High Dose, Dual-release Polymeric Films for Extended Surgical Bed Paclitaxel Delivery

Overview

Journal J Control Release

Specialty Pharmacology

Date 2023 Sep 30

PMID 37776906

Authors

David A Mahvi

Jenny Korunes-Miller

Catalina Bordeianu

Ngoc-Quynh Chu

Abraham D Geller

Robbie Sabatelle

Samantha Berry

Yin P Hung

Yolonda L Colson

Mark W Grinstaff

Chandrajit P Raut

Affiliations

Soon will be listed here.

Abstract

While surgery represents a major therapy for most solid organ cancers, local recurrence is clinically problematic for cancers such as sarcoma for which adjuvant radiotherapy and systemic chemotherapy provide minimal local control or survival benefit and are dose-limited due to off-target side effects. We describe an implantable, biodegradable poly(1,2-glycerol carbonate) and poly(caprolactone) film with entrapped and covalently-bound paclitaxel enabling safe, controlled, and extended local delivery of paclitaxel achieving concentrations 10,000× tissue levels compared to systemic administration. Films containing entrapped and covalently-bound paclitaxel implanted in the tumor bed, immediately after resection of human cell line-derived chondrosarcoma and patient-derived xenograft liposarcoma and leiomyosarcoma in mice, improve median 90- or 200-day recurrence-free and overall survival compared to control mice. Furthermore, mice in the experimental film arm show no film-related morbidity. Continuous, extended, high-dose paclitaxel delivery via this unique polymer platform safely improves outcomes in three different sarcoma models and provides a rationale for future incorporation into human trials.

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