Abstract

We investigated the possible use of a local chemotherapy in the treatment of malignant lesions in bone. Therefore, the diffusion of cisplatin from polymethyl methacrylate implants was studied in vitro and in vivo in rabbits. Cisplatin-loaded implants were prepared by extemporaneous polymerization of methyl methacrylate added to a poly (methyl methacrylate)/drug blending. The in vitro release rate of cisplatin was very slow and incomplete, but increased when the drug loading was higher, suggesting a percolation release model. In vivo, drug-loaded implants showed sustained release characteristics and no plasma peak, compared to control intravenous cisplatin administration. After implantation, local concentrations of platinum were higher in bone marrow than in bone tissue. Comparative safety studies with cisplatin infusion showed a slight, but not clinically significant, renal and haematologic toxicity for drug-loaded implants.

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