NIH gives grant to advance inhalation therapeutics

Bacteria gaining drug resistance (antibiotic resistance).

Qi “Tony” Zhou, PhD, MSc, a researcher in Purdue University’s College of Pharmacy, has received a $2.4 million grant from the National Institutes of Health (NIH) to fight lung infections that have established a resistance to antimicrobial drugs.

Dr. Zhou leads a lab that includes multinational experts from Australia, Thailand and the United States, who are developing novel, patent-pending inhalation therapeutics for lung infections. He is also an associate professor in the Department of Industrial and Molecular Pharmaceutics, a faculty scholar and a faculty member of the Purdue Institute for Drug Discovery and the Purdue Institute of Inflammation, Immunology and Infectious Disease (PI4D). 

“We are providing a promising option to fight the global crisis of antimicrobial resistance,” Dr. Zhou said. “The successful development of our invention could save tens of thousands of lives from a variety of deadly lung infections, including cystic fibrosis and ventilator-assisted pneumonia.”

The threat of antimicrobial resistance

According to Thomas Sors, PhD, director of scientific strategy and relations at PI4D, antimicrobial resistance represents a severe global health threat as pathogens increasingly evade traditional treatments.

“The Centers for Disease Control and Prevention [CDC] note that each year in the U.S., drug-resistant infections affect over 2.8 million individuals and result in more than 35,000 deaths, highlighting the urgent need for innovative strategies to address this crisis,” said Dr. Sors. “According to the NIH, CDC and the Infectious Diseases Society of America, gram-negative ‘superbugs’ such as klebsiella pneumoniae, pseudomonas aeruginosa and acinetobacter baumannii rank among the most dangerous multidrug-resistant microorganisms. Regrettably, the development of new antibiotics is lagging, and lung infections triggered by these resistant pathogens can be fatal.”

Developing inhalation therapeutics for the lungs

Oral or intravenous administrations of most antibiotics are often not effective treatments of lung infections for many patients, said Dr. Zhou. This is due to very limited drug exposure at the infection site and systemic toxicity. 

“This makes lung infections caused by resistant bacteria extremely difficult to treat, reflected by the fact that lung infections are the fourth leading cause of death in the world,” Dr. Zhou said.

Inhalation therapeutics, such as those Dr. Zhou and his team have developed, help antibiotics directly reach the infection site in the lungs to better kill the bacteria. Inhaled medicines also can avoid systemic toxicity because much fewer drugs are absorbed into the bloodstream.

“We also use the innovative manufacturing techniques of advanced spray drying to incorporate two or more synergistic antibiotics into a single particle so they can deposit at the same site of infection and achieve the maximum bacterial killing synergy,” he said. 

Next development steps

Preliminary animal studies have shown superior bacterial killing capability and reduced toxicity of the new inhalation medicines. The researchers’ goal is to develop viable pharmaceutical products to effectively treat resistant bacterial lung infections. The NIH grant funding will be utilized to optimize the formulation and generate preclinical data for the potential filing of a New Drug Application with the U.S. Food and Drug Administration (FDA).

“[Dr.] Zhou’s cutting-edge research is a true breakthrough and perfectly exemplifies Purdue’s commitment to fight the global crisis of antimicrobial resistance,” said Eric Barker, the Jeannie and Jim Chaney Dean of Purdue’s College of Pharmacy.

To date, Dr. Zhou’s research in antimicrobial resistance has yielded two U.S. patents, four patent applications and more than 70 publications in peer-reviewed journals. With the latest NIH grant, he has now received six federal grants totaling $10 million, including three NIH R01 grants in the past eight years to support the inhalation therapeutics research.

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