Simulating Dissolution of Intravitreal Triamcinolone Acetonide Suspensions in an Anatomically Accurate Rabbit Eye Model

ABSTRACTPurposeA computational fluid dynamics (CFD) study examined the impact of particle size on dissolution rate and residence of intravitreal suspension depots of Triamcinolone Acetonide (TAC).MethodsA model for the rabbit eye was constructed using insights from high-resolution NMR imaging studies (Sawada 2002). The current model was compared to other published simulations in its ability to predict clearance of various intravitreally injected materials. Suspension depots were constructed explicitly rendering individual particles in various configurations: 4 or 16 mg drug confined to a 100 μL spherical depot, or 4 mg exploded to fill the entire vitreous. Particle size was reduced systematically in each configuration. The convective diffusion/dissolution process was simulated using a multiphase model.ResultsRelease rate became independent of particle diameter below a certain value. The size-independent limits occurred for particle diameters ranging from 77 to 428 μM depending upon the depot configuration. Residence time predicted for the spherical depots in the size-independent limit was comparable to that observed in vivo.ConclusionsSince the size-independent limit was several-fold greater than the particle size of commercially available pharmaceutical TAC suspensions, differences in particle size amongst such products are predicted to be immaterial to their duration or performance.

[1]  Eugene Wolff,et al.  Wolff's anatomy of the eye and orbit , 1997 .

[2]  Rupak K Banerjee,et al.  Evaluation of coupled convective-diffusive transport of drugs administered by intravitreal injection and controlled release implant. , 2005, Journal of controlled release : official journal of the Controlled Release Society.

[3]  H. B. Hopfenberg,et al.  Controlled Release from Erodible Slabs, Cylinders, and Spheres , 1976 .

[4]  Michael H. Miller,et al.  Intraocular concentration and pharmacokinetics of triamcinolone acetonide after a single intravitreal injection. , 2003, Ophthalmology.

[5]  L. Bito,et al.  Intraocular fluid dynamics. 3. The site and mechanism of prostaglandin transfer across the blood intraocular fluid barriers. , 1972, Experimental eye research.

[6]  D. Maurice,et al.  The loss of fluorescein, fluorescein glucuronide and fluorescein isothiocyanate dextran from the vitreous by the anterior and retinal pathways. , 1991, Experimental eye research.

[7]  D. Maurice Flow of water between aqueous and vitreous compartments in the rabbit eye. , 1987, The American journal of physiology.

[8]  J. Rohen,et al.  Short-term hemodynamic changes in episcleral arteriovenous anastomoses correlate with venous pressure and IOP changes in the albino rabbit. , 1996, Current eye research.

[9]  J. Kiel,et al.  Relationship between ciliary blood flow and aqueous production in rabbits. , 2003, Investigative ophthalmology & visual science.

[10]  M. Prausnitz,et al.  Permeability of cornea, sclera, and conjunctiva: a literature analysis for drug delivery to the eye. , 1998, Journal of pharmaceutical sciences.

[11]  R. Bhatia,et al.  Drug solubilization in lung surfactant. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[12]  I. Fatt,et al.  Flow of water in the sclera. , 1970, Experimental eye research.

[13]  B. Saville,et al.  Finite element modeling of drug distribution in the vitreous humor of the rabbit eye , 1997, Annals of Biomedical Engineering.

[14]  S. Wu,et al.  Adler's Physiology of the Eye , 2002 .

[15]  V. Barocas,et al.  Modeling passive mechanical interaction between aqueous humor and iris. , 2001, Journal of biomechanical engineering.

[16]  F. Johnson,et al.  A simple method of measuring aqueous humor flow with intravitreal fluoresceinated dextrans. , 1984, Experimental eye research.

[17]  P F Morrison,et al.  Focal delivery during direct infusion to brain: role of flow rate, catheter diameter, and tissue mechanics. , 1999, American journal of physiology. Regulatory, integrative and comparative physiology.

[18]  P. Missel Finite and Infinitesimal Representations of the Vasculature: Ocular Drug Clearance by Vascular and Hydraulic Effects , 2004, Annals of Biomedical Engineering.

[19]  E. Stefánsson,et al.  The Stokes-Einstein equation and the physiological effects of vitreous surgery. , 2006, Acta ophthalmologica Scandinavica.

[20]  K. Csaky,et al.  Preclinical Evaluation of a Triamcinolone Acetonide Preservative Free (TAC–PF) Formulation for Intravitreal Injection , 2004 .

[21]  Jing Xu,et al.  Permeability and Diffusion in Vitreous Humor: Implications for Drug Delivery , 2004, Pharmaceutical Research.

[22]  M. Figueiredo,et al.  Modeling dissolution of sparingly soluble multisized powders. , 1997, Journal of pharmaceutical sciences.

[23]  J. Westwater,et al.  The Mathematics of Diffusion. , 1957 .

[24]  A. Mitra,et al.  In vitro transport and partitioning of AL-4940, active metabolite of angiostatic agent anecortave acetate, in ocular tissues of the posterior segment. , 2010, Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics.

[25]  Jennifer I. Lim,et al.  Human scleral permeability. Effects of age, cryotherapy, transscleral diode laser, and surgical thinning. , 1995, Investigative ophthalmology & visual science.

[26]  Y. Shui,et al.  Comment on: the Stokes-Einstein equation and the physiological effects of vitreous surgery. , 2007, Acta ophthalmologica Scandinavica.

[27]  D. Maurice Protein dynamics in the eye studied with labelled proteins. , 1959, American journal of ophthalmology.

[28]  J. Kiel,et al.  Effects of dorzolamide on choroidal blood flow, ciliary blood flow, and aqueous production in rabbits. , 2009, Investigative ophthalmology & visual science.

[29]  T. Faber,et al.  Fluid Dynamics for Physicists: Frontmatter , 1995 .

[30]  Victor H Barocas,et al.  Computational evaluation of the role of accommodation in pigmentary glaucoma. , 2002, Investigative ophthalmology & visual science.

[31]  K. Csaky,et al.  SAFETY AND PHARMACOKINETICS OF A PRESERVATIVE-FREE TRIAMCINOLONE ACETONIDE FORMULATION FOR INTRAVITREAL ADMINISTRATION , 2006, Retina.

[32]  L. Bito Intraocular fluid dynamics. I. Steady-state concentration gradients of magnesium, potassium and calcium in relation to the sites and mechanisms of ocular cation transport processes. , 1970, Experimental eye research.

[33]  K. Csaky,et al.  Vitreous VEGF clearance is increased after vitrectomy. , 2010, Investigative ophthalmology & visual science.

[34]  Y. Nishida,et al.  Magnetic resonance imaging studies of the volume of the rabbit eye with intravenous mannitol , 2002, Current eye research.

[35]  London,et al.  Symposium on Ocular Therapy , 1970 .

[36]  R. L. Seltner THE VITREOUS. STRUCTURE, FUNCTION, AND PATHOBIOLOGY , 1990 .

[37]  J. Tetrault,et al.  Diurnal Variation of Episcleral Venous Pressure in Healthy Patients: A Pilot Study , 2001, Journal of glaucoma.

[38]  D. Maurice,et al.  THE DIFFUSION OF FLUORESCEIN IN THE LENS. , 1964, Experimental eye research.

[39]  W. Higuchi,et al.  Dissolution rates of finely divided drug powders. I. Effect of a distribution of particle sizes in a diffusion-controlled process. , 1963, Journal of pharmaceutical sciences.

[40]  P. Missel Hydraulic Flow and Vascular Clearance Influences on Intravitreal Drug Delivery , 2002, Pharmaceutical Research.

[41]  Richard F. Brubaker,et al.  Adler's Physiology of the Eye , 1976 .

[42]  K. Braeckmans,et al.  Vitreous: a barrier to nonviral ocular gene therapy. , 2005, Investigative ophthalmology & visual science.

[43]  M. Araie,et al.  Study of fluorescein glucuronide , 1986, Graefe's Archive for Clinical and Experimental Ophthalmology.

[44]  E C Wong,et al.  In vivo determination of the anisotropic diffusion of water and the T1 and T2 times in the rabbit lens by high-resolution magnetic resonance imaging. , 1993, Investigative ophthalmology & visual science.

[45]  J. Lumley,et al.  Fluid Dynamics for Physicists , 1996 .