Pharmacy and Pharmaceutical Sciences Commons^™

Perspectives Of Utilizing Pharmacogenomics To Inform Tobacco Cessation: Survey Results From An American Indian Community, Madeline Lousie Davies

Graduate Student Theses, Dissertations, & Professional Papers

Pharmacogenomics research has predominantly focused on populations of European ancestry, limiting the application for diverse populations such as American Indian and Alaska Native (AIAN) communities. Our community-centric study aims to understand perspectives of utilizing pharmacogenomics to guide tobacco cessation in an AIAN community using a survey with qualitative and quantitative components. We assessed participant (n=273) tobacco usage and cessation history, pharmacogenomics knowledge, and perceptions of utilizing pharmacogenomics in the context of tobacco cessation. We found that the majority of participants (92%) were aware of risks associated with tobacco usage and believe it to be a problem within their community (76%). …

Elaboration Of Diquinanes To Access Trifunctional Angular Triquinanes And Designed Dna Polymerase Α Inhibitors, Spencer M. Webber

University of the Pacific Theses and Dissertations

Natural products are of great significance to the pharmaceutical industry in the development of new drugs. Diquinane or bicyclo[3.3.0]octane is a conspicuous structural unit existing in the carbo-frameworks of a wide range of natural products such as alkaloids and terpenoids. These diquinane-containing molecules not only exhibit intriguing architectures, but also showcase a broad spectrum of significant bioactivities, which draw widespread attention from the global synthetic community. A more specific group of compounds containing a diquinane moiety with one extra 5-membered ring are called the angular triquinanes.In this work, we have developed a general synthetic scheme to the angular triquinanes. We …

Development Of Nano Formulations Of Lipophilic Platinum Complexes Against Lung Cancer, Zizhao Xu

University of the Pacific Theses and Dissertations

Lung cancer remains a leading cause of death worldwide and urges the development of more effective and safer treatment options. Conventional platinum-based drugs like cisplatin, while effective, are associated with significant systemic toxicity, particularly nephrotoxicity. Nano formulations, such as liposomal and micellar delivery systems, represent a promising approach to enhance the anticancer activity and reduce the toxicity of platinum complexes.

This study develops and evaluates novel miriplatin-loaded nano formulations for lung cancer therapy. We prepared and screened various liposomal and micellar formulations of miriplatin by either thin-film hydration or co-solvent evaporation, which identified a number of formulations with appropriate sizes …

Lecanemab: A Second In Class Therapy For The Management Of Early Alzheimer's Disease., Connie H Yoon, Corey Groff, Olivia Criss

Pharmacy Articles

The Food and Drug Administration granted traditional approval of lecanemab for the treatment of Alzheimer's disease (AD). Lecanemab is a humanized anti-amyloid monoclonal antibody directed towards Aβ protofibrils. Lecanemab is the only drug that targets Aβ soluble protofibrils and has shown statistical differences in mild AD or mild cognitive impairment. In its landmark phase III trial, lecanemab was shown to slow the progression of clinical decline, and a reduction in amyloid protein accumulation. The difference in mean CDR-SOB score improvement between the treatment and placebo groups was -0.45, of which the clinical significance could be argued. Amyloid burden was also …

Implementation Of Medication Inventory Management Solution At A Critical Access Hospital, Justin Donat, Christopher Adams

Books, Presentations, Posters, Etc.

Abstract: Accurately monitoring pharmacy inventory in real-time is vital to providing safe and cost-effective medical care at hospitals of any size. At smaller critical access hospitals, in particular, effective inventory management requires solutions to unique problems posed by floorspace, budget, and workflow limitations. In 2022, Providence Health System (PHS) began systemwide implementation of both a standardized inventory management solution (IMS) and an AI-assisted medication ordering software (MOS). By initiation of this project, larger hospitals in the system had already implemented the IMS and MOS at their inpatient pharmacies to mixed success. In May of 2024, Providence Hood River Memorial Hospital …

Pharmacy Students’ Perceived Ability To Implement The Pharmacist’S Patient Care Process Before And After A Redesigned Case Study Series In The United States, Amy Henneman, Samantha Axtell

Funded Scholarship

Since the incorporation of the Pharmacist’s Patient Care Process (PPCP) into the American Association of Colleges of Pharmacy standards, the process has been integrated in a variety of ways across curriculums. A two-semester case-based course was redesigned as a four-semester case-based course formally integrating the PPCP. Pharmacy students completing the original, two-semester course series and those completing the first two semesters of the redesigned course were given a voluntary survey to assess their perceived ability to integrate the PPCP into practice after the completion of each course. A total of 107 pharmacy students, 61 students completing the original series and …

Exploring The Relationship Between Cold Medicine Abuse And Recreational Drug Use, Luis Barco

Honors Program Theses and Research Projects

Over-the-counter medicines such as cold and cough medications may be abused as an accessible alternative to other recreational drugs in order to obtain a desired ‘high.’ A lack of literature is currently present, with few studies specifically observing simultaneous drug use and cold and/or cough medicine abuse. Using publicly available data from the 2021 National Survey on Drug Use and Health (NSDUH), the researcher sought to help bridge this gap in knowledge by identifying any risk factor relationship that could exist between cold medicine abuse and commonly used recreational drugs. The observed frequency of recreational drug use (marijuana, phencyclidine, ecstasy, …

An Empirical Predictive Model For Determining The Aqueous Solubility Of Bcs Class Iv Drugs In Amorphous Solid Dispersions, Sridivya Raparla

University of the Pacific Theses and Dissertations

Poor aqueous solubility persists as a significant challenge in the pharmaceutical industry.Ongoing research aims to enhance the solubility of drugs to deliver them more effectively. Amorphous solid dispersion (ASD) is a widely used solubility enhancement technique. The absence of a specific model to predict compound solubility from ASDs resulted in a trial-and- error approach to studying solubility enhancement and makes it a laborious and time-consuming process. Predictive models could streamline this process and accelerate the development of oral drugs with improved aqueous solubilities. This study aimed to develop a predictive model to estimate the solubility of a compound from the …

Multiplex Quantitative Polymerase Chain Reaction Assay For Mycoplasma Contamination, Pimthip Phasutha

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aims to develop multiplex qPCR to detect mycoplasma contamination. Firstly, the specific primers and probes for aligning with specific mycoplasma. were designed from conserved region called 23S rRNA, then, the designed primers and probes were verified their alignment with specific nucleotide of mycoplasma in Bioedit and checked the hairpin, self-complementary, and primer-dimer through Multi Primer Analyzer. After verification, the primers and probes do not have hairpin, self-complementary, and primer-dimer. Besides, the suitable temperature for annealing is 58oC. From the specificity test, it shows that the PCR product was detected at 254 bp which performed at the same size …

ปัจจัยนำของการเกิดภาวะกรดคั่งในเลือดจากสารคีโตนในผู้ป่วยโรคเบาหวานชนิดที่ 2 ที่ได้รับยาในกลุ่ม Sodium Glucose Co-Transporter 2 Inhibitors, อภิสรา เขียวประแดง

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: เพื่อหาปัจจัยนำ (Predisposing factors) ที่สัมพันธ์กับการเกิดภาวะกรดคั่งในเลือดจากสารคีโตน (Diabetic ketoacidosis; DKA) ในผู้ป่วยชาวไทยโรคเบาหวานชนิดที่ 2 ที่ใช้ยาในกลุ่ม Sodium glucose co-transporter 2 inhibitors (SGLT-2 inhibitors) วิธีการศึกษา: งานวิจัยนี้เป็นการศึกษาจากผลไปหาเหตุแบบเก็บข้อมูลย้อนหลังในหลายศูนย์ รวบรวมข้อมูลผู้ป่วยโรคเบาหวานชนิดที่ 2 ที่ได้รับยา SGLT-2 inhibitors ณ โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทยและโรงพยาบาลราชวิถี ช่วง 1 ตุลาคม 2557 ถึง 30 เมษายน 2567 ผลการศึกษา: กลุ่มตัวอย่างจำนวน 310 ราย แบ่งเป็นกลุ่มศึกษาคือผู้ป่วยที่เกิดภาวะ DKA 62 ราย (คิดเป็นความชุกของการเกิดภาวะ DKA ณ ช่วงเวลาที่ศึกษาเท่ากับร้อยละ 1.37) และกลุ่มควบคุมคือผู้ป่วยที่ไม่เกิดภาวะ DKA 248 ราย ส่วนปัจจัยนำที่มีความสัมพันธ์อย่างมีนัยสำคัญทางสถิติกับการเกิดภาวะ DKA ได้แก่ การติดเชื้อ (Adjusted OR = 28.31, P < 0.001) การปรับลดขนาดยาอินซูลินภายใน 1 เดือน (Adjusted OR = 5.58, P = < 0.001) และการมีประวัติภาวะ DKA ภายใน 1 ปี (Adjusted OR = 8.76, P = 0.038) สรุปผล: ปัจจัยที่มีผลต่อการเกิดภาวะ DKA ในผู้ป่วยโรคเบาหวานชนิดที่ 2 ที่ใช้ยา SGLT-2 inhibitors ได้แก่ การติดเชื้อ การปรับลดขนาดอินซูลินภายใน 1 เดือน และการมีประวัติภาวะ DKA ภายใน 1 ปี ผู้ป่วยที่มีปัจจัยดังกล่าวจึงควรได้รับการดูแลติดตามอย่างใกล้ชิด เพื่อช่วยลดความเสี่ยงในการเกิดภาวะ DKA และเพิ่มความปลอดภัยจากการใช้ยา SGLT-2 inhibitors

The Efficacy Of Plant-Produced Recombinant Insulin Like Growth Factor-1 (Igf-1) In Differentiation Of Mammalian Cell Lines, Kittinop Kittirotruji

Chulalongkorn University Theses and Dissertations (Chula ETD)

Insulin-like growth factor-1 (IGF-1) is a critical protein hormone with a structural resemblance to insulin, involved in regulating growth, cell proliferation, development, and survival, especially during childhood. IGF-1 exerts its biological effects through the IGF-1 receptor (IGF-1R), widely expressed across various cell types, and is key in the development of muscles, bones, and cartilage. The hormone's levels are influenced by age, nutrition, and hormonal status, peaking during adolescence and diminishing with age. Current medical applications of IGF-1 target conditions such as IGF-1 deficiency, excess growth hormone secretion, and metabolic disorders. To address production challenges, we utilized Molecular Pharming to produce …

The Impact Of N-Glycans On The Immune Response Of Plant-Produced Sars-Cov-2 Rbd-Fc Proteins, Theerakarn Srisangsung

Chulalongkorn University Theses and Dissertations (Chula ETD)

N-glycosylation is a crucial post-translational modification that significantly affects immune recognition. The plant-based platform, especially Nicotiana benthamiana, offers scalable and cost-effective production of therapeutic proteins with glycosylation patterns similar to mammalian cells. However, plant-specific N-glycans, such as α(1-3)-fucose and β(1-2)-xylose (XF), have the potential to trigger allergic reactions. This study investigates how various N-glycan structures on the RBD-Fc fusion protein influence the immune response in mice. The RBD-Fc fusion protein was used for vaccine formulation, produced in both wild-type (WT) and glycoengineered (∆XF) N. benthamiana plants. N-glycan analysis showed a predominance of mannose (Man) in RBD-Fc with an ER retention …

Characterization Of Plant Produced Vhh Antibodies Against Cobra Venom Toxins For Antivenom Therapy, Sarocha Vitayathikornnasak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Cobra (Naja kaouthia) venom contains many toxins including α-neurotoxin (α-NTX) and phospholipase A2 (PLA2), which can cause neurodegeneration, respiratory failure, and even death. The conventional antivenom produced by animal immunization faces many challenges and limitations. Heavy-chain-only antibodies (HCAb), fusing VHH with human IgG Fc region, offer advantages in tissue penetration, antigen binding, and extended half-life. This research involved the construction and transient expression of two types of VHH-FC which are specific to α-Neurotoxin (VHH-αNTX-FC) and Phospholipase A2 (VHH-PLA2-FC) in Nicotiana benthamiana leaves. The recombinant HCAbs were incubated for up to six days to optimize expression levels followed by purification by …

Cost-Effectiveness Analysis Of Pembrolizumab In High-Risk Early-Stage Triple-Negative Breast Cancer In Thailand, Thanapol Khuharatanachai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer with limited treatment options. Pembrolizumab, a programmed cell death protein 1 (PD-1) inhibitor, has demonstrated promising clinical benefits in treating early-stage TNBC. However, its high cost poses a significant barrier to its widespread adoption, especially in upper-middle-income countries like Thailand. This study aims to evaluate the cost-effectiveness and budget impact of pembrolizumab for the treatment of high-risk early-stage TNBC in Thailand. Methods: A Markov model was developed to simulate the health states and costs associated with pembrolizumab and standard chemotherapy. Transition probabilities and utility values were derived from …

Production And Characterization Of Monoclonal Antibodies Against Botulinum Toxin Produced In Nicotiana Benthamiana, Kornchanok Sangprasat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Botulism is an uncommon but serious neurological condition caused by the botulinum toxin produced by the gram-positive bacterium named Clostridium botulinum. Common symptoms of botulism include muscle cramps, nausea, vomiting, diarrhea, difficulty swallowing, respiratory failure, muscle weakness, and potentially death. Currently, two types of antitoxin are used: equine-derived heptavalent antitoxin and human-derived immunoglobulin (BabyBIG®). However, treatment with heptavalent antitoxin may lead to hypersensitivity reactions, while BabyBIG®, which is produced in low yield, is used only for children. This research focuses on developing three anti-BoNT monoclonal antibodies (mAbs), 1B18, C25, and M2, which will be produced using Nicotiana benthamiana as a …

Development Of Cannabis Extract Active Coating On Granules With Taste Masking Polymer Via Fluidized Bed, Samuel Wirajaya Prawinata

Chulalongkorn University Theses and Dissertations (Chula ETD)

Abstract Cannabis extract, one of the herbal medicine products on the national list of essential medicines, offers various therapeutic benefits; however, it has unpleasant taste, and the products are available as liquid preparation which can significantly reduce patient compliance and drug effectiveness. The objectives of this study were to develop film formulations and characterizations composed of tetrahydrocannabinol and taste-masking polymers and develop tetrahydrocannabinol-coated granules via a fluidized bed-coating. Eudragit E100 (E100) and Kollidon VA64 (KVA64) were used as taste-masking polymers. Plasticizers with different chemical structures, including polyethylene glycol (PEG-400), triacetin, and diethyl phthalate, were used to modify various film characteristics. …

Identification Of Carpaine In Carica Papaya Leaf Products Using Direct Analysis In Real Time Mass Spectrometry (Dart-Ms), Piyawadi Khaoiam

Chulalongkorn University Theses and Dissertations (Chula ETD)

Carpaine, a major alkaloid present in Carica papaya leaves, has been shown to increase platelet counts in patients suffering from thrombocytopenia. Numerous commercial papaya leaf products are available, but few provide proper bioactive ingredient information. We present herein a technique for rapid screening of carpaine in these products using DART-MS. The results indicate that carpaine was detected in various forms (powder, solution) of papaya leaves. Its presence was confirmed by examining the mass pattern when conducted on a standard solution at both low and high voltages (+10 V and +90 V), using MS1 and MS2 data obtained from LC-QTOF-MS/MS. The …

ผลในระดับห้องปฏิบัติการของไฮโดรเจลคาร์บอกซีเมทิลเซลลูโลสและเซริซินที่บรรจุกรดแกลลิกในเซลล์ไฟโบบลาสต์และเคราติโนไซท์ของมนุษย์, ณภัทร์ แหลมคม

Chulalongkorn University Theses and Dissertations (Chula ETD)

กรดแกลลิกเป็นสารกลุ่มกรดฟีนอลิก มีฤทธิ์ทางเภสัชวิทยาที่ดีแต่มีข้อจำกัดเนื่องจากจะถูกดูดซึมและถูกกำจัดออกจากร่างกายอย่างรวดเร็วหลังจากเข้าสู่กระแสเลือดรวมถึงมีความคงตัวต่ำ ปัจจุบันจึงมีการศึกษาระบบนำส่งยารูปแบบต่างๆ รวมถึงไฮโดรเจล เพื่อนำมาประยุกต์ใช้ในการนำส่งกรดแกลลิก งานวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาการควบคุมการปลดปล่อยกรดแกลลิกจากไฮโดรเจลผสมระหว่างคาร์บอกซีเมทิลเซลลูโลสและเซริซิน โครงสร้างสัณฐานของไฮโดรเจลที่ถูกเตรียมจากคาร์บอกซีเมทิลเซลลูโลสและเซริซิน ที่อัตราส่วน 1:1 และ 1:2 โดยปริมาตร และเชื่อมขวางด้วยสารละลายกลูตารัลดีไฮด์ 4 เปอร์เซ็นต์โดยปริมาตร และขึ้นรูปด้วยวิธีแช่แข็ง-ละลาย โดยมีรูพรุนสม่ำเสมอและเชื่อมโยงกันเป็นโครงร่างสามมิติ จากผลค่าโมดูลัสกักเก็บ พบว่าค่าโมดูลัสกักเก็บของไฮโดรเจลมีค่าสูงขึ้นเมื่อสัดส่วนของเซริซินเพิ่มขึ้น ผลการย่อยสลายได้ทางชีวภาพพบว่าอัตราการย่อยสลายลดลงเมื่อเพิ่มสัดส่วนของเซริซิน ชี้ให้เห็นว่าสัดส่วนของเซริซินส่งผลต่อความแข็งแรง ความยืดหยุ่น และความคงรูปของไฮโดรเจล และเมื่อนำไฮโดรเจลไปดูดซับกรดแกลลิกเพื่อศึกษาการควบคุมการปลดปล่อย พบว่ากรดแกลลิกถูกดูดซับบนไฮโดรเจลในอัตราการดูดซับที่สูงกว่าร้อยละ 80 และพบว่ากรดแกลลิกถูกปลดปล่อยออกมาอย่างรวดเร็วในระยะเวลา 15 นาที ถึง 2 ชั่วโมงแรก จากนั้นจะค่อย ๆ ปลดปล่อยออกมาลดลงเรื่อย ๆ โดยมีการปลดปล่อยอยู่ในช่วงร้อยละ 65 รวมทั้งพบว่ากรดแกลลิกถูกปลดปล่อยในสภาวะที่เป็นเบส ได้มากกว่าในสภาวะที่เป็นกลางและกรด โดยกลไกการปลดปล่อยกรดแกลลิกสามารถอธิบายได้ด้วยสมการเภสัชจลนศาสตร์แบบ Kopcha ชี้ให้เห็นว่าการปลดปล่อยอาศัยการแพร่และการย่อยสลายของไฮโดรเจล และเมื่อศึกษาการบวมน้ำของไฮโดรเจลพบว่าสอดคล้องกับอัตราการปลดปล่อยของกรดแกลลิก เมื่อทดสอบความเข้ากันได้ทางชีวภาพต่อเซลล์ในระดับห้องปฏิบัติการพบว่าไฮโดรเจลคาร์บอกซีเมทิลเซลลูโลสและเซริซินที่บรรจุกรดแกลลิกไม่มีความเป็นพิษต่อเซลล์ไฟโบบลาสต์และเคราติโนไซท์ของมนุษย์ และไม่มีผลกระตุ้นกระบวนการอักเสบภายในเซลล์แมคโครฟาจของหนูเมาส์ และเมื่อนำไฮโดรเจลที่เตรียมขึ้นไปทดสอบการยับยั้งการสร้างอนุมูลอิสระในเซลล์ไฟโบบลาสต์และเคราติโนไซท์ของมนุษย์ พบว่ากรดแกลลิกที่ถูกปลดปล่อยจากไฮโดรเจลสามารถยับยั้งการสร้างอนุมูลอิสระได้ จากผลการวิจัยสามารถสรุปได้ว่า ไฮโดรเจลคาร์บอกซีเมทิลเซลลูโลสและเซริซินที่เตรียมขึ้นสามารถนำไปประยุกต์ใช้ในการดูดซับและควบคุมการปลดปล่อยกรดแกลลิกที่มีผลต่อการยับยั้งการสร้างอนุมูลอิสระในเซลล์ไฟโบบลาสต์และเคราติโนไซท์ของมนุษย์ในระดับห้องปฏิบัติการได้อย่างมีประสิทธิภาพโดยที่ไม่ทำลายฤทธิ์ทางเภสัชวิทยาของกรดแกลลิก

Nonintuitive Immunogenicity And Plasticity Of Alpha-Synuclein Conformers: A Paradigm For Smart Delivery Of Neuro-Immunotherapeutics, Amos O. Abioye, Damilare Akintade, James Mitchell, Simisade Olorode, Adeboye Adejare

Funded Scholarship

Despite the extensive research successes and continuous developments in modern medicine in terms of diagnosis, prevention, and treatment, the lack of clinically useful disease-modifying drugs or immunotherapeutic agents that can successfully treat or prevent neurodegenerative diseases is an ongoing challenge. To date, only one of the 244 drugs in clinical trials for the treatment of neurodegenerative diseases has been approved in the past decade, indicating a failure rate of 99.6%. In corollary, the approved monoclonal antibody did not demonstrate significant cognitive benefits. Thus, the prevalence of neurodegenerative diseases is increasing rapidly. Therefore, there is an urgent need for creative approaches …

Impact Of A Culturally-Grounded And Interprofessional Approach To Managing Latino/Hispanic Patients At Risk For Or Diagnosed With Type 2 Diabetes Mellitus: A Pilot Study, Jahnavi Yalamanchili

University of the Pacific Theses and Dissertations

Background: Despite significant progress in diabetes research, there remain significant health disparities between Hispanic/Latino patients in the United States, particularly those with lower socioeconomic status, compared to non-Hispanic white patients. Previous studies have identified potential reasons behind these disparities, including the need for a multifaceted approach that addresses social determinants of health (SDOH) faced by patients. Social cognitive theory (SCT) stipulates that interventions that promote self-management by improving knowledge, self-efficacy, and problem-solving skills can be successful in improving health outcomes. However, there is a paucity of studies that have evaluated an interprofessional approach to providing culturally relevant care, in particular …

Impact Of Drug-Polymer Interactions On Stability In Simvastatin-Based Amorphous Solid Dispersions, Charina Lampa

University of the Pacific Theses and Dissertations

This study aimed to investigate the drug-polymer interactions between simvastatin (SIM) and three polymers [PVP-VA, HPMC-AS, and Soluplus® (SOL)] in amorphous solid dispersions (ASDs) prepared by hot melt extrusion (HME), and to understand the implications on physical stability. ASDs are of significant interest within the pharmaceutical industry for improving drug bioavailability. However, the amorphous nature of a drug in an ASD presents physical stability challenges. Utilizing novel applications of accessible tools such as ATR-FTIR or DSC aid in understanding the mechanisms of stabilization which are critical to the rational design of ASDs. ASDs were prepared using HME and were characterized …

Unpatenting Product Hops, Michael S. Sinha

All Faculty Scholarship

On July 9, 2021, President Joseph R. Biden signed Executive Order 14036 (“Promoting Competition in the American Economy”), which directed the U.S. Food and Drug Administration (FDA) and the U.S. Patent and Trademark Office (USPTO) to collaborate on new approaches to increasing competition and lowering prices in the pharmaceutical marketplace. In response, the USPTO outlined several new initiatives, among them an intent to improve the robustness and reliability of issued patents.

A major impetus for the Executive Order was the pervasive nature of pharmaceutical product hopping, which occurs when manufacturers introduce new follow-on versions of lucrative pharmaceutical products to the …

Ai Renaissance: Pharmaceuticals And Diagnostic Medicine, Ty J. Feeney, Michael S. Sinha

All Faculty Scholarship

The explosive growth of Artificial Intelligence (AI) in the modern era has led to significant advancements in the world of medicine. In drug discovery, AI technology is used to classify proteins as drug targets or non-targets for specific diseases, more accurately interpret and describe pharmacology in a quantitative fashion, and predict protein structures based on only a protein sequence for input. AI methods are used in drug development to generate predictive models for drug screening purposes, refine and modify candidate structures of drugs to optimize compounds, and predict a drug’s physiochemical properties, bioactivity, and toxicity. For medical devices, the advancement …

Breast Tissue As A Local Drug Reservoir For Anticancer Therapy In Breast Cancer, Saniia Shchinar

Electronic Theses and Dissertations

Breast cancer, particularly the estrogen receptor-positive (ER+) subtype, remains a formidable challenge in oncology. Traditional oral therapies for ER-positive breast cancer, such as selective estrogen receptor modulators (SERMs) like Tamoxifen (TAM) and Toremifene (TOR), often encounter issues related to limited bioavailability, metabolic complications, and significant systemic side effects. These side effects include the risk of blood clots, hot flashes, vaginal dryness, menstrual cycle disruptions, and uterus cancer, which can hinder long-term adherence to preventive therapy. The exploration of local drug delivery into breast tissue presents a promising alternative to tackle these challenges. In this study, we explored the feasibility of …

Delivery Of Gemcitabine, Stearoyl Gemcitabine And Paclitaxel Through Plga Nanoparticles And Its Effect On The Desmoplasia Of Pancreatic Cancer Spheroids, Rishabh Bahl

Electronic Theses and Dissertations

Pancreatic cancer is one of the deadliest cancers to treat. The primary cause for the drug resistance is the dense extracellular matrix (ECM) that surrounds the tumor and restricts blood supply. Gemcitabine (GEM) and paclitaxel (PTX) are drugs that are clinically used in the treatment of pancreatic cancer. GEM, however, is rapidly metabolized by cytidine deaminase (CDA) and eliminated from the body, and paclitaxel is a substrate for P- glycoprotein (P-gp) efflux receptors. Drug delivery using nanoparticles has been reported to help improve drug half-lives and bypass efflux receptors. This thesis aims to encapsulate PTX in PLGA nanoparticles (PTX-NP) and …

Enhancing Organisational Performance Through Patient-Focused Learning Excellence In The Biopharmaceutical Industry, Lori Richter

Dissertations

Drug shortages, quality defects and challenges regarding innovation within the biopharmaceutical industry pose significant risks to patient safety and organisational performance. These problems persist despite the many scientific, technological and economic advances over the past several years in a well-funded, high-revenue industry operated by highly qualified personnel. Evidence suggests that the industry has yet to fully realise the potential for building organisational capabilities to enable learning from mistakes to enhance performance outcomes. This research study explored how biopharmaceutical companies can learn from their mistakes and embrace a culture of learning in order to reduce quality defects and drug shortages by …

4d Epr Oximetry Imaging For 4d Bioprinting And Tissue Engineering, Sajad Sarvari

Graduate Theses, Dissertations, and Problem Reports (ETD)

Bioprinting, akin to 3D printing, employs cell-laden hydrogels such as GelMA (Gelatine Methacrylate) and Alginate instead of plastic or resin to create biological structures. The printing process followed by subsequent tissue maturation is known as 4D bioprinting, where the fourth dimension is time. Ensuring adequate and consistent oxygen, O2, supply within 3D bioprint volume over the entire maturation period process is crucial, as even transient hypoxia can impact cellular behavior and phenotypes. However, printing of fully developed vasculature remains an unresolved technical challenge. Several approaches to chemically (peroxides) or biologically (photosynthesis) generate oxygen during bioprint maturation have been proposed. However, …

Intervention To Reduce Tobacco Use Among Prostate Cancer Patient And Informal Caregiver Dyads, Trupti Dhumal

Graduate Theses, Dissertations, and Problem Reports (ETD)

Prostate cancer is the leading cancer in men. Continued tobacco use after prostate cancer diagnosis may affect a patient’s treatment outcomes, quality of life, and mortality. Despite the potential negative outcomes, 10-20% of prostate cancer patients continue to use tobacco after their cancer diagnosis. Considering risks associated with continued tobacco use, there is a lack of evidence-based tobacco cessation strategies to address tobacco cessation specifically in prostate cancer. Given the increasing prevalence of prostate cancer, the ongoing difficulty in tobacco cessation, and the limited evidence-based tobacco cessation interventions in the literature, it is important to prioritize reducing tobacco use in …

Dual Activity Of Aromatic And Heterocyclic Compounds As Anti-Inflammatory And Anticancer Promising Agents, Samar Said Fatahala, Rania Helmy Abd El-Hameed, Mosaad Sayed Mohamed, Neama Abdallah Abd El-Tawab

Trends in advanced sciences and technology

As the second leading cause of mortality worldwide, cancer poses a severe threat to human health. Chronic inflammation has recently been linked to an increased risk for a number of malignancies, suggesting that reducing inflammation could be a useful approach to both cancer prevention and treatment. This review delves into the connection between inflammation and cancer and outlines the current use of anti-inflammatory drugs as potentially effective cancer prevention and therapy strategies. we herein describe the main relation and the mechanisms underlying the anti-cancer outcomes of anti-inflammatory agents; namely Non-Steroidal Anti-inflammatory Drugs (NSAIDs), COX-2 inhibitors, LOX-inhibitors, Toll- inhibitors, and antioxidant …

Sharksrx Newsletter Spring 2024, Nova Southeastern University

NSU Sharks Rx

No abstract provided.