3D printing of a wearable personalized oral delivery device: A first-in-human study

The performance of a 3D-printed personalized sustained delivery device is demonstrated for the first time in humans. Despite the burgeoning interest in three-dimensional (3D) printing for the manufacture of customizable oral dosage formulations, a U.S. Food and Drug Administration–approved tablet notwithstanding, the full potential of 3D printing in pharmaceutical sciences has not been realized. In particular, 3D-printed drug-eluting devices offer the possibility for personalization in terms of shape, size, and architecture, but their clinical applications have remained relatively unexplored. We used 3D printing to manufacture a tailored oral drug delivery device with customizable design and tunable release rates in the form of a mouthguard and, subsequently, evaluated the performance of this system in the native setting in a first-in-human study. Our proof-of-concept work demonstrates the immense potential of 3D printing as a platform for the development and translation of next-generation drug delivery devices for personalized therapy.

[1]  Ming-Chuan Leu,et al.  Progress in Additive Manufacturing and Rapid Prototyping , 1998 .

[2]  Uwe Gbureck,et al.  Low temperature direct 3D printed bioceramics and biocomposites as drug release matrices. , 2007, Journal of controlled release : official journal of the Controlled Release Society.

[3]  Jukka Rantanen,et al.  Anti‐tuberculosis drug combination for controlled oral delivery using 3D printed compartmental dosage forms: From drug product design to in vivo testing , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[4]  M. Alexander,et al.  Desktop 3D printing of controlled release pharmaceutical bilayer tablets. , 2014, International journal of pharmaceutics.

[5]  Xiang Xu,et al.  Melting Point Distribution Analysis of Globally Approved and Discontinued Drugs: A Research for Improving the Chance of Success of Drug Design and Discovery , 2016, ChemistryOpen.

[6]  Martine Dubé,et al.  Three‐Dimensional Printing of Multifunctional Nanocomposites: Manufacturing Techniques and Applications , 2016, Advanced materials.

[7]  Tomotaka Takeda,et al.  A vacuum technique to increase anterior thickness of athletic mouthguards to achieve a full-balanced occlusion. , 2008, Dental traumatology : official publication of International Association for Dental Traumatology.

[8]  Doyoung Byun,et al.  3D printing of high-resolution PLA-based structures by hybrid electrohydrodynamic and fused deposition modeling techniques , 2016 .

[9]  A. Bandyopadhyay,et al.  Additive manufacturing: scientific and technological challenges, market uptake and opportunities , 2017 .

[10]  Ivan Pepić,et al.  An overview of in vitro dissolution/release methods for novel mucosal drug delivery systems , 2018, Journal of pharmaceutical and biomedical analysis.

[11]  Gordon G Wallace,et al.  3-dimensional (3D) fabricated polymer based drug delivery systems. , 2014, Journal of controlled release : official journal of the Controlled Release Society.

[12]  Scott J. Hollister,et al.  Mitigation of tracheobronchomalacia with 3D-printed personalized medical devices in pediatric patients , 2015, Science Translational Medicine.

[13]  Carlo Rossi,et al.  Development of mucoadhesive patches for buccal administration of ibuprofen. , 2004, Journal of controlled release : official journal of the Controlled Release Society.

[14]  M. Alexander,et al.  3D printing of five-in-one dose combination polypill with defined immediate and sustained release profiles. , 2015, Journal of controlled release : official journal of the Controlled Release Society.

[15]  A. Basit,et al.  Effect of geometry on drug release from 3D printed tablets. , 2015, International journal of pharmaceutics.

[16]  Yoshikazu Miyazaki,et al.  The mechanical properties of dental thermoplastic materials in a simulated intraoral environment , 2006 .

[17]  Abdul W. Basit,et al.  Patient-Specific 3 D Scanned and 3 D Printed Antimicrobial Polycaprolactone Wound 1 Dressings , 2017 .

[18]  S A Syed,et al.  Effect of slow-release chlorhexidine mouthguards on the levels of selected salivary bacteria. , 1992, Caries research.

[19]  A. Basit,et al.  1 3 D printing : Engineering novel oral devices with unique design and drug release characteristics , 2015 .

[20]  Ian Ashcroft,et al.  3D inkjet printing of tablets exploiting bespoke complex geometries for controlled and tuneable drug release , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[21]  Sanlin S. Robinson,et al.  Patient-specific design of a soft occluder for the left atrial appendage , 2018, Nature Biomedical Engineering.

[22]  Koji Ikuta,et al.  A three-dimensional microfabrication system for biodegradable polymers with high resolution and biocompatibility , 2008 .

[23]  Jonathan Goole,et al.  3D printing in pharmaceutics: A new tool for designing customized drug delivery systems. , 2016, International journal of pharmaceutics.

[24]  M S Cooke,et al.  Laboratory evaluation of mouthguard material. , 2001, Dental traumatology : official publication of International Association for Dental Traumatology.

[25]  A. Gazzaniga,et al.  3D printed multi‐compartment capsular devices for two‐pulse oral drug delivery , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[26]  Maren Preis,et al.  Printed Drug-Delivery Systems for Improved Patient Treatment. , 2016, Trends in pharmacological sciences.

[27]  Deng-Guang Yu,et al.  Tunable biphasic drug release from ethyl cellulose nanofibers fabricated using a modified coaxial electrospinning process , 2014, Nanoscale Research Letters.

[28]  Simon Gaisford,et al.  3D Printing of Medicines: Engineering Novel Oral Devices with Unique Design and Drug Release Characteristics. , 2015, Molecular pharmaceutics.

[29]  A. Alavi,et al.  Opportunities and Challenges , 1998, In Vitro Diagnostic Industry in China.

[30]  Basel Arafat,et al.  A Lower Temperature FDM 3 D Printing for the Manufacture of Patient Specific Immediate Release , 2019 .

[31]  P. K. Verleger Promises and problems , 1984 .

[32]  R. Manzo,et al.  Novel mucoadhesive extended release tablets for treatment of oral candidosis: "in vivo" evaluation of the biopharmaceutical performance. , 2009, Journal of pharmaceutical sciences.

[33]  Niklas Sandler,et al.  Three-Dimensional Printed PCL-Based Implantable Prototypes of Medical Devices for Controlled Drug Delivery. , 2016, Journal of pharmaceutical sciences.

[34]  Simon Gaisford,et al.  3D scanning and 3D printing as innovative technologies for fabricating personalized topical drug delivery systems. , 2016, Journal of controlled release : official journal of the Controlled Release Society.

[35]  Waqar Ahmed,et al.  Emergence of 3D Printed Dosage Forms: Opportunities and Challenges , 2016, Pharmaceutical Research.

[36]  Waqar Ahmed,et al.  Channelled tablets: An innovative approach to accelerating drug release from 3D printed tablets , 2018, Journal of controlled release : official journal of the Controlled Release Society.

[37]  J. Gagné Literature Review , 2018, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[38]  Dong-Woo Cho,et al.  A 3D-printed local drug delivery patch for pancreatic cancer growth suppression. , 2016, Journal of controlled release : official journal of the Controlled Release Society.

[39]  S Gandolfo,et al.  Systemic and topical corticosteroid treatment of oral lichen planus: a comparative study with long-term follow-up. , 2003, Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology.

[40]  M. Khan,et al.  A new chapter in pharmaceutical manufacturing: 3D‐printed drug products☆, ☆☆ , 2017, Advanced drug delivery reviews.

[41]  Juliano Pelim Pessan,et al.  SLOW-RELEASE FLUORIDE DEVICES: A LITERATURE REVIEW , 2008, Journal of applied oral science : revista FOB.

[42]  Deng Guang Yu,et al.  Three-dimensional printing in pharmaceutics: promises and problems. , 2008, Journal of pharmaceutical sciences.

[43]  Michael A Repka,et al.  Coupling 3D printing with hot-melt extrusion to produce controlled-release tablets. , 2017, International journal of pharmaceutics.

[44]  Christian Franz,et al.  Assessment of different polymers and drug loads for fused deposition modeling of drug loaded implants , 2017, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[45]  Bethany C Gross,et al.  Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. , 2014, Analytical chemistry.

[46]  Siowling Soh,et al.  Printing Tablets with Fully Customizable Release Profiles for Personalized Medicine , 2015, Advanced materials.

[47]  B. Arafat,et al.  A Lower Temperature FDM 3D Printing for the Manufacture of Patient-Specific Immediate Release Tablets , 2016, Pharmaceutical Research.

[48]  D. W. Van Krevelen,et al.  Cohesive Properties and Solubility , 2009 .

[49]  James Ren,et al.  On drug-base incompatibilities during extrudate manufacture and fused deposition 3D printing , 2017 .

[50]  A. Basit,et al.  Patient-specific 3D scanned and 3D printed antimicrobial polycaprolactone wound dressings. , 2017, International journal of pharmaceutics.

[51]  Sheng Qi,et al.  An investigation into the use of polymer blends to improve the printability of and regulate drug release from pharmaceutical solid dispersions prepared via fused deposition modeling (FDM) 3D printing. , 2016, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[52]  Waqar Ahmed,et al.  Emergence of 3 D Printed Dosage Forms : Opportunities and Challenges , 2019 .

[53]  Ray R Padilla,et al.  A technique for fabricating modern athletic mouthguards. , 2005, Hawaii dental journal.