Successful treatment of a patient with posttransplant IgA nephropathy with targeted release formulation of budesonide

2020 ◽  
Vol 31 (2) ◽  
pp. 521
Author(s):  
Umesh Lingaraj ◽  
Kishan Aralapuram ◽  
Sreedhara Chikkanayakanhalli ◽  
Akila Vishwanathan ◽  
Mahesha Vankalakunti
Polymers ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 1668 ◽  
Author(s):  
Cristina Yus ◽  
Ruben Gracia ◽  
Ane Larrea ◽  
Vanesa Andreu ◽  
Silvia Irusta ◽  
...  

The development of advanced probiotic delivery systems, which preserve bacteria from degradation of the gastrointestinal tract and achieve a targeted release mediated by pH-independent swelling, is of great interest to improve the efficient delivery of probiotic bacteria to the target tissue. Gram-positive and Gram-negative bacteria models (Lactobacillus acidophilus (Moro) Hansen and Mocquot (ATCC® 4356™) and Escherichia coli S17, respectively) have been successfully encapsulated for the first time in pH-independent microparticulate polymethacrylates (i.e., Eudraguard biotic) used for the targeted delivery of nutraceuticals to the colon. These bacteria have also been encapsulated within the mucoadhesive polymethacrylate Eudragit RS 100 widely used as targeted release formulation for active pharmaceutical ingredients. The enteric microparticles remained unaltered under simulated gastric conditions and released the contained viable microbial cargo under simulated intestinal conditions. Buoyancies of 90.2% and 57.3% for Eudragit and Eudraguard microparticles, respectively, and long-term stability (5 months) for the encapsulated microorganisms were found. Cytotoxicity of the microparticles formulated with both polymers was evaluated (0.5–20 mg/mL) on Caco-2 cells, showing high cytocompatibility. These results underline the suitability of the synthesized materials for the successful delivery of probiotic formulations to the target organ, highlighting for the first time the potential use of Eudraguard biotic as an effective enteric coating for the targeted delivery of probiotics.


2021 ◽  
Vol 1 (4) ◽  
Author(s):  
Lucia Del Vecchio ◽  
Chiara Rimoldi ◽  
Claudio Pozzi

Budesonide is a second-generation synthetic, nonhalogenated corticosteroid; it acts locally with minimal systemic absorption. The oral formulation Nefecon® is under clinical development from the treatment of IgA nephropathy. Thanks to its specific formulation, it could inhibit the pathogenetic process of IgA nephropathy at its source while avoiding the toxicity of systemic glucocorticoids. A Phase II clinical trial has shown a statistically significant antiproteinuric effect of budesonide on top of therapy with inhibitors of the renin–angiotensin system, with a good safety profile. More recently, preliminary results of a larger, Phase III clinical trial have confirmed the antiproteinuric efficacy of oral budesonide. These findings were submitted to the US FDA and the EMA to undergo fast revision and approval for clinical use.


2012 ◽  
Vol 47 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Chrysoula Pipili ◽  
Konstantinos Pantelias ◽  
Nikos Papaioannou ◽  
Helen Paraskevakou ◽  
Eirini Grapsa

The Lancet ◽  
2017 ◽  
Vol 390 (10113) ◽  
pp. 2625
Author(s):  
Kenji Tsuda ◽  
Tetsuya Tanimoto ◽  
Jinichi Mori ◽  
Kazuhiro Kosugi ◽  
Tsunehiko Komatsu

2018 ◽  
Vol 54 (12) ◽  
pp. 1403-1403 ◽  
Author(s):  
Oliver Venettacci ◽  
Nicholas Larkins ◽  
Francis Willis

BMJ ◽  
1984 ◽  
Vol 288 (6433) ◽  
pp. 1802-1802 ◽  
Author(s):  
T O Nunan ◽  
S J Eykyn ◽  
N F Jones

2007 ◽  
Vol 69 (5) ◽  
pp. 492-495
Author(s):  
Rieko KURAHASHI ◽  
Tadashi ISHIKAWA ◽  
Yutaka HATANO ◽  
Kazumoto KATAGIRI ◽  
Sakuhei FUJIWARA ◽  
...  

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