Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology

Abstract Currently, biological drug therapy for ocular angiogenesis treatment is based on the administration of anti‐VEGF agents via intravitreal route. The molecules approved with this purpose for ocular use include pegaptanib, ranibizumab, and aflibercept, whereas bevacizumab is commonly off‐label...

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Main Authors: María L. Formica, Hamoudi G. Awde Alfonso, Santiago D. Palma
Format: Article
Language:English
Published: Wiley 2021-04-01
Series:Pharmacology Research & Perspectives
Subjects:
Online Access:https://doi.org/10.1002/prp2.723
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author María L. Formica
Hamoudi G. Awde Alfonso
Santiago D. Palma
author_facet María L. Formica
Hamoudi G. Awde Alfonso
Santiago D. Palma
author_sort María L. Formica
collection DOAJ
description Abstract Currently, biological drug therapy for ocular angiogenesis treatment is based on the administration of anti‐VEGF agents via intravitreal route. The molecules approved with this purpose for ocular use include pegaptanib, ranibizumab, and aflibercept, whereas bevacizumab is commonly off‐label used in the clinical practice. The schedule dosage involves repeated intravitreal injections of anti‐VEGF agents to achieve and maintain effective concentrations in retina and choroids, which are administrated as solutions form. In this review article, we describe the features of different anti‐VEGF agents, major challenges for their ocular delivery and the nanoparticles in development as delivery system of them. In this way, several polymeric and lipid nanoparticles are explored to load anti‐VEGF agents with the aim of achieving sustained drug release and thus, minimize the number of intravitreal injections required. The main challenges were focused in the loading the molecules that maintain their bioactivity after their release from nanoparticulate system, followed the evaluation of them through studies of formulation stability, pharmacokinetic, and efficacy in in vitro and in vivo models. The analysis was based on the information published in peer‐reviewed published papers relevant to anti‐VEGF treatments and nanoparticles developed as ocular anti‐VEGF delivery system.
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spelling doaj.art-cc83fec712f648bca5d96be651adbfa92022-12-21T22:51:53ZengWileyPharmacology Research & Perspectives2052-17072021-04-0192n/an/a10.1002/prp2.723Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnologyMaría L. Formica0Hamoudi G. Awde Alfonso1Santiago D. Palma2Unidad de Investigación y Desarrollo en Tecnología Farmacéutica (UNITEFA)CONICET and Departamento de FarmaciaFacultad de Ciencias QuímicasUniversidad Nacional de Córdoba Ciudad Universitaria Córdoba5000ArgentinaUnidad de Investigación y Desarrollo en Tecnología Farmacéutica (UNITEFA)CONICET and Departamento de FarmaciaFacultad de Ciencias QuímicasUniversidad Nacional de Córdoba Ciudad Universitaria Córdoba5000ArgentinaUnidad de Investigación y Desarrollo en Tecnología Farmacéutica (UNITEFA)CONICET and Departamento de FarmaciaFacultad de Ciencias QuímicasUniversidad Nacional de Córdoba Ciudad Universitaria Córdoba5000ArgentinaAbstract Currently, biological drug therapy for ocular angiogenesis treatment is based on the administration of anti‐VEGF agents via intravitreal route. The molecules approved with this purpose for ocular use include pegaptanib, ranibizumab, and aflibercept, whereas bevacizumab is commonly off‐label used in the clinical practice. The schedule dosage involves repeated intravitreal injections of anti‐VEGF agents to achieve and maintain effective concentrations in retina and choroids, which are administrated as solutions form. In this review article, we describe the features of different anti‐VEGF agents, major challenges for their ocular delivery and the nanoparticles in development as delivery system of them. In this way, several polymeric and lipid nanoparticles are explored to load anti‐VEGF agents with the aim of achieving sustained drug release and thus, minimize the number of intravitreal injections required. The main challenges were focused in the loading the molecules that maintain their bioactivity after their release from nanoparticulate system, followed the evaluation of them through studies of formulation stability, pharmacokinetic, and efficacy in in vitro and in vivo models. The analysis was based on the information published in peer‐reviewed published papers relevant to anti‐VEGF treatments and nanoparticles developed as ocular anti‐VEGF delivery system.https://doi.org/10.1002/prp2.723anti‐VEGF agentbiological drugsnanoparticlesocular neovascularization
spellingShingle María L. Formica
Hamoudi G. Awde Alfonso
Santiago D. Palma
Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
Pharmacology Research & Perspectives
anti‐VEGF agent
biological drugs
nanoparticles
ocular neovascularization
title Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
title_full Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
title_fullStr Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
title_full_unstemmed Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
title_short Biological drug therapy for ocular angiogenesis: Anti‐VEGF agents and novel strategies based on nanotechnology
title_sort biological drug therapy for ocular angiogenesis anti vegf agents and novel strategies based on nanotechnology
topic anti‐VEGF agent
biological drugs
nanoparticles
ocular neovascularization
url https://doi.org/10.1002/prp2.723
work_keys_str_mv AT marialformica biologicaldrugtherapyforocularangiogenesisantivegfagentsandnovelstrategiesbasedonnanotechnology
AT hamoudigawdealfonso biologicaldrugtherapyforocularangiogenesisantivegfagentsandnovelstrategiesbasedonnanotechnology
AT santiagodpalma biologicaldrugtherapyforocularangiogenesisantivegfagentsandnovelstrategiesbasedonnanotechnology