RT Journal Article T1 New Formulations Loading Caspofungin for Topical Therapy of Vulvovaginal Candidiasis A1 Perez-Gonzalez, Noelia A1 Bozal-de Febrer, Nuria A1 Calpena-Campmany, Ana C. A1 Nardi-Ricart, Anna A1 Rodriguez-Lagunas, Maria J. A1 Morales-Molina, Jose A. A1 Soriano-Ruiz, Jose L. A1 Fernandez-Campos, Francisco A1 Clares-Naveros, Beatriz K1 vulvovaginal candidiasis K1 antifungal therapy K1 caspofungin K1 vaginal mucosal delivery K1 mucoadhesive hydrogel K1 thermoreversible hydrogel K1 Systemic antifungal agents K1 Chitosan derivatives K1 Sustained-release K1 Hydrogels K1 Nanocapsules K1 Delivery K1 F127 K1 Gel K1 Pharmacokinetics K1 Mucoadhesion AB Vulvovaginal candidiasis (VVC) poses a significant problem worldwide affecting women from all strata of society. It is manifested as changes in vaginal discharge, irritation, itching and stinging sensation. Although most patients respond to topical treatment, there is still a need for increase the therapeutic arsenal due to resistances to anti-infective agents. The present study was designed to develop and characterize three hydrogels of chitosan (CTS), Poloxamer 407 (P407) and a combination of both containing 2% caspofungin (CSP) for the vaginal treatment of VVC. CTS was used by its mucoadhesive properties and P407 was used to exploit potential advantages related to increasing drug concentration in order to provide a local effect. The formulations were physically, mechanically and morphologically characterized. Drug release profile and ex vivo vaginal permeation studies were performed. Antifungal efficacy against different strains of Candida spp. was also evaluated. In addition, tolerance of formulations was studied by histological analysis. Results confirmed that CSP hydrogels could be proposed as promising candidates for the treatment of VVC. PB Mdpi YR 2021 FD 2021-12-01 LK https://hdl.handle.net/10668/24940 UL https://hdl.handle.net/10668/24940 LA en DS RISalud RD Apr 8, 2025