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A new oral self-emulsifying drug delivery system improves the antileishmania efficacy of fexinidazole in vivo

[Display omitted] •Fexinidazole-loaded self-emulsifying drug delivery systems (FEX-SEDDS) were developed.•SEDDS formed nanoemulsions with small and homogeneous globules after dilution.•No evidence of injury to the intestinal mucosa induced by oral FEX-SEDDS.•Oral SEDDS reduced the parasite burden in...

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Published in:International journal of pharmaceutics 2023-01, Vol.631, p.122505-122505, Article 122505
Main Authors: Damasio, Danielle Sóter do Nascimento, Antunes, Patrícia Andrade, Lages, Eduardo Burgarelli, Morais-Teixeira, Eliane de, Vital, Kátia Duarte, Cardoso, Valbert Nascimento, Fernandes, Simone Odılia Antunes, Aguiar, Marta Gontijo, Ferreira, Lucas Antônio Miranda
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cited_by cdi_FETCH-LOGICAL-c365t-5f77195c55126b7017b820147913bcd61511e9d0b9dcad8508928985974cf673
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container_title International journal of pharmaceutics
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creator Damasio, Danielle Sóter do Nascimento
Antunes, Patrícia Andrade
Lages, Eduardo Burgarelli
Morais-Teixeira, Eliane de
Vital, Kátia Duarte
Cardoso, Valbert Nascimento
Fernandes, Simone Odılia Antunes
Aguiar, Marta Gontijo
Ferreira, Lucas Antônio Miranda
description [Display omitted] •Fexinidazole-loaded self-emulsifying drug delivery systems (FEX-SEDDS) were developed.•SEDDS formed nanoemulsions with small and homogeneous globules after dilution.•No evidence of injury to the intestinal mucosa induced by oral FEX-SEDDS.•Oral SEDDS reduced the parasite burden in Leishmania infantum-infected animals.•They can be a promising oral alternative for the treatment of leishmania visceral. The aim of this study was to develop, characterize and evaluate the in vivo oral efficacy of self-emulsifying drug delivery systems (SEDDS) containing fexinidazole (FEX) in the experimental treatment of visceral leishmaniasis (VL). The developed FEX-SEDDS formulation presented as a clear, yellowish liquid, with absence of precipitate. The droplet size, polydispersion index and zeta potential after dilution in water (1:200) was of 91 ± 3 nm, 0.242 ± 0.005 and −16.7 ± 0.2, respectively. In the simulated gastric and intestinal media, the FEX-SEDDS had a size of 97 ± 1 and 106 ± 9 nm, respectively. The FEX retention in droplet after SEDDS dilution in simulated gastrointestinal media was almost 100 %. Antileishmanial efficacy studies showed that FEX-SEDDS was the only treatment able to significantly (p 
doi_str_mv 10.1016/j.ijpharm.2022.122505
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The aim of this study was to develop, characterize and evaluate the in vivo oral efficacy of self-emulsifying drug delivery systems (SEDDS) containing fexinidazole (FEX) in the experimental treatment of visceral leishmaniasis (VL). The developed FEX-SEDDS formulation presented as a clear, yellowish liquid, with absence of precipitate. The droplet size, polydispersion index and zeta potential after dilution in water (1:200) was of 91 ± 3 nm, 0.242 ± 0.005 and −16.7 ± 0.2, respectively. In the simulated gastric and intestinal media, the FEX-SEDDS had a size of 97 ± 1 and 106 ± 9 nm, respectively. The FEX retention in droplet after SEDDS dilution in simulated gastrointestinal media was almost 100 %. Antileishmanial efficacy studies showed that FEX-SEDDS was the only treatment able to significantly (p &lt; 0.05) reduce the parasite burden in the liver and spleen of animals experimentally infected with Leishmania infantum. 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The aim of this study was to develop, characterize and evaluate the in vivo oral efficacy of self-emulsifying drug delivery systems (SEDDS) containing fexinidazole (FEX) in the experimental treatment of visceral leishmaniasis (VL). The developed FEX-SEDDS formulation presented as a clear, yellowish liquid, with absence of precipitate. The droplet size, polydispersion index and zeta potential after dilution in water (1:200) was of 91 ± 3 nm, 0.242 ± 0.005 and −16.7 ± 0.2, respectively. In the simulated gastric and intestinal media, the FEX-SEDDS had a size of 97 ± 1 and 106 ± 9 nm, respectively. The FEX retention in droplet after SEDDS dilution in simulated gastrointestinal media was almost 100 %. Antileishmanial efficacy studies showed that FEX-SEDDS was the only treatment able to significantly (p &lt; 0.05) reduce the parasite burden in the liver and spleen of animals experimentally infected with Leishmania infantum. Our intestinal permeability data suggest that FEX-SEDDS showed no evidence of injury to the intestinal mucosa. These findings suggest that FEX-SEDDS can be a promising oral alternative for the treatment of VL caused by L. infantum.</description><subject>Administration, Oral</subject><subject>Animals</subject><subject>Antiprotozoal Agents - pharmacology</subject><subject>Drug Delivery Systems</subject><subject>Emulsifying Agents</subject><subject>Emulsions</subject><subject>Fexinidazole</subject><subject>Intestinal permeability</subject><subject>Nitroimidazoles</subject><subject>Oral treatment</subject><subject>Self-emulsifying drug release system</subject><subject>Solubility</subject><subject>Visceral leishmaniasis</subject><issn>0378-5173</issn><issn>1873-3476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkEFP3DAQha2Kqiy0P6GVj1yytZ04Tk4IIVoqIfXC3XLscXdWdrLYSSD99Q3aLVcuM5f35r35CPnK2ZYzXn_fb3F_2JkUt4IJseVCSCY_kA1vVFmUlarPyIaVqikkV-U5uch5zxirBS8_kfOyllVbMbkh8Yb28EyHZALNEHwBcQoZ_YL9H-rStA4IOENaaF7yCJFiPKRhhkzHHVDTjxgA8y6aHg0F79Eau9DBUw8v2KMzf4cAFHs64zx8Jh-9CRm-nPYlefxx93h7Xzz8_vnr9uahsGuzsZBeKd5KKyUXdacYV10jGK9Uy8vOuppLzqF1rGudNa6RrGlF0zayVZX1tSovydXx7Nr0aYI86ojZQgimh2HKWijZcCZkLVapPEptGnJO4PUhYTRp0ZzpV9B6r0-g9StofQS9-r6dIqYugntz_Se7Cq6PAlj_nBGSzhaht-AwgR21G_CdiH_W75IQ</recordid><startdate>20230125</startdate><enddate>20230125</enddate><creator>Damasio, Danielle Sóter do Nascimento</creator><creator>Antunes, Patrícia Andrade</creator><creator>Lages, Eduardo Burgarelli</creator><creator>Morais-Teixeira, Eliane de</creator><creator>Vital, Kátia Duarte</creator><creator>Cardoso, Valbert Nascimento</creator><creator>Fernandes, Simone Odılia Antunes</creator><creator>Aguiar, Marta Gontijo</creator><creator>Ferreira, Lucas Antônio Miranda</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230125</creationdate><title>A new oral self-emulsifying drug delivery system improves the antileishmania efficacy of fexinidazole in vivo</title><author>Damasio, Danielle Sóter do Nascimento ; 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The aim of this study was to develop, characterize and evaluate the in vivo oral efficacy of self-emulsifying drug delivery systems (SEDDS) containing fexinidazole (FEX) in the experimental treatment of visceral leishmaniasis (VL). The developed FEX-SEDDS formulation presented as a clear, yellowish liquid, with absence of precipitate. The droplet size, polydispersion index and zeta potential after dilution in water (1:200) was of 91 ± 3 nm, 0.242 ± 0.005 and −16.7 ± 0.2, respectively. In the simulated gastric and intestinal media, the FEX-SEDDS had a size of 97 ± 1 and 106 ± 9 nm, respectively. The FEX retention in droplet after SEDDS dilution in simulated gastrointestinal media was almost 100 %. Antileishmanial efficacy studies showed that FEX-SEDDS was the only treatment able to significantly (p &lt; 0.05) reduce the parasite burden in the liver and spleen of animals experimentally infected with Leishmania infantum. 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subjects Administration, Oral
Animals
Antiprotozoal Agents - pharmacology
Drug Delivery Systems
Emulsifying Agents
Emulsions
Fexinidazole
Intestinal permeability
Nitroimidazoles
Oral treatment
Self-emulsifying drug release system
Solubility
Visceral leishmaniasis
title A new oral self-emulsifying drug delivery system improves the antileishmania efficacy of fexinidazole in vivo
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