Progress and challenges in intravesical drug delivery

INTRODUCTION: Intravesical drug delivery (IDD) has gained recognition as a viable approach for treating bladder-related diseases over the years. However, it comes with its set of challenges, including voiding difficulties and limitations in mucosal and epithelial penetration. These challenges lead to drug dilution and clearance, resulting in poor efficacy. Various strategies for drug delivery have been devised to overcome these issues, all aimed at optimizing drug delivery. Nevertheless, there has been minimal translation to clinical settings.

AREAS COVERED: This review provides a detailed description of IDD, including its history, advantages, and challenges. It also explores the physical barriers encountered in IDD, such as voiding, mucosal penetration, and epithelial penetration, and discusses current strategies for overcoming these challenges. Additionally, it offers a comprehensive roadmap for advancing IDD into clinical trials.

EXPERT OPINION: Physical bladder barriers and limitations of conventional treatments result in unsatisfactory efficacy against bladder diseases. Nevertheless, substantial recent efforts in this field have led to significant progress in overcoming these challenges and have raised important attributes for an optimal IDD system. However, there is still a lack of well-defined steps in the workflow to optimize the IDD system for clinical settings, and further research is required to establish more comprehensive in vitro and in vivo models to expedite clinical translation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Expert opinion on drug delivery - 21(2024), 1 vom: 30. Jan., Seite 111-129

Sprache:

Englisch

Beteiligte Personen:

Banerjee, Arpita [VerfasserIn]
Lee, Dongtak [VerfasserIn]
Jiang, Christopher [VerfasserIn]
Wang, Rong [VerfasserIn]
Kutulakos, Zoe Bogusia [VerfasserIn]
Lee, Sohyung [VerfasserIn]
Gao, Jingjing [VerfasserIn]
Joshi, Nitin [VerfasserIn]

Links:

Volltext

Themen:

Bladder cancer
Bladder diseases
Drug delivery system
Interstitial cystitis
Intravesical drug delivery
Journal Article
Overactive bladder
Pharmaceutical Preparations
Physical barriers
Review

Anmerkungen:

Date Completed 02.02.2024

Date Revised 02.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17425247.2024.2307481

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367261065