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No description available.

No description available.

No description available.

No description available.

Poly(L-lactide) (PLLA) is a well-recognised bioresorbable polymer known to degrade after 1.5 to 5 years by hydrolysis. For certain medical device or drug delivery applications, it would be desirable to reduce this degradation time as strategies for tailoring degradation and drug release rates remain limited. This work aimed to examine a consistent series of polymers based on a large block of PLLA and small quantities of hydrophilic poly(ethylene glycol) (PEG) initiator. The polymers had PLLA number average molecular weight (Mn) values ranging between about 60 kDa and 200 kDa and PEG Mns ranging between 550 Da and 5000 Da giving very low PEG wt% values ranging between 0.1 and 1.5 wt%. There are currently no studies which consider high molecular weight PLLA polymers with small quantities of PEG for potential use in structural implants. Furthermore, reports in the literature do not consider the individual effects of PEG addition and PEG and PLLA lengths. The focus of this project was on the impact of processing, hydrolytic degradation and drug release on the morphological aspects of the materials. The materials were thoroughly characterised in their as-synthesised and processed forms. The assynthesised polymers were semi-crystalline and retained the unit cell of PLLA. The glass transition temperature (Tg) was significantly reduced by PEG functionalisation. After injection moulding, nuclear magnetic resonance (NMR) indicated that the PEG component was still present. The Mn of the PEG functionalised samples decreased by approximately two-fold compared with the as-synthesised materials while the PLLA control polymers, processed beyond 200 °C, were more affected as the processing temperature was increased. The degradation properties of the materials were considered. The processed materials were submerged in phosphate buffered saline (PBS) (pH = 7.4) at 37 °C over an 8-month degradation study. During hydrolytic degradation, PEG functionalisation resulted in an increased water uptake. Mass loss began in all polymers when the Mn fell below a threshold of about 20 kDa. In the PEG functionalised samples, the degree of crystallinity increased with time, facilitated by plasticisation from PEG and the increased water content. The molecular degradation rate, k for the PEG-functionalised polymers was dependent on the presence of PEG functionalisation but was little affected by PEG length or PLLA length in the ranges studied. The time taken to reach the critical Mn, and hence the time for mass loss to begin, therefore depended on both the initial Mn and the presence or absence of PEG functionalisation. In the presence of PEG, k, was dramatically enhanced: k for PEG-functionalised polymers fell in the range of 6 x $10^{-4}$ $h^{-1}$ to 1 x $10^{-3}$ $h^{-1}$, as compared with that of the PLLA control of 2.9 x $10^{-5}$ $h^{-1}$. The mechanism of drug release from an analogous series of polymers was investigated. Propranolol. HCl was selected as a model drug for the drug release studies due to its thermal stability and solubility in PBS. Drug loading of propranolol.HCl was achieved by mixing the polymer and drug then injection moulding. A second method of drug incorporation using supercritical CO2 to load propranolol into as-synthesised polymer granules before injection moulding was examined for comparison. The materials processed through injection moulding showed that while drug crystals were present at the surface and in the polymer matrix, a level of drug solubility was also achieved in the PEG-functionalised polymers whereas the PLLA control showed no signs of polymer-drug interaction and only a distribution of drug crystals confined to the surface. The presence of drug crystals on the surface of the PLLA control resulted in the instant dissolution of propranolol.HCl and gave a burst release compared with an initial burst release in the PEG-functionalised polymers followed by a gradual release of the drug. This initial burst release was eliminated from the profile of the samples processed via supercritical CO2. The amorphous dispersion of the drug in the matrix gave a slow, sustained release throughout the duration of the drug release study. The results in this thesis have elucidated the intricate mechanisms of degradation and drug release from PEG-functionalised PLLA polymers. The overall outcome shows new ways of controlling the degradation and drug release rates of already medically established poly(-hydroxy acid) polymers extending their potential for use within temporary structural implants.

As all the physiological processes in our body are controlled by multiple biomolecules, comprehensive treatment of certain disease conditions may be more effectively achieved by administration of more than one type of drug. Thus, the primary objective of this research was to develop a multilayered, polymer-based system for sequential delivery of multiple drugs. This particular device was designed aimed at the treatment of periodontitis, a highly prevalent oral inflammatory disease that affects 90% of the world population. This condition is caused by bacterial biofilm on the teeth, resulting in a chronic inflammatory response that leads to loss of alveolar bone and, ultimately, the tooth. Current treatment methods for periodontitis address specific parts of the disease, with no individual treatment serving as a complete therapy. The polymers used for the fabrication of this multilayered device consists of cellulose acetate phthalate (CAP) complexed with Pluronic F-127 (P). After evaluating morphology of the resulting CAPP system, in vitro release of small molecule drugs and a model protein was studied from both single and multilayered devices. Drug release from single-layered CAPP films followed zero-order kinetics related to surface erosion property of the association polymer. Release studies from multilayered CAPP devices showed the possibility of achieving intermittent release of one type of drug as well as sequential release of more than one type of drug. Mathematical modeling accurately predicted the release profiles for both single layer and multilayered devices. After the initial characterization of the CAPP system, the device was specifically modified to achieve sequential release of drugs aimed at the treatment of periodontitis. The four types of drugs used were metronidazole, ketoprofen, doxycycline, and simvastatin to eliminate infection, inhibit inflammation, prevent tissue destruction, and aid bone regeneration, respectively. To obtain different erosion times and achieve appropriate release profiles specific to the disease condition, the device was modified by increasing the number of layers or by inclusion of a slower eroding polymer layer. In all the cases, the device was able to release the four different drugs in the designed temporal sequence. Analysis of antibiotic and anti-inflammatory bioactivity showed that drugs released from the devices retained 100% bioactivity. Following extensive studies on the in vitro sequential drug release from these devices, the in vivo drug release profiles were investigated. The CAPP devices with different release rates and dosage formulations were implanted in a rat calvarial onlay model, and the in vivo drug release and erosion was compared with in vitro results. In vivo studies showed sequential release of drugs comparable to those measured in vitro, with some difference in drug release rates observed. The present CAPP association polymer-based multilayer devices can be used for localized, sequential delivery of multiple drugs for the possible treatment of complex disease conditions, and perhaps for tissue engineering applications, that require delivery of more than one type of biomolecule.

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Neurotrophin-3 (NT-3) and anti-NogoA have shown promise in regenerative strategies after spinal cord injury; however, conventional methods for localized release to the injured spinal cord are either prone to infection or not suitable for sustained release. To address these issues, we have designed a composite drug delivery system that is comprised of poly(lactic-co-glycolic acid) (PLGA) nanoparticles dispersed in an injectable hydrogel of hyaluronan and methyl cellulose (HAMC). Achieving sustained and bioactive protein release from PLGA particles is a known challenge; consequently, we studied the effects of processing parameters and excipient selection on protein release, stability, and bioactivity. We found that embedding PLGA nanoparticles in HAMC results in more linear drug release due to the formation of a diffusion-limiting layer of methyl cellulose on the particle surface. Co-encapsulated MgCO3 was able to significantly improve NT-3 bioactivity, while trehalose + hyaluronan was able to improve anti-NogoA bioactivity and release.