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Drug information

Drug's link(s)
Generic name

Bictegravir

Brand names

Bictegravir PLGA nanoformulation

Compound type

Small molecule

Drug class/category

Second-generation Integrase Strand Transfer Inhibitors (INSTI)

Summary

Bictegravir (BIC), an HIV‑1 integrase strand transfer inhibitor, was successfully formulated into <200 nm poly(lactic‑co‑glycolic acid) (PLGA) nanoparticles using an o/w emulsion–solvent evaporation technique. The formulation achieved an encapsulation efficiency of 47.9 ± 6.9% and exhibited a stable negative surface charge (zeta potential approximately −23 mV). In TZM‑bl cell assays, nanoencapsulation markedly enhanced antiviral potency, reducing the EC50 from 0.604 µM for free BIC to 0.0038 µM, while increasing the CC50 to 820.4 µM, resulting in a selectivity index of ~ 215,900; Cmax -888.54 pmole. The nanoparticles demonstrated sustained intracellular retention in PBMCs for up to 28 days. Following single preclinical SC dose, BIC had sustained plasma and tissue drug levels for >30 days.

Approval status

Not approved for clinical use yet.

Regulatory authorities

Not approved for clinical use yet.

Therapeutic area(s)

  • HIV
Use case(s)
  • Treatment

Administration route

Subcutaneous

Associated long-acting platforms

Polymer-based particles

Use of drug

Ease of administration
  • Administered by a community health worker
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration

Not provided

User acceptance

Not provided

Dosage

Available dose and strength

0.0002225 µM– 44.5 µM (preclinical doses)

Maximum dose

44.5 µM

Recommended dosing regimen

Not applicable for preclinical studies

Additional comments

Not provided

Dosage link(s)

Not provided

Formulations

Compare
Related formulations

Bictegravir (BIC)

Associated technologies

Not provided

Comment & Information

Not provided

Developer(s)

Creighton University
Originator
United States of America

Creighton University

Creighton University, founded in 1878 in Omaha by the Creighton family, is a Jesuit institution known for academic excellence, healthcare education, and service. It supports research in drug discovery and medical innovation, with strong science and pharmacy programs. Its modern campuses, labs, libraries, and clinical facilities help drive learning and community impact.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Not known

Tentative equipment list for manufacturing

1. High‑shear emulsification 2. Nano‑emulsification 3. Biosafety handling 4. Solvent evaporation 5. Drying 6. Temperature control 7. Centrifugation (release testing) 8. Probe sonicator 9. Orbital shaker

Manufacturing

Oil‑in‑water (O/W) emulsion–solvent evaporation methodology:- i) 5 mL DCM containing PLGA, Poloxamer 407 and BIC (10:10:2 w:w:w) added dropwise to 20 mL of 1 % PVA solution under high‑speed continuous stirring. iii) Mixing PLGA (75:25 lactide:glycolide; MW 4000–15000), luronic F127 (stabilizer), polyvinyl alcohol aqueous phase, dichloromethane organic phase iv) Dissolve BIC to form solution v) Form homogeneous phase of solution vi) Emulsification process: Emulsify solution to form o/w emulsion with PLGA mixture v) Evaporate o/w emulsion to form encapsulated BIC.

Specific analytical instrument required for characterization of formulation

1. Dynamic light scattering (DLS) 2. ZetaPlus Zeta Potential Analyzer 3. Hitachi S‑4700 field‑emission Scanning Electron Microscope (SEM) 4. High performance liquid chromatography (HPLC) 5. Liquid chromatography-Mass Spectrometry (LCMS)

Excipients

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

(i) PLGA (ii) Poloxamer 407

Residual solvents used

Not provided

Delivery device(s)

No delivery device

Description

Nanoparticles and methods of use

Brief description

Provided herein are nanoparticles and methods for using nanoparticles. The nanoparticles include at least three antiretroviral agents. When introduced to cells the nanoparticles cause an increase in the intracellular concentration of the antiretroviral agents to a level that is at least the IC50 against HIV-I or HIV-2. This concentration may be maintained for at least 21 days after the cells are contacted with the nanoparticle. When administered to a subject the nanoparticles cause the concentration of the antiretroviral agents to increase to at least 100 ng/ml in the serum of the subject, at least 0.5 μg/gram tissue in an organ of the subject, or a combination thereof. Such a concentration may be maintained for at least 21 days after the administration.

Representative patent

US8846096B2

Category

Not provided

Patent holder

Creighton University

Exclusivity

Not provided

Expiration date

January 25, 2030

Status

Active

Description

Encapsulation of hydrophillic antiretroviral drugs in nanocarriers

Brief description

An encapsulated hydrophilic antiretroviral drug including a biodegradable polymeric nanoparticle and a process for fabricating biodegradable polymeric nanoparticles to encapsulate hydrophilic antiretroviral drugs are described. In an implementation, an encapsulated hydrophilic antiretroviral drug including a biodegradable polymeric nanoparticle includes a hydrophilic antiretroviral drug; and a biodegradable polymer polymeric nanoparticle that encapsulates the hydrophilic antiretroviral drug to form a nano-sized encapsulated hydrophilic antiretroviral drug.

Representative patent

US20150374639A1

Category

Not provided

Patent holder

Creighton University

Exclusivity

Not provided

Expiration date

Not provided

Status

Abandoned

Publications

Mandal, S., Prathipati, P. K., Belshan, M., & Destache, C. J. (2019). A potential long-acting bictegravir loaded nano-drug delivery system for HIV-1 infection: A proof-of-concept study. Antiviral research, 167, 83–88. https://doi.org/10.1016/j.antiviral.2019.04.007

Bictegravir (BIC), a newly FDA-approved integrase strand transfer inhibitor (INSTI), as a single tablet regimen has proven efficacious in treating HIV-1 and SIV viruses, with reduced resistance. BIC clinical trials have not investigated its prophylaxis potency. This study investigates the HIV prevention potency of a novel long-acting BIC nano-formulation aimed to improve adherence. Poly (lactic-co-glycolic acid) loaded BIC nanoparticles (BIC NPs) were formulated using an oil-in-water emulsion methodology. BIC NPs were <200 nm in size, with 47.9 ± 6.9% encapsulation efficiency. A novel, sensitive and high throughput LC-MS/MS method was used to estimate intracellular pharmacokinetics (PK) of BIC NPs and compared to BIC solution demonstrated prolonged intracellular BIC retention. BIC NPs safety was assessed based on cytotoxicity. Further, in-vitro prevention study of BIC NPs vs BIC solution was assessed against HIV-1NLX and HIV-1ADA on TZM-bl cell line and PBMCs, respectively. BIC nanoencapsulation demonstrated elevated cellular cytotoxicity concentration (CC50: 2.25 μM (BIC solution) to 820.4 μM (BIC NPs)] and lowers HIV-1 inhibitory concentration [EC50: 0.604 μM (BIC solution) to 0.0038 μM (BIC NPs)) thereby improving selectivity index (SI) from 3.7 (BIC solution) to 215,789 (BIC NP) for TZM-bl cells. Comparable results in PBMCs were obtained where BIC NPs improved SI from 0.29 (BIC solution) to 523.33 (BIC NPs). This demonstrates long-acting BIC nano-formulation with sustained drug-release potency, improved BIC cytotoxicity and enhanced HIV-1 protection compared to BIC in solution.

Additional documents

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Useful links

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