For the treatment and prevention of respiratory diseases, pharmaceutical aerosols provide a highly targeted therapeutic delivery approach that is capable of maximizing therapeutic concentrations at the site of action and minimizing concentrations (and the associated potential side effects) throughout the rest of the body. In addition, when considering next-generation therapies, such as proteins and peptides (e.g., monoclonal antibodies), nucleic acids (e.g., mRNA vaccines) and other biologics for treating lung diseases, direct delivery to the lungs through aerosol carriers is the most viable option and can attain near-complete initial delivery efficiency. In contrast, ingestion, injection or infusion of these next-generation therapies (as with monoclonal antibodies) delivers only a small fraction to the lungs (for example, 1% of the initial dose) while the rest of the body is exposed to the remaining majority of the therapeutic (which often provides no benefit and may cause side effects). In addition to targeting the lungs, the effectiveness of different inhaled therapies can be further increased by targeting the disease specific regions of the lungs, which a specialty of the AIM Lab.
For treating systemic and neurological conditions with medications that have low oral bioavailability, inhaled or nasally targeted aerosol delivery provides convenient and easy-to-administer access to the systemic circulation, without the need for needles and injections. Additional advantages of inhaled therapeutics for systemic and neurological applications include the avoidance of first pass metabolism (protecting both the therapeutic and the liver), very rapid onset of action (for example, as need with seizure rescue medications) and the potential for enhanced therapeutic concentrations within the central nervous system (CNS) with nasally targeted delivery.
Current inhalation platforms struggle to efficiently delivery inhaled medications to the lungs of adults and cannot effectively target dose delivery to different regions within the lungs. Lung delivery to children and infants is even more challenging, where typically only 1 to 30% of the initial dose reaches the lungs.
A dose delivery profile (DDP) can be defined as the desired therapeutic concentration and time course at the site of action within different lung or nasal regions, which is influenced by initial delivery together with dissolution, cellular absorption, clearance and systemic exposure.
Many envisioned next-generation inhaled therapeutics have challenging DDPs that cannot be adequately satisfied with existing pharmaceutical aerosol technologies and methods. For example, for the administration of dry powder aerosol lung surfactant therapy to infants, relatively high doses of replacement lung surfactant need to be rapidly delivered to the alveolar (deep lung) region. In treating respiratory viral and bacterial infections, relatively uniform concentrations of therapeutics are needed in the airway surface liquid of the infected regions to effectively eliminate the microorganisms and to avoid underexposure, which can stimulate resistance formation. After initial aerosol deposition, active adjuvants are needed that can enhance dissolution and improve the function of the therapeutic, such as binding to viruses or micro-spreading and absorption into respiratory epithelial cells.
Considering nasally targeted applications, simple and rapid dry powder aerosol devices are currently lacking that can target specific nasal regions (such as the upper posterior region of the nasal cavity) with small particles that can improve dissolution and uptake before mucociliary clearance occurs and without the formation of irritating hotspots.
Our group, in collaboration with the Hindle Research Group, focuses on the development and implementation of innovative and adaptable
(i) Aerosol delivery and targeting technologies,
and
(ii) Planning, production and assessment methods
that overcome the challenges of safe and effective pharmaceutical aerosol delivery to efficiently satisfy specific dose delivery profiles (DDPs) leading to
High-efficacy inhalation products and
Broadly-applicable combination platforms.