A formulation for sustained release of an apoptosis inhibitor in the inner ear to protect from hearing loss, especially due to exposure to chemotherapy with drugs such as cisplatin. The formulation can be injected through a small gauge needle into the inner ear, where it gels to form a sustained release depot for controlled delivery of drug over a few days. In the preferred embodiment, the formulation includes a thermoresponsive sol-gel polymer such as POLOXAMER 407 and an apoptosis inhibitory agent, preferably an inhibitor of apoptotic protease activating factor-1 (APAF-1), in an effective amount to prevent hearing loss, for example, due to the administration of platinum-based chemotherapeutic agents. As demonstrated by the examples, the hydrogel provides sustained release of an apoptosis inhibitory agent, LPT99, an anti-apoptosis agent that inhibits apoptotic protease activating factor-1 (APAF-1), as well as safety and efficacy in in vitro and in vivo models.
一种可在内耳中持续释放细胞凋亡
抑制剂的制剂,可防止听力损失,尤其是因接触
顺铂等化疗药物而导致的听力损失。该制剂可通过小号针头注入内耳,在内耳中凝胶化形成缓释库,在数天内控制药物的输送。在优选的实施方案中,制剂包括一种热致伸缩性溶胶凝胶
聚合物(如 POLOX
AMER 407)和一种凋亡
抑制剂,最好是一种凋亡
蛋白酶激活因子-1(APAF-1)
抑制剂,其有效用量可防止因施用
铂类化疗药物等引起的听力损失。如实例所示,
水凝胶可持续释放凋亡
抑制剂 L
PT99(一种抑制凋亡
蛋白酶活化因子-1(APAF-1)的抗凋亡剂),并在体外和体内模型中具有安全性和有效性。