Nature Communications (Jun 2021)

Lipophilic nanocrystal prodrug-release defines the extended pharmacokinetic profiles of a year-long cabotegravir

  • Nagsen Gautam,
  • JoEllyn M. McMillan,
  • Devendra Kumar,
  • Aditya N. Bade,
  • Qiaoyu Pan,
  • Tanmay A. Kulkarni,
  • Wenkuan Li,
  • Brady Sillman,
  • Nathan A. Smith,
  • Bhagya L. Dyavar Shetty,
  • Adam Szlachetka,
  • Benson J. Edagwa,
  • Howard E. Gendelman,
  • Yazen Alnouti

DOI
https://doi.org/10.1038/s41467-021-23668-x
Journal volume & issue
Vol. 12, no. 1
pp. 1 – 13

Abstract

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Here, the authors provide a mechanism for an improved version of a nanoformulated myristoylated prodrug of cabotegravir (CAB), named NM2CAB, and its bioavailability, stability and pharmacokinetics in mice and rats performed in independent academic and a contracted research labs, suggesting that the extended half-life of the prodrug is not a property of enzymatic hydrolysis but rather release or dissolution of the prodrug from the nanocrystal.