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Current Drug Metabolism

Editor-in-Chief

ISSN (Print): 1389-2002
ISSN (Online): 1875-5453

Review Article

Current Advances in Drug Delivery Systems for Capsule Endoscopy

Author(s): ">Ivan Lyutakov* and "> Plamen Penchev

Volume 21, Issue 11, 2020

Page: [838 - 843] Pages: 6

DOI: 10.2174/1389200221666200719002652

Price: $65

Abstract

Background: Oral administration of medications and current oral modified-release systems are the most preferred drug delivery routes, but they provide efficacy up to 12-24 hours per administration and are not useful when the patient has short transit time. The once-daily administered formulations are the endpoint of many types of drug development, and some innovations in capsule endoscopy (CE) can solve this problem.

Objective: This review aims to reveal recent advances in drug delivery systems (DDS) for CE as an essential field of research for more precise drug targeting at the gastrointestinal (GI) tract.

Methods: We performed a narrative overview of the MEDLINE database from 1991-2020 using the keywords of DDS and CE with synthesizing the findings, hand searches, and authoritative articles.

Results: There are microelectromechanical systems and non-mechanical patent technologies for DDS for CE, and the implementation of wireless-capsule medical devices into the human body will provide new diagnostic and therapeutic options. Integrating biomedical CE with DDS and the cloud technology will bring remote real-time feedbackbased automated treatment or responsive medication.

Conclusion: Swallowable drug delivery systems for capsule endoscopy brings an entirely new approach for diagnostic and therapeutic methods in digestive diseases.

Keywords: Capsule endoscopy, therapeutic capsule, drug delivery systems, release mechanism, wireless capsule robots, electronic pill.

Graphical Abstract
[1]
Mapara, S.S.; Patravale, V.B. Medical capsule robots: a renaissance for diagnostics, drug delivery and surgical treatment. J. Control. Release, 2017, 261(July), 337-351.
[http://dx.doi.org/10.1016/j.jconrel.2017.07.005] [PMID: 28694029]
[2]
Yun, Y.H.; Lee, B.K.; Park, K. Controlled Drug Delivery: historical perspective for the next generation. J. Control. Release, 2015, 219, 2-7.
[http://dx.doi.org/10.1016/j.jconrel.2015.10.005] [PMID: 26456749]
[3]
Becker, D.; Zhang, J.; Heimbach, T.; Penland, R.C.; Wanke, C.; Shimizu, J.; Kulmatycki, K. Novel orally swallowable IntelliCap(®) device to quantify regional drug absorption in human GI tract using diltiazem as model drug. AAPS PharmSciTech, 2014, 15(6), 1490-1497.
[http://dx.doi.org/10.1208/s12249-014-0172-1] [PMID: 25023947]
[4]
van der Schaar, P.J.; Dijksman, J.F.; Broekhuizen-de Gast, H.; Shimizu, J.; van Lelyveld, N.; Zou, H.; Iordanov, V.; Wanke, C.; Siersema, P.D. A novel ingestible electronic drug delivery and monitoring device. Gastrointest. Endosc., 2013, 78(3), 520-528.
[http://dx.doi.org/10.1016/j.gie.2013.03.170] [PMID: 23684148]
[5]
Woods, S.P.; Constandinou, T.G. A compact targeted drug delivery mechanism for a next generation wireless capsule endoscope. J. Micro-Bio. Robot., 2016, 11, 19-34.
[6]
Min, J.; Yang, Y.; Wu, Z.; Gao, W.; Munoz, F.; Alici, G.; Li, W.; Slawinski, P.R.; Obstein, K.L.; Valdastri, P. Robotics in the gut. Adv. Ther., 2019, 3(4)1900125
[http://dx.doi.org/10.1002/adtp.201900125]
[7]
Yuce, M.R.; Dissanayake, T. Easy-to-swallow wireless telemetry. IEEE Microw. Mag., 2012, 13(6), 90-101.
[http://dx.doi.org/10.1109/MMM.2012.2205833]
[8]
Munoz, F.; Alici, G.; Li, W. A review of drug delivery systems for capsule endoscopy. Adv. Drug Deliv. Rev., 2013, 71, 77-85.
[http://dx.doi.org/10.1016/j.addr.2013.12.007] [PMID: 24384373]
[9]
Moglia, A.; Menciassi, A.; Schurr, M.O.; Dario, P. Wireless capsule endoscopy: from diagnostic devices to multipurpose robotic systems. Biomed. Microdevices, 2007, 9(2), 235-243.
[http://dx.doi.org/10.1007/s10544-006-9025-3] [PMID: 17160703]
[10]
Swain, P. The future of wireless capsule endoscopy. World J. Gastroenterol., 2008, 14(26), 4142-4145.
[http://dx.doi.org/10.3748/wjg.14.4142] [PMID: 18636658]
[11]
Nisar, A.; Afzulpurkar, N.; Mahaisavariya, B.; Tuantranont, A. MEMS-based micropumps in drug delivery and biomedical applications. Sens. Actuators B Chem., 2008, 130(2), 917-942.
[http://dx.doi.org/10.1016/j.snb.2007.10.064]
[12]
Pi, X.; Zheng, X.; Peng, C.; Hou, W.; Liu, H. A novel remote controlled capsule for human drug absorption studies. 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference IEEE, 2005, pp. 5066-5068.
[http://dx.doi.org/10.1109/IEMBS.2005.1615615]
[13]
Guo, J.; Bao, Z.; Guo, S.; Fu, Q. Design of a novel drug-delivery module for active locomotive intestinal capsule endoscopy. Proc. 2018 IEEE Int. Conf. Mechatronics Autom. ICMA 2018, pp. 1633-1638.
[http://dx.doi.org/10.1109/ICMA.2018.8484692]
[14]
Sendoh, M.; Ishiyama, K.; Arai, K-I. Fabrication of magnetic actuator for use in a capsule endoscope. IEEE Trans. Magn., 2003, 39(5), 3232-3234.
[http://dx.doi.org/10.1109/TMAG.2003.816731]
[15]
Twomey, K.; Marchesi, J.R. Swallowable capsule technology: current perspectives and future directions. Endoscopy, 2009, 41(4), 357-362.
[http://dx.doi.org/10.1055/s-0028-1119640] [PMID: 19340742]
[16]
Koulaouzidis, A.; Iakovidis, D.K.; Karargyris, A.; Rondonotti, E. Wireless endoscopy in 2020: Will it still be a capsule? World J. Gastroenterol., 2015, 21(17), 5119-5130.
[http://dx.doi.org/10.3748/wjg.v21.i17.5119] [PMID: 25954085]
[17]
Dietzel, C.T.; Richert, H.; Abert, S.; Merkel, U.; Hippius, M.; Stallmach, A. Magnetic Active Agent Release System (MAARS): evaluation of a new way for a reproducible, externally controlled drug release into the small intestine. J. Control. Release, 2012, 161(3), 722-727.
[http://dx.doi.org/10.1016/j.jconrel.2012.04.047] [PMID: 22634074]
[18]
Beccani, M.; Aiello, G.; Gkotsis, N.; Tunc, H.; Taddese, A.; Susilo, E.; Völgyesi, P.; Lédeczi, Á.; De Momi, E.; Valdastri, P. Component based design of a drug delivery capsule robot. Sens. Actuators A Phys., 2016, 245, 180-188.
[http://dx.doi.org/10.1016/j.sna.2016.04.035]
[19]
Gröning, R.; Bensmann, H.; Müller, R.S. Control of drug release from capsules using high frequency energy transmission systems. Int. J. Pharm., 2008, 364(1), 9-13.
[http://dx.doi.org/10.1016/j.ijpharm.2008.07.007] [PMID: 18682281]
[20]
Jerome, J. Telemetry capsule and process. US5279607A 1994.
[21]
Yim, S.; Sitti, M. 3-D localization method for a magnetically actuated soft capsule endoscope and its applications. IEEE Trans. Robot., 2013, 29(5), 1139-1151.
[http://dx.doi.org/10.1109/TRO.2013.2266754] [PMID: 25383064]
[22]
Le, V.H.; Rodriguez, H.L.; Lee, C.; Go, G.; Zhen, J.; Du Nguyen, V.; Choi, H.; Ko, S.Y.; Park, J.; Park, S. A Soft-Magnet-Based Drug-Delivery Module for Active Locomotive. Sens. Actuators A Phys., 2016, 243, 81-89.
[http://dx.doi.org/10.1016/j.sna.2016.03.020]
[24]
Houzego, P.J.; Morgan, P.N.; Hirst, P.H.; Westland, D.J.; Wilding, I.R. Ingestible Device for the Release of Substances at Distinct Locations in the Alimentary Canal; Phaeton Research Limited: USA, 2005.
[25]
Filipski, K.J.; Varma, M.V.; El-Kattan, A.F.; Ambler, C.M.; Ruggeri, R.B.; Goosen, T.C.; Cameron, K.O. Intestinal targeting of drugs: rational design approaches and challenges. Curr. Top. Med. Chem., 2013, 13(7), 776-802.
[http://dx.doi.org/10.2174/1568026611313070002] [PMID: 23578023]
[26]
Stewart, F.; Verbeni, A.; Qiu, Y.; Cox, B.F.; Vorstius, J.; Newton, I.P.; Huang, Z.; Menciassi, A. A prototype therapeutic capsule endoscope for ultrasound-mediated targeted. Drug Deliv., 2018, 3(2), 1-13.
[http://dx.doi.org/10.1142/S2424905X18400019]
[27]
Woods, S.P.; Constandinou, T.G. Towards a micropositioning system for targeted drug delivery in wireless capsule endoscopy. 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society; IEEE 2011, pp. 7372-7375.
[http://dx.doi.org/10.1109/IEMBS.2011.6091717]
[28]
Kong, Y.L.; Zou, X.; Mccandler, C.A.; Kirtane, A.R.; Ning, S.; Zhou, J.; Abid, A.; Jafari, M.; Rogner, J.; Minahan, D. 3D-printed gastric resident electronics. Adv. Mat. Tech., 2019, 4(3)1800490
[29]
Brodd, R.J. Batteries for sustainability. New York: Springer;; , 2013.
[30]
Nadeau, P.; El-Damak, D.; Glettig, D.; Kong, Y. L.; Mo, S.; Cleveland, C.; Booth, L.; Roxhed, N.; Langer, R.; Chandrakasan, A. P. Prolonged energy harvesting for ingestible devices. Nat. Biomed. Eng., 2017, 1(3), 0022.
[http://dx.doi.org/10.1038/s41551-016-0022]
[31]
Lenaerts, B.; Puers, R. An inductive power link for a wireless endoscope. Biosens. Bioelectron., 2007, 22(7), 1390-1395.
[http://dx.doi.org/10.1016/j.bios.2006.06.015] [PMID: 16904885]
[32]
Li, F.; Gurudu, S.R.; De Petris, G.; Sharma, V.K.; Shiff, A.D.; Heigh, R.I.; Fleischer, D.E.; Post, J.; Erickson, P.; Leighton, J.A. Retention of the capsule endoscope: a single-center experience of 1000 capsule endoscopy procedures. Gastrointest. Endosc., 2008, 68(1), 174-180.
[http://dx.doi.org/10.1016/j.gie.2008.02.037] [PMID: 18513723]
[33]
Loverich, J.J.; Kanno, I.; Kotera, H. Concepts for a new class of all-polymer micropumps. Lab Chip, 2006, 6(9), 1147-1154.
[http://dx.doi.org/10.1039/b605525g] [PMID: 16929393]
[34]
Quirini, M.; Menciassi, A.; Scapellato, S.; Stefanini, C.; Dario, P. Design and fabrication of a motor legged capsule for the active exploration of the gastrointestinal tract. IEEE/ASME Trans. Mechatron., 2008, 13(2), 169-179.
[http://dx.doi.org/10.1109/TMECH.2008.918491]
[35]
Woods, S.P.; Constandinou, T.G. Wireless capsule endoscope for targeted drug delivery: mechanics and design considerations. IEEE Trans. Biomed. Eng., 2013, 60(4), 945-953.
[http://dx.doi.org/10.1109/TBME.2012.2228647] [PMID: 23192476]
[36]
Valdastri, P.; Quaglia, C.; Buselli, E.; Arezzo, A.; Di Lorenzo, N.; Morino, M.; Menciassi, A.; Dario, P. A magnetic internal mechanism for precise orientation of the camera in wireless endoluminal applications. Endoscopy, 2010, 42(6), 481-486.
[http://dx.doi.org/10.1055/s-0029-1244170] [PMID: 20506065]
[37]
Yim, S. Sitti, M. Shape-Programmable Soft Capsule Robots for Semi-Implantable Drug Delivery. IEEE Trans. Robot., 2012, 28(5), 1198-1202.
[http://dx.doi.org/10.1109/TRO.2012.2197309]
[38]
Narayanan, V.A.; Charyulu, R.N. Pharmacoelectronics and electropharmaceutics: the arts and science of electronic drug delivery. Res. J. Pharm. Technol., 2017, 10(10), 3544.
[http://dx.doi.org/10.5958/0974-360X.2017.00641.2]
[39]
Tanaka, Y.; Fujikawa, T.; Kazoe, Y.; Kitamori, T. An active valve incorporated into a microchip using a high strain electroactive polymer. Sens. Actuators B Chem., 2013, 184, 163-169.
[http://dx.doi.org/10.1016/j.snb.2013.04.025]
[40]
Slawinski, P.R.; Obstein, K.L.; Valdastri, P. Capsule endoscopy of the future: What’s on the horizon? World J. Gastroenterol., 2015, 21(37), 10528-10541.
[http://dx.doi.org/10.3748/wjg.v21.i37.10528] [PMID: 26457013]

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