Estudo de pré-formulação e formulação farmacêutica de uso tópico contendo Immucillin-DI4G como alternativa terapêutica para o tratamento da Leishmaniose Cutânea

• Autor(a) principal: Pacheco, Fernanda Grendene
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/6655
• topic: LEISHMANIOSE; QUÍMICA FARMACÊUTICA; FARMÁCIA; CIENCIAS DA SAUDE::FARMACIA

Introduction: Cutaneous leishmaniasis is caused by Leishmania protozoan and transmitted through the female of Lutzomyia sandflies. The disease can manifest itself in different clinical forms: localized cutaneous leishmaniasis, disseminated cutaneous leishmaniasis, recidivans and diffuse cutaneous leishmaniasis. The North and Northeast (Brazil) are the most affected area by the disease. Pentavalent antimonials and amphotericin B have been the most used drugs for the treatment of this disease but may cause many side effects, which leads the patients to discontinue treatment. Control or progression of the disease has been related to the immune response triggered by the individual. PNP (purine nucleoside phosphorylase) is the key enzyme in the purine salvage route catalyzing the reversible phosphorolysis of purine nucleosides such as deoxyinosine or deoxyguanosine producing their respective bases and deoxyrribose-1-phosphate. The PNP inhibitors can be used for treating diseases caused by disorder mediated by T cells. Immucillin - DI4G (4th generation Immucillin ; 7-((bis(2-hydroxyiethyl)amine)methyl)-1,5-dihydro-4H-pyrrolo[3,2-d]pyrimidin-4-one) is considered as a potent inhibitor of PNP. Objective: development of pre-formulation and formulation studies of a pharmaceutical form for topical use containing Immucillin-DI4G as drug candidate for Cutaneous Leishmaniasis treatment. Material and Methods: Characterization of the compound was performed by NMR, FTIR-ATR and HRMS. The stability of the amorphous powder was evaluated over 90 days using a HPLC method for quantification. Formulations have been developed for stability, rheological and spreadability studies over 30 and 90 days. A method for the quantification of Immucillin-DI4G in the formulation was developed and validated using the HPLC. Results and discussion: The Immucillin - DI4G (amorphous powder) was stable up to 30 days when stored at 4 °C and 25 °C. Formulation 1 (Immucillin - DI4G 1.1% Carboxyvinylpolymer gel 2%) was stable only when stored at 4 °C for a period of 60 days. Formulation 1 was considered as a non-Newtonian fluid with pseudoplastic behavior and no alterations in viscosity was observed over 90 days. On the other hand, significant changes in spreadability was observed when topical formulation was stored at 45 °C. The formulation containing additives (formulation 2) showed an improvement in stability when stored at 45 °C for a period of 30 days, but there was a significant decrease in drug content when stored at 4 °C and 25 °C. Formulations 3 (Immucillin-DI4G a 1,1% Gel-Cream) and 4 (Immucillin-DI4G 1.1% in Hydroxypropylcellulose polymer at 2%) presented significant loss in the drug content in 30 days when stored at 45 °C. The results shows that further studies should be conducted in order to analyze the possible degradation products looking for design of novel formulations.