or hypromellose for the vaginal controlled release of Tenofovir, which is accelerated in the presence of semen. Nine batches of bigels were formulated using different proportions of these polymers in the hydrogel (1, 2, and 3% w/w). The bigels obtained were freeze-dried and then underwent hardness and deformability, mucoadhesion, swelling, and drug release tests, the last two in simulated vaginal fluid (SVF) and SVF/simulated seminal fluid (SSF) mixture. The formulation containing 3% pectin (fd3P) has the highest values for hardness, resistance to deformation, and good mucoadhesivity. Its swelling is conditioned by the pH of the medium, which is responsive to the controlled release of Tenofovir in SVF, with the fastest release in the SVF/SSF mixture. fd3P would be an interesting smart microbicidal system to allow faster release of Tenofovir in the presence of semen, and thus increase women’s ability to protect themselves from the sexual transmission of HIV.


The Lancet ◽  
1997 ◽  
Vol 349 (9069) ◽  
pp. 1868-1873 ◽  
Author(s):  
Myron S Cohen ◽  
Irving F Hoffman ◽  
Rachel A Royce ◽  
Peter Kazembe ◽  
John R Dyer ◽  
...  

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