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Russell J. Mumper, Ph.D. Director: Center for Nanotechnology in Drug Delivery at the University of North Carolina - Chapel Hill Moving Toward Clinical Investigation with Pharmaceutically Engineered Lipid-Based Nanoparticles Russell J. Mumper, Ph.D. Center for Nanotechnology in Drug Delivery Division of Molecular Pharmaceutics School of Pharmacy University of North Carolina at Chapel Hill Chapel Hill, North Carolina 1st Annual Unither Nanomedical & Telemedical Technology Conference April 1-4, 2008 Outline FDA and Nanotechnology Nanotemplate Engineering – – – – – NP engineering & characterization NP cell uptake/interaction NP biometabolism NP bio- and hemocompatibility NP cell and tissue targeting Cancer Therapeutics – Addressing multi-drug resistance Vaccine Delivery Systems – Dendritic cell targeting – Nanoengineered subunit HIV vaccine • Cell and Tissue Targeting – Resistant Cancer – Dendritic Cells The FDA and Nanotechnology The FDA has not established its own definition of ‘nano’ Using the NNI’s definition FDA’s Nanotechnology Report dated July 25, 2007 (38 pg.) – Initial recommendation: ‘focus on improving scientific knowledge’ FDA is currently referring to the 2002 Guidance Document on “Liposome Drug Products” Liposomes are “intended to exhibit a different pharmacokinetic and/or tissue distribution (PK/TD) profile” Nanotemplate Engineering Enables manufacturing of stable nanoparticles <100 nm using a one-step, reproducible, and scalable process Manufacturing process that overcomes the limitations of commonly-used methods to make sub-micron sized particles Add Surfactant** Melt PharmaceuticallyAcceptable Matrix @ 40-65C Clear, Stable Oil-in-Water (O/W) Microemulsion “Nanotemplate” Let Cool ** • Cationic or anionic surfactants (+/- NPs) • Pegylated surfactants (PEG-NPs) • Amine-reactive surfactants (Amine-NPs) • Sulfhydryl-reactive surfactants (SH-NPs) • Nickel-chelated surfactants (Ni-NPs) • Ligand-derivatized surfactant (Ligand-NPs) Well-Defined, Uniform, Solid Nanoparticles <100 nm Feasibility Demonstrated Engineering & Characterization NPs contain up to 80% w/w low Mw drug Cell uptake/interaction 5 Increase apparent drug solubility up to 10 -fold Biometabolism Bio- and hemocompatibility Coating or entrapment of many types of drugs, Cell and tissue targeting antigens, or sensors Sterile filtered and pyrogen free; lyophilized Hemocompatible to neutrophils, platelets, and RBCs Lack of toxicity Enhanced oral delivery (Dr. Michael Jay; UK) MRI imaging agent (Dr. Michael Jay; UK) Transport across blood-brain barrier (BBB) In-vivo (genetic) vaccines – enhanced responses by multiple routes In-vivo targeting to solid tumors (overcome MDR) Past 6 years: ~$5 million in funding >40 scientific papers NanoMed Pharmaceuticals, Inc. Microemulsions as Precursors to Solid Nanoparticles US Patent # 7,153,525 (12/26/2006) Theoretical advantages as an engineering process: Process has been scaled to 10 L 100 NPs = 6.7% w/v 90 Oil 80 Particle Size (nm) Microemulsions form spontaneously within the microemulsion ‘window’ Ideally, add components, heat to form microemulsion, and then cool No special equipment required Scalable and reproducible 70 60 50 40 30 20 10 0 5 mL microemulsion ‘window’ Surfactant(s) Water 50 mL 0.5 L glass vessel using magnetic stirring 1L 5L 10 L stainless steel vessel with conventional mechanical mixer Discovery: Concentrated NPs can be engineered by just reducing the volume of water added Nanotoxicology Metabolism: Fatty alcohol-based NPs are metabolized in-vitro by ADH/NAD+1 Hemocompatibility of PEG NPs and NPs2 Rationale: mechanisms & standard methodologies 1 2 – No RBC lysis at up to 1 mg/mL – No neutrophil activation – No platelet activation/aggregation as measured with PAC-1 binding – However, NPs inhibit agonist-induced platelet activation in a dose-dependent manner (THR, ADP, IBOP) – 2-3-fold increase in WBCT at >500 mg/mL Dong & Mumper, Drug Dev. Ind. Pharm. 2006 Koziara et al., Pharm. Res. 2005 Paper profiled by NNI and NCI NCL as an example of ‘safe nanotechnology’ (Nov. 2005) NIH-NCI R01 CA115197 Using Nanotechnology to Target Cancer NPs significantly reduce IC50 (2-10 fold) in several different resistant cell lines – Paclitaxel, doxorubicin, idarubicin, others – Leukemia, breast, ovarian, colon, melanoma In-vitro results have been translated to xenograft and syngeneic mouse models Mechanisms: increased uptake/retention, p-gp inhibition, ATP depletion DAPI = blue Doxorubicin = red Fluorescein NPs = green 2 hr influx + 4 hr efflux studies [DOX] (ng)/[protein] (ug) Doxorubicin NPs in Human Breast Cancer Cells 0.6 0.5 NPs >6-fold increase in retention 0.4 0.3 0.2 0.1 0 DOX NPs free DOX Paclitaxel (PX) NPs Overcome MDR In-Vitro Human glioblastoma (U-118) paclitaxel sensitive Human colon adenocarcinoma (HCT-15) paclitaxel resistant IC50 (nM) viability (%) 75 50 25 150 Taxol 48 h Taxol 72 h viability (%) PX NPs 48 h 22.1 + 9.8 PX NPs 72 h 8.7 + 0.4 Taxol 48 h 21.1 + 8.0 Taxol 72 h 11.5 + 4.1 100 100 PX NPs 72 h 50 PX NPs 48 h 0 0 1 2 log PX conc. Koziara et al., J. Controlled Rel., 2004 3 0 0 1 2 log PX conc. 3 4 PX NPs Reduce Tumor Growth in Resistant Mouse Xenograft Model (HCT-15) tumor volume (mm3) 3500 2000 PX NPs Taxol saline E78 NPs 1500 I.T. dose 1.5 mg/kg 3000 2500 * 1000 * 500 0 3 6 9 12 Time (days) Koziara et al., J. Controlled Rel., 2006 * * 0 *# 15 18 21 Doxorubicin (Dox) NPs Extend Life in Mouse Syngeneic Resistant Leukemia Blank NPs Free Dox 100 % Survival Control 75 Dox NPs #2 median survival 50 11 12 14.5 16.5 Dox NPs #1 20 25 0 0 3.5 mg Dox/kg 5 10 15 Time (days) Doxorubicin resistant P388/Adr leukemia cells CD2F1 mice were implanted i.p. with 1 x 105 P388/Adr cells Control = 10 mice; All other groups = 6 mice/group 20 25 Nanoengineered Vaccines NPs Engineer artificial/synthetic viruses Safe Less toxic than other adjuvants NP Cost-effective Enhance solubility/delivery of vaccine components Dendritic Cell Co-delivery of antigen/adjuvant (APC) Improve cell uptake and trafficking Th2 MHC II NP surface can be functionalized MHC I CD4+ Th1 Cell-targeting T cell CD8+ T cell IL-2, IL-3, Increased and/or balanced IFNg, TNFa humoral and cellular immune responses Cellular Responses IFNg IgG2a B cell IL-4 IL-4, IL-5 IL-6, IL-10 Humoral Responses IgG1, IgM, IgA, IgE Uptake of NPs by DCs NP uptake in murine BMDDCs DiOC18 NPs in DC 80 * 70 % uptake 60 * 50 * 40 CTAB NPs (+) 30 SDS NPs (-) 20 Brij 78 NPs (neutral) 10 0 0 2 4 6 8 10 12 14 Time (hr) *p<0.05 BMDDCs: 2x105/well incubated with 1 mg NPs at 37oC Study performed at NIH/NIAID/VRC HIV Vaccine Concept NIH-NIAID R01 AI058842 Dendritic Cell A DC-targeted nanoparticle with conserved proteins Tat (1-72) and Gag p24 to generate protective Th1, CTL, and neutralizing antibody responses that may be further enhanced by co-delivery of Adjuvants (PRLs) Toll-like Receptor (TLR-9) MHC I DC Mannose Receptor Tat (1-72) PEG Adjuvant (PRL) Mannopentaose (DC targeting) Gag p24 Tat & Gag p24 antigens: conserved; critical; CTLs detected in LTNPs Dose Response Study with Tat Humoral Responses Total IgG Cellular Responses IgG1 = Bold 1000000 150,000 Serum total IgG titer Serum total IgG titer 175,000 125,000 100,000 75,000 50,000 * 25,000 0.62 0.63 IgG2a / IgG1 ratio IgG2a = Dashed 0.87 0.22 0.16 100000 * 10000 1000 100 10 0 NPs 5 mg NPs 1 mg Alum 5 mg Alum 1 mg CFA 5 mg NPs 5 mg NPs 1 mg BALB/c mice (n=5-6) immunized SC on day 0, 21, and 28; Sac day 35; * p<0.05 Cui et al., Vaccine. 2004; Patel et al., Vaccine. 2006 Alum 5 mg Alum 1 mg CFA 5 mg ELISA Pattern of the Anti-Tat Sera N-terminal Core Region LTR transactivation Cysteine (7) Rich Region Basic Domain TAR RNA; nuclear local. RPPQ 2 20 22 37 38 48 49 OD450 (1:100 dilution) Cutoff = average naive response + (3*Std. Dev.); (-) no responses BALB/c mice (n=5-6) immunized SC with 5 mg Tat on day 0, 21, and 28; Sac day 35; Tat peptides: NIH AIDS Research and Reference Reagent Program, Division of AIDS, NIAID, NIH. 57 61 Therapeutic HIV Vaccine Concept Cell Immunization Transactivation HIV Y Abneutralizing Y Y cDNA Tat 1 Antibodies to Tat Neutralize Tat protein Maintain low viral bioburden Reduce HIV transactivation 2 Summary Engineering & Characterization Cell uptake/interaction Biometabolism Bio- and hemocompatibility Cell and tissue targeting Highly uniform lipid NPs <100 nm can be engineered using a warm o/w microemulsions as a scalable precursor Nanoparticles: enhance solubility, stability, uptake and delivery Nanoparticles are hemocompatible & metabolizable Vaccines: dose sparing, enhance MHC1 processing, enhance Th1-type responses, enhance (neutralizing) antibodies, co-delivery of antigen/adjuvant – Focus on nanoengineered HIV vaccines (Tat + Gag 24) Cancer: nanoparticles can overcome MDR in-vitro and in-vivo – Focus on reformulating otherwise effective cytotoxic agents May, 2009 4th Annual Chapel Hill Drug Conference “The Use of Nanotechnology to Create Safe and Effective Therapeutic and Diagnostic Products” May, 2009