S. Wang et al., TOPICAL DELIVERY OF CYCLOSPORINE-A COEVAPORATE USING ELECTROPORATION TECHNIQUE, Drug development and industrial pharmacy, 23(7), 1997, pp. 657-663
The immunosuppressive drug cyclosporin A (CSA) is useful in treating p
soriasis. However, the systemic use of CSA is fraught with the problem
of toxicities. The best way to treat psoriasis would be to deliver CS
A topically but no such formulation is currently available. The highly
lipophilic nature and the large molecular weight of CSA are the main
hurdles in developing an efficient topical formulation. Attempts were
made in our laboratory to deliver CSA topically using electroporation
technique. First, the aqueous dissolution of CSA was improved by prepa
ring a coevaporate using polyvinyl ethyl methyl ether maleic acid copo
lymer, which resulted in a 9.5-fold increase in the aqueous solubility
of CSA. Subsequently, the aqueous solution of the coevaporate was use
d as the donor solution to deliver CSA transdermally in a rat skin mod
el, using single and multiple pulse electroporation. Use of single pul
se mode at a field strength 200 V/cm- and 10-msec pulse interval, resu
lted in delivering 87 ng of CSA per 0.87 cm(2) of the rat skin. This w
as a significant increase by a factor of 8.5 in the delivery of CSA, w
hen compared to the passive diffusion. The amount of CSA delivered to
the skin using electroporation may be further enhanced by increasing t
he thermodynamic activity of CSA in the donor solution. The other elec
troporation variables which need to be further optimized include field
strength, pulse length, and number of pulses.