Cyclosporine A delivery to the eye: A comprehensive review of academic and industrial efforts

Eur J Pharm Biopharm. 2017 Aug:117:14-28. doi: 10.1016/j.ejpb.2017.03.006. Epub 2017 Mar 14.

Abstract

Local ocular delivery of cyclosporine A (CsA) is the preferred method for CsA delivery as a treatment for ocular inflammatory diseases such as uveitis, corneal healing, vernal keratoconjunctivitis and dry eye disease. However, due to the large molecular weight and hydrophobic nature of CsA and the natural protective mechanisms of the eye, achieving therapeutic levels of CsA in ocular tissues can be difficult. This review gives a comprehensive overview of the current products available to clinicians as well as emerging drug delivery solutions that have been developed at both the academic and industry levels.

Keywords: Cyclosporine; Emulsion; Hydrogel; Ocular delivery; Pipeline products; Solution.

Publication types

  • Review

MeSH terms

  • Academic Medical Centers / methods*
  • Academic Medical Centers / trends
  • Animals
  • Cyclosporine / administration & dosage*
  • Cyclosporine / chemistry
  • Cyclosporine / metabolism
  • Drug Compounding
  • Drug Delivery Systems / methods*
  • Drug Delivery Systems / trends
  • Drug Industry / methods*
  • Drug Industry / trends
  • Eye Diseases / drug therapy*
  • Eye Diseases / metabolism
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / chemistry
  • Immunosuppressive Agents / metabolism
  • Ophthalmic Solutions / administration & dosage*
  • Ophthalmic Solutions / chemistry
  • Ophthalmic Solutions / metabolism

Substances

  • Immunosuppressive Agents
  • Ophthalmic Solutions
  • Cyclosporine