O objetivo do presente trabalho foi desenvolver e validar um método analítico empregando microextração em fase sólida (SPME) para detecção e quantificação de isoflurano (ISO) na forma volátil e incluso em nanoemulsões intravenosas e, ainda, avaliar o efeito biológico destas. A detecção do ISO foi realizada através de cromatografia em fase gasosa com detector de ionização de chama (CG/DIC). As condições ideais para realização da pré-concentração e extração de ISO através da técnica de SPME foram temperatura ambiente, agitação constante, 30 min de extração e 2 min de dessorção no injetor do CG. O método desenvolvido foi validado avaliando os parâmetros de especificidade, linearidade, limites de detecção e quantificação, precisão, exatidão e robustez. As nanoemulsões contendo ISO foram desenvolvidas através da homogeneização à alta pressão, e apresentaram diâmetro médio, índice de polidispersão, potencial zeta e pH de 150 ± 0,78 nm, 0,08 ± 0,01, - 18 ± 2,4 mV e 6,03 ± 0,04, respectivamente. O pH foi ajustado para 7,4 (valor fisiológico). O teor de ISO nas formulações foi de 98,4 %. Não houve modificação das características físico-químicas das nanoemulsões após 30 dias de armazenamento a 8 ºC. Análises de espalhamento de luz múltiplo não demonstraram tendência a fenômenos de instabilidade física para as formulações. Os estudos do efeito anestésico das nanoemulsões intravenosas contendo ISO em cães evidenciaram uma redução significativa (p < 0,05) na dose comparada com a administração de ISO volátil. Não houve alterações no débito cardíaco, saturação de oxigênio na hemoglobina e nos biomarcadores das funções renal, hepática e muscular. Uma queda na pressão arterial dos cães foi observada em todos os tratamentos devido ao efeito hipotensor do ISO. Após administração das nanoemulsões contendo ISO e branca, observou-se taquipnéia, edema, eritema, e baixas concentrações de dióxido de carbono expiradas. Assim, a nanoemulsificação do ISO foi realizada com sucesso e a aplicação na anestesia geral intravenosa foi demonstrada. / The aims of this work were to develop and validate an analytical method using solidphase microextraction (SPME) to detect and quantify isoflurane (ISO) inhalation liquid and loaded in intravenous nanoemulsions, and also evaluate the biological effect of the formulations. ISO detection was made by gas chromatography with flame ionization detector (GC/FID). The ideal conditions setting for the pre concentration and extraction of ISO through SPME were environmental temperature, constant stirring, 30 min for extraction and 2 min for analyte desorption in the GC inlet port. The developed method was validated by means of specificity, linearity, detection and quantification limits, precision, accuracy and robustness. The ISOloaded nanoemulsions were formulated by high-pressure homogenization, and presented average diameter, polydispersity index, zeta potential and pH of 150 ± 0.78 nm, 0.08 ± 0.01, -18 ± 2.4 mV and 6.03 ± 0.04, respectively. The pH was adjusted to 7.4 (physiological value). The drug content on the formulations was 98.4 %. After 30 days of storage at 8 ºC no changes on nanoemulsion’s physicalchemical characteristics were observed. Multiple light scattering analysis did not demonstrate any physical destabilization phenomena for the formulations. The anesthetic effect study for the intravenous ISO-loaded nanoemulsions in dogs highlighted a significant reduction (p < 0.05) in dosage regimen when compared to the volatile ISO administration. There were no alterations on cardiac rate, oxygen hemoglobin saturation and on biomarkers of the renal, hepatic and muscle functionalities. A decrease in dog’s arterial blood pressure in all treatments due the hypotensive effect caused by ISO was observed. After the administration of the nanomulsions, ISO-loaded and unloaded, occurred tachypnea, edema, erythema and low end tidal concentrations of carbon dioxide. Taking all above into account, the method was considered easy on execution and suitable for laboratory routines, the ISO nanoemulsification was made successfully and its application on general anesthesia was demonstrated.

Orientador: Marcelo Cristianini / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia de Alimentos / Made available in DSpace on 2018-08-22T00:17:22Z (GMT). No. of bitstreams: 1 Porto_BrunaCastro_M.pdf: 1622072 bytes, checksum: 6514e53552e6ebb0dd11ed91b7443580 (MD5) Previous issue date: 2013 / Resumo: A goma do cajueiro (GC) é um produto isolado do exsudado bruto do cajueiro e tem sido mencionada como uma possível alternativa a substituir a goma arábica na indústria de alimentos. A alta pressão dinâmica (APD) é apresentada como uma opção a modificação física dos polissacarídeos a fim de melhorar suas propriedades tecnológicas. Dessa forma, o trabalho teve como objetivo avaliar o efeito da APD nas características tecnológicas da GC. O exsudado bruto foi purificado e a goma caracterizada quanto à composição centesimal, potencial zeta e reologia. Em seguida GC nativa (sem processamento-controle) e processada a APD foram investigadas quanto suas características tecnológicas (solubilidade e capacidade de absorção de água (CAA) nas temperaturas 30, 60 e 90ºC, capacidade de absorção de óleo (CAO), reologia e propriedades emulsificantes) comparando-as com os resultados obtidos para goma arábica (GA). A GC apresentou 10,5% de umidade, 0,8% de cinzas, 0,9% de proteínas, 0,01% de lipídios e 87,7% de carboidratos. O ponto isoelétrico encontrado foi de 3,2. A CAA para a GC controle foi no mínimo 50% maior que a da GA em todas as temperaturas avaliadas. Entretanto, apresentou CAO 35% menor, solubilidade 4% menor e consistência inferior. A APD aumentou a solubilidade da GC em 5% a 30°C, 4% a 60°C e 12% a 90°C, e reduziu a CAA em 66% a 30°C, 44% a 60°C e 25% a 90ºC. A APD também reduziu a CAO da GC em 63%. Quanto as características reológicas, o processamento da GC por APD a 30 MPa quando comparada com a GC controle resultou em diminuição do índice de consistência (k) em 69% e elevação do índice de fluxo (n) em 16%, aproximando o comportamento ao fluxo da goma ao de um fluido Newtoniano. O efeito da APD nas emulsões produzidas com GC promoveu redução de 14% no diâmetro médio volumétrico (D4,3) e 17% no diâmetro médio de área superficial (D3,2). O potencial zeta permaneceu constante quando a GC foi processada a 20 MPa, mas reduziu quando processada a 40 MPa. A reologia das emulsões permaneceu constante, já o processamento com APD melhorou a estabilidade da emulsão (menor índice de cremeação e maior turbidez). A turbidez das emulsões aumentou em 25%. Por fim, conclui-se que a GC apresenta boa capacidade de absorção de água, alta solubilidade em água (acima de 80%), baixa capacidade de absorção de óleo e baixa viscosidade aparente mesmo em soluções mais concentradas (20% m/v) quando comparada com a goma arábica. A APD é capaz de modificar as características tecnológicas da GC (solubilidade, CAA, CAO e reologia) e melhorar suas propriedades emulsificantes (menor tamanho médio de partículas, maior turbidez e redução no índice de cremeação) / Abstract: The cashew tree gum (CG) is a product isolated by exudate of cashew tree and has been mentioned as possible replacer to arabic gum in food industry. The dynamic high pressure (DHP) is presented as option to physical modification on polysaccharides to improve their technological properties. Thus, this work aimed to evaluate the effect of DHP on technological properties of CG. The exudate was purified and centesimal composition, zeta potential and rheology of the gum were determined. After that, native CG (without processing-control) and processed at DHP were evaluated in terms of its technological properties (solubility and water absorption capacity (WAC) at 30, 60 and 90ºC, oil absorption capacity (OAC), rheology and emulsifying properties) comparing it with the results obtained from arabic gum (AG). CG presented 10,5% of moisture, 0,8% of ash, 0,9% of proteins, 0,01% of fat and 87,7% of carbohydrates. The isoeletric point encountered was 3,2. The WAC for the control CG was at least 50% higher than AG in all temperatures evaluated. However, it presented lower values regarding to OAC (35%), solubility (4%) and consistency. The DHP increased the solubility of CG in 5% at 30ºC, 4% at 60ºC and 12% at 90ºC, decreased the WAC in 66% at 30ºC, 44% at 60ºC and 25% at 90ºC. The DHP decreased the OAC of CG in 63% as well. In terms of rheological characteristics, the processing of CG by DHP at 30 MPa when compared with control CG resulted in decrease of consistency index (k) with a increment of pressure in 69% and elevation of flow index (n) in 16%, making the behavior to the gum flow closer to the Newtonian fluid. The effect of DHP on CG emulsions resulted in a reduction of 14% on average volumetric diameter (D4,3) and 17% on average superficial area diameter (D3,2). The zeta potential remained constant when the GC was processed at 20 MPa, but decreased when processed at 40 MPa. The rheology of the emulsions remained constant, but the processing with APD improved emulsion stability (lower creaming index and higher turbidity). The turbidity of emulsions increased in 25%. Finally, CG presented good WAC, high solubility (up 80%), low OAC and low apparent viscosity even in more concentrated solutions (20% w/v) when compared with arabic gum. The DHP is capable to modify the technological properties of CG (solubility, WAC, OAC and rheology) and improve their emulsifying properties (lower average particle size and creaming index and higher cloudiness) / Mestrado / Tecnologia de Alimentos / Mestra em Tecnologia de Alimentos

Les nanoémulsions (NEs) huile/eau peuvent être utilisées en tant que systèmes de délivrance des médicaments pour l’encapsulation des substances actives hydrophobes afin d’améliorer leur stabilité et leur biodisponibilité. Néanmoins, leur stabilisation nécessite l’utilisation de concentrations plus importantes de tensioactifs par rapport aux émulsions conventionnelles en raison de l’augmentation de la surface spécifique. La plupart des tensioactifs synthétiques couramment utilisés dans la formulation des émulsions sont potentiellement irritants, voire toxiques. Cela entrave l'application thérapeutique des NEs en particulier pour les traitements à long terme. L'objectif de cette thèse est alors de formuler des NEs pharmaceutiques huile/eau stabilisées par un biopolymère, la beta-lactoglobuline (beta-lg), à la place des tensioactifs synthétiques.Les NEs ont été préparées par homogénéisation à haute pression (HHP). La composition de la formulation et les conditions du procédé ont été optimisées afin d’obtenir des gouttelettes nanométriques dans des NEs stables. Les résultats ont montré que les NEs les plus stables, avec une taille de gouttelettes < 200 nm, ont été obtenues quand 5 m/m% de l’huile ayant la viscosité la plus faible ont été utilisés en tant que phase huileuse, 95 m/m% de la solution de beta-lg à une concentration de 1 m/m% ont été utilisés en tant que phase aqueuse et 4 cycles d’HPH de 100 MPa ont été appliqués. Cette formulation a été stable contre les phénomènes de croissance de gouttelettes pendant au moins 30 jours grâce à un film interfacial quasiment purement élastique. La gomme xanthane, un polysaccaride naturel, a été ajoutée à la formulation optimale à une concentration de 0,5 m/m% en tant qu’agent épaississant. Cela a permis d’obtenir une texture crémeuse avec un comportement rhéofluidifiant. Dans cette dernière formulation, la vitesse de migration des gouttelettes a été considérablement réduite et la stabilité des NEs a été améliorée.Les effets du procédé d’HPH sur les différents niveaux de structure de la protéine ont été évalués à l’aide de méthodes spectroscopiques, chromatographiques et électrophorétiques. L’influence de ce traitement sur ses propriétés interfaciales et émulsionnantes a également été étudiée. L’efficacité émulsionnante optimale a été obtenue quand les conditions d’HPH n’ont pas altéré la structure de la beta-lg, ni ses propriétés interfaciales. Néanmoins, un traitement d’HHP excessif (300 MPa/5 cycles) a induit des modifications structurelles, principalement une transformation des feuillets beta en structures désordonnées, une large perte dans le cœur hydrophobe, et une agrégation importante par des liaisons disulfure intermoléculaires. La beta-lg modifiée par l’HHP a montré une hydrophobie de surface plus importante conduisant à une vitesse d’adsorption à l’interface huile/eau plus élevée et une formation plus précoce d’un film interfacial. La dénaturation de la protéine par ce traitement à haute pression, qui a été effectuée avant le processus d’émulsification, n'a pas modifié de façon significative l'efficacité émulsionnante. La réduction de l’efficacité a été probablement plutôt induite par la dénaturation simultanée avec l’émulsification sous conditions d’écoulement très turbulent.L’intérêt de la formulation développée en tant que véhicule pour un modèle de substance active hydrophobe a été étudié avec l’isotrétinoïne (IT), usuellement utilisé pour le traitement de l’acné sévère. La formulation développée a permis d’encapsuler 0,033 m/m% d’IT sans aucune modification de la stabilité du système. Environ 10 % de l’IT ajoutée ont été solubilisés dans la phase aqueuse en association avec la protéine libre en excès. L’IT encapsulée dans les gouttelettes huileuses a été plus stable contre la photo-isomérisation que celle associée à la protéine libre. La formulation développée apparait prometteuse en tant que système de délivrance de l’IT pour une application cutanée. / Oil-in-water nanoemulsions can be used as drug delivery systems for the encapsulation of hydrophobic active substances in order to increase their solubility and their bioavailability. However, due to their higher specific area, their stabilization requires higher surfactant concentrations compared to conventional emulsions. Most of the synthetic surfactants commonly used in emulsion formulation are potentially irritant and even toxic, which hinders the therapeutic application of nanoemulsions especially during long-term treatment. The objective of this thesis is thus to formulate pharmaceutical oil/water nanoemulsions stabilized by a biopolymer, beta-lactoglobulin (beta-lg), instead of synthetic surfactants. Nanoemulsions were prepared by high pressure homogenization (HPH). The formulation composition and the process conditions were optimized in order to obtain nanometric droplets within stable nanoemulsions. The results showed that the most stable nanoemulsions, with droplet size inférieure à 200 nm, were obtained when 5 w/w% of the oil with the lowest viscosity value was used as the oily phase, 95 w/w% of beta-lg solution at a concentration of 1 w/w% was used as the aqueous phase, and 100 MPa of homogenization pressure was applied for 4 cycles. This formulation was stable against droplet growth phenomena during 30 days at least, thanks to a quasi purely elastic interfacial film. Xanthan gum, a natural polysaccharide, was added to the optimal formulation as a texturizing agent at a concentration of 0.5 w/w%. This allowed obtaining a cream texture with a shear thinning behavior. In this formulation, the migration rate of droplets was considerably reduced and the nanoemulsions stability was enhanced.The effects of the homogenization process on the different levels of the protein structure were assessed by spectroscopic, chromatographic and electrophoretic methods. The influence of this treatment on its interfacial and emulsifying properties was also investigated. The optimal emulsifying efficiency was obtained when the homogenization conditions did alter neither the structure of beta-lg nor its interfacial properties. However, an excessive HPH treatment (300 MPa/5 cycles) introduced structural modifications, mainly from beta-sheets into random coils, wide loss in lipocalin core, and protein aggregation by intermolecular disulfide bridges. HPH modified beta-lg displayed higher surface hydrophobicity inducing a higher adsorption rate at the O/W interface and an earlier formation of an elastic interfacial film. Structural and interfacial properties modifications by HPH denaturation appeared qualitatively similar to that of the heat denaturation with, however, differences in extent. Protein denaturation by a high pressure treatment that was performed before the emulsification process did not alter significantly its emulsifying efficiency. The reduction in the efficiency was rather induced by the simultaneous denaturation with the emulsification under high turbulent flow.The efficiency of the developed formulation as a vehicle for a model hydrophobic active substance was studied using isotretinoin, usually used for the treatment of severe acne. The developed formulation was able to encapsulate 0.033 w/w of isotretinoin without any modification on the system stability. About 10 % of the added isotretinoin was solubilized in the aqueous phase associated with the free protein in excess. Isotretinoin encapsulated in the oily droplets was more stable against photo isomerization than the one associated to the excess protein in the aqueous phase. The developed formulation seems promising as a drug delivery system of isotretinoin for a dermal application.

No description available.

Cette thèse porte sur la mise au point de formulations de nanoparticules lipidiques à base de polyoxylglycérides afin d’assurer la protection de principes actifs instables chimiquement et physiquement, la quercétine (un flavonoïde antioxydant fragile) dans le cas présent. Différents systèmes dispersés ont été préparés par homogénéisation haute pression à chaud avec une taille des particules blanches entre 100 - 200 nm. Ces nanodispersions sont très stables sur plusieurs années à température ambiante. L’encapsulation de la quercétine, dans les nanoparticules lipidiques multicompartimentées et la préparation de nanocristaux ont permis d’augmenter fortement sa teneur dans la dispersion et d’améliorer effectivement sa stabilité physico-chimique. / This thesis focuses on the development of polyoxylglycérides-based lipid nanoparticles to protect labile APIs, quercetin (a fragile antioxidant flavonoid) in this case. Different nanoparticulate systems were prepared by high pressure homogenization with particle size between 100 to 200 nm. These nanodispersions are very stable over several years at room temperature. Encapsulation of quercetin in compartmented lipid nanoparticles and preparation of nanocrystals have increased significantly its content in the dispersion and effectively improve its physical and chemical stability.

O óleo de oliva apresenta elevado potencial de aplicação no desenvolvimento de produtos farmacêuticos e cosméticos. No campo farmacêutico, esse óleo tem sido utilizado para a preparação de nanossistemas de liberação de fármacos que apresentam baixa solubilidade em água. Tais nanossistemas, incluindo as nanoemulsões, podem ser obtidos empregando processos de alta (mecânico) e baixa energia (físico-químico). A proposta do presente estudo foi adquirir maior entendimento dos processos de preparação e da aplicação de nanoemulsão por homogeneização a alta pressão (HAP) e emulsificação empregando fase D (EFD), respectivamente métodos de alta e baixa energia. O conhecimento adquirido pela sistematização da pesquisa e das atividades executadas resultou em dois artigos de revisão e dois artigos de pesquisa. O primeiro artigo de revisão permitiu identificar tendo em vista o sucesso do desenvolvimento de nanoemulsão, a necessidade de conhecimento da interação entre o fármaco e os componentes da nanoemulsão; do impacto do processo de preparação nos componentes e na estabilidade da nanoemulsão; e da influência da formulação na liberação e na absorção do fármaco por diferentes rotas de administração. Além disso, apresentamos as diferentes nanoemulsões, considerando o tipo de tensoativo utilizado para sua preparação e seu respectivo uso. O segundo artigo de revisão evidenciou a adequada seleção de processo como o fator essencial para assegurar a obtenção de nanoemulsão com propriedades pré-determinadas, oferecendo aos pesquisadores alternativa realista para sua produção em escala industrial. Com referência aos artigos de pesquisa, o primeiro comprovou a possibilidade de obtenção de nanoemulsão contendo elevado teor de óleo vegetal (40% m/m) utilizando único tensoativo em 2 concentração de 2% m/m. Esse desempenho considerado como desafio nos processos convencionais de baixa energia, foi realizado com sucesso utilizando o processo EFD. O poliol foi confirmado como variável estatisticamente significativa para a redução do diâmetro hidrodinâmico médio (DHM) da nanoemulsão, influenciando de maneira sinérgica o comportamento do tensoativo durante a fase de transição nesse método. O estudo referente ao segundo artigo permitiu a identificação e o entendimento da relação entre as variáveis de composição e de processo e o DHM, no desenvolvimento de nanoemulsão contendo óleo de oliva, empregando os processos HAP e EFD. A abordagem estatística revelou os intervalos ótimos das variáveis de composição e de processo para a obtenção do DHM desejado, o atributo crítico de qualidade. Assim, foi adquirido maior entendimento dos respectivos processos. Adicionalmente, o conceito do espaço de design e a otimização por meio da função desejo permitu a obtenção de nanoemulsão de 275 nm com sucesso, empregando a mesma composição para ambos os processos: HAP e EFD. Os conhecimentos adquiridos nesses estudos poderão direcionar o desenvolvimento de nanoemulsão inovadora, com êxito. / Olive oil has an extensive applicability in the development of pharmaceuticals and cosmetics. In the pharmaceutical field, this oil has been used for the preparation of poorly water-soluble drug delivery nanosystems. Such nanosystems, including nanoemulsions, can be obtained by employing high (mechanical) and low energy (physicochemical) processes. The aim of the present study was to acquire the deep understanding of the processes of preparation and applicability of nanoemulsion by high-pressure homogenization (HPH) and D-phase emulsification (DPE), respectively high- and low-energy methods. The knowledge acquired through the careful systematization of the research and the activities performed resulted in two review articles and two research articles. The first review article allowed to identify, targeting development of a high efficacy nanoemulsion, the need to understand the interaction between the drug and nanoemulsion components; the impact of the preparation process on the components and the nanoemulsion stability; and the influence of the formulation on the release and uptake of the drug by different administration routes. In addition, we described the development of different nanoemulsions, according to the selected surfactant for their preparations, and their respective application. The second review article evidenced the appropriate process selection as the key factor to ensure obtaining nanoemulsions with desired properties, offering to researchers, a realistic industrial scale alternatives for the development of nanoemulsions. Regarding the research articles, the first one confirmed the possibility of obtaining nanoemulsions containing high vegetable oil content (40% w/w) using a single surfactant at a concentration of 2% w/w. This challenge, considered as a challenge in conventional low energy processes, was successfully accomplished using the DPE process. The polyol was confirmed to be a statistical significate variable for the reduction of the nanoemulsion mean particle size (MPD), by synergistically influencing the behavior of the surfactant during the transition phase in this method. The second research article allowed identifying and understanding the relationship between composition and process variables and MPS in the development of olive oil nanoemulsion, using HPH and DPE processes. The statistical approach allowed the identification of optimal ranges of composition and process variables for obtaining the desired MPS, which is the critical quality attribute. Therefore, a better understanding of the respective processes was acquired. In addition, the design space concept and the optimization by means of the desire function allowed obtaining a 275 nm nanoemulsion with success, using the same compositions for both HPH and the DPE processes. The knowledge acquired in these studies will successfully allow directions for the future development of innovative nanoemulsion.

Cancer is the second leading cause of death in the United States and its onset is highly incident in the lungs, with very low long-term survival rates. Chemotherapy plays a significant role for lung cancer treatment, and pulmonary delivery may be a potential route for anticancer drug delivery to treat lung tumors. Coenzyme Q₁₀ (CoQ₁₀) is a poorly-water soluble compound that is being investigated for the treatment of carcinomas. In this work, we hypothesize that formulations of CoQ10 may be developed for pulmonary delivery with a satisfactory pharmacokinetic profile that will have the potential to improve a pharmacodynamic response when treating lung malignancies. The formulation design was to use a vibrating-mesh nebulizer to aerosolize aqueous dispersions of CoQ₁₀ stabilized by phospholipids physiologically found in the lungs. In the first study, a method was developed to measure the surface tension of liquids, a physicochemical property that has been shown to influence the aerosol output characteristics from vibrating-mesh nebulizers. Subsequently, this method was used, together with analysis of particle size distribution, zeta potential, and rheology, to further evaluate the factors influencing the capability of this nebulizer system to continuously and steadily aerosolize formulations of CoQ₁₀ prepared with high pressure homogenization. The aerosolization profile (nebulization performance and in vitro drug deposition of nebulized droplets) of formulations prepared with soybean lecithin, dimyristoylphosphatidylcholine (DMPC), dipalmitoylphosphatidylcholine (DPPC) and distearoylphosphatidylcholine (DSPC) were evaluated. The rheological behavior of these dispersions was found to be the factor that may be indicative of the aerosolization output profile. Finally, the pulmonary deposition and systemic distribution of CoQ₁₀ prepared as DMPC, DPPC, and DSPC dispersions were investigated in vivo in mice. It was found that high drug amounts were deposited and retained in the mouse lungs for at least 48 hours post nebulization. Systemic distribution was not observed and deposition in the nasal cavity occurred at a lower scale than in the lungs. This body of work provides evidence that CoQ₁₀ may be successfully formulated as dispersions to be aerosolized using vibrating-mesh nebulizers and achieve high drug deposition in the lungs during inhalation. / text

Cancer is the second leading cause of death in the United States and its onset is highly incident in the lungs, with very low long-term survival rates. Chemotherapy plays a significant role for lung cancer treatment, and pulmonary delivery may be a potential route for anticancer drug delivery to treat lung tumors. Coenzyme Q₁₀ (CoQ₁₀) is a poorly-water soluble compound that is being investigated for the treatment of carcinomas. In this work, we hypothesize that formulations of CoQ10 may be developed for pulmonary delivery with a satisfactory pharmacokinetic profile that will have the potential to improve a pharmacodynamic response when treating lung malignancies. The formulation design was to use a vibrating-mesh nebulizer to aerosolize aqueous dispersions of CoQ₁₀ stabilized by phospholipids physiologically found in the lungs. In the first study, a method was developed to measure the surface tension of liquids, a physicochemical property that has been shown to influence the aerosol output characteristics from vibrating-mesh nebulizers. Subsequently, this method was used, together with analysis of particle size distribution, zeta potential, and rheology, to further evaluate the factors influencing the capability of this nebulizer system to continuously and steadily aerosolize formulations of CoQ₁₀ prepared with high pressure homogenization. The aerosolization profile (nebulization performance and in vitro drug deposition of nebulized droplets) of formulations prepared with soybean lecithin, dimyristoylphosphatidylcholine (DMPC), dipalmitoylphosphatidylcholine (DPPC) and distearoylphosphatidylcholine (DSPC) were evaluated. The rheological behavior of these dispersions was found to be the factor that may be indicative of the aerosolization output profile. Finally, the pulmonary deposition and systemic distribution of CoQ₁₀ prepared as DMPC, DPPC, and DSPC dispersions were investigated in vivo in mice. It was found that high drug amounts were deposited and retained in the mouse lungs for at least 48 hours post nebulization. Systemic distribution was not observed and deposition in the nasal cavity occurred at a lower scale than in the lungs. This body of work provides evidence that CoQ₁₀ may be successfully formulated as dispersions to be aerosolized using vibrating-mesh nebulizers and achieve high drug deposition in the lungs during inhalation.

Lung cancer is the deadliest cancer in the world, with a global 5-year survival rate of about 15%. Despite a notable impact of the latest improvements in prevention, screening, detection and staging, the efficacy of conventional treatments is not sufficient and has reached a therapeutic plateau. These conventional treatments involve a combination of surgery, radiotherapy (RT) and chemotherapy (CT). CT is used in almost all stages: in operable and inoperable stages to limit tumour cell invasion and in latest stages as a palliative treatment. Cisplatin is one of the most frequently used and most potent drugs available. It is administered by parenteral route at doses limited by its high and cumulative nephrotoxicity but also by other systemic toxicities (e.g. ototoxicity). Its administration therefore requires many precautions (long hydration procedure, surveillance of the renal function), which mobilize medical personnel. A major limitation of parental CT is the low concentration of drug that successfully reaches the tumour or the metastases. A potential additional modality could be aerosolized CT to localize lung cancer treatment. It has shown a relative local tolerance for cisplatin through preclinical and clinical studies in humans by means of nebulized solutions or liposomal formulations. As a local treatment, aerosolized CT has a clear pharmacokinetic (PK) advantage, as it can increase local exposure while decreasing systemic exposure. However, because CT drugs, such as cisplatin, are active at rather high doses (in the mg range), the duration of administration from nebulizers is very long as it depends on the drug solubility or on drug encapsulation into liposomes. They also pose a high risk of environmental contamination and require HEPA-filtrated hoods during the nebulization procedure. Of all the inhalation devices available to deliver high drug doses, dry powder inhalers (DPIs) were chosen in this work. These were chosen to circumvent the above issues by providing higher deposited doses, in very short timeframes, using a patient-driven device that could help limit environmental exposure to only very low levels of drug. DPI in general also have the advantage of being applicable to both poorly-water-soluble and to water-soluble anticancer drugs. However, because direct deposition of high quantities of anticancer drugs to the lung parenchyma could pose a high risk of local irritation and pulmonary adverse effects, controlled release (CR) of cisplatin from deposited particles in the lung parenchyma was needed. However, in the lungs, foreign undissolved particles are rapidly eliminated by means of naturally occurring clearance mechanisms, in particular macrophage uptake in the alveoli. Therefore, formulation strategies able to limit the particles clearance are needed to assure high lung residence of these CR particles. The formulation strategy of this work was to develop DPI formulation based on solid-lipid microparticles (SLM) able to (i) be deposited into the lung, (ii) control the release of cisplatin and (iii) escape macrophage uptake in order to remain in the lung long enough and at a concentration able to optimize the therapeutic index (i.e. increase the potential therapeutic effect and decrease the potential side effects).The primary objectives of the SLM-based DPI formulations were to (i) exhibit aerodynamic properties compatible with lung cancer patients abilities and cisplatin requirements (e.g. a high deposited fraction, high deagglomeration abilities under low airflow within a low-resistance DPI, deposition in the mg range), (ii) provide a CR matrix for cisplatin in vitro, (iii) be able to be retained into the lung long enough in vivo, (iv) using scalable production techniques and (v) using only potentially well-tolerated excipients.Cisplatin was initially reduced to microcrystals under high-pressure homogenization (HPH) cycles up to 20 000 psi. This procedure permitted uncoated particles with mean diameters below 1.0 μm to be obtained. To assess the cisplatin release abilities of the DPI formulations on the deposited fraction only, a new dissolution test was adapted. This test used a classical paddle apparatus from the pharmacopoeia and a Fast Screening Impactor (FSI). An excipient-free formulation, obtained from the spray dried suspension of cisplatin microcrystals (100% cisplatin) was initially produced. It was compared to a 95:5 cisplatin/tocopheryl polyethylene glycol succinate (TPGS) formulation, which exhibited a higher deposition ability (fine particle fraction (FPF) of 24.2 vs. 51.5% of the nominal dose, respectively). Both exhibited immediate release (IR), with 90% dissolved under 10 minutes.Solid lipid microparticle (SLM)-based formulations were then produced using the cisplatin microcrystalline suspension and various lipid excipients. Those had previously been screened for their ability to be spray dried following their solubilisation in heated isopropanol. The addition of a triglyceride, tristearin (TS), as the main lipid component and if necessary a polyethylene glycol (PEG) excipient-comprising fraction with TPGS or distearoyl phosphoethanolamine polyethylene glycol 2000 (DSPE-mPEG-2000) as a surface modifier, provided spray dried particles with interesting characteristics. These formulations, comprised of at least 50% cisplatin, exhibited high CR abilities in simulated lung fluid at 37°C for more than 24 h (as low as 56% released after 24 h) and a low burst-effect (as low as 24% and 16% after 10 minutes with and without PEGylated excipients, respectively). They also showed high aerodynamic properties, with a high FPF ranging from 37.3 to 50.3% w/w of the nominal dose and a low median mass aerodynamic diameter (MMAD) between 2.0 and 2.4 μm. The process also offered high production yields (> 60%).The best IR DPI formulation (evaluated on the FPF, i.e. cisplatin/TPGS 95:5) and the most promising CR formulations without (i.e. cisplatin/TS 50:50) and with PEGylated excipients (evaluated on CR abilities, i.e. cisplatin/TS/TPGS 50:49.5:0.5) were then administered to CD 1 mice, concurrently to endotracheal nebulization (EN) of a cisplatin solution. This was done using specific endotracheal devices, the Penn-Century Inc. DP-4M© Dry Powder Insufflatorn and for the cisplatin solution, the Microsprayer™ IA-1C©. They were compared to intravenous (IV) injection during a PK study over 48 hours. The administration of DPI formulations required the development of a spray dried diluent (Mannitol:Leucine 10:1) and specific dilution method (3D mixing for 4 hours and double-sieving) to be able to deliver precise and repeatable quantities of powder into the lungs of mice at 1.25 mg/kg dose. A PK study was carried out of the lungs, blood, kidneys, liver, mediastinum and spleen of the mice. The study used a developed and validated electrothermal atomic absorption spectrometry (ETAAS) method. Results showed that endotracheal administration of DPI formulations permitted the exposure of the lungs to cisplatin, expressed as the area under the curve (AUC) to be greatly increased while decreasing the systemic exposure. More precisely, the only formulation that exhibited prolonged lung retention was the one comprising PEGylated excipient (cisplatin/TS/TPGS 50:49.5:0.5), which was observed for ~7 hours. This lung retention was associated with smoother concentration vs. time profiles in blood (higher tmax and lower Cmax), which also confirmed its CR abilities in vivo as dissolved cisplatin is a highly permeable drug. The overall exposure, established by the AUC, helped calculate the target efficiency (Te: the ratio of AUC in the lungs to the sum of AUC in non-target organs) and the target advantage (Ta: ratio of AUC in the lungs by the tested route to the AUC in the lungs by the IV route). For instance, the Ta of the aforementioned formulation (cisplatin/TS/TPGS 50:49.5:0.5) was of 10.9, as compared to 1 for IV, 3.3 for EN, 2.6 for the IR DPI formulation (cisplatin/TPGS 95:5) and 3.7 for the non-PEGylated CR DPI formulation (cisplatin/TS 50:50). In the meantime, the Te for the same formulations were 1.6, 0.09, 1.1, 0.4 and 0.9, respectively, showing again the great efficiency of the inhaled route vs. the IV route in targeting the lungs. More importantly, it showed the added efficiency of the CR DPI formulation with lung retention abilities, provided by the addition of PEGylated excipients. In the last part of the work, maximum tolerated doses (MTD) of formulations were established. These showed that the best candidate, selected based on the PK results (CR DPI with lung retention abilities composed of cisplatin/TS/TPGS 50:49.5:0.5) had better overall tolerance than IR approaches (DPI formulation at cisplatin/TPGS 95:5 and EN of a cisplatin solution). More precisely, it was possible to double the administered dosage for the CR formulation (1.0 mg/kg) vs. the IR DPI and EN (both at 0.5 mg/kg) under a repeated administration scheme (3 times a week for 2 weeks).Moreover, an assessment of the lung tolerance of this best candidate was realized and compared to the IR DPI, EN and the IV route. It was done through analysis of the broncho-alveolar lavage fluid (BALF) 24 hours following a single administration at the pre-determined MTD. IL-1β, IL-6 and TNF-α cytokines were not increased following the administrations. No evidence of tissue damage or cytotoxicity could be observed through quantification of the protein content and of lactate dehydrogenase (LDH) activity. The only observations were a decrease in total cells and an increase in polynuclear neutrophils (PN) cells in the BALF, which was not observed by IV or following the administration of the vehicle of the CR formulation alone (i.e. PEGylated SLM and dry diluent). This increase was not directly linked to the formulation but rather to cisplatin, as it was observed in each cisplatin inhalation experiments, and not with the vehicle of the CR formulation, which was comparable to the non-treated mice.In parallel, we realized a survival study following the administration of the best DPI formulation candidate (cisplatin/TS/TPGS 50:49.5:0.5) vs. the IR DPI candidate (cisplatin/TPGS 95:5), both at their respective MTD under the aforementioned repeated dosing scheme. Cisplatin was administered to mice bearing a grafted orthotopic M109-HiFR lung tumour model, previously developed in the laboratory. The DPI formulations were evaluated against IV administration at each dose (0.5 and 1.0 mg/kg, respectively). This study first confirmed the lower toxicity of the CR approach, as the IR DPI formulation caused a much higher number of deaths during treatment of the grafted mice. The CR formulation administered at 1.0 mg/kg showed a higher survival than the negative control but a tumour response comparable to IV administered at half this dose (0.5 mg/kg). This unexpected outcome with regard to the PK results is explained by the fact that the tumour model is highly metastatic. Mice treated with inhaled formulations died due to distant tumour involvement, while those treated systemically died due to pulmonary tumour involvement. This led us to believe that this kind of treatment may have greater potential in combination, adjuvant to the parenteral route.This work helped establish the proof-of-concept of a cisplatin CR DPI formulation with an up-scalable process. The SLM approach confirmed that encapsulation of drugs exhibiting low solubility, such as cisplatin, was possible using highly hydrophobic excipients and that surface modification was mandatory to provide notable lung retention in vivo. The SLM approach showed good signs of tolerance during the exploratory study but still needs to be confirmed under a chronic scheme using other determinants such as histopathological analyses of the lung tissue. Moreover, comparison of the nephrotoxicity of formulations against that of the IV route should be conducted with appropriate and sensitive methods. Finally, the survival study of the CR DPI formulation showed mitigated results, partly because of the orthotopic model characteristics. This could be proof that inhaled CT has a role to play combined with classical systemic CT. This needs to be assessed in a further study.Le cancer du poumon est le cancer ayant le taux de mortalité le plus élevé au monde, avec un taux de survie global à 5 ans d'environ 15%. Malgré un impact notable des dernières améliorations en matière de prévention, de dépistage, et de classification du cancer du poumon, l'efficacité des traitements classiques n'est toujours pas suffisante et semble avoir atteint un plateau thérapeutique. Ces traitements classiques comprennent de la chirurgie, de la radiothérapie et de la chimiothérapie, le plus souvent en combinaison. La chimiothérapie est utilisée à presque tous les stades: dans les stades opérables et inopérables afin de limiter l'invasion par les cellules tumorales jusqu’aux derniers stades en tant que traitement palliatif. Le cisplatine est l'un des médicaments anticancéreux les plus fréquemment utilisés et les plus puissants actuellement disponibles. Il est administré par voie parentérale à des doses qui sont limitées par sa néphrotoxicité élevée et cumulative mais également par d'autres toxicités systémiques (par exemple, de l'ototoxicité). Son administration nécessite donc de nombreuses précautions (longue procédure d'hydratation, surveillance de la fonction rénale), ce qui mobilise fortement le personnel médical. Une limitation importante de la chimiothérapie parentérale est la faible concentration d’actif qui atteint avec succès la tumeur ou les métastases. Une autre voie d’accès potentielle pourrait être la chimiothérapie inhalée pour traiter le cancer du poumon. Cette approche a montré une relativement bonne tolérance locale pour le cisplatine à travers différentes études précliniques et cliniques chez l'homme au moyen de solutions ou de formulations liposomales nébulisées. En tant que traitement via la voie pulmonaire, la chimiothérapie inhalée présente un avantage pharmacocinétique évident, car elle permet d’augmenter l'exposition locale tout en diminuant l'exposition systémique. Cependant, du fait que les médicaments chimiothérapeutiques, tels que le cisplatine, soient actifs à des doses relativement élevées (dans la gamme du mg), la durée d'administration à partir des nébuliseurs s’avère en pratique très longue car elle dépend principalement de la solubilité de l’actif ou de son encapsulation dans les liposomes. Les nébuliseurs présentent également un risque élevé de contamination de l'environnement et nécessitent de lourds appareillages (hottes filtrantes en particulier) pendant la procédure d’administration.Parmi tous les dispositifs d'inhalation existants, capables de délivrer des doses élevées de médicaments, les inhalateurs de poudre sèche (DPI) semblent être de bons candidats. Ceux-ci ont été choisis dans ce travail afin de contourner les problèmes énumérés ci-dessus, en fournissant des doses pulmonaires plus élevées, dans des délais très courts. De plus, ces dispositifs sont activés par le flux inspiratoire du patient, ce qui pourrait aider à limiter l'exposition environnementale à des niveaux très faibles. Les inhalateurs à poudre sèche présentent également l'avantage d'être utilisables à la fois avec des médicaments solubles et des médicaments peu solubles dans l’eau. Malgré tout, étant donné que la déposition directe de quantités élevées de médicaments chimiothérapeutiques dans le parenchyme pulmonaire pourrait présenter un risque élevé d'irritation et d'effets indésirables locaux, une libération contrôlée du cisplatine à partir de particules déposées dans le parenchyme pulmonaire s’avère nécessaire. Cependant, dans les poumons, ces particules non dissoutes d’origine étrangère sont rapidement éliminées par les mécanismes d’élimination, en particulier par la clairance par les macrophages au niveau des alvéoles. Par conséquent, des stratégies de formulation capables de limiter la clairance des particules sont nécessaires pour assurer une résidence pulmonaire élevée de ces particules à libération contrôlée.La stratégie de formulation de ce travail a donc consisté à développer une formulation pour inhalateur à poudre sèche à base de microparticules lipidiques solides capable de (i) être déposées dans le poumon, (ii) de contrôler la libération du cisplatine et (iii) de rester dans le poumon suffisamment longtemps dans le but d’optimiser l'indice thérapeutique (c'est-à-dire augmenter le potentiel thérapeutique du cisplatine et diminuer ses potentiels effets secondaires).Les objectifs principaux des formulations basées sur les microparticules lipidiques solides étaient (i) de présenter des hautes charges en cisplatine au sein des microparticules lipidiques tout en présentant des propriétés aérodynamiques compatibles avec la capacité pulmonaire des patients atteints de cancer du poumon (par exemple, une fraction déposée élevée et une capacité élevée à la désagglomération sous faible débit d'air dans un inhalateur de faible résistance), (ii) de fournir une matrice capable de libérer le cisplatine de manière contrôlée in vitro, (iii) d’être capable de rester dans le poumon suffisamment longtemps in vivo, tout cela (iv) en utilisant des techniques de production ayant une bonne capacité d’augmentation d’échelle et (v) de n’utiliser que des excipients potentiellement bien tolérés au niveau du poumon.Le cisplatine a été initialement réduit sous forme microcristalline à l’aide de cycles d'homogénéisation à haute pression jusqu'à 20 000 psi. Cette procédure a permis d'obtenir des particules non enrobées ayant un diamètre moyen inférieur à 1.0 μm. Afin d’évaluer les capacités de libération du cisplatine des formulations à partir de la fraction capable théoriquement de se déposer dans les poumons, un nouveau test de dissolution a été adapté à partir d’un appareil à palettes classique de la pharmacopée et d’un impacteur à cascade « Fast Screening Impactor ». Une formulation sans excipient, obtenue à partir de la suspension de cisplatine, soumise à la technique de séchage par l’atomisation (100% de cisplatine) a été produite comme point de départ. Celle-ci a ensuite été comparée à une formulation de cisplatine/tocophéryl polyéthylène glycol succinate (TPGS) (95:5), qui présentait une capacité de déposition pulmonaire in vitro (fraction de particules fines (FPF) de 24.2% pour la première et de 51.5% pour la deuxième, exprimée par rapport à la dose nominale). Toutes deux ont démontré des capacités de libération immédiate, avec 90% du cisplatin dissous en moins de 10 minutes.D’autres formulations, cette fois élaborées sous la forme de microparticules lipidiques solides ont ensuite été produites à partir de la suspension microcristalline de cisplatine et de divers excipients lipidiques. Ces microparticules avaient préalablement été testées pour leur aptitude à être séchées par atomisation après solubilisation des excipients dans de l'isopropanol chaud. L’ajout d’un triglycéride, la tristéarine (TS), comme excipient lipidique principal et également d’une fraction comprenant un excipient contenant du polyéthylène glycol (PEG), à l’aide de TPGS ou de distéaroyl phosphoéthanolamine polyéthylène glycol 2000 (DSPE-mPEG-2000) a montré des résultats intéressants. Ces formulations, ayant une teneur en cisplatine d’au moins 50%, ont présenté des aptitudes élevées pour la libération contrôlée dans le fluide pulmonaire simulé in vitro à 37 °C, et ce, pendant plus de 24 h (jusqu'à 56% libérées après 24 h) ainsi qu’un faible « burst-effect » (de seulement 24% et 16% après 10 minutes avec et sans excipients PEGylés, respectivement). Elles ont également montré des propriétés aérodynamiques élevées, avec une FPF élevée allant de 37.3 à 50.3% m/m par rapport à la dose nominale et un diamètre aérodynamique compris entre 2.0 et 2.4 μm. Le meilleur candidat à libération immédiate (évaluée sur base de la FPF, soit la formulation cisplatine/TPGS 95:5 m/m) et les formulations à libération contrôlée les plus prometteuses n’incluant pas d’excipients PEGylés (cisplatine/TS 50:50 m/m) et incluant des excipients PEGylés (évalués sur les capacités de libération contrôlée, c'est-à-dire la formulation cisplatin/TS/TPGS 50:49.5:0.5 m/m/m) ont ensuite été administrées à des souris CD-1, en comparaison d’une nébulisation endotrachéale d'une solution de cisplatine. Ceci a été fait à l’aide de dispositifs endotrachéaux dédiés aux poudres pour le DP-4M© « Dry Powder Insufflator » et aux solutions pour le Microsprayer™ IA-1C© de Penn-Century. Ces formulations ont été comparées à l'injection intraveineuse (IV) au cours d’une étude pharmacocinétique étendue sur 48 heures.L'administration de formulations de poudres sèches pour inhalation a nécessité le développement préalable d'un diluant par atomisation (Mannitol:Leucine 10:1 m/m) ainsi que d’une méthode de dilution des poudres (mélange tridimensionnel pendant 4 heures et suivi d’un double-tamisage) afin de pouvoir délivrer des quantités précises et répétables de poudre dans les poumons de souris à la dose d’1.25 mg/kg. Le suivi des paramètres pharmacocinétiques a ainsi pu être réalisé au niveau des poumons, du sang, des reins, du foie, du médiastin et de la rate des souris. Ceci a été fait à l’aide d’une méthode de spectrométrie d'absorption atomique électrothermique, qui a été préalablement développée et validée. Les résultats obtenus ont montré que l'administration endotrachéale de formulations de poudres sèches permettait d’augmenter fortement l'exposition des poumons par le cisplatine, exprimée en aire sous la courbe (AUC) tout en diminuant l'exposition systémique. Plus précisément, la seule formulation présentant une rétention pulmonaire prolongée était celle qui comprenait un excipient PEGylé (cisplatine/TS/TPGS 50:49.5:0.5 m/m/m), ce qui a été observé pendant environ 7 heures. Cette rétention pulmonaire a été associée à des profils de concentration en fonction du temps plus réguliers dans le sang (tmax supérieur et Cmax inférieur), ce qui a également confirmé ses capacités de libération contrôlée in vivo car la perméabilité de l’épithélium pulmonaire pour le cisplatine dissous s’est avérée très élevée. L'exposition globale établie à partir de l’AUC a permis de calculer l’efficacité de ciblage (Te: rapport de l'AUC mesurée dans les poumons et de la somme des AUC mesurées dans les organes non cibles) et l’avantage du ciblage (Ta: rapport de l’AUC mesuré dans les poumons suite à l’administration pulmonaire et de l'AUC mesurée dans les poumons suite à l’administration par la voie IV). Par exemple, le Ta de la formulation décrite ci-dessus (cisplatine/TS/TPGS 50:49.5:0.5 m/m/m) était de 10.9, comparativement à 1 pour l’IV, 3.3 pour la nébulisation endotrachéale, 2.6 pour la formulation de poudre sèche à libération immédiate (cisplatine/TPGS 95:5 w/w) et 3.7 pour la formulation de poudre sèche à libération contrôlée ne comprenant pas d’excipient PEGylé (cisplatine/TS 50:50). Dans le même temps, le Te mesuré pour les mêmes formulations était de 1.6, 0.09, 1.1, 0.4 et 0.9, respectivement, démontrant également le rendement élevé de la voie inhalée par rapport à la voie IV dans sa capacité à cibler les poumons. Plus important encore, ceci a démontré le grand avantage des capacités de rétention pulmonaire de la formulation à libération contrôlée comprenant un excipient PEGylé.Dans la dernière partie de ce travail, les doses maximales tolérées (DMT) des formulations ont été déterminées. Le meilleur candidat, choisi en fonction des résultats de pharmacocinétique (formulation à libération contrôlée ayant des capacités de rétention pulmonaire composé de cisplatine/TS/TPGS 50:49.5:0.5 m/m/m), avait une meilleure tolérance globale que les deux approches à libération immédiate testées (formulation de poudre sèche cisplatine/TPGS 95:5 et la nébulisation endotrachéale d'une solution de cisplatine). Plus précisément, il s’est avéré possible de doubler le dosage administré pour la formulation à libération contrôlée (1.0 mg/kg) par rapport à la poudre sèche à libération immédiate et à la nébulisation endotrachéale (toutes les deux à 0.5 mg/kg) suivant un schéma d'administration chronique (3 fois par semaine pendant 2 semaines). De plus, une évaluation de la tolérance pulmonaire de cette formulation à libération prolongée a été réalisée et comparée à la poudre sèche à libération immédiate, à la nébulisation endotrachéale et à la voie IV. Elle a été réalisée par analyse du liquide provenant du lavage broncho-alvéolaire, 24 heures après une administration unique à la dose maximale tolérée préalablement déterminée pour chaque formulation. Aucune augmentation des cytokines IL-1β, IL-6 et TNF-α n’a pu être détectée à la suite des administrations. Aucunes preuves de lésion tissulaire ou de cytotoxicité n'ont pu être observées au travers du dosage de la teneur en protéines totale et de l'activité de la lactate déshydrogénase. Les seules observations qui ont pu être faites ont été une diminution des cellules totales et une augmentation des polynucléaires neutrophiles dans le lavage broncho-alvéolaire, ce qui n'a pas été observé suite à l’administration IV ou après l'administration du véhicule de la formulation à libération contrôlée seul (c'est-à-dire les microparticules lipidiques solides PEGylées et le diluant). Cette augmentation ne semble pas liée aux microparticules lipidiques solides ou au diluent mais probablement à l’exposition pulmonaire au cisplatine, car cette augmentation a été observée pour chaque groupe inhalé contenant du cisplatine. Le cisplatine a ensuite été administré à des souris qui ont été greffées de manière orthotopique par une lignée murine de carcinome pulmonaire M109-HiFR, modèle préclinique préalablement développé au sein de notre laboratoire. Les formulations de poudres sèches ont été évaluées par rapport à l'administration IV à chaque dose testée (0.5 et 1.0 mg/kg, respectivement). Cette étude a d'abord confirmé la toxicité plus faible de l'approche à libération contrôlée, car la formulation à libération immédiate a causé un nombre beaucoup plus élevé de décès pendant le traitement des souris greffées. La formulation à libération contrôlée administrée à 1.0 mg/kg, a montré une survie plus élevée que le contrôle négatif, mais une réponse comparable à la dose IV administrée à la moitié de la dose (0.5 mg/kg). Ce résultat inattendu par rapport aux résultats de l’étude pharmacocinétique s'explique probablement par le fait que le modèle de tumeur utilisé est hautement métastatique. Les souris traitées avec des formulations inhalées sont mortes en raison de tumeurs secondaires distantes par rapport à la tumeur primaire implantée au niveau du poumon, alors que celles traitées par la voie systémique sont mortes en raison d’un envahissement tumoral pulmonaire. Cela nous amène à penser que ce type de traitement inhalé pourrait avoir un plus grand potentiel en combinaison à la voie parentérale. Ce travail a ainsi permis d’établir la preuve du concept de formulation à base de poudre sèche de cisplatine à libération contrôlée, en utilisant un processus de fabrication capable de subir une mise à l’échelle industrielle. L’utilisation de microparticules lipidiques solides a confirmé que l'encapsulation d’actifs présentant une certaine hydrophilie, comme le cisplatine, était possible en utilisant des excipients hautement hydrophobes et qu'une modification de leur surface était cependant obligatoire pour obtenir une rétention pulmonaire intéressante in vivo. Les microparticules lipidiques solides ont montré de bons signes de tolérance au cours de l'étude exploratoire, mais celle-ci doit encore être confirmée avec une administration chronique des poudres. Ceci doit être fait en suivant des paramètres supplémentaires, tels que des analyses histologiques du tissu pulmonaire. De plus, la comparaison de la néphrotoxicité des formulations avec celle mesurée par la voie IV doit être effectuée avec des méthodes appropriées et sensibles. Enfin, l'étude de survie de la formulation à libération prolongée a montré des résultats mitigés, en partie à cause des caractéristiques du modèle orthotopique de tumeur pulmonaire. Cependant, il semblerait que la chimiothérapie inhalée à un rôle important à jouer en combinaison avec la chimiothérapie systémique classique. Ceci doit être évalué dans une étude future. / Doctorat en Sciences biomédicales et pharmaceutiques (Pharmacie) / info:eu-repo/semantics/nonPublished