PMID- 28232270 OWN - NLM STAT- MEDLINE DCOM- 20170816 LR - 20170816 IS - 1873-3476 (Electronic) IS - 0378-5173 (Linking) VI - 522 IP - 1-2 DP - 2017 Apr 30 TI - Sustained release ophthalmic dexamethasone: In vitro in vivo correlations derived from the PK-Eye. PG - 119-127 LID - S0378-5173(17)30137-0 [pii] LID - 10.1016/j.ijpharm.2017.02.047 [doi] AB - Corticosteroids have long been used to treat intraocular inflammation by intravitreal injection. We describe dexamethasone loaded poly-DL-lactide-co-glycolide (PLGA) microparticles that were fabricated by thermally induced phase separation (TIPS). The dexamethasone loaded microparticles were evaluated using a two-compartment, in vitro aqueous outflow model of the eye (PK-Eye) that estimates drug clearance time from the back of the eye via aqueous outflow by the anterior route. A dexamethasone dose of 0.20+/-0.02mg in a 50muL volume of TIPS microparticles resulted in a clearance t(1/2) of 9.6+/-0.3days using simulated vitreous in the PK-Eye. Since corticosteroids can also clear through the retina, it is necessary to account for clearance through the back of the eye. Retinal permeability data, published human ocular pharmacokinetics (PK) and the PK-Eye clearance times were then used to establish in vitro in vivo correlations (IVIVCs) for intraocular clearance times of corticosteroid formulations. A t(1/2) of 48h was estimated for the dexamethasone-TIPS microparticles, which is almost 9 times longer than that reported for dexamethasone suspension in humans. The prediction of human clearance times of permeable molecules from the vitreous compartment can be determined by accounting for drug retinal permeation and determining the experimental clearance via the anterior aqueous outflow pathway using the PK-Eye. CI - Copyright (c) 2017. Published by Elsevier B.V. FAU - Awwad, Sahar AU - Awwad S AD - National Institute for Health Research (NIHR) Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, EC1 V9EL, UK; UCL School of Pharmacy, London, WC1N 1AX, UK. FAU - Day, Richard M AU - Day RM AD - UCL Division of Medicine, London, WC1E 6JJ, UK. FAU - Khaw, Peng T AU - Khaw PT AD - National Institute for Health Research (NIHR) Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, EC1 V9EL, UK. FAU - Brocchini, Steve AU - Brocchini S AD - National Institute for Health Research (NIHR) Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, EC1 V9EL, UK; UCL School of Pharmacy, London, WC1N 1AX, UK. Electronic address: ucnvsbr@ucl.ac.uk. FAU - Fadda, Hala M AU - Fadda HM AD - Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, Butler University, Indianapolis, IN 46208, USA. Electronic address: hfadda@butler.edu. LA - eng PT - Journal Article DEP - 20170221 PL - Netherlands TA - Int J Pharm JT - International journal of pharmaceutics JID - 7804127 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Delayed-Action Preparations) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - Administration, Ophthalmic MH - Algorithms MH - Anti-Inflammatory Agents/*administration & dosage/*chemistry/pharmacokinetics MH - Delayed-Action Preparations MH - Dexamethasone/*administration & dosage/*chemistry/pharmacokinetics MH - Eye/*metabolism MH - Half-Life MH - Humans MH - Intravitreal Injections MH - Models, Anatomic MH - Nanoparticles MH - Permeability MH - Retina/metabolism MH - Vitreous Body/metabolism OTO - NOTNLM OT - In vitro in vivo correlations OT - Ocular drug delivery OT - PLGA OT - Pharmacokinetics OT - Sustained release EDAT- 2017/02/25 06:00 MHDA- 2017/08/17 06:00 CRDT- 2017/02/25 06:00 PHST- 2016/12/02 00:00 [received] PHST- 2017/02/02 00:00 [revised] PHST- 2017/02/17 00:00 [accepted] PHST- 2017/02/25 06:00 [pubmed] PHST- 2017/08/17 06:00 [medline] PHST- 2017/02/25 06:00 [entrez] AID - S0378-5173(17)30137-0 [pii] AID - 10.1016/j.ijpharm.2017.02.047 [doi] PST - ppublish SO - Int J Pharm. 2017 Apr 30;522(1-2):119-127. doi: 10.1016/j.ijpharm.2017.02.047. Epub 2017 Feb 21.