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Ochekpe et al

Tropical Journal of Pharmaceutical Research, June 2009; 8 (3): 275-287


© Pharmacotherapy Group,
Faculty of Pharmacy, University of Benin,
Benin City, 300001 Nigeria.
.
All rights reserved

Available online at http://www.tjpr.org


Review Article

Nanotechnology and Drug Delivery


Part 2: Nanostructures for Drug Delivery
Nelson A Ochekpe1*, Patrick O Olorunfemi2 and Ndidi C
Ngwuluka2
1
Department of Pharmaceutical Chemistry and 2Department of Pharmaceutics and Pharmaceutical Technology,
Faculty of Pharmaceutical Sciences, University of Jos, PMB 2084, Jos, Nigeria

Abstract

This is the second part of a review on nanotechnology in general and particularly as it pertains to drug
deliver. In the earlier paper (Part 1), nanotechnology in nature, its history as well as design and methods
were discussed. Its applications, benefits and risks were also outlined. In this paper (Part 2), various
nanostructures employed in drug delivery, their methods of fabrication and challenges of nano drug
delivery are reviewed. Nanotechnology is one approach to overcome challenges of conventional drug
delivery systems based on the development and fabrication of nanostructures. Some challenges
associated with the technology as it relates to drug effectiveness, toxicity, stability, pharmacokinetics
and drug regulatory control are discussed in this review. Clearly, nanotechnology is a welcome
development that is set to transform drug delivery and drug supply chain management, if optimally
developed.

Keywords: Nanotechnology, Nanobiotechnology, Drug delivery, Nanostructures, Nanomaterials,


Nanocarriers.

Received: 4 Nov 2008 Revised accepted: 13 Jan 2009

*Corresponding author: E-mail: ochekpen@yahoo.com; Tel: +234-(0)8037006372

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Ochekpe et al

INTRODUCTION the vaccine and increased uptake by immune


4
cells . One of the determinants of the extent
Nanotechnology by manipulation of of uptake by immune cells is the type of
4
characteristics of materials such as polymers polymer employed. In a study comparing
and fabrication of nanostructures is able to poly-(ε-caprolactone) (PCL), poly (lactide-co-
provide superior drug delivery systems for glycolide) (PLGA) and their blend, PCL
better management and treatment of nanoparticles were the most efficiently taken
diseases. The nanostructures employed as up by immune cells due to their
drug delivery systems have multiple hydrophobicity. However, all polymeric
advantages which make them superior to nanoparticles elicited vaccine (diphtheria
conventional delivery systems. In Part I, the toxoid) specific serum IgG antibody response
advantages of nanostructures in drug delivery significantly higher than free diphtheria
were outlined. toxoid.

These benefits account for the extensive To target drugs to site of action, the drug can
research that have been undertaken into the be conjugated to a tissue or cell specific
development of nanostructures such as ligand or coupled to macromolecules that
liposomes, nanocapsules, nanoemulsions, reach the target organs. To target an
solid lipid nanoparticles, dendrimers, anticancer agent to the liver, polymeric
polymeric nanoparticles, etc, for delivery of conjugate nanoparticles which comprised
drugs. The materials employed in the biotin and diamine-terminated poly (ethylene
fabrication of nanostructures determine the glycol) with a galactose moiety from
5
type of nanostructures obtained and these lactobionic acid were prepared .
nanostructures, in turn, determine the
different properties obtained and the release Some other applications of nanoparticles
characteristics of incorporated drugs. include possible recognition of vascular
6
endothelial dysfunction ; oral delivery of
7
MATERIALS AND TYPES OF insulin ; brain drug targeting for
neurodegenerative disorders such as
NANOSTRUCTURES 8
Alzheimer’s disease ; topical administration
to enhance penetration and distribution in
Polymeric nanoparticles 9
and across the skin barrier ; and pH-sensitive
nanoparticles to improve oral bioavailability of
Polymeric nanoparticles are colloidal solid 10
1 drugs such as cyclosporine A . Some
particles with a size range of 10 to 1000nm
polymers used in the fabrication of
and they can be spherical, branched or shell
nanoparticles include chitosan, alginate,
structures. The first fabrication of
albumin, gelatin, polyacrylates, polycaprol-
nanoparticles was about 35 years ago as
actones, poly(D, L-lactide-co-glycolide) and
carriers for vaccines and cancer
2 poly (D, L-lactide) However, there are
chemotherapeutics . They are developed
concerns about polymeric nanoparticles
from non-biodegradable and biodegradable
including cytotoxicity of by-products (although
polymers. Their small sizes enable them to
some, such as polyanhydrides, degrade into
penetrate capillaries and to be taken up by
products that are biocompatible) and
cells, thereby increasing the accumulation of
scalability.
drugs at target sites. Drugs are incorporated
into nanoparticles by dissolution, entrapment,
Liposomes
adsorption, attachment or by encapsulation,
and the nanoparticles provide sustained
Liposomes were first developed about 40
release of the drugs for longer periods, e.g., 2
3 years ago . They are small artificial vesicles
days and weeks . Nanoparticles enhance
(50 – 100nm) developed from phospholipids
immunization by prevention of degradation of

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such as phosphatidylcholine, phosphatidyl- non-ionic surfactants and marinosomes are


glycerol, phosphatidylethanolamine and liposomes produced from a natural marine
phosphatidylserine, which have been used in lipid extract containing a high poly
biology, biochemistry, medicine, food and (unsaturated) fatty acid (PUFA) ratio.
11-14
cosmetics . The characteristics of
liposomes are determined by the choice of Dendrimers
lipid, their composition, method of
1
preparation, size and surface charge . Dendrimers are nanostructures produced
Liposomes have been applied as drug from macromolecules such as
carriers due to their ability to prevent polyamidoamine (PAMAM), polypropylene-
degradation of drugs, reduce side effects and imine and polyaryl ether; and are highly
15
target drugs to site of action . However, branched with an inner core. The particle size
limitations of liposomes include low range is between 1 to 100nm although their
encapsulation efficiency, rapid leakage of sizes are mostly less than 10nm. About 20
water-soluble drug in the presence of blood years ago, dendrimer studies centred on their
15,16
components and poor storage stability . synthesis, physical and chemical properties
However, surface modification may confer while exploration of their biological
stability and structure integrity against harsh applications was initiated about thirteen years
26
bio-environment after oral or parenteral ago . The uniqueness of dendrimers is
17
administration . Surface modification can be based on their series of branches,
achieved by attaching polymers such as poly multivalency, well defined molecular weight
(methacrylic acid-co-stearyl methacrylate) and globular structure with controlled surface
and polyethylene glycol units to improve the functionality, which enhances their potential
26,27
circulation time of liposomes in the blood; and as carriers for drug delivery . Their
by conjugation to antibodies or ligands such globular structures and the presence of
as lectins for target specific drug delivery and internal cavities enable drugs to be
16-18
stability . encapsulated within the macromolecule
interior. Dendrimers have been reported to
Applications of liposomes include provide controlled release from the inner
27
transdermal drug delivery to enhance skin core . However, drugs are incorporated both
permeation of drugs with high molecular in the interior as well as attached on the
19
weight and poor water solubility ; a carrier surface. Due to their versatility, both
for delivery of drugs, such as gentamicin, in hydrophilic and hydrophobic drugs can be
20
order to reduce toxicity ; possible drug incorporated into dendrimers.
21
delivery to the lungs by nebulisation ; ocular
22
drug delivery and in the treatment of Controlled multivalency of dendrimers
parasitic infections. However, solid lipid enables attachment of several drug
nanoparticles (SLNs) provide an effective molecules, targeting groups and solubilising
alternative due to their stability, ease of groups onto the surfaces of the dendrimers in
23 26
scalability and commercialisability . a well defined manner . Dendrimers are
employed due to their size (less than 10nm),
Other vesicular structures include ease of preparation, functionality and their
transferosomes, ethosomes, niosomes and ability to display multiple copies of surface
28
marinosomes which are used mainly for groups for biological recognition process .
11,24,25
transdermal delivery . Transferosomes Water soluble dendrimers can bind and
are developed by incorporation of surfactant solubilise small molecules and can be used
molecules (edge activators) such as sodium as coating agents to protect drugs and deliver
chlorate into liposomes while ethosomes are to specific sites. Other applications of
liposomes that are high in ethanol (up to dendrimers include catalysis, gene and DNA
45%). Niosomes are vesicles developed from delivery, biomimetics and as solution phase

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29 34
supports for combinatorial chemistry . Some concentrations are incorporated in SLN .
of the drug delivery applications include LDC enables the incorporation of both
therapeutic and diagnostic utilization for hydrophilic (e.g., doxorubicin and tobramycin)
30
cancer treatment ; enhancement of drug and lipophilic (e.g., progesterone and
34
solubility and permeability (dendrimer-drug cyclosporine A) drugs .
31 32
conjugates) ; and intracellular delivery
Polymeric micelles
Solid lipid nanocarriers
Micelles are formed when amphiphilic
Solid lipid nanoparticles (SLN) are surfactant or polymeric molecules
nanostructures made from solid lipids such spontaneously associate in aqueous medium
as glyceryl behenate (Compritol), stearic to form core-shell structures or vesicles.
triglyceride (tristearin), cetyl palmitate and Polymeric micelles are formed from
glycerol tripalmitate (tripalmitin) with a size amphiphilic block copolymers, such as
33,34
range of 50 and 1000 nm . Research poly(ethylene oxide)-poly(β-benzyl-L-
interest in SLN emerged about ten years ago aspartate) and poly(N-isopropylacrylamide)-
due to their scalability potential. The lipids polystyrene, and are more stable than
employed are well tolerated by the body; surfactant micelles in physiological
39
large scale production will be cost effective solutions . They were first proposed as drug
39
and simple by using high pressure carriers about 24 years ago . The inner core
homogenization. Some of the features of SLN of a micelle is hydrophobic which is
include good tolerability, site-specific surrounded by a shell of hydrophilic polymers
40
targeting, stability (stabilized by surfactants or such as poly (ethylene glycol) . Their
polymers), controlled drug release and hydrophobic core enables incorporation of
34
protection of liable drugs from degradation . poorly water soluble and amphiphilic drugs
However, SLN are known for insufficient drug while their hydrophilic shell and size (<
loading, drug expulsion after polymorphic 100nm) prolong their circulation time in the
transition on storage and relative high water blood and increase accumulation in tumoural
34 39
content of the dispersions . SLN has been tissues .
studied and developed for parenteral, dermal,
ocular, oral, pulmonary and rectal routes of Polymeric micelles are able to reach parts of
34-39
administration the body that are poorly accessible to
liposomes; accumulate more than free drugs
To overcome the limitations of SLN, in tumoural tissues due to increased vascular
39
nanostructured lipid carriers (NLC) were permeability . Thus, polymeric micelles can
introduced. NLC is composed of solid lipids be employed to administer
and a certain amount of liquid lipids with chemotherapeutics in a controlled and
improved drug loading and increased stability targeted manner with high concentration in
on storage thereby reducing drug the tumoural cells and reduced side effects.
34,36
expulsion . NLCs have been explored for However, the targeting ability of polymeric
41,42
dermal delivery in cosmetics and micelles is limited due to low drug loading
34,36 41
dermatological preparations . and low drug incorporation stability which
cause the loaded drug to be released before
Lipid drug conjugate (LDC) nanoparticles getting to the site of action. Consequently,
were introduced to overcome the limitation of manipulation of the production parameters
types of drugs incorporated in the solid lipid and the design of the inner core can improve
matrix. Lipophilic drugs are usually drug loading and drug incorporation stability,
41,42
incorporated in SLN but due to partitioning respectively . Lipid moieties, such as
effects during production, only highly potent cholesterol and fatty acyl carnitines, can also
hydrophilic drugs effective in low be employed to impart good stability to the

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polymeric micelles. This is based on ability, nanoemulsions whose nanosize is


increased hydrophobic interaction between often smaller than visible wavelength, are
50,52
the polymeric chains in the inner core due to transparent . Nanoemulsions are
presence of fatty acid acyls (e.g. biodegradable, biocompatible, easy to
39
diacyllipid) . produce and used as carriers for lipophilic
drugs which are prone to hydrolysis. They are
Polymeric micelles have been employed for employed as a sustained release delivery
42
targeted and intracellular delivery , system for depot formation via subcutaneous
39 51
sustained release and parenteral delivery injection . They enhance gastrointestinal
absorption and reduce inter- and intra-subject
Nanocapsules variability for various drugs. Due to their very
large interfacial area, they exhibit excellent
53
Nanocapsules are spherical hollow structures drug release profile . Nanoemulsions have
in which the drug is confined in the cavity and been studied and developed for parenteral,
43
is surrounded by a polymer membrane . oral, ocular, pulmonary and dermal
50
They were developed over 30 years ago. deliveries .
Sizes between 50 and 300nm are preferred
for drug delivery and they may be filled with Stability against sedimentation is attained
oil which can dissolve lipophilic drugs. They based on the nano size of the droplets
have low density, high loading capacity and because the sedimentation rate due to gravity
are taken up by the mononuclear phagocyte is less than Brownian movement and
50
system, and accumulate at target organs diffusion . Unlike microemulsions,
44
such as liver and spleen . nanoemulsions are metastable and can be
destabilized by Ostwald ripening whereby the
Nanocapsules can be employed as confined small droplets dissolve and their mass is
reaction vessels, protective shell for cells or taken up by the large droplets and depletion
enzymes, transfection vectors in gene induced flocculation due to addition of
therapy, dye dispersants, carriers in thickening polymers. When this happens, the
heterogenous catalysis, imaging and drug nanoemulsion becomes opaque and
45,46 54
carriers . They are known to improve the creaming will occur . However, addition of a
oral bioavailability of protein and peptides small amount of a second oil with low
which include insulin, elcatonin and salmon solubility into the aqueous phase and addition
43,47
calcitonin . Encapsulation of drugs such as of a second surfactant may reduce Ostwald
44 50
ibuprofen within nanocapsules protects ripening . Also, a number of factors during
52
liable drugs from degradation, reduces production should be controlled . These
systemic toxicity, provide controlled release factors include selecting an appropriate
48
and mask unpleasant taste . Due to their composition, controlling the order of addition
high stability and low permeability, drugs may of components, applying the shear in a
not be loaded into the capsules after manner that will effectively rupture the
formulation and also the release of the drug droplets, and ensuring that the dispersed
at target site may be difficult. To improve on phase molecules are insoluble in the
their permeability, they are made responsive continuous phase so that Ostwald ripening
49 52
to physiological factors such as pH . does not occur rapidly .

Nanoemulsions Ceramic nanoparticles

Nanoemulsions are emulsions with droplet Ceramic nanoparticles are particles


size below 1µ but usually between 20 and fabricated from inorganic compounds with
50,51
200nm . Unlike microemulsions which are porous characteristics such as silica, alumina
55-57
white in colour due to their light scattering and titania . They can be prepared with

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the desired size, shape and porosity. Their of drugs and biomolecules across cell
58
sizes are less than 100nm and are able to membrane to the mitochondria . Carbon
avoid uptake by the reticulo-endothelial nanotubes’ unique properties including low
system as foreign bodies. Entrapped cytotoxicity and good biocompatibility attract
molecules such as drugs, proteins and their use as vector system in target delivery
58
enzymes are protected from denaturation at of drugs, proteins and genes . However,
60
physiological pH and temperature as neither toxicity of carbon nanotubes is of concern .
57
swelling nor change in porosity occurs . Carbon nanotubes may cause inflammatory
Hence, they are effective in delivering and fibrotic reactions.
proteins and genes. However, these particles
are not biodegradable and so there is METHODS OF FABRICATION
concern that they may accumulate in the
56
body and cause harmful effects . The method employed for the fabrication of
nanostructures depends on the type and the
Metallic nanoparticles desired properties of the nanostructure to be
produced. Methods of preparing of polymeric
15, 61
Metallic nanoparticles include iron oxide, nanoparticles have been reviewed and
gold, silver, gadolinium and nickel which have they include ionic gelation, coacervation,
58
been studied for targeted cellular delivery . solvent evaporation, spontaneous
Gold exhibits favourable optical and chemical emulsification/solvent diffusion, salting
properties at nanoscale for biomedical out/emulsification-diffusion, supercritical fluid
56
imaging and therapeutic applications . It can technology and polymerization. Depending
be manipulated to obtain the desired size in on the materials utilized, such as
the range of 0.8 to 200nm. The surface can phospholipids and glycolipids, the desired
be modified with different functional groups liposome structure can be prepared by
for gene transfection, modified into gene sonication, electroformation, extrusion from
delivery vector by conjugation and also diluted lamellar dispersions, high-shear
modified to target proteins and peptides to homogenization, reverse-phase evaporation,
the cell nucleus
58, 59
. Gadolinium has been gel exclusion chromatography, freeze-
studied for enhanced tumour targeted lyophilization, calcium-induced fusion,
62-65
delivery by modification of the nanoparticles detergent dialysis and ultracentrifugation .
with folate, thiamine and poly (ethylene
glycol). Modification with folate was reported Syntheses of dendrimers include the use of
to enhance the recognition, internalization Tomalia’s divergent growth approach,
and retention of gadolinium nanoparticles in convergent growth approach, and orthogonal
26, 66, 67
58
tumour cells . Metallic nanoparticles have coupling strategy , while solid lipid
large surface area thereby incorporating a nanoparticles are prepared by high shear
high drug dose. However, the toxicity of homogenization, ultrasound dispersion
metallic nanoparticles is of concern. technique, high pressure homogenization,
solvent emulsification/evaporation,
33, 68,69
Carbon nanomaterials microemulsion and solvent diffusion .

These include carbon nanotubes and Methods of preparing polymeric micelles


fullerenes. Fullerenes are carbon allotrope include dialysis, solution-casting, direct
70,71
made up of 60 or more carbon atoms with a dissolution, while nanocapsules are
polygonal structure. Nanotubes have been prepared by microemulsion, miniemulsion
used for their high electrical conductivity and polymerization and interfacial polymeri-
43,72
56
excellent strength . These materials are zation . Nanoemulsions are prepared by
being studied for therapeutic applications. spontaneous emulsification, high pressure
51,73
Fullerenes can be functionalized for delivery and ultrasonic homogenization . Ceramic
nanoparticles are produced by template

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74 75
synthesis , hot pressing technique and by improved performance than at large scale.
76
controlled hydrolysis in micellar medium . Maintaining the size and composition of
nanomaterials at large scale is also a
Metallic nanoparticles are synthesized by gas challenge.
phase deposition and electron beam
lithography. However, co-precipitation gives Despite the number of patents for nano drug
appreciable control of size, composition and delivery technologies, commercialization is
sometimes, shape of the nanoparticles .
77 still at its early stage. This is partially due to
Gold nanoparticles are prepared in organic the fact that most of the research studies in
solvents (Brust-Schiffrin method), and also by nano drug delivery are carried out by
chemical reduction of chloride precursor in researchers in academia. Therefore, for
aqueous conditions (Turkevich method)
78 these technologies to get to the market there
Carbon nanomaterials are prepared by has to be increased partnership with the
template
79
synthesis , the carbon-arc pharmaceutical companies. Unfortunately, a
discharge technique, catalytic chemical number of the major pharmaceutical
vapour deposition and laser ablation
80, 81 industries are yet to consider nanotechnology
82
as one of their priorities due to lack of
regulatory guidelines and challenges of
CHALLENGES OF NANO DRUG
scaling up. . However, it is envisaged that
DELIVERY with the expiration of more patents and
market loss, more pharmaceutical industries
Although nanotechnology in drug delivery has will take up the production of nano drug
been successful, as evidenced by some nano products in order to compete favourably.
drug products in the market, not all
approaches have met with the same success. Advances in nano drug delivery technology
New nanomaterials being developed come also provide new challenges for regulatory
with challenges which have to be control. There is an increasing need to have
surmounted. However some of the regulations that would account for
challenges encountered have been and are physicochemical and pharmacokinetic
still being tackled by modification of the properties of nano drug products, which are
physicochemical characteristics of the different from conventional drug products.
nanomaterials to improve on properties such The United States’ Food and Drug
as long circulation in the blood, increased Administration (FDA) and the European
functional surface area, protection of Medicines Evaluation Agency (EMEA) have
incorporated drug from degradation, crossing taken the initiative to identify some possible
82
of biological barriers and site-specific scientific and regulatory challenges.
targeting. Furthermore, the International Organization
for Standardization has set up a technical
Another challenge of research and committee (TC 229) for the field of
development (R&D) of nanomaterials for drug nanotechnologies to develop standards
delivery is large scale production. There is pertaining to terminology and nomenclature;
always a need to scale up laboratory or pilot measurement and characterization; and
technologies for eventual commercialization. health, safety and environment amongst
A number of nano drug delivery technologies other standards. These standards are still
may not be scalable due to the method and under development.
process of production and high cost of
materials employed. The challenges of Safety issues
scaling up include low concentration of
nanomaterials, agglomeration and the With increased R&D work on nano drug
chemistry process – it is easier to modify delivery, emerges concerns about the safety
nanomaterials at laboratory scale for of the nanotechnologies in humans. Some of

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the nanomaterials are biodegradable while expensive. There is also the general public
some are not; furthermore, the side effects of reluctance to embrace nanotechnology based
the by-products present a huge concern. on the unavailability of documented safety
Materials which may be safe at macroscale guidelines. However, despite these
may not be at nanoscale since there may be challenges, nano drug delivery is a
change in physicochemical characteristics at development that cannot be ignored and so
nanoscale. These nanomaterials may not the challenges will be tackled with time.
clear completely from the body and their
accumulation may have several possible Commercially available nano drug
effects
83,84
. delivery systems
Despite the challenges which include the
Safety and possible impact nanomaterials
huge volume of expenditure involved and the
should not be considered for the patient
regulatory stages (preclinical and clinical
population alone but also for the entire
stages – Phases 1 - 4) which are mandatory
manufacturing and disposal processes.
in order to obtain regulatory approval before
Conventional safety measures in a
a drug can get into the market, some nano
pharmaceutical factory may not be
drug delivery systems have made it to the
appropriate for the development and
market. Table 1 shows the list of some of
fabrication of nanomaterials. Also extra
nano drug delivery systems in the market:
measures are to be taken to protect the
environment from increased envisaged
negative impacts of nanomaterials. CONCLUSION
Although reduced cost to the patients is The increasing awareness and R&D in the
envisaged to be one of the advantages of area of nano drug delivery would continue to
nanotechnology since fewer materials are change the whole concept of medicines
expected to go into production as compared including aspects such as product
to bulk production; it is doubtful if this will be characteristics, bioavailability, pharmacokine-
so, as successful commercialization will be tics, stability, drug use, and toxicity in human

Lipi Lipi
d
d
A
B C D

E F G H

Figure 1: Illustration of some nanostructures A) Spherical polymeric nanoparticle; B) Liposome; C)


Solid lipid nanoparticles – solid lipid enclosed within; D) Nanoemulsion – liquid enclosed within; E)
Nanocapsule – hollow; F) Carbon nanotube; G) Dendrimer; I) Polymeric micelle.

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Table 1a: Nano drug delivery systems in the market82

Type of Trade name Active ingredient Indication Company


nanostructure
Polymeric Adagen Adenosine Adenosine Enzon Pharmaceuticals Inc.,
nanoparticles deaminase deaminase (ADA) Bridgewater, NJ, USA
enzyme deficiency
Onscaspar L-asparaginase Acute Enzon Pharmaceuticals Inc.,
lymphoblastic NJ, USA
leukaemia
Copaxone Glatiramer Acetate Relapsing-remitting Teva Pharmaceuticals, Tikva,
multiple sclerosis Isreal
Macugen Pegaptanib All types of Nektar Therapeutics, San
Sodium neovascular age- Carlos, CA, USA; OSI
related macular Pharmaceuticals, Melville, NY,
degeneration USA
Pegasys Pegylated Hepatitis C Nektar Therapeutics, CA, USA
interferon alfa-2a
Neulasta Pegfilgrastim Neutopenia Nektar Therapeutics, CA, USA;
Amgen Inc, Thousand Oaks,
CA, USA
PEG-INTRON Peginterferon alfa- Hepatitis C Nektar therapeutics, CA, USA
2b
Somavert Pegvisomant Acromegaly Nektar therapeutics, CA, USA
Liposomes Abelcet Amphotericn B Fungal infections Enzon Pharmaceuticals Inc.,
Bridgewater, NJ, USA
Depocyt Cytarabine Lymphomatous Enzon Pharmaceuticals Inc.,
meningitis NJ, USA
Liposomes AmBisome Amphotericn B Fungal infections Gilead Sciences Inc., Foster
City, CA, USA
Daunoxome Daunorubicin Kaposi’s sarcoma Gilead Sciences Inc., CA, USA
Myocet Doxorubicin Advanced breast Zeneus/Cephalon, Inc., Frazer,
cancer PA, USA
Epaxal Inactivated Hepatitis A Berna Biotech, Bern,
Hepatitis A virus Switzerland
Inflexal V Inactivated Influenza Berna Biotech, Bern,
influenza surface Switzerland
antigen
DepoDur Morphine Analgesia EKR Therapeutics, Bedminster,
NJ, USA
Visudyne Verteporfin Age-related QLT Inc., Vancouver, British
macular Colombia, Canada; Norvatis,
degeneration Basel, Switzerland
Doxil Doxorubicin Ovarian cancer and Ortho Biotech, Bridgewater, NJ,
Kaposi’s sarcoma USA
Caelyx Doxorubicin Ovarian cancer, Schering-Plough, Kenilworth,
Kaposi’s sarcoma NJ, USA
& breast cancer
Estrasorb Estradiol Menopausal – Hot Novavax, Rockville, MD, USA
flushes
Survanta Beractant (bovine Respiratory Abbott Laboratories, IL, USA
lung homogenate) distress syndrome
Liposomes Alveofact Bovactant(bovine Respiratory Boehringer Ingelheim GmbH,
lung lavage) distress syndrome Ingelheim, Germany
Curosurf Poractant alfa Respiratory Chiesi Farmaceutici SpA,
(porcine lung distress syndrome Parma, Italy
homogenate)
Polymeric Genexol-PM Paclitaxel Cancer Samyang Pharmaceutical,
micelles chemotherapy Daejeon City, Korea

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Ochekpe et al

Table 1B: Nano drug delivery systems in the market (contd.)

Type of Trade name Active ingredient Indication Company


nanostructure
Nanocrystalline Rapamune Sirolimus Immunosuppressa Elan Corporation, Dublin,
drugs nt Ireland; Wyeth Pharmaceutical ,
Madison, NJ, USA
Emend Aprepitant Antiemetic Elan Corporation, Dublin,
Ireland; Merck and Co., Inc.
Whitehouse Station, NJ, USA
Tricor fenofibrate Hyperlipidemia Elan Corporation, Dublin,
Ireland; Abbott Labs, Illinois,
USA
Megace Megestrol acetate Anorexia, Cachexia Elan Corporation, Dublin,
Ireland; Par Pharmaceuticals,
Woodcliff Lake, NJ, USA
Protein (albumin) Abraxane Paclitaxel Metastatic breast Abraxis BioScience, Los
nanoparticles cancer Angeles, CA, USA; Astra
Zeneca, London, UK
Lipid colloidal Amphotec Amphotericin B Fungal infections InterMune, Brisbane, CA, USA
dispersion

CONCLUSION nanoparticles as mucosal vaccine delivery


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