RTGel™ sustained release formulation for local administration of chemotherapy
We have developed RTGel™, a novel proprietary polymeric biocompatible, reverse thermal gelation hydrogel, which, unlike the general characteristics of most forms of matter, is liquid at lower temperatures and converts into gel form when heated. We believe that these characteristics promote ease of delivery into and retention of drugs in body cavities, including the bladder and the upper urothelial tract, by conforming to the anatomy of the target organ while preventing rapid excretion of the drug.
RTGel™, when formulated with an active drug, may allow for the improved efficacy of treatment of various types of urothelial cancer without compromising the safety of the patient or interfering with the natural flow of fluids from the urinary tract to the bladder. RTGel™ achieves this by:
- Increasing the exposure of active drugs in the bladder and upper urothelial tract by significantly extending the dwell time of the active drug while conforming to the anatomy of the bladder and the upper urothelial tract, which allows for enhanced drug tissue coverage. For example, the average dwell time of the standard MMC water formulation, currently used as adjuvant treatment, in the upper urothelial tract is approximately five minutes, compared to approximately six hours when MMC is formulated with RTGel;
- Administering higher doses of an active drug than would otherwise be possible using standard water-based formulations. For instance, it is only possible to dissolve 0.5 mg of MMC in 1 ml of water while it is possible to formulate up to 8 mg of MMC with 1 ml of RTGel™; and
- Maintaining the active drug’s molecular structure and mode of action.
These characteristics of RTGel™ enable sustained release of MMC in the urinary tract for both MITOGEL™ (mitomycin) urothelial gel, 0.4% and VESIGEL™ (mitomycin) urothelial gel, 0.18% , and of botulinum toxin in the case of BOTUGEL™. Further, RTGel™ may be particularly effective in the bladder and upper urothelial tract where tumor visibility and access are challenging, and where there exists a significant amount of urine flow and voiding. We believe that these characteristics of RTGel™ may prove useful for the local delivery of active drugs to other bodily cavities in addition to the bladder and upper urothelial tract.