PMID- 29555439 OWN - NLM STAT- MEDLINE DCOM- 20180924 LR - 20180924 IS - 1873-3476 (Electronic) IS - 0378-5173 (Linking) VI - 542 IP - 1-2 DP - 2018 May 5 TI - Current development in the formulations of non-injection administration of paclitaxel. PG - 242-252 LID - S0378-5173(18)30177-7 [pii] LID - 10.1016/j.ijpharm.2018.03.030 [doi] AB - Paclitaxel (PTX) belongs to a class of taxane anti-tumor drug used for the clinic treatment of breast cancer, ovarian cancer, non-small-cell lung cancer, and so on. PTX has poor water solubility and oral bioavailability. It is generally administered via intravenous (i.v.) infusion. Traditional PTX injectable preparations contain Cremophor-EL and ethanol to improve its solubility, which would result in adverse reactions like severe hypersensitivity, neutropenia, etc. Adverse reactions can be reduced only by complicated pretreatment with glucocorticoid and antihistamines drugs and followed by PTX slow infusion for three hours, which has brought significant inconvenience to the patients. Though, a new-generation PTX formulation, Abraxane, free of Cremophor-EL and ethanol, is still being administrated by frequent i.v. infusions and extremely expensive. Therefore, non-injection administration of PTX is urgently needed to avoid the side effects as well as reduce inconvenience to the patients. Recently, a variety of non-injection drug delivery systems (DDSs) of PTX have been developed. This review aims to discuss the progress of non-injectable administration systems of PTX, including oral administration systems, vaginal administration systems, implantable DDSs, transdermal DDSs and intranasal administration for the future study and clinical applications. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Du, Xiyou AU - Du X AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. FAU - Khan, Abdur Rauf AU - Khan AR AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. FAU - Fu, Manfei AU - Fu M AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. FAU - Ji, Jianbo AU - Ji J AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. FAU - Yu, Aihua AU - Yu A AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. FAU - Zhai, Guangxi AU - Zhai G AD - Department of Pharmaceutics, College of Pharmacy, Shandong University, Jinan 250012, China. Electronic address: professorgxzhai@126.com. LA - eng PT - Journal Article PT - Review DEP - 20180316 PL - Netherlands TA - Int J Pharm JT - International journal of pharmaceutics JID - 7804127 RN - 0 (Antineoplastic Agents, Phytogenic) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Animals MH - Antineoplastic Agents, Phytogenic/*administration & dosage/chemistry MH - Drug Administration Routes MH - Drug Compounding MH - Drug Delivery Systems MH - Humans MH - Paclitaxel/*administration & dosage/chemistry OTO - NOTNLM OT - Adverse reactions OT - Nanocarriers OT - Non-injection administration OT - PTX EDAT- 2018/03/21 06:00 MHDA- 2018/09/25 06:00 CRDT- 2018/03/21 06:00 PHST- 2018/02/08 00:00 [received] PHST- 2018/03/13 00:00 [revised] PHST- 2018/03/15 00:00 [accepted] PHST- 2018/03/21 06:00 [pubmed] PHST- 2018/09/25 06:00 [medline] PHST- 2018/03/21 06:00 [entrez] AID - S0378-5173(18)30177-7 [pii] AID - 10.1016/j.ijpharm.2018.03.030 [doi] PST - ppublish SO - Int J Pharm. 2018 May 5;542(1-2):242-252. doi: 10.1016/j.ijpharm.2018.03.030. Epub 2018 Mar 16.