Fundamental aspects of long-acting tenofovir alafenamide delivery from subdermal implants for HIV prophylaxis
Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the co...
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| Veröffentlicht in: | Scientific reports Jg. 12; H. 1; S. 8224 - 25 |
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17.05.2022
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| Abstract | Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the compliance burden associated with frequent dosing. We, and others, are exploring the development of complementary subdermal implant technologies delivering the potent prodrug, tenofovir alafenamide (TAF). The current report addresses knowledge gaps in the preclinical pharmacology of long-acting, subdermal TAF delivery using several mouse models. Systemic drug disposition during TAF implant dosing was explained by a multi-compartment pharmacokinetic (PK) model. Imaging mass spectrometry was employed to characterize the spatial distribution of TAF and its principal five metabolites in local tissues surrounding the implant. Humanized mouse studies determined the effective TAF dose for preventing vaginal and rectal HIV-1 acquisition. Our results represent an important step in the development of a safe and effective TAF implant for HIV-1 prevention. |
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| AbstractList | Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the compliance burden associated with frequent dosing. We, and others, are exploring the development of complementary subdermal implant technologies delivering the potent prodrug, tenofovir alafenamide (TAF). The current report addresses knowledge gaps in the preclinical pharmacology of long-acting, subdermal TAF delivery using several mouse models. Systemic drug disposition during TAF implant dosing was explained by a multi-compartment pharmacokinetic (PK) model. Imaging mass spectrometry was employed to characterize the spatial distribution of TAF and its principal five metabolites in local tissues surrounding the implant. Humanized mouse studies determined the effective TAF dose for preventing vaginal and rectal HIV-1 acquisition. Our results represent an important step in the development of a safe and effective TAF implant for HIV-1 prevention. Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the compliance burden associated with frequent dosing. We, and others, are exploring the development of complementary subdermal implant technologies delivering the potent prodrug, tenofovir alafenamide (TAF). The current report addresses knowledge gaps in the preclinical pharmacology of long-acting, subdermal TAF delivery using several mouse models. Systemic drug disposition during TAF implant dosing was explained by a multi-compartment pharmacokinetic (PK) model. Imaging mass spectrometry was employed to characterize the spatial distribution of TAF and its principal five metabolites in local tissues surrounding the implant. Humanized mouse studies determined the effective TAF dose for preventing vaginal and rectal HIV-1 acquisition. Our results represent an important step in the development of a safe and effective TAF implant for HIV-1 prevention.Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the compliance burden associated with frequent dosing. We, and others, are exploring the development of complementary subdermal implant technologies delivering the potent prodrug, tenofovir alafenamide (TAF). The current report addresses knowledge gaps in the preclinical pharmacology of long-acting, subdermal TAF delivery using several mouse models. Systemic drug disposition during TAF implant dosing was explained by a multi-compartment pharmacokinetic (PK) model. Imaging mass spectrometry was employed to characterize the spatial distribution of TAF and its principal five metabolites in local tissues surrounding the implant. Humanized mouse studies determined the effective TAF dose for preventing vaginal and rectal HIV-1 acquisition. Our results represent an important step in the development of a safe and effective TAF implant for HIV-1 prevention. Abstract Global efforts aimed at preventing human immunodeficiency virus type one (HIV-1) infection in vulnerable populations appear to be stalling, limiting our ability to control the epidemic. Long-acting, controlled drug administration from subdermal implants holds significant potential by reducing the compliance burden associated with frequent dosing. We, and others, are exploring the development of complementary subdermal implant technologies delivering the potent prodrug, tenofovir alafenamide (TAF). The current report addresses knowledge gaps in the preclinical pharmacology of long-acting, subdermal TAF delivery using several mouse models. Systemic drug disposition during TAF implant dosing was explained by a multi-compartment pharmacokinetic (PK) model. Imaging mass spectrometry was employed to characterize the spatial distribution of TAF and its principal five metabolites in local tissues surrounding the implant. Humanized mouse studies determined the effective TAF dose for preventing vaginal and rectal HIV-1 acquisition. Our results represent an important step in the development of a safe and effective TAF implant for HIV-1 prevention. |
| ArticleNumber | 8224 |
| Author | Gallay, Philippe A. Tuck, Michael Sanchez, Debbie Gunawardana, Manjula Trinh, MyMy Webster, Simon Castonguay, Amalia E. Beliveau, Martin Hendrix, Craig W. Caprioli, Richard M. Reyzer, Michelle L. Baum, Marc M. Kuo, Joseph Moss, John A. Webster, Paul Remedios-Chan, Mariana Marzinke, Mark A. Buser, Christopher |
| Author_xml | – sequence: 1 givenname: Manjula surname: Gunawardana fullname: Gunawardana, Manjula organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 2 givenname: Mariana surname: Remedios-Chan fullname: Remedios-Chan, Mariana organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 3 givenname: Debbie surname: Sanchez fullname: Sanchez, Debbie organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 4 givenname: Simon surname: Webster fullname: Webster, Simon organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 5 givenname: Amalia E. surname: Castonguay fullname: Castonguay, Amalia E. organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 6 givenname: Paul surname: Webster fullname: Webster, Paul organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 7 givenname: Christopher surname: Buser fullname: Buser, Christopher organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 8 givenname: John A. surname: Moss fullname: Moss, John A. organization: Department of Chemistry, Oak Crest Institute of Science – sequence: 9 givenname: MyMy surname: Trinh fullname: Trinh, MyMy organization: Certara Integrated Drug Development – sequence: 10 givenname: Martin surname: Beliveau fullname: Beliveau, Martin organization: Certara Integrated Drug Development – sequence: 11 givenname: Craig W. surname: Hendrix fullname: Hendrix, Craig W. organization: Department of Medicine, Johns Hopkins University – sequence: 12 givenname: Mark A. surname: Marzinke fullname: Marzinke, Mark A. organization: Department of Medicine, Johns Hopkins University, Department of Pathology, Johns Hopkins University – sequence: 13 givenname: Michael surname: Tuck fullname: Tuck, Michael organization: Department of Biochemistry, Vanderbilt University – sequence: 14 givenname: Richard M. surname: Caprioli fullname: Caprioli, Richard M. organization: Department of Biochemistry, Vanderbilt University – sequence: 15 givenname: Michelle L. surname: Reyzer fullname: Reyzer, Michelle L. organization: Department of Biochemistry, Vanderbilt University – sequence: 16 givenname: Joseph surname: Kuo fullname: Kuo, Joseph organization: Department of Immunology & Microbiology, The Scripps Research Institute – sequence: 17 givenname: Philippe A. surname: Gallay fullname: Gallay, Philippe A. organization: Department of Immunology & Microbiology, The Scripps Research Institute – sequence: 18 givenname: Marc M. surname: Baum fullname: Baum, Marc M. email: m.baum@oak-crest.org organization: Department of Chemistry, Oak Crest Institute of Science |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35581262$$D View this record in MEDLINE/PubMed |
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| Title | Fundamental aspects of long-acting tenofovir alafenamide delivery from subdermal implants for HIV prophylaxis |
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