Le traitement de l’asthme concerne une large population et fait appel très majoritairement à une administration par voie pulmonaire. Cette voie présente certains inconvénients qui pourraient être palliés par le recours à la voie buccale comme envisagé dans cette étude, avec une amélioration attendue de la compliance et de la biodisponibilité. Aussi ce travail a eu pour objectif de développer et caractériser une formulation mucoadhésive thermogélifiante à base de salbutamol. Au regard des contraintes liées à la voie buccale et à la prise en charge du traitement de l’asthme aigu, les principales propriétés pharmacotechniques attendues pour optimiser la biodisponibilité de cette formulation ont été : (i) une gélification optimale autour de 30°C après pulvérisation pour faciliter notamment l’administration ; (ii) des propriétés mécaniques et mucoadhésives importantes pour assurer un maintien de la forme au site d’absorption ; (iii) une cinétique de libération compatible avec le traitement de la phase aigüe de la pathologie. Le choix des excipients a été défini afin d’avoir la plus grande innocuité de la formulation finale. Les travaux expérimentaux ont mis en évidence l’intérêt de certaines techniques innovantes pour la caractérisation de ce type de formulation comme notamment l’étude de libération à l’aide de l’appareil de dissolution à flux continu, la détermination de la cytotoxicité par microscopie holographique digitale et l’évaluation de la mucoadhésion in vitro et in vivo par imagerie. Les résultats ont aussi permis de proposer des modèles mathématiques pour l’interprétation des mécanismes de libération du salbutamol et quantifier l’importance des phénomènes de diffusion et d’érosion. Les conclusions de cette étude sont favorables à la poursuite du développement en vue d’une commercialisation. / The treatment of asthma concerns a large population and generally necessitates an administration by the pulmonary route. This route has some drawbacks which could be overcome by the buccal route, like considered in this study expecting an improvement of the compliance and the bioavailability. The aim of this work was to develop and characterize a thermogelling mucoadhesive formulation containing salbutamol sulfate. The main properties of the formulation were: (i) thermogelation around 30°C to facilitate the administration by spray; (ii) strong mechanical properties and high mucoadhesive strength to maintain the formulation in situ; (iii) drug release kinetics adapted to the treatment. The excipients were selected with regard to the final formulation safety. The experimental work emphasized the great interest of certain techniques in the characterization of this kind of formulation, for example the drug release study using flow through apparatus, the cytotoxicity study using digital holographic microscopy and also the mucoadhesion study by in vivo imaging. The use of mathematical models provided a relevant understanding of drug release mechanisms. The conclusion of this study is favorable to a further development of the project for a future marketing.

Simple gel formulations may be applied to enhance the systemic and local exposure of potential compounds. The aim of this thesis is the development and characterization of controlled release formulations based on thermo-reversible poloxamer gels, which are suitable for novel drug delivery applications.  In particular co-solvents (DMSO, ethanol), mucoadhesive polymers (chitosan, alginate) and salts (sodium tripolyphosphate, CaCl2) have been used to enhance the applications of poloxamer 407 (P407) formulations in preclinical animal studies. The impact of these additives on the micellization and gelation properties of P407 aqueous solutions was studied by calorimetric methods, nuclear magnetic resonance spectroscopy (NMR) and “tube inversion” experiments. The drug release behavior of hydrophobic and hydrophilic drugs was characterized by using a membrane/membrane-free experimental setup. Finally, preliminary pharmacokinetic studies using a mouse model were conducted for screening of selected inhibitors of bacterial type III secretion and for evaluation of different formulations including P407 gel. All additives, used here, reduced the CMTs (critical micelle temperature) of dilute P407 solutions, with the exception of ethanol. The gelation temperature of concentrated P407 solutions was lowered in the presence of CaCl2, DMSO, TPP and alginate. 1H MAS (Magic Angle Spinning) NMR studies revealed that DMSO influences the hydrophobicity of the PPO segment of P407 polymers. Low concentrations of DMSO did not show any major effect on the drug release from P407 gels and may be used to improve the exposure of lead compounds in poloxamer gels. A newly developed in situ ionotropic gelation of chitosan in combination with TPP in P407 gels showed an enhanced resistance to water and reduced the release rates of model drugs. From preliminary pharmacokinetic studies in mice it was revealed that poloxamer formulations resulted in an increased plasma half-life of the lead compound.

No description available.

La régénération tissulaire est une voie prometteuse de thérapie dans le cadre des maladies dégénératives. Dans ce but sont conçus les microcarriers pharmacologiquement actifs (PAM). Ce sont des microsphères fournissant un environnement adéquat à la survie et la différenciation de cellules souches par la libération d’un facteur de croissance protéique encapsulé.Pour potentialiser l’intérêt des PAM, les microsphères doivent (1) permettre la libération complète et prolongée de la protéine (2) être formulées sans solvant halogéné par un procédé transposable à l’échelle pilote.Deux stratégies sont menées afin d’améliorer la stabilité et la libération de la protéine. La première consiste à utiliser de nouveaux additifs. Une étude bibliographique révèle le potentiel d’additifs protéiques ; leur application a permis d’augmenter significativement l’activité biologique de la protéine libérée. La seconde stratégie consiste à moduler la matrice de copolymère PLGAP188-PLGA. La modification de ses propriétés physicochimiques (Mw, hydrophobie…) a permis d’accéder à la compréhension de la structure des microsphères et d’obtenir une libération continue.Le développement du procédé de fabrication des microsphères sans solvant toxique associe la technique du prilling avec le glycofurol comme solvant. Cette combinaison se heurte à de nombreux verrous technologiques. La mise au point du procédé a été réalisée à l’aide de plans d’expériences. Ils ont conduit à la production de particules grâce à la modélisation des propriétés physicochimiques du milieu de réception et à la prise en compte des différents paramètres du procédé. / Pharmacologically active microcarriers (PAM) have been developed as innovative tools for tissue regeneration. This microspherical platform provided an environment for the survival and the differentiation of stem cells through the release of encapsulated protein growth factor. To improve the therapeutic efficacy of the PAM, the microspheres have to (1) provide the full and sustained release of the protein (2) be formulated without halogenated solvent by a process with an easy scale-up. The protein release has been studied through two strategies. The first one was to look for a preservation of the biological activity of the protein during the release. A literature review highlighted protein additives. Some of them were incorporated into the microspheres and increased significantly the protein release. The second one was the modulation of the matrix copolymer PLGAP188-PLGA. The modification of its properties (MW,hydrophobicity) permitted to reach a continuous release and to understand the structure of the microspheres. The prilling technique and the use of glycofurol provide an easy transferable process without toxic solvent. Experimental designs were performed to overcome the technological barriers. Through the modeling the physicochemical properties of the reception medium and the study of the process parameters, the formulation has been improved to produce acceptable particles.

Yes / Understanding structure-property relationships is critical for the development of new drug delivery systems. This study investigates the properties of Pluronic smart hydrogel formulations for future use as injectable controlled drug carriers. The smart hydrogels promise to enhance patient compliance, decrease side effects and reduce dose and frequency. Pharmaceutically, these systems are attractive due to their unique sol-gel phase transition in the body, biocompatibility, safety and injectability as solutions before transforming into gel matrices at body temperature. We quantify the structural changes of F127 systems under controlled temperature after flow, as experienced during real bodily injection. Empirical formulae combining the coupled thermal and shear dependency are produced to aid future application of these systems. Induced structural transitions measured in-situ by small angle x-ray and neutron scattering reveal mixed oriented structures that can be exploited to tailor the drug release profile.

The increasing spread of antibiotic resistance among bacteria poses a major threat to the public health. There is an urge for the development of innovative formulations of existing and new antibiotics. One area of interest is in wound care, where two interesting antimicrobials are the conventional antibiotic amoxicillin and the antimicrobial peptide AP114. The objective of this work was to systemically evaluate topical gel formulations of these APIs by following a Quality by Design approach. A short excipient compatibility study was performed and the thickening agents poloxamer 407 and HPMC were chosen to be included in the following Design of Experiment (DoE) study of formulation composition and storage climate. The DoE set up was generated by the software MODDE Pro® and a short stability study of four weeks was performed, including analysis of the apparent pH, rheology stability, appearance, BCA assay, UV-Vis and FTIR spectroscopy and Franz cell diffusion. The results showed that AP114 formulations stored at 2-8˚C with poloxamer 407 should be with buffer pH 5-6 and 5-15 wt% organic phase to maximize stability, while HPMC based AP114 gels should be with buffer pH 6-8 and 10-40 wt% organic phase. Poloxamer 407 was not preferrable for amoxicillin formulations. The optimal HPMC based amoxicillin formulations included the storage temperature 25˚C, a buffer pH 7-8 and 40-60 wt% organic phase. HPMC based amoxicillin gels stored at 2-8˚C should be composed with buffer pH 6-8 and 10-40 wt% organic phase.

Doctor of Philosophy(PhD) / Owing to its strategic position in the liver sinusoid, pathologic and morphologic alterations of the Liver Sinusoidal Endothelial Cell (LSEC) have far-reaching repercussions for the whole liver and systemic metabolism. LSECs are perforated with fenestrations, which are pores that facilitate the transfer of lipoproteins and macromolecules between blood and hepatocytes. Loss of LSEC porosity is termed defenestration, which can result from loss of fenestrations and/ or decreases in fenestration diameter. Gram negative bacterial endotoxin (Lipopolysaccharide, LPS) has marked effects on LSEC morphology, including induction LSEC defenestration. Sepsis is associated with hyperlipidemia, and proposed mechanisms include inhibition of tissue lipoprotein lipase and increased triglyceride production by the liver. The LSEC has an increasingly recognized role in hyperlipidemia. Conditions associated with reduced numbers of fenestrations such as ageing and bacterial infections are associated with impaired lipoprotein and chylomicron remnant uptake by the liver and consequent hyperlipidemia. Given the role of the LSEC in liver allograft rejection and hyperlipidemia, changes in the LSEC induced by LPS may have significant clinical implications. In this thesis, the following major hypotheses are explored: 1. The Pseudomonas aeruginosa toxin pyocyanin induces defenestration of the LSEC both in vitro and in vivo 2. The effects of pyocyanin on the LSEC are mediated by oxidative stress 3. Defenestration induced by old age and poloxamer 407 causes intrahepatocytic hypoxia and upregulation of hypoxia-related responses 4. Defenestration of the LSEC seen in old age can be exacerbated by diabetes mellitus and prevented or ameliorated by caloric restriction commencing early in life

Doctor of Philosophy(PhD) / Owing to its strategic position in the liver sinusoid, pathologic and morphologic alterations of the Liver Sinusoidal Endothelial Cell (LSEC) have far-reaching repercussions for the whole liver and systemic metabolism. LSECs are perforated with fenestrations, which are pores that facilitate the transfer of lipoproteins and macromolecules between blood and hepatocytes. Loss of LSEC porosity is termed defenestration, which can result from loss of fenestrations and/ or decreases in fenestration diameter. Gram negative bacterial endotoxin (Lipopolysaccharide, LPS) has marked effects on LSEC morphology, including induction LSEC defenestration. Sepsis is associated with hyperlipidemia, and proposed mechanisms include inhibition of tissue lipoprotein lipase and increased triglyceride production by the liver. The LSEC has an increasingly recognized role in hyperlipidemia. Conditions associated with reduced numbers of fenestrations such as ageing and bacterial infections are associated with impaired lipoprotein and chylomicron remnant uptake by the liver and consequent hyperlipidemia. Given the role of the LSEC in liver allograft rejection and hyperlipidemia, changes in the LSEC induced by LPS may have significant clinical implications. In this thesis, the following major hypotheses are explored: 1. The Pseudomonas aeruginosa toxin pyocyanin induces defenestration of the LSEC both in vitro and in vivo 2. The effects of pyocyanin on the LSEC are mediated by oxidative stress 3. Defenestration induced by old age and poloxamer 407 causes intrahepatocytic hypoxia and upregulation of hypoxia-related responses 4. Defenestration of the LSEC seen in old age can be exacerbated by diabetes mellitus and prevented or ameliorated by caloric restriction commencing early in life

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.