3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies

<b>Background/Objectives</b>: Chagas disease is a neglected tropical disease caused by infection with the parasite <i>Trypanosoma cruzi</i>. Benznidazole and nifurtimox are the only approved drugs for treating this condition, but their low aqueous solubility may lead to errat...

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Main Authors: Giselle R. Bedogni, Ana Luiza Lima, Idejan P. Gross, Tatiana Prata Menezes, Andre Talvani, Marcilio Cunha-Filho, Claudio J. Salomon
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/17/1/80
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author Giselle R. Bedogni
Ana Luiza Lima
Idejan P. Gross
Tatiana Prata Menezes
Andre Talvani
Marcilio Cunha-Filho
Claudio J. Salomon
author_facet Giselle R. Bedogni
Ana Luiza Lima
Idejan P. Gross
Tatiana Prata Menezes
Andre Talvani
Marcilio Cunha-Filho
Claudio J. Salomon
author_sort Giselle R. Bedogni
collection DOAJ
description <b>Background/Objectives</b>: Chagas disease is a neglected tropical disease caused by infection with the parasite <i>Trypanosoma cruzi</i>. Benznidazole and nifurtimox are the only approved drugs for treating this condition, but their low aqueous solubility may lead to erratic bioavailability. This work aimed for the first time to formulate tablets of nifurtimox by hot melt extrusion coupled with 3D printing as a strategy to increase drug dissolution and the production of tablets with dosage on demand. <b>Methods</b>: Different pharmaceutical-grade polymers were evaluated through film casting, and those with promising nifurtimox amorphization capacity were further used to prepare filaments by hot melt extrusion. The printability of the obtained filaments was tested, and the polyvinyl alcohol filament was further used for printing tablets containing 120 and 60 mg of nifurtimox. <b>Results</b>: Three-dimensional tablets showed a remarkable improvement in the drug dissolution rate compared to commercial tablets and a dissolution efficiency 2.8 times higher. In vivo studies were carried out on Swiss mice. Parasitemia curves of nifurtimox printed tablets were significantly superior to the pure drug. Moreover, NFX 3D tablets provided a similar <i>Trypanosoma cruzi</i> reduction in plasmatic concentration to benznidazole, the gold-standard drug for acute-phase treatment of the Chagas disease. <b>Conclusions</b>: The findings of this work showed that hot melt extrusion coupled with 3D printing is a promising alternative for increasing nifurtimox biopharmaceutical properties and an attractive approach for personalized medicine.
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publishDate 2025-01-01
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spelling doaj-art-f9a2f7e8b5f8427b8a42009c132d6bc82025-01-24T13:45:52ZengMDPI AGPharmaceutics1999-49232025-01-011718010.3390/pharmaceutics170100803D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> StudiesGiselle R. Bedogni0Ana Luiza Lima1Idejan P. Gross2Tatiana Prata Menezes3Andre Talvani4Marcilio Cunha-Filho5Claudio J. Salomon6Institute of Chemistry Rosario, National Council for Scientific and Technical Research (IQUIR-CONICET), Rosario 2000, ArgentinaLaboratory of Food, Drug, and Cosmetics (LTMAC), School of Health Sciences, University of Brasilia, Brasília 70910-900, BrazilLaboratory of Food, Drug, and Cosmetics (LTMAC), School of Health Sciences, University of Brasilia, Brasília 70910-900, BrazilLaboratory of Immunobiology of Inflammation, Biological Science Department/ICEB, Federal University of Ouro Preto (UFOP), Ouro Preto 35400-000, BrazilLaboratory of Immunobiology of Inflammation, Biological Science Department/ICEB, Federal University of Ouro Preto (UFOP), Ouro Preto 35400-000, BrazilLaboratory of Food, Drug, and Cosmetics (LTMAC), School of Health Sciences, University of Brasilia, Brasília 70910-900, BrazilInstitute of Chemistry Rosario, National Council for Scientific and Technical Research (IQUIR-CONICET), Rosario 2000, Argentina<b>Background/Objectives</b>: Chagas disease is a neglected tropical disease caused by infection with the parasite <i>Trypanosoma cruzi</i>. Benznidazole and nifurtimox are the only approved drugs for treating this condition, but their low aqueous solubility may lead to erratic bioavailability. This work aimed for the first time to formulate tablets of nifurtimox by hot melt extrusion coupled with 3D printing as a strategy to increase drug dissolution and the production of tablets with dosage on demand. <b>Methods</b>: Different pharmaceutical-grade polymers were evaluated through film casting, and those with promising nifurtimox amorphization capacity were further used to prepare filaments by hot melt extrusion. The printability of the obtained filaments was tested, and the polyvinyl alcohol filament was further used for printing tablets containing 120 and 60 mg of nifurtimox. <b>Results</b>: Three-dimensional tablets showed a remarkable improvement in the drug dissolution rate compared to commercial tablets and a dissolution efficiency 2.8 times higher. In vivo studies were carried out on Swiss mice. Parasitemia curves of nifurtimox printed tablets were significantly superior to the pure drug. Moreover, NFX 3D tablets provided a similar <i>Trypanosoma cruzi</i> reduction in plasmatic concentration to benznidazole, the gold-standard drug for acute-phase treatment of the Chagas disease. <b>Conclusions</b>: The findings of this work showed that hot melt extrusion coupled with 3D printing is a promising alternative for increasing nifurtimox biopharmaceutical properties and an attractive approach for personalized medicine.https://www.mdpi.com/1999-4923/17/1/80nifurtimoxfilm castinghot melt extrusion3D printingfused deposition modelinganti-<i>T. cruzi</i> activity
spellingShingle Giselle R. Bedogni
Ana Luiza Lima
Idejan P. Gross
Tatiana Prata Menezes
Andre Talvani
Marcilio Cunha-Filho
Claudio J. Salomon
3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
Pharmaceutics
nifurtimox
film casting
hot melt extrusion
3D printing
fused deposition modeling
anti-<i>T. cruzi</i> activity
title 3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
title_full 3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
title_fullStr 3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
title_full_unstemmed 3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
title_short 3D-Printed Tablets of Nifurtimox: In Vitro and In Vivo Anti-<i>Trypanosoma cruzi</i> Studies
title_sort 3d printed tablets of nifurtimox in vitro and in vivo anti i trypanosoma cruzi i studies
topic nifurtimox
film casting
hot melt extrusion
3D printing
fused deposition modeling
anti-<i>T. cruzi</i> activity
url https://www.mdpi.com/1999-4923/17/1/80
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