H. Gautier et al., Isostatic compression, a new process for incorporating vancomycin into biphasic calcium phosphate: comparison with a classical method, BIOMATERIAL, 21(3), 2000, pp. 243-249
Isostatic compression has rarely been used to load calcium-phosphate biomat
erials with therapeutic agents. This report, concerning four processes asso
ciating vancomycin, compares isostatic compression with wet granulation, a
classical method. In the wet granulation study, vancomycin was associated w
ith biphasic calcium-phosphate (BCP) granules either by adsorption or incor
poration with a new granulation. In the isostatic compression study, BCP po
wder was compressed at 100, 140 and 200 MPa. The blocks obtained were crush
ed and 200-500 mu m, sieved; thus, the vancomycin solution was absorbed on
these granules. Compaction of BCP and vancomycin powders gave, after crushi
ng and sieving, granules loaded with vancomycin. In each study, 5% vancomyc
in was associated with BCP. Vancomycin release profiles were assessed by an
in vitro culture chamber dissolution test. Physicochemical studies of BCP
and vancomycin showed their structural integrity after isostatic compressio
n. Isostatic compression prolonged vancomycin release time from 3 to 7 days
and the release time became greater as isostatic pressure increased, proba
bly because of the porosity decrease of the granules during compression. (C
) 2000 Elsevier Science Ltd. All rights reserved.