Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection

Benznidazole and nifurtimox are the only drugs specifically approved for the treatment of Chagas disease. Both compounds are given orally in tablets, but occasionally are ineffective and cause adverse effects. Benznidazole, the first-line treatment in many countries, is a compound with low solubilit...

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Main Authors: Davies, Carolina, Simonazzi, Analía, Micheloud, Juan Francisco, Ragone, Paula Gabriela, Cid, Alicia Graciela, Sánchez Negrette, Olga, Bermúdez, José María, Parada, Luis Antonio
Format: Artículo
Language:Inglés
Published: American Society of Parasitologists 2021
Subjects:
Online Access:http://hdl.handle.net/20.500.12123/9817
https://bioone.org/journals/journal-of-parasitology/volume-106/issue-3/19-80/Benznidazole-Poloxamer-407-Solid-Dispersion-as-a-New-Strategy-to/10.1645/19-80.short
https://doi.org/10.1645/19-80
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author Davies, Carolina
Simonazzi, Analía
Micheloud, Juan Francisco
Ragone, Paula Gabriela
Cid, Alicia Graciela
Sánchez Negrette, Olga
Bermúdez, José María
Parada, Luis Antonio
author_browse Bermúdez, José María
Cid, Alicia Graciela
Davies, Carolina
Micheloud, Juan Francisco
Parada, Luis Antonio
Ragone, Paula Gabriela
Simonazzi, Analía
Sánchez Negrette, Olga
author_facet Davies, Carolina
Simonazzi, Analía
Micheloud, Juan Francisco
Ragone, Paula Gabriela
Cid, Alicia Graciela
Sánchez Negrette, Olga
Bermúdez, José María
Parada, Luis Antonio
author_sort Davies, Carolina
collection INTA Digital
description Benznidazole and nifurtimox are the only drugs specifically approved for the treatment of Chagas disease. Both compounds are given orally in tablets, but occasionally are ineffective and cause adverse effects. Benznidazole, the first-line treatment in many countries, is a compound with low solubility in water that is administered at high doses for long periods of time. To improve its solubility, we developed a new liquid formulation on the basis of solid dispersions (SD) using the amphiphilic polymer poloxamer 407. Herein we present data on its trypanocidal performance in mouse models of acute and chronic Trypanosoma cruzi infection. SD at doses of 60 or 15 mg/kg per day given with different administration schedules were compared with the commercial formulation (CF; 50 mg/kg per day) and vehicle. The SD performance was assessed by direct parasitemia, total anti-T. cruzi antibodies, and parasitic burden in tissues after 4 or 6 mo posttreatment. The efficacy of the SD was equivalent to the CF but without manifest side effects and hepatotoxicity. Considering our previous data on solubility, together with these on efficacy, this new liquid formulation represents a promising alternative for the treatment of Chagas disease, particularly in cases when dosing poses a challenge, as in infants.
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spelling INTA98172021-07-15T12:30:21Z Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection Davies, Carolina Simonazzi, Analía Micheloud, Juan Francisco Ragone, Paula Gabriela Cid, Alicia Graciela Sánchez Negrette, Olga Bermúdez, José María Parada, Luis Antonio Trypanosoma Trypanosoma cruzi Control de Enfermedades Diseases Control Benznidazole Poloxamer Benznidazole and nifurtimox are the only drugs specifically approved for the treatment of Chagas disease. Both compounds are given orally in tablets, but occasionally are ineffective and cause adverse effects. Benznidazole, the first-line treatment in many countries, is a compound with low solubility in water that is administered at high doses for long periods of time. To improve its solubility, we developed a new liquid formulation on the basis of solid dispersions (SD) using the amphiphilic polymer poloxamer 407. Herein we present data on its trypanocidal performance in mouse models of acute and chronic Trypanosoma cruzi infection. SD at doses of 60 or 15 mg/kg per day given with different administration schedules were compared with the commercial formulation (CF; 50 mg/kg per day) and vehicle. The SD performance was assessed by direct parasitemia, total anti-T. cruzi antibodies, and parasitic burden in tissues after 4 or 6 mo posttreatment. The efficacy of the SD was equivalent to the CF but without manifest side effects and hepatotoxicity. Considering our previous data on solubility, together with these on efficacy, this new liquid formulation represents a promising alternative for the treatment of Chagas disease, particularly in cases when dosing poses a challenge, as in infants. Estación Experimental Agropecuaria Salta Fil: Davies, Carolina. Universidad Nacional de Salta. Instituto de Patología Experimental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Simonazzi, Analía. Universidad Nacional de Salta. Instituto de Investigaciones para la Industria Química; Argentina Fil: Micheloud, Juan Francisco. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Salta. Grupo de trabajo de Patología. Epidemiologia e investigación Diagnostica, Área de Sanidad ANIMAL-IIACS LEALES/INTA Salta; Argentina. Fil: Ragone, Paula Gabriela. Universidad Católica de Salta. Facultad de Ciencias Agrarias y Veterinarias. Cátedra de inmunología; Argentina. Fil:Cid, Alicia Graciela. Universidad Nacional de Salta. Instituto de investigaciones para la Industria Química; Argentina. Fil: Sánchez Negrette, Olga. Universidad Católica de Salta. Facultad de Ciencias Agrarias y Veterinarias. Cátedra de inmunología; Argentina Fil: Bermúdez, José María. Universidad Nacional de Salta. Instituto de Investigación para la industria Química; Argentina. Fil: Parada, Luis Antonio. Universidad Nacional de Salta. Instituto de Patología Experimental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina 2021-07-15T12:02:47Z 2021-07-15T12:02:47Z 2020-05-04 info:ar-repo/semantics/artículo info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/20.500.12123/9817 https://bioone.org/journals/journal-of-parasitology/volume-106/issue-3/19-80/Benznidazole-Poloxamer-407-Solid-Dispersion-as-a-New-Strategy-to/10.1645/19-80.short 0022-3395 1937-2345 https://doi.org/10.1645/19-80 eng info:eu-repo/semantics/restrictedAccess application/pdf American Society of Parasitologists Journal of Parasitology 106 (3) : 323-333 (May 2020)
spellingShingle Trypanosoma
Trypanosoma cruzi
Control de Enfermedades
Diseases Control
Benznidazole
Poloxamer
Davies, Carolina
Simonazzi, Analía
Micheloud, Juan Francisco
Ragone, Paula Gabriela
Cid, Alicia Graciela
Sánchez Negrette, Olga
Bermúdez, José María
Parada, Luis Antonio
Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title_full Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title_fullStr Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title_full_unstemmed Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title_short Benznidazole/Poloxamer 407 Solid Dispersion as a New Strategy to Improve the Treatment of Experimental Trypanosoma cruzi Infection
title_sort benznidazole poloxamer 407 solid dispersion as a new strategy to improve the treatment of experimental trypanosoma cruzi infection
topic Trypanosoma
Trypanosoma cruzi
Control de Enfermedades
Diseases Control
Benznidazole
Poloxamer
url http://hdl.handle.net/20.500.12123/9817
https://bioone.org/journals/journal-of-parasitology/volume-106/issue-3/19-80/Benznidazole-Poloxamer-407-Solid-Dispersion-as-a-New-Strategy-to/10.1645/19-80.short
https://doi.org/10.1645/19-80
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