Simultaneous Delivery of Econazole, Terbinafine and Amorolfine with Improved Cutaneous Bioavailability: A Novel Micelle-Based Antifungal "Tri-Therapy".

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_85B3563E1E19
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Simultaneous Delivery of Econazole, Terbinafine and Amorolfine with Improved Cutaneous Bioavailability: A Novel Micelle-Based Antifungal "Tri-Therapy".
Journal
Pharmaceutics
Author(s)
Gou S., Monod M., Salomon D., Kalia Y.N.
ISSN
1999-4923 (Print)
ISSN-L
1999-4923
Publication state
Published
Issued date
24/01/2022
Peer-reviewed
Oui
Volume
14
Number
2
Pages
271
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Lack of accurate diagnosis and the use of formulations designed to address the poor aqueous solubility of antifungal agents, but not optimized for delivery, contribute to unsatisfactory outcomes for topical treatment of cutaneous mycoses. The objective of this study was to develop a micelle-based antifungal formulation containing econazole (ECZ), terbinafine (TBF) and amorolfine (AMF) using D-α-tocopheryl polyethylene glycol succinate (TPGS) for simultaneous cutaneous delivery of three agents with complementary mechanisms of action. The antifungal "tri-therapy" micelle-based formulation containing 0.1% ECZ, 0.1% TBF and 0.025% AMF had a drug loading 10-fold lower than the "reference" marketed formulations (Pevaryl <sup>®</sup> , 1% ECZ; Lamisil <sup>®</sup> , 1% TBF; Loceryl <sup>®</sup> , 0.25% AMF). Finite dose application of the micelle-based formulation for 6 h resulted in a statistically equivalent deposition of ECZ (p > 0.05) and TBF (p > 0.05) from the 2 systems, and a 2-fold higher accumulation of AMF (p = 0.017). Antifungal concentrations above MIC <sub>80</sub> against Trichophyton rubrum were achieved in each skin layer with the "tri-therapy", which also exhibited a preferential deposition of each antifungal agent in pilosebaceous unit (PSU)-containing biopsies as compared with PSU-free biopsies (p < 0.05). A planned clinical study will test whether these promising results translate to improved therapeutic outcomes in vivo.
Keywords
TPGS, antifungals, cutaneous bioavailability, micelles
Pubmed
Web of science
Open Access
Yes
Create date
07/03/2022 12:41
Last modification date
23/01/2024 8:29
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