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Characterization and antitumor efficacy of poly(L-lactid acid)-based etoposide-loaded implants.

Abstract
Etoposide is widely used in the chemotherapy of a variety of malignancies. But the strong lipophilicity, poor bioavailability, and severe side effects of etoposide limit its clinical application. The aim of this study was to develop sustained-release etoposide-loaded implants and evaluate antitumor activity of the implants after intratumoral implantation. We prepared the implants containing etoposide, poly(L-lactid acid) and polyethylene glycol 4000 by the direct compression method. The implants were characterized regarding drug-excipient compatibility, content uniformity, morphology, sterility, in vitro, and in vivo release profiles. Then the antitumor activity of the implants was tested in xenograft model of A549 human non-small cell lung cancer. SEM images displayed smooth surface of the implant and indicated that etoposide was homogeneously dispersed in the polymeric matrix. The results of content uniformity met the requirements of the Chinese Pharmacopoeia. Both in vitro and in vivo release profiles of the implants were characterized by high burst release followed by sustained release of etoposide. Intratumoral implantation of etoposide-loaded implants could efficiently delay the tumor growth. Furthermore, increasing the dose of implants led to higher tumor suppression rate without adding systemic toxicity. These results indicated that etoposide-loaded implants have significant antitumor efficacy in xenograft model without dose-limiting side effects and they possess a strong potential to be used as an intratumoral chemotherapy option for lung cancer treatment.
AuthorsLi Gao, Chuanqi Xie, Yuzhi Du, Xiaodong Wang, Erkang Xuan, Xiuxiu Liu, Yang Zhao, Jianjian Xu, Lan Luo
JournalDrug delivery (Drug Deliv) Vol. 24 Issue 1 Pg. 765-774 (Nov 2017) ISSN: 1521-0464 [Electronic] England
PMID28475414 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Excipients
  • Polymers
  • Polyethylene Glycols
  • Etoposide
Topics
  • A549 Cells
  • Antineoplastic Agents, Phytogenic
  • Etoposide
  • Excipients
  • Humans
  • Lung Neoplasms
  • Polyethylene Glycols
  • Polymers

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