Engineering synergistically active and bioavailable cost-effective medicines for neglected tropical diseases; the role of excipients

Dolores Remedios Serrano Lopez, Aikaterini Lalatsa, Maria Auxiliadora Dea Ayuela

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Abstract

Leishmaniasis is a neglected tropical disease responsible for the ninth largest disease burden in the world threatening 350 million people mostly in developing countries. The lack of efficacy, severe adverse effects, long duration, high cost and parenteral administration of the current therapies result in poor patient compliance and emergence of resistance. Leishmaniasis’ unmet need for safer, affordable and more effective treatments is only partly addressed by today’s global health product pipeline that focuses on products amenable to rapid clinical development, mainly by reformulating or repurposing existing drugs for new uses. Excipients are necessary for ensuring the stability and bioavailability of currently available antileishmaniasis drugs which in their majority are poorly soluble or have severe side-effects. Thus, selection of excipients that can ensure bioavailability and safety as well as elicit a synergistic effect against the Leishmania parasites without compromising safety will result in a more efficacious, safe and fast to market medicine. We have evaluated the in vitro activity of 30 commercially available generally regarded as safe (GRAS) excipients against different Leishmania spp., their cytotoxicity and potential use for inclusion in novel formulations. Amongst the tested excipients, the compounds with higher selectivity index were Eudragit E100 (cationic triblock copolymer of dimethylaminoethyl methacrylate, butyl methacrylate, and methyl methacrylate), CTAB (cetyltrimethylammonium bromide, cationic), lauric acid, Labrasol (non-ionic, caprylocaproyl polyoxyl-8 glycerides) and sodium deoxycholate. An ideal excipient need to possess amphiphilic nature with ionic/polar groups and possess a short or medium fatty acid chain such as lauric (C12), capric (C10) or caprylic acid (C8). Inclusion of these excipients and identification of the optimal combination of drug and excipients would lead to a more effective and safer antileishmanial therapies.
Original languageEnglish
Pages (from-to)2888-2900
Number of pages13
JournalCurrent Topics in Medicinal Chemistry
Volume17
Issue number25
Early online date17 Jul 2017
DOIs
Publication statusEarly online - 17 Jul 2017

Keywords

  • excipients
  • Leishmaniasis
  • amphiphile
  • surfactant
  • lipids
  • eudragit
  • labrasol
  • medium chain fatty acids
  • lauric acid
  • sodium deoxycholate

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