Expression of surrogate markers after transdermal delivery of interferon-alpha
in Transfersomes®
J. Lehmann, K. Theiling, M. Klede, A. Ikoma, M. Schmelz,
M. Rother, P. von Wussow
*Medizinische Biophysik, Technische Universität München
Ismaningerstr. 22, D-81675 München, Deutschland, EU
+IDEA, Innovative dermale Applikationen GmbH, Frankfurter Ring 193a,
D-80807 München, Deutschland, EU
Int. J. Immunother.18:21-26 (2002).
Intravenous, intramuscular, and subcutaneous administration
of IFN-alpha-2b is most commonly accompanied by side effects like fever,
chills, headache, myalgia, lower back pain, nausea and vomitting. In addition,
injections can cause skin necrosis. To reduce the severity of adverse
effects, we investigated the feasibility of the epicutaneous route of
administration for IFN-alpha-2b using Transfersome® technology, a
drug delivery system consisting of ultraflexible, mixed lipid aggregates
that penetrate the skin efficiently when applied nonocclusively. A subject-
and observer-blinded, single dose, placebo-controlled clinical trial was
performed in 11 healthy subjects to obtain data on the safety and efficacy
of absorption. The amount applied on the safety test field of the inner
forearm was either 6 x 10e6 IU IFN-alpha-2b in Transfersome® or placebo
Transfersome® (vehicle). Dermal tolerance was analyzed by the physician's
visual assessment, subject self-evaluation of itching and pain, and laser
Doppler imaging for the assessment of local erythema and axon reflex erythema.
To analyze transdermal transport by microdialysis, each subject additionally
received 3 x 10e6 IU of IFN-alpha-2b in Transfersome® on the other
forearm. Therefore, the total amount applied was either 3 or 9 x 10e6
IU IFN-alpha-2b in Transfersome® depending on the subject's dosage
group. Mx protein and neopterin, two surrogate markers for IFN-alpha-2b
efficacy, were determined in this study. Safety, adverse events, body
temperature, and blood biochemistry/hematology were recorded. This study
confirms the excellent dermal tolerance of the IFN-alpha-2b Transfersome®
formulation after a single dose administration. Furthermore, the increase
in surrogate markers might indicate systemic exposure of IFN-alpha-2b
after transdermal delivery in Transfersome® and bioactivity of the
transdermally transported IFN-alpha-2b.
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