PMID- 29792929 OWN - NLM STAT- MEDLINE DCOM- 20190227 LR - 20190227 IS - 1878-5832 (Electronic) IS - 1359-6446 (Linking) VI - 23 IP - 10 DP - 2018 Oct TI - Recent advances in intra-articular drug delivery systems for osteoarthritis therapy. PG - 1761-1775 LID - S1359-6446(18)30046-1 [pii] LID - 10.1016/j.drudis.2018.05.023 [doi] AB - Osteoarthritis (OA) is the most common degenerative disease of the joint. Despite many reports and numerous clinical trials, OA is not entirely understood, and there is no effective treatment available for this disease. To satisfy this unmet medical need, drug delivery systems (DDSs) containing disease-modifying OA drugs (DMOADs) for intra-articular (IA) administration are required to improve the health of OA patients. DDSs should provide controlled and/or sustained drug release, enabling long-term treatment with a reduced number of injections. This paper reviews the role and interaction among different tissues involved in OA and summarizes recent clinical trials and research on DDSs, focusing on small-molecule delivery. To achieve an ideal treatment, various key criteria have been identified to design and develop an IA DDS matching the clinical needs. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Maudens, Pierre AU - Maudens P AD - School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, 1211 Geneva, Switzerland. Electronic address: pierre.maudens@unige.ch. FAU - Jordan, Olivier AU - Jordan O AD - School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, 1211 Geneva, Switzerland. FAU - Allemann, Eric AU - Allemann E AD - School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, 1211 Geneva, Switzerland. LA - eng PT - Journal Article PT - Review DEP - 20180521 PL - England TA - Drug Discov Today JT - Drug discovery today JID - 9604391 RN - 0 (Antirheumatic Agents) RN - 0 (Delayed-Action Preparations) SB - IM MH - Animals MH - Antirheumatic Agents/*administration & dosage MH - Delayed-Action Preparations MH - *Drug Delivery Systems MH - Drug Design MH - Drug Development/methods MH - Humans MH - Injections, Intra-Articular MH - Osteoarthritis/*drug therapy/physiopathology EDAT- 2018/05/25 06:00 MHDA- 2019/02/28 06:00 CRDT- 2018/05/25 06:00 PHST- 2018/03/01 00:00 [received] PHST- 2018/04/17 00:00 [revised] PHST- 2018/05/16 00:00 [accepted] PHST- 2018/05/25 06:00 [pubmed] PHST- 2019/02/28 06:00 [medline] PHST- 2018/05/25 06:00 [entrez] AID - S1359-6446(18)30046-1 [pii] AID - 10.1016/j.drudis.2018.05.023 [doi] PST - ppublish SO - Drug Discov Today. 2018 Oct;23(10):1761-1775. doi: 10.1016/j.drudis.2018.05.023. Epub 2018 May 21.