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Sustained release of a corticosteroid using polymeric implants

  • Immunosuppression and Inflammation
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Abstract

An effective sustained release method of drug administration, using methylprednisolone incorporated into acrylic bone cement, has been developed. The effect of this form of treatment on peripheral blood leukocytes, lymphoid tissue weight and the inflammatory response has been evaluated. This mode of methylprednisolone administration was compared with conventional systemic therapy and was found to produce rapid and prolonged pharmacological effects at very low plasma levels of drug. A dose response relationship was established and we determined that, for a given quantity of drug, the level and duration of suppression was greater using sustained release therapy. The inflammatory response was also depressed using this mode of administration. These results, coupled with the commercial availability and existing clinical approval of SIMPLEX P bone cement, suggest that further development may lead to useful clinical protocols.

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Abbreviations

BC:

bone cement

MP:

methylprednisolone

PMN:

polymorphonuclear leukocyte

References

  1. J. R. Salaman,Steroids and modern immunosuppression. Brit. Med. J.286, 1373–1375 (1983).

    Google Scholar 

  2. C. Ponticelli, A. F. De Vecchi, A. Tarantino, E. Rivolta, F. M. Egidi, L. Berardinelli and A. Vegeto,A search for optimizing corticosteroid administration to renal transplant patients. Kidney Int.23, S85-S89 (1983).

    Google Scholar 

  3. A. P. Provoost, M. H. De Keijzer, W. J. Kort and E. D. Wolff,Superiority of continuous infusion of prednisolone over daily injections in the prolongation of heart allograft survival in rats. Transplantation34, 221–222 (1982).

    PubMed  Google Scholar 

  4. J. H. Kehrl and A. S. Fauci,The clinical use of glucocorticoids. Ann. Allergy50, 2–8 (1983).

    PubMed  Google Scholar 

  5. R. C. Haynes and F. Murad, Adrenocorticotropic hormone; Adrenocortical Steroids and their synthetic analogs; inhibitors of Adrenocortical steroid biosynthesis. InThe Pharmacological Basis of Therapeutics, pp. 1466–1496 (Eds. A. G. Gilman, L. S. Goodman and A. Gilman). Mac-Millan Publishing Co., New York 1980.

    Google Scholar 

  6. S. K. Chandrasekaran, H. Benson and J. Urquhart, Methods to achieve controlled drug delivery — The biomedical engineering approach. InSustained and Controlled Release Drug Delivery Systems, pp. 557–594 (Ed. J. Robinson). Marcel Dekker, New York 1978.

    Google Scholar 

  7. D. R. Cowsar, O. R. Tarwater and A. C. Tanquary, Controlled release of fluoride from hydrogels for dental applications. InHydrogels for Medical and Related Applications, pp. 180–197 (Ed. J. D. Andrade). ACS, Washington 1976.

    Google Scholar 

  8. R. H. Stewart and S. Novak,Introduction of the ocusert ocular system to an ophthalmic practice. Ann. Ophthal.10, 325–330 (1978).

    PubMed  Google Scholar 

  9. G. Zador, B. A. Nilsson, B. Nilsson, N. O. Sjoberg, L. Westrom and J. Wiese,Clinical experience with the uterine progesterone system (Progestasert ®). Contraception13, 559–569 (1976).

    PubMed  Google Scholar 

  10. L. R. Beck and V. Z. Pope,Controlled-release delivery systems for hormones. A review of their properties and current therapeutic use. Drugs27, 528–547 (1984).

    PubMed  Google Scholar 

  11. D. J. Ormrod, S. Cawley and T. E. Miller,Extended immunosuppression with cyclophosphamide using controlled release polymeric implants. Int. J. Immunopharmacol.7, 443–448 (1985).

    PubMed  Google Scholar 

  12. T. E. Miller and D. Ormrod,The anti-inflammatory activity of Perna canaliculus (NZ green lipped mussel). NZ Med. J.92, 187–193 (1980).

    Google Scholar 

  13. J. G. Kitrenos, M. Jones and D. C. McLeod,Comparison of selected intravenous infusion pumps and rate regulators. Am. J. Hosp. Pharm.35, 304–310 (1978).

    PubMed  Google Scholar 

  14. K. R. Sidman, A. D. Schwope, W. D. Steber, S. E. Rudolph and S. B. Poulin,Use of synthetic polypeptides for biodegradable drug delivery systems. Polymer Preprints20, 27 (1979).

    Google Scholar 

  15. Y. W. Chien,Novel drug delivery systems. Marcel Dekker, New York 1982.

    Google Scholar 

  16. L. R. Beck and T. R. Tice, Poly(lactic acid) and poly(lactic acid-co-glycolic acid) contraceptive delivery systems. InLong-Acting Steroidal Contraception, pp. 175–188 (Ed. D. R. Mishell). Raven Press, New York 1983.

    Google Scholar 

  17. B. E. Ryman, R. F. Jewkes, K. Jeyasingh, M. P. Osborne, H. M. Patel, V. J. Richardson, M. H. N. Tattersall and D. A. Tyrrell,Potential applications of liposomes to therapy. Ann. N.Y. Acad. Sci.308, 281–307 (1978).

    PubMed  Google Scholar 

  18. H. W. Buchholz and H. Engelbrecht,Über die Depotwirkung einiger Antibiotica bei Vermischung mit dem Kunstharz Palacos. Chirurg.41, 511–515 (1970).

    PubMed  Google Scholar 

  19. J. A. Shipley, H. F. Pompe van Meerdervoort and J. van den Ende,Gentamicin-polymethyl-methacrylate beads in the treatment of chronic bone sepsis. S. Afr. Med. J.59, 905–907 (1981).

    PubMed  Google Scholar 

  20. S.-A. Hedstrom, L. Lidgren, C. Torholm and R. Onnerfalt,Antibiotic containing bone cement beads in the treatment of deep muscle and skeletal infections. Acta Orthop. Scand.51, 863–869 (1980).

    PubMed  Google Scholar 

  21. C. H. Dohlman, D. Pavan-Langston and J. Rose,A new ocular insert device for continuous constant-rate delivery of medication to the eye. Ann. Ophthal.4, 823–832 (1972).

    PubMed  Google Scholar 

  22. N. Keller, A. M. Longwell and S. A. Birss,Intermittent vs. continuous steroid administration. Arch. Ophthalmol.94, 644–652 (1976).

    PubMed  Google Scholar 

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This study was supported by a grant from the Medical Research Council of New Zealand.

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Cawley, S., Ormrod, D.J., Paxton, J.W. et al. Sustained release of a corticosteroid using polymeric implants. Agents and Actions 19, 233–243 (1986). https://doi.org/10.1007/BF01966211

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  • DOI: https://doi.org/10.1007/BF01966211

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