Yes / Understanding the structure-property relationships of drug delivery system (DDS) components is critical for their development and the prediction of bodily performance. This study investigates the effects of introducing polyethylene oxide (PEO) homopolymers, over a wide range of molecular weights, into Pluronic injectable smart hydrogel formulations. These smart DDSs promise to enhance patient compliance, reduce adverse effects and dosing frequency. Pharmaceutically, Pluronic systems are attractive due to their unique sol-gel phase transition in the body, biocompatibility, safety and ease of injectability as solutions before transforming into gel matrices at body temperature. This paper presents a systematic and comprehensive evaluation of gelation and the interplay of microscopic and macroscopic properties under both equilibrium and non-equilibrium conditions in controlled environments, as measured by rheology in conjunction with time-resolved Small Angle Neutron Scattering (SANS). The non-equilibrium conditions investigated in this work offer a better understanding of the two polymeric systems’ complex interactions affecting the matrix thermo-rheological behaviour and structure and therefore the future release of an active pharmaceutical ingredient from the injectable DDS.

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O cloridrato de ranitidina, um antagonista dos receptores H2 da histamina, foi determinado em comprimidos e injetáveis por espectrofotometria no ultravioleta, a 313nm, e por espectrofotometria no visível, a 615nm, utilizando o cloridrato da hidrazona da 3-metil-2-benzotiazolinona (MBTH) a 0,35% em HCl 0,M e cloreto férrico a 0,40% em HCl 0,1M, como reagentes de cor. Na espectrofotometria no ultravioleta a lei de Beer foi obedecida no intervalo de concentração de 5,0 a 18,0 µg/mL. Quatro amostras comerciais foram analisadas. Os coeficientes de variação foram 0,36% e 0,71% para comprimidos, e 0,51% e 0,24% para injetáveis. A média de recuperação foi 99,88%. Na espectrofotometria no visível a lei de Beer foi obedecida no intervalo de concentração de 1,44 a 5,76 µg/mL. Os coeficientes de variação foram 0,72% e 0,59% para comprimidos, e 0,53% e 0,61% para injetáveis. A média de recuperação foi 99,39%. Os resultados foram comparados estatisticamente e foram compatíveis para as amostras que se encontravam em bom estado de conservação. / Ranitidine hydrochloride, a histamine H2-receptor antagonist, was determined in tablets and injections by ultraviolet spectrophotometry at 313nm , and visible spectrophotometry using as color reagent 0,35% 3-methyl-2-benzothiazolinone hydrochloride in HCl 0,1M and 0,40% ferric chloride in HCl 0,1M. In ultraviolet spectrophotometry, Beer\'s law was obeyed in the range of concentration from 5,0 to 18,0 µg/mL. Four commercially available were analyzed. The coefficients of variation were 0,36% and 0,71% for tablets, and 0,51% and 0,24% for injections. The recovery average was 99,88%. In visible spectrophotometry, Beer\'s law was obeyed in the range of concentration from 1,44 to 5,76 µg/mL. The coefficients of variation were 0,72% and 0,59% for tablets, and 0,53% and 0,61% for injections. The recovery average was 99,39%. The results obtained by using the two methods were statistically compared and were compatible when samples were kept in good conditions of storage.

O cloridrato de ranitidina, um antagonista dos receptores H2 da histamina, foi determinado em comprimidos e injetáveis por espectrofotometria no ultravioleta, a 313nm, e por espectrofotometria no visível, a 615nm, utilizando o cloridrato da hidrazona da 3-metil-2-benzotiazolinona (MBTH) a 0,35% em HCl 0,M e cloreto férrico a 0,40% em HCl 0,1M, como reagentes de cor. Na espectrofotometria no ultravioleta a lei de Beer foi obedecida no intervalo de concentração de 5,0 a 18,0 µg/mL. Quatro amostras comerciais foram analisadas. Os coeficientes de variação foram 0,36% e 0,71% para comprimidos, e 0,51% e 0,24% para injetáveis. A média de recuperação foi 99,88%. Na espectrofotometria no visível a lei de Beer foi obedecida no intervalo de concentração de 1,44 a 5,76 µg/mL. Os coeficientes de variação foram 0,72% e 0,59% para comprimidos, e 0,53% e 0,61% para injetáveis. A média de recuperação foi 99,39%. Os resultados foram comparados estatisticamente e foram compatíveis para as amostras que se encontravam em bom estado de conservação. / Ranitidine hydrochloride, a histamine H2-receptor antagonist, was determined in tablets and injections by ultraviolet spectrophotometry at 313nm , and visible spectrophotometry using as color reagent 0,35% 3-methyl-2-benzothiazolinone hydrochloride in HCl 0,1M and 0,40% ferric chloride in HCl 0,1M. In ultraviolet spectrophotometry, Beer\'s law was obeyed in the range of concentration from 5,0 to 18,0 µg/mL. Four commercially available were analyzed. The coefficients of variation were 0,36% and 0,71% for tablets, and 0,51% and 0,24% for injections. The recovery average was 99,88%. In visible spectrophotometry, Beer\'s law was obeyed in the range of concentration from 1,44 to 5,76 µg/mL. The coefficients of variation were 0,72% and 0,59% for tablets, and 0,53% and 0,61% for injections. The recovery average was 99,39%. The results obtained by using the two methods were statistically compared and were compatible when samples were kept in good conditions of storage.

Objectif : Étudier l'association entre l’utilisation de contraceptifs hormonaux et le risque d'acquisition du VIH-1 chez les femmes au Malawi, en Afrique du Sud, en Zambie et au Zimbabwe. Devis : Analyses secondaires de 2887 femmes âgées de 17-55 ans ayant participé à l’étude HPTN 035, une étude de phase II/IIb sur l’efficacité de deux gels microbicides pour prévenir la transmission du VIH chez les femmes à risque. Méthodes : L'association entre l'utilisation de contraceptifs hormonaux et le risque d'acquisition du VIH-1 a été évaluée en utilisant des modèles de Cox. Des risques relatifs sont estimés où le groupe de référence est celui des femmes qui n’utilisent pas de contraceptifs hormonaux. De plus, un modèle multivarié de Cox est utilisé afin de contrôler pour les facteurs potentiellement confondants. Résultats : Les contraceptifs injectables ont été utilisés par 52,1% des femmes, alors que les contraceptifs oraux ont été utilisés par 20,7% de celles-ci. Pendant l'étude, il y a eu 192 séroconversions. L'incidence observée du VIH était de 2,28; 4,19 et 4,69 pour 100 personne-années pour les contraceptifs oraux, injectables et non hormonaux, respectivement. Lors de l’analyse multivariée, nous n'avons trouvé aucune association significative entre l’usage des contraceptifs hormonaux et l’acquisition du VIH-1. Le risque relatif ajusté (RRa) pour les contraceptifs oraux est de 0,573 (IC de 95% : [0,31-1,06]) et 0,981 (IC de 95% : [0,69 ; 1,39]) pour les contraceptifs injectables. Conclusions : Bien que cette étude ne démontre pas d’association entre l’usage des contraceptifs hormonaux et le VIH-1, nous concluons toutefois que ces méthodes de contraception ne protègent pas contre le VIH-1, et il est ainsi recommandé aux femmes utilisant des hormones contraceptives de toujours utiliser le condom pour prévenir l'infection au VIH-1. / Objective: To investigate the association between the use of hormonal contraceptive and the risk of acquiring HIV-1 infection in women from Malawi, South Africa, Zambia and Zimbabwe. Design: Secondary analyses of 2887 women aged 17-55 years who participated in the HPTN 035 trial, a Phase II/IIb trial on the efficacy of two microbicide gels to prevent HIV transmission in women at risk in Africa. Methods: The association between the use of hormonal contraceptive and the risk of acquiring HIV-1 was evaluated using Cox proportionnal models. Relative risks of exposed women were estimated using as a reference group the women who do not use hormonal contraceptives. In addition, a multivariate Cox model was used to control for potentially confounding factors. Results: Injectable contraceptives were used by 52.1 % of women, while oral contraceptives were used by 20.7% of them. During the study, there were 192 seroconversions. The observed HIV-1 incidence was 2.28, 4.19 and 4.69 per 100 woman-years for oral, injectable and non-hormonal contraceptive users, respectively. In multivariate analysis, we found no significant association between the use of hormonal contraceptives and HIV-1 acquisition. The adjusted relative risk (aRR) for oral contraceptives was 0.573 (95% CI: [0.31 to 1.06]) and 0.981 (95% CI: [0.69, 1.39]) for injectable contraceptives. Conclusions: Although this study did not demonstrate an association between hormonal contraceptive use and the risk of HIV-1 infection, we conclude, however, that these methods of contraception do not protect against HIV-1, and it is thus recommended that women using contraceptive hormones always use condoms to prevent HIV-1.

Cette thèse présente les travaux de développement de formulations injectables capables de se solidifier in situ, formant ainsi un implant piégeant des microparticules magnétiques en vue du traitement de tumeurs par induction magnétique d'une hyperthermie locale modérée. Nous exposons tout d'abord le contexte physique, biologique et clinique de l'hyperthermie comme traitement anticancéreux, particulièrement des modalités électromagnétiques. Les performances in vitro et in vivo des matériaux et formulations sont alors présentées. L'objet du chapitre suivant est la caractérisation des propriétés physicochimiques, magnétiques, et chauffantes, dans un champ magnétique alternatif (115 kHz, 9 - 12 mT), des microparticules de silice renfermant des nanoparticules d'oxyde de fer superparamagnétiques (SPIONs) et de deux de leurs formulations: un hydrogel d'alginate de sodium et un organogel de poly(éthylène-co-alcool vinylique) dans le diméthylsulfoxide. Finalement, nous présentons le potentiel thérapeutique de 20 minutes d'hyperthermie locale induite après injection de l'organogel superparamagnétique dans un modèle murin sous-cutané de tumeurs nécrosantes de colocarcinome humain.