Needing regular medication can be an annoyance. It is hard to always remember to take a pill, and stopping daily tasks to administer a drug is a nuisance. That is why the advantages of drug-eluting implantable devices are beginning to create a significant shift in the management of chronic conditions, as ultimately these solutions solve many challenges patients face.
“Implantables uniquely address issues around administering drugs,” says Zach Fletcher, a business development manager for Trelleborg’s medical solutions. “They can ensure patient compliance, localize drug delivery and address bioavailability concerns, while providing a consistent, sustained dosage of a pharmaceutical. This means that as drugs are going precisely where needed at defined doses over time, they work better and have fewer side effects. That is something traditional delivery paradigms struggle with today.”
Although these are the main reasons for a rising demand for drug-eluting devices, Fletcher believes we are still at an early stage. “I don’t think we have even discovered all the demand drivers for the implantables market yet because the space is still so young,” he explains. “By my count, there are only about 18 drug-eluting devices available today, though many more are in development. Product developers are still learning when and where to apply sustained-release technologies.”
A less obvious driver for these devices is a physician’s time constraints. Fletcher says, “The ophthalmology community is quite small, so it is a challenge for its physicians to treat all of their patients with chronic conditions affecting the eye with once-monthly injections. Therefore, they need pharmaceutical companies to come up with extended-release therapies, and this has driven quite a bit of momentum in that space.”
Usually, device developers would turn to their traditional partners in oral drug delivery, transdermal patches or injectables to develop implantables. However, sustained-release applications require deep expertise in polymers, and these providers do not possess that expertise, either in the polymers or their manufacturing processes. That is where Trelleborg adds value.
“We have been involved in developing drug-eluting therapies with our customers over the last 15 years,” explains Fletcher. “So it’s our in-depth understanding of how polymers behave and what modifications are possible in the manufacturing process that allows us to offer something unique to our medical and pharmaceutical customers.