Ethyl cellulose-based in-situ film of itraconazole for enhanced treatment of fungal infections.

OBJECTIVES

Fungal infections represent a significant global health challenge, requiring effective treatments to prevent complications and improve patient outcomes. This study aimed to develop an in-situ film-forming system (IFFS) for transcutaneous delivery of itraconazole (ITZ) as an alternative to oral administration, addressing issues such as low bioavailability, reduced efficacy, and potential side effects.

MATERIALS AND

METHODS

The IFFS was formulated using ethyl cellulose as the primary polymer, PEG 400 as a plasticizer, and a eutectic mixture of menthol and camphor as penetration enhancers. The system was characterized for viscosity, pH, drying time, water vapor permeability, bioadhesion, and physicochemical interactions (DSC and FTIR). Ex vivo skin permeation and retention studies were conducted using Franz diffusion cells, and antifungal efficacy was tested on an ex vivo Candida albicans infection model. Skin integrity and hemolysis tests were performed to evaluate safety.

RESULTS

The IFFS exhibited desirable physicochemical properties, with increased polymer concentrations enhancing skin retention and bioadhesive strength while reducing permeation rates. Ex vivo studies showed sustained ITZ release and enhanced skin retention. The antifungal activity test demonstrated complete eradication of Candida albicans within 48hours. Safety assessments confirmed no skin irritation or toxicity.

CONCLUSION

The developed IFFS provides a safe and effective transcutaneous delivery system for ITZ. This innovative approach enhances antifungal efficacy, improves skin retention, and offers a promising alternative to oral administration, minimizing systemic side effects.