RT Journal Article T1 Development and Characterization of a Tacrolimus/Hydroxypropyl-β-Cyclodextrin Eye Drop A1 García Otero, Xurxo A1 Díaz Tomé, Victoria A1 Varela Fernández, Rubén A1 Martín Pastor, Manuel A1 González Barcia, Luis A1 Blanco Méndez, José A1 Mondelo García, Cristina A1 Álvarez Bermúdez, María José A1 González García, Francisco A1 Aguiar Fernández, Pablo A1 Fernández Ferreiro, Anxo A1 Otero Espinar, Francisco Javier K1 Tacrolimus K1 Hydroxypropyl-β-cyclodextrin K1 Topical ophthalmic administration K1 Eye drops K1 Uveitis K1 PET/CT imaging AB Uveitis is a vision inflammatory disorder with a high prevalence in developing countries. Currently, marketed treatments remain limited and reformulation is usually performed to obtain a tacrolimus eye drop as a therapeutic alternative in corticosteroid-refractory eye disease. The aim of this work was to develop a mucoadhesive, non-toxic and stable topical ophthalmic formulation that can be safely prepared in hospital pharmacy departments. Four different ophthalmic formulations were prepared based on the tacrolimus/hydroxypropyl-β-cyclodextrin (HPβCD) inclusion complexes’ formation. Phase solubility diagrams, Nuclear Magnetic Resonance (NMR) and molecular modeling studies showed the formation of 1:1 and 1:2 tacrolimus/HPβCD inclusion complexes, being possible to obtain a 0.02% (w/v) tacrolimus concentration by using 40% (w/v) HPβCD aqueous solutions. Formulations also showed good ophthalmic properties in terms of pH, osmolality and safety. Stability studies proved these formulations to be stable for at least 3 months in refrigeration. Ex vivo bioadhesion and in vivo ocular permanence showed good mucoadhesive properties with higher ocular permanence compared to the reference pharmacy compounding used in clinical settings (t1/2 of 86.2 min for the eyedrop elaborated with 40% (w/v) HPβCD and Liquifilm® versus 46.3 min for the reference formulation). Thus, these novel eye drops present high potential as a safe alternative for uveitis treatment, as well as a versatile composition to include new drugs intended for topical ophthalmic administration PB MDPI YR 2021 FD 2021 LK http://hdl.handle.net/10347/24467 UL http://hdl.handle.net/10347/24467 LA eng NO Pharmaceutics 2021, 13(2), 149; https://doi.org/10.3390/pharmaceutics13020149 NO This research was partially supported by the Spanish Ministry of Science, Innovation and Universities (RTI2018-099597-B-100), the ISCIII (PI17/00940, RETICS Oftared, RD16/0008/0003 and RD12/0034/0017) and by Xunta de Galicia, grant numbers GPC2013/015 and GRC2017/015 DS Minerva RD 22 abr 2026