Colloids and Surfaces B: Biointerfaces 130 (2015) 23–30
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Colloids and Surfaces B: Biointerfaces
j o ur nal ho me pa ge: www.elsevier.com/locate/colsurfb
Zero order delivery of itraconazole via polymeric micelles
incorporated in situ ocular gel for the management of fungal keratitis
Munmun Jaiswal, Manish Kumar
∗
, Kamla Pathak
Department of Pharmaceutics, Rajiv Academy for Pharmacy, National Highway #2, P.O. Chhattikara, Mathura 281001, Uttar Pradesh, India
a r t i c l e i n f o
Article history:
Received 15 November 2014
Received in revised form 9 March 2015
Accepted 30 March 2015
Available online 6 April 2015
Keywords:
Itraconazole
Polymeric micelles
In situ gel
Ex vivo transcorneal permeation
In vitro corneal hydration
Histology
a b s t r a c t
The aim of this article is to investigate the role of amphiphilic block copolymer-based polymeric micelles
of itraconazole for the management of fungal keratitis to overcome the limitations of the conventional
dosage form. The polymeric micelles were made using pluronics above critical micelle concentration.
Itraconazole-loaded polymeric micelles prepared by rotary evaporation method were characterized and
the optimized micellar formulation (M5) was selected on the basis of least micelle size (79.99 nm), max-
imum entrapment efficiency (91.32% ± 1.73%) and in vitro permeation (90.28% ± 0.31%) in 8 h, that best
fitted zero-order kinetics. M5 was developed as pH sensitive in situ gel and characterized for various
parameters. The optimized in situ gel (F5) proved to be superior in its ex vivo transcorneal permeation
when compared with Itral
®
eye drop and pure drug suspension, exhibiting 41.45% ± 0.87% permeation
with zero-order kinetics (r
2
= 0.994) across goat cornea. Transmission electron microscopy revealed
spherical polymeric micelles entrapped in the gel matrix. A spectrum of tests revealed hydration capabil-
ity, non-irritancy, and histologically safe gel formulation that had appropriate handling characteristics.
Conclusively, a controlled release pH-sensitive ocular formulation capable of carrying drug to the anterior
segment of the eye via topical delivery was successfully developed for the treatment of fungal keratitis.
© 2015 Published by Elsevier B.V.
1. Introduction
Keratitis is the inflammation of cornea characterized by corneal
edema, cellular infiltration, and cilliary congestion, and can be both
infectious and non-infectious. The occurrence of keratitis varies
depending on the cause of infection, which can be bacterial, fun-
gal, or viral. Out of these, the fungal infection is the most common.
The fungi more commonly responsible for mycotic corneal ulcers
are Aspergillus flavus, A. fumigatus, A. niger, Candida, and Fusa-
rium [1]. The fungus can invade into the stromal tissue through
a defect in the epithelial sheet, after which it invades into corneal
stroma and multiplies, with subsequent tissue necrosis and trigg-
ers a host inflammatory response. Unfortunately, these organisms
may penetrate through an intact Descemet’s membrane and enter
the anterior chamber. Therefore, eradication of these pathogens
becomes more difficult to treat [2]. The antifungal agents avail-
able for treatment of fungal keratitis are generally associated with
poor corneal penetration, stromal permeability, and poor clinical
outcomes [3].
∗
Corresponding author. Tel.: +91 9719021160.
E-mail address: manishsingh170180@gmail.com (M. Kumar).
Itraconazole used for the management of fungal keratitis
is a synthetic triazole agent and has pronounced antifungal
activity against Aspergillus, Curvularia, and Candida species. Com-
mercially available as Itral
®
eye drops (Jawa Pharmaceuticals,
Gurgaon, India) is applied hourly and is precipitated in the
corneal tissue after topical administration [4]. The formulation
is also associated with poor corneal penetration and visual
disturbances, lacrimation, tear dilution, nasolacrimal drainage,
and tear turnover. Hence, it was aimed to investigate an
amphiphilic block copolymer-based polymeric micellar ocular
delivery system with superior corneal penetration to combat fun-
gal invasion in the anterior chamber of eye devoid of irritation
issues.
Amphiphilic block copolymers have the affinity to self-assemble
into micelles above the critical micelle concentration to form
nano-sized (10–100 nm) carrier with a core–shell structure. The
hydrophobic core surrounded by hydrophilic shell offers entrap-
ment of hydrophobic drug that serves as drug reservoir while
hydrophilic shell forms steric barrier to micelles aggregation and
ensures micelle solubility in aqueous environment [5]. The poly-
meric micellar delivery system of itraconazole is expected to
improve corneal permeability and control its release at the target
site.
http://dx.doi.org/10.1016/j.colsurfb.2015.03.059
0927-7765/© 2015 Published by Elsevier B.V.