1. Introduction
In situ systems (ISS) are a new generation of drug delivery systems that undergo a phase transition (sol–gel transition) at the site of application. The sol–gel transition is influenced by various physiological and pathological conditions within the body, including temperature, ionic composition, pH, humidity, and the diffusion of solvents into the surrounding soft tissues. In addition to stimuli within the organism that cause in situ phase transitions, it is possible to apply external influences—UV and IR radiation—to form in situ gels and implants. So-called smart polymers are known to exhibit such phase-transitioning properties.
Smart polymers are classified according to the stimulus for in situ gel formation. The most famous representatives are thermoreversible polymers, which form gels when the temperature rises. On the other hand, there are pH-sensitive polymers that undergo a sol–gel transition when the pH changes significantly. The ion-triggered polymers undergo a phase transition when interacting with ions in the surrounding mucosa and tissues, forming an “egg box” structure. In the case of phase-inversion, the stimulus for gel formation is the solvent changing—when the solvent from the system diffuses into the surrounding tissues, an insoluble matrix is formed at the injection site. Photosensitive smart polymers are able to form stable gels and implants under IR and UV irradiation. Moisture-activated ones swell and form gels when interacting with water molecules (the most common are powders). Depending on the desired localization of the drug application site, it is necessary to select a group of smart polymers with a specific sol–gel transition stimulus.
Ion-triggered polymers in ISS technology find application in the development of delivery systems for use on mucosa with a wide range of ionic compositions of biological fluids. Therefore, one of the most commonly realized routes of administration of ion-triggered polymer-based systems is intranasal administration [
1,
2,
3].
Nasal fluid has a pH of approximately 6.0 and an approximate ionic composition that can be reproduced in vitro using a solution of NaCl, KCl, and CaCl
2 (15:5:1) [
4].
The ion-triggered polymers used in ISS technology are united by their origin and the gel structures they form. These polymers are often natural components derived from vegetable and microbial products. They are non-starch polysaccharides such as alginates, carrageenans, gums, pectin, etc. [
5]. All non-starch polysaccharides are capable of absorbing large amounts of water and usually form gels in the presence of bivalent ions.
Another factor that unites ion-triggered polymers is the presence of their own pharmacological properties. This property is used by researchers to enhance the main therapeutic effect of the delivery system [
6].
Thus, pectins and alginates have reliable hypocholesterolemic and hypotriglyceridemic effects. Experimental studies and clinical observations have demonstrated the therapeutic efficacy of pectins in infectious pathology, manifested in the reduction of intoxication [
7].
The main problem with gelling agents, which are non-starch polysaccharides, is a significant difference in their properties depending on the growing conditions and characteristics of the initial raw materials, methods of their processing, purification, and technology of polymer extraction. The initial polysaccharides may have different molecular weights, viscosities, water solubilities, and degrees of esterification and sulphation, which directly affect not only the technological parameters of the system, but also the biological activity of carbohydrate biopolymers. The lack of generally accepted quantitative indicators for standardization of non-starch polysaccharide preparations makes it difficult to carry out a comparative assessment of the pharmacological efficacy of polysaccharides among themselves, as well as with drugs of similar action [
8,
9].
The in situ gelation stimulus of gellan gum (GG)-based formulations is identical to that of alginates and pectins. Compared to other ion-selective polymers, GG does not require a high concentration of divalent ions at the mucosal surface to initiate the sol–gel transition. Several studies have shown experimentally that in situ GG-based gels are stable enough to withstand the harsh conditions of the nasal cavity. Gellan gum is a natural polysaccharide produced by the bacterium Sphingomonas elodea. The main problem with natural polymers is the difficulty in standardizing and purifying them. In a review of studies on the development of delivery systems based on GG and other natural polymers, gum has always shown good results, regardless of the manufacturer. Other natural polymers, on the other hand, varied in quality performance when the manufacturer, raw material base, or method of obtaining the polymer was changed [
6,
10,
11,
1213].
To sum up, the main advantages of ion-triggered polymers include instant gelation requiring a moderate amount of gelling agent, biocompatibility and biodegradability, good mucoadhesion, low pregelation viscosity, and a pronounced phase transition. At the same time, many authors have noted [
14,
15] the high sensitivity of ion-triggered polymers during final sterilization, indicating the need for researchers to closely study the stability of polymer matrices before and after sterilization.
Although the advantages of ion-triggered in situ polymers allow them to be used as monocomponent matrices, it is possible to add mucoadhesive polymers to increase the binding strength of the matrix to the mucosa.
The most common example of a mucoadhesive polymer is chitosan [
16]. Although chitosan has some mucoadhesive properties in its native state, its biocompatibility and release capacity are limited due to its rapid degradation in the body. Because of these properties of chitosan, its configurations and salts are widely used [
17,
18]. In addition to chitosan, various cellulose modifications such as methyl cellulose (MC), hydroxyethyl cellulose (HEC), hydroxypropyl methyl cellulose (HPMC), and hydroxypropyl cellulose (HPC) are commonly used [
19,
20]. A less well-known mucoadhesive polymer is poloxamer 124 (Pol 124). A study by Yong, C. S. et al. demonstrated the mucoadhesive properties of poloxamers 124 and 188 in the development of new drugs [
21,
22].
As mentioned above, ion-triggered ISSs are particularly common in the development of drugs for intranasal administration. The use of intranasal in situ systems avoids most of the problems associated with the administration of standard nasal dosage forms: loss of drug dose, rapid removal of the dosage form from the surface of the nasal mucosa, and enzymatic degradation of the drug by mucosal enzymes. In the pharmaceutical development of intranasal in situ systems, thermoreversible, pH-sensitive, and ion-selective in situ polymers are most frequently used [
10,
12,
13]. In addition, it should be noted that phase-sensitive matrices, which are commonly used in in situ system technologies for other routes of administration, are obviously not suitable for intranasal delivery of immunobiological drugs (IBDs) because they involve an organic solvent that diffuses into soft tissues, which may interfere with natural mucociliary clearance, the protective functions of the nasal cavity, as well as the patient’s sense of smell. Despite the high gelation rate of moisture-activated polymers, their use for intranasal administration may be inappropriate due to the protective mechanisms of the nasal cavity—irritation of the mucosa by the powder composition results in sneezing and rapid removal of the drug from the site of application.
The high compatibility of ion-triggered polymers with most APIs, including immunobiological substances, determines the relevance of using ISS as adjuvants for intranasal vaccination [
3,
23,
24,
25]. The administration of immunobiological drugs through the nasal cavity using adjuvant delivery systems allows both local immunization and systemic immune responses to be achieved. Due to the dense vascularization of the nasal mucosa and the uniform distribution of the dosage form, complete and prolonged absorption of IBD occurs [
23,
26,
27,
28].
Since 2020, due to the COVID-19 pandemic, speed of development has become the most important aspect of the IBD research and development (R&D) process. The rapid increase in SARS-CoV-2 infections required the fastest possible approach to developing and preparing a multi-million-dollar mass production of a new anti-coronavirus vaccine. The reality of the research laboratories and manufacturing sites revealed a lack of pharmaceutical development capacity for the IBD in a short timeframe. In the absence of a strategy for rapid development under the existing conditions, the process of new drug development becomes long-term and unproductive [
29]. Quality, efficacy, and safety remain the primary goals of drug developers, given the importance of speed in pandemic drug development. To avoid further tragedies due to oversights in the drug lifecycle, a logical and consistent design of experiment (DoE) is required to accelerate development without sacrificing quality.
Challenges in ISS technology development and transfer can be addressed by applying the concept of “Quality by Design” (QbD) throughout the development of complex stimulus-responsive delivery systems. The QbD concept, unlike traditional single-factor analysis, incorporates quality risk management (QRM) and provides DoE planning that leads pharmaceutical development to optimal outcomes with significant reductions in financial, labor, and time costs [
30].
Over the past three years, the QbD tool has been actively used by researchers to find and objectively justify vaccine formulations and technologies [
31,
32,
33,
34]. For example, in a study by van de Berg et al. [
31], the design space for RNA vaccine synthesis was validated for the first time, which will facilitate the automation of rapid, high-quality RNA vaccine production. The work of Ghaemmaghamian, Z. et al. [
33] also proposed and validated a QbD approach to justify the drying regime as one of the most important tools in vaccine stabilization.
The aim of the present work was to develop an adjuvant based on an ion-triggered in situ matrix for the intranasal delivery of virus-like particles, justified and carried out according to the QbD standard.
3. Results and Discussions
A total of 14 placebo formulations of in situ gels based on ion-selective smart polymer (gellan gum) with added excipients were prepared. All compositions and polymer concentrations analyzed are listed in
Table 3.
The generated compositions were tested according to the critical quality attributes selected in the QbD planning phase. When analyzing the influence of the process parameters (CPP) on the quality of the compositions, it was found that of all the parameters, only sterilization had a significant and meaningful effect on the CQA (
Table 4). Therefore, all critical parameters of the composition set were further evaluated for stability after sterilization.
In the first stage of the screening, the stability of the stimulus sensitivity of the pool of formulations was assessed. The results are summarized in
Table 5 and are marked with symbols, where “-” indicates no gel is formed; “+” indicates an unstructured gel is formed; “++” indicates a strong gel is formed and breaks down within 10 min; and “+++” indicates a strong gel is formed and retains its structure over time.
It was shown that compositions No. 2, 13, and 14, which initially had a high sensitivity to stimulants, completely retained it after sterilization by autoclaving. At the same time, it was observed that composition No. 3 acquired more pronounced properties of stimulus sensitivity after sterilization, and compositions No. 4 and 5 lost stimulus sensitivity insignificantly, remaining sufficiently selective to the artificial nasal fluid used in the experiment.
It is also worth noting that the formulations containing minimal concentrations of gellan gum and an additional ingredient—HPMC—as well as phosphate buffer as a co-solvent (No. 1, 8, 12) have the lowest stimulus sensitivity, which is also lost after sterilization.
This experiment demonstrated the feasibility of adding poloxamer 124 as an additional ingredient, as well as moderate amounts of phosphate buffer.
The next step was to determine the pH of each sample (
Table 6). The pH ranged from an average of five measurements of 6.44 (sample No. 9) to 7.79 (sample No. 1). Thus, samples No. 1 and No. 9 did not meet the target profile, while the others were optimal in terms of pH and suitable for use as an adjuvant for intranasal VLP administration. Sterilization was shown to have a moderate effect on the pH, which remained within the normal range for the sample set.
The next phase of the study involved work on an in vitro model of the nasal cavity to determine the completeness of retention. Formulations No. 8 and 12 containing 0.25% gellan gum and 0.1% HPMC and 5% PBS, respectively, were shown to have the lowest retention capacity on the model. Meanwhile, the introduction of poloxamer 124 and phosphate buffer at a concentration higher than 5% was found to be effective in increasing the retention parameter. The concentration of ion-sensitive polymers also correlates with the retention parameters, which are confirmed by preliminary studies demonstrating the high mucoadhesive properties of gum.
It is also necessary to note the degree of influence of the sterilization stage on the retention parameter (
Table 7). For some formulations, a significant increase in retention on the model was observed after sterilization by autoclaving (formulations No. 2, 3, and 14). At the same time, these formulations showed the highest increase in plastic viscosity after sterilization. Therefore, we can assume that in this case, the phenomenon of increased retention is related to the partial evaporation of the solvent during sterilization and the increase in the density of the polymer chains in the matrix.
For compound No. 7 (gellan gum content 0.25%, HPMC content 0.3%), a significant decrease in model retention capacity (by 20%) was observed. Further studies are required to explain this phenomenon.
It should also be noted that a large set of compositions were relatively stable (No. 1, 4, 5, 6, 8, 10, 11, 12, 13) for the parameters studied after sterilization, which makes these compositions promising for further study.
According to the parameters of the spray torch after sterilization (
Table 8), only compositions No. 7, 9, 10, and 13 did not meet the target profile of the product quality—the index of the others met the optimal values.
Table 9 shows the results of the determination of the average (over three measurements) plastic viscosity using the Casson model for the set of experimental samples before and after sterilization (
Table 9). The experimental data explain the changes in the properties and behavior of some compositions in the tests, the results of which were described earlier.
It should be noted that significant changes in plastic viscosity values after sterilization, according to the QTPP described above, were not strictly negative in the experiment—if they did not affect other critical quality attributes. The stability of plastic viscosity before and after sterilization, for example, characteristic of formulations No. 9, 10, and 12, does not guarantee the optimality of their other properties related to viscosity parameters (e.g., retention and spray pattern). Therefore, the viscosity values determined for the sample pool after sterilization—sufficient for optimal atomization through the syringe system—were taken into account. Compositions No. 2, 5, 6, and 14 became too viscous after sterilization for spraying and could not be considered further.
Already at the stage of studying the completeness of retention of placebo compositions, we can conclude that samples No. 7, 8, and 12 are unsuitable. Despite the good retention of composition No. 7 before sterilization, its index worsens after autoclaving (63%), which does not allow further use of the composition for in vivo tests. For compositions 8 and 12, the narrow nebulizer, which does not allow a complete distribution of the drug on the surface of the nasal mucosa, could be the main reason for the incomplete retention.
Based on the results of these tests, a comparison of the results of in vitro tests of various placebo compositions was performed, and the most suitable compositions No. 3, 4, and 9 with various additional ingredients were selected. The tested IBD was then added to these compositions. The summary results for all the parameters listed above are shown in
Table 10, where the gelation ability is labeled as follows: “-” indicates no gel formed; “+” indicates an unstructured gel formed; “++” indicates a strong gel formed and broke down within 10 min; “+++” indicates a strong gel formed, maintaining its structure over time; and VLP titer stability: “+” indicates a stable titer, “-” indicates a significant decrease in titer.
From the summary data in
Table 10, the advantage of compound No. 3 over the others is obvious in all the parameters analyzed. Therefore, it was proposed for further in vivo studies. Having demonstrated that there was no effect of IBD on the in situ gel, the studies were continued, and preliminary tests were performed on
Mesocricetus auratus hamsters.
When the acute toxicity of the placebo and VLP formulations was evaluated, no external changes, behavioral changes, or changes in vital functions were observed.
The contribution of this study to the subsequent development of ion-sensitive adjuvants can be presented as an evaluation of the effect of composition on critical product quality parameters (
Table 11).
According to the results of the differential analysis, only the VLP concentration of 80 µg/dose did not significantly affect the critical quality parameters. Whereas both the concentration of the injected PBS, the type of additional ingredient (HPMC/poloxamer 124), and the concentration of gellan gum significantly changed the properties of the system (
Figure 5).
It is curious that most researchers do not include such factors as the completeness of retention of the dosage form on the mucosal surface, the pH value, or the spray burner in the list of quality indicators. The rationale for the selection of these indicators in this study is simply to increase the speed of development by quickly screening unsuitable formulations using the basic, simplest indicators. If the investigational formulation is not able to adhere to the mucosa, has a non-physiological pH, and is not nebulized from the spray, then such a dosage form will be biopharmaceutically incorrect.
In a recent study by researchers at universities in India [
10], a gellan gum-based delivery system for intranasal administration was developed to deliver an active ingredient (lorazepam) via a nose-to-brain mechanism. The scientists claim that a clear study design in line with the QbD concept led to excellent results. The correct study design allowed early elimination of inappropriate polymer formulations from the study and the selection of an excipient (carbopol 934) to enhance the performance of pure gellan gum.
Unlike many other studies, the article by Chen, Y. et al. examines the retention time of the drug on the surface of the nasal mucosa. This index is similar to the completeness of retention. In the study by Chinese scientists, the retention time was analyzed only in vivo without preliminary evaluation in in vitro models [
11].
A recent study by Li, M. et al. demonstrates the potential use of MOFs as an antitumor drug delivery system through various methods of tumor exposure and depletion. The methods can be categorized into chemotherapy, photodynamic therapy, photothermal therapy, chemical kinetic therapy, sonodynamic therapy, immunotherapy, gene therapy, and starvation therapy [
40]. Considering the novelty and relevance of this development, it cannot be said that such a solution is suitable as a delivery system for immunobiological substances for intranasal administration and not only. However, the modern trend of drug delivery by a nose-to-brain mechanism provides an opportunity to test the development of intranasal administration.
According to the results of the literature analysis, no analogues of the in situ matrix composition (GG + Pol124) proposed in this article have been developed for immunobiological drug delivery. In most of the existing developments in preclinical and clinical studies, the gel-forming polymers are thermoreversible polymers in combination with pH-sensitive and mucoadhesive ones.