Local delivery of chemotherapy: innovative technologies and materials for local chemotherapy platforms

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Background. Drug delivery systems are becoming an increasingly popular strategy to enhance the effectiveness of cancer treatment while reducing the systemic toxicity of chemotherapy. In recent years, the development of biomaterials and technologies for fabricating platforms (carriers) for controlled drug release has emerged as a key interdisciplinary research area at the intersection of materials science and oncology, leading to novel methods of carrier fabrication and drug incorporation.

Aim. To structure available data on the relationship between drug incorporation methods, platform fabrication techniques, and the resulting structural and functional properties of the carriers.

Materials and methods. Databases including Google Scholar, PubMed, Scopus, and ClinicalTrials.gov were used to identify and analyze studies from the past decade reporting on localized drug delivery platforms for cancer therapy. The selected studies were compared based on parameters such as porous and macrostructural morphology of the carriers, physicochemical characteristics, and controlled drug release profiles.

Results. It was found that drug release kinetics and duration depend on three main factors: the fabrication method of the carrier, its morphology (especially porosity), and the chemical composition of the polymer. Electrospinning of synthetic polymers is the most frequently applied method, enabling adjustable porosity and high specific surface area.

Conclusion. According to the reviewed studies, local drug delivery using carrier platforms contributes to an effective reduction in tumor cell proliferation and to the limitation of metastasis. This is associated with the achievement of higher and more sustained drug concentrations at the tumor site while simultaneously reducing circulating drug levels in the body, thereby decreasing systemic toxicity and increasing median overall survival. The advantages of local chemotherapy delivery, combined with technological advances, offer broad prospects for the development of safer and more effective chemotherapy strategies.

About the authors

Amina A. Voznyuk

National University of Science and Technology “MISIS”

Email: koudan1568@yandex.ru
ORCID iD: 0009-0001-7549-5947
Russian Federation, 4 Leninsky Prospekt, Moscow 119049

Elizaveta G. Glinskaia

National University of Science and Technology “MISIS”

Email: koudan1568@yandex.ru
ORCID iD: 0000-0001-8246-9846
Russian Federation, 4 Leninsky Prospekt, Moscow 119049

Egor S. Demidov

National University of Science and Technology “MISIS”

Email: koudan1568@yandex.ru
ORCID iD: 0009-0000-7935-7931
Russian Federation, 4 Leninsky Prospekt, Moscow 119049

Maksim E. Lugovoi

National University of Science and Technology “MISIS”

Email: www111www6376@gmail.com
ORCID iD: 0009-0007-7160-7802
Russian Federation, 4 Leninsky Prospekt, Moscow 119049

Elizaveta V. Koudan

National University of Science and Technology “MISIS”

Author for correspondence.
Email: koudan1568@yandex.ru
ORCID iD: 0000-0001-9377-8118
Russian Federation, 4 Leninsky Prospekt, Moscow 119049

References

  1. Larrañeta E., Singh T.R.R., Donnelly R.F. Overview of the clinical current needs and potential applications for long-acting and implantable delivery systems. Long-Acting Drug Delivery Systems. Woodhead Publishing. 2022:1–16. doi: 10.1016/B978-0-12-821749-8.00005-7
  2. Wolinsky J.B., Colson Y.L., Grinstaff M.W. Local drug delivery strategies for cancer treatment: gels, nanoparticles, polymeric films, rods, and wafers. J Control Release 2012;159(1):14–26. doi: 10.1016/j.jconrel.2011.11.031
  3. Feng S.S., Chien S. Chemotherapeutic engineering: application and further development of chemical engineering principles for chemotherapy of cancer and other diseases. Chem Eng Sci 2003;58(18):4087–114. doi: 10.1016/S0009-2509(03)00234-3
  4. Gottesman M.M., Fojo T., Bates S.E. Multidrug resistance in cancer: role of ATP-dependent transporters. Nat Rev Cancer 2002;2(1):48–58. doi: 10.1038/nrc706
  5. Hamid H.A., Ostrovsky O.V., Zykova E.V., Speransky D.L. Targeted drug delivery systems in breast cancer chemotherapy. Vestnik VolGMU = Journal of Volgograd State Medical University 2021;1:12–6. (In Russ.). doi: 10.19163/1994-9480-2021-1(77)-12-16
  6. Danhier F. To exploit the tumor microenvironment: Since the EPR effect fails in the clinic, what is the future of nanomedicine? J Control Release 2016;244(Pt A):108–21. doi: 10.1016/j.jconrel.2016.11.015
  7. Langer R., Peppas N.A. Advances in biomaterials, drug delivery, and bionanotechnology. AICHE J 2003;49(12):2990–3006. doi: 10.1002/aic.690491202
  8. Severin E.S. New approaches to targeted drug delivery to tumour cells. Uspekhi khimii = Russ Chem Rev 2015;84(1):43–60. (In Russ.). doi: 10.1070/RCR4468
  9. Postnov V.N., Naumysheva E.B., Korolev D.V., Galagudza M.M. Nanoscale carriers for drug delivery. Biotekhnosfera = Biotechnosphere 2013;6:16–27. (In Russ.).
  10. Pyataev N.A., Meltsaev G.G., Skopin P.I. et al. Targeted transport of antitumor chemopreparations: modern technologies and prospects of development. Povolzhskiy oncologicheskiy vestnik = Oncology Bulletin of the Volga Region 2012;3:47–58. (In Russ.).
  11. Brem H. Polymers to treat brain tumours. Biomater 1990;11(9):699–701. doi: 10.1016/0142-9612(90)90030-t
  12. Strobel O., Neoptolemos J., Jäger D., Büchler M.W. Optimizing the outcomes of pancreatic cancer surgery. Nat Rev Clin Oncol 2019;16(1):11–26. doi: 10.1038/s41571-018-0112-1
  13. Talebian S., Foroughi J., Wade S.J. et al. Biopolymers for antitumor implantable drug delivery systems: recent advances and future outlook. Adv Mater 2018;30(31):e1706665. doi: 10.1002/adma.201706665
  14. Obayemi J.D., Jusu S.M., Salifu A.A. et al. Degradable porous drug-loaded polymer scaffolds for localized cancer drug delivery and breast cell/tissue growth. Mater Sci Eng C Mater Biol Appl 2020;112:110794. doi: 10.1016/j.msec.2020.110794
  15. Indolfi L., Ligorio M., Ting D.T. et al. A tunable delivery platform to provide local chemotherapy for pancreatic ductal adenocarcinoma. Biomaterials 2016;93:71–82. doi: 10.1016/j.biomaterials.2016.03.044
  16. Youssef S.H., Kim S., Khetan R. et al. The development of 5-fluorouracil biodegradable implants: a comparative study of PCL/PLGA blends. J Drug Deliv Sci Tec 2023;81:104300. doi: 10.1016/j.jddst.2023.104300
  17. Fleming A.B., Saltzman W.M. Pharmacokinetics of the carmustine implant. Clin Pharmacokinet 2002;41:403–19. doi: 10.2165/00003088-200241060-00002
  18. Coburn J., Harris J., Zakharov A.D. et al. Implantable chemotherapy-loaded silk protein materials for neuroblastoma treatment. Int J Cancer 2017;140(3):726–35. doi: 10.1002/ijc.30479
  19. Chen H., Wu J., Rahman M.S.U. et al. Dual drug-loaded PLGA fibrous scaffolds for effective treatment of breast cancer in situ. Biomater Adv 2023;148:213358. doi: 10.1016/j.bioadv.2023.213358
  20. Hsu M.Y., Hsieh C.H., Huang Y.T. et al. Enhanced paclitaxel efficacy to suppress triple-negative breast cancer progression using metronomic chemotherapy with a controlled release system of Electrospun Poly-DL-Lactide-co-glycolide (PLGA) nanofibers. Cancers (Basel) 2021;13(13):3350. doi: 10.3390/cancers13133350
  21. Ramachandran R., Junnuthula V R., Gowd G.S. et al. Theranostic 3-Dimensional nano brain-implant for prolonged and localized treatment of recurrent glioma. Sci Rep 2017;7(1):43271. doi: 10.1038/srep43271
  22. Wang X., Wang L., Zong S. et al. Use of multifunctional composite nanofibers for photothermalchemotherapy to treat cervical cancer in mice. Biomater Sci 2019;7(9):3846–54. doi: 10.1039/C9BM00756C
  23. Darbasizadeh B., Mortazavi S.A., Kobarfard F. et al. Electrospun Doxorubicin-loaded PEO/PCL core/sheath nanofibers for chemopreventive action against breast cancer cells. J Drug Delivery Sci Technol 2021;64(1):102576. doi: 10.1016/j.jddst.2021.102576
  24. Han D., Serra R., Gorelick N. et al. Multi-layered core-sheath fiber membranes for controlled drug release in the local treatment of brain tumor. Sci Rep 2019;9(1):17936. doi: 10.1038/s41598-019-54283-y
  25. Zhao J., Zhu Y., Ye C. et al. Photothermal transforming agent and chemotherapeutic co-loaded electrospun nanofibers for tumor treatment. Int J Nanomedicine 2019;14:3893–909. doi: 10.2147/IJN.S202876
  26. Martorana A., Puleo G., Miceli G.C. et al. Redox/NIR dual-responsive glutathione extended polyurethane urea electrospun membranes for synergistic chemo-photothermal therapy. Int J Pharm 2025;669:125108. doi: 10.1016/j.ijpharm.2024.125108
  27. Wei W., Zarghami N., Abasi M. et al. Implantable magnetic nanofibers with ON–OFF switchable release of curcumin for possible local hyperthermic chemotherapy of melanoma. J Biomed Mater Res A 2022;110(4):851–60. doi: 10.1002/jbm.a.37333
  28. Li J., Zhu J., Jia L. et al. Aqueous-based electrospun P (NIPAAm-co-AAc)/RSF medicated fibrous mats for dual temperature-and pH-responsive drug controlled release. RSC Adv 2020;10(1):323–31. doi: 10.1039/C9RA08832F
  29. Park J.H., Seo H., Kim D.I. et al. Gold nanocage-incorporated poly(ε-caprolactone)(PCL) fibers for chemophotothermal synergistic cancer therapy. Pharmaceutics 2019;11(2):60. doi: 10.3390/pharmaceutics11020060
  30. Li L., Yang G., Zhou G. et al. Thermally switched release from a nanogel-in-microfiber device. Adv Healthc Mater 2015;4(11):1658–63. doi: 10.1002/adhm.201500267
  31. Yan E., Jiang J., Yang X. et al. pH-sensitive core-shell electrospun nanofibers based on polyvinyl alcohol/polycaprolactone as a potential drug delivery system for the chemotherapy against cervical cancer. J Drug Delivery Sci Technol 2019;55:101455. doi: 10.1016/j.jddst.2019.101455
  32. Federico S., Martorana A., Pitarresi G. et al. Development of stimulus-sensitive electrospun membranes based on novel biodegradable segmented polyurethane as triggered delivery system for doxorubicin. Biomater Adv 2022;136:212769. doi: 10.1016/j.bioadv.2022.212769
  33. Lahr C.A., Landgraf M., Sanchez-Herrero A. et al. A 3D-printed biomaterials-based platform to advance established therapy avenues against primary bone cancers. Acta Biomater 2020;118:69–82. doi: 10.1016/j.actbio.2020.10.006
  34. Dang H.P., Shafiee A., Lahr C.A. et al. Local doxorubicin delivery via 3D‐printed porous scaffolds reduces systemic cytotoxicity and breast cancer recurrence in mice. Adv Therap 2020;3(9):2000056. doi: 10.1002/adtp.202000056
  35. Wang Y., Sun L., Mei Z. et al. 3D printed biodegradable implants as an individualized drug delivery system for local chemotherapy of osteosarcoma. Mater Des 2020;186:108336. doi: 10.1016/j.matdes.2019.108336
  36. Yi H.G., Choi Y.J., Kang K.S. et al. A 3D-printed local drug delivery patch for pancreatic cancer growth suppression. J Control Release 2016;238:231–41. doi: 10.1016/j.jconrel.2016.06.015
  37. Wei X., Liu C., Wang Z., Luo Y. 3D printed core-shell hydrogel fiber scaffolds with NIR-triggered drug release for localized therapy of breast cancer. Int J Pharm 2020;580:119219. doi: 10.1016/j.ijpharm.2020.119219
  38. Liu C., Wang Z., Wei X. et al. 3D printed hydrogel/PCL core/shell fiber scaffolds with NIR-triggered drug release for cancer therapy and wound healing. Acta Biomater 2021;131:314–25. doi: 10.1016/j.actbio.2021.07.011
  39. Bozuyuk U., Yasa O., Yasa I.C. et al. Light-triggered drug release from 3D-printed magnetic chitosan microswimmers. ACS nano 2018;12(9):9617–25. doi: 10.1021/acsnano.8b05997
  40. Kong X., Houzong R., Fu J. et al. Application of a novel thermo-sensitive injectable hydrogel in therapy in situ for drug accurate controlled release. J Biomed Mater Res B Appl Biomater 2020;108(8):3200–16. doi: 10.1002/jbm.b.34658
  41. Alexander A., Ajazuddin A., Khan J. et al. Formulation and evaluation of chitosan-based long-acting injectable hydrogel for PEGylated melphalan conjugate. J Pharm Pharmacol 2014;66(9):1240–50. doi: 10.1111/jphp.12262
  42. Al Sabbagh C., Seguin J., Agapova E. et al. Thermosensitive hydrogels for local delivery of 5-fluorouracil as neoadjuvant or adjuvant therapy in colorectal cancer. Eur. J. Pharm. Biopharm 2020;157:154–64. doi: 10.1016/j.ejpb.2020.10.011
  43. Yang X., Chen X., Wang Y. et al. Sustained release of lipophilic gemcitabine from an injectable polymeric hydrogel for synergistically enhancing tumor chemoradiotherapy. J Chem Eng 2020;396:125320. doi: 10.1016/j.cej.2020.125320
  44. Zentner G.M., Rathi R., Shih C. et al. Biodegradable block copolymers for delivery of proteins and water-insoluble drugs. J Control Release 2001;72(1–3):203–15. doi: 10.1016/S0168-3659(01)00276-0
  45. Zhou S., Zheng X., Yi K. et al. Temperature-ion-pH triple responsive gellan gum as in situ hydrogel for long-acting cancer treatment. Gels 2022;8(8):508. doi: 10.3390/gels8080508
  46. Xu X., Huang Z., Huang Z. et al. Injectable, NIR/pH-responsive nanocomposite hydrogel as long-acting implant for chemophotothermal synergistic cancer therapy. ACS Appl Mater Interfaces 2017;9(24):20361–75. doi: 10.1021/acsami.7b02307
  47. Jo Y.J., Gulfam M., Jo S.H. et al. Multi-stimuli responsive hydrogels derived from hyaluronic acid for cancer therapy application. Carbohydr Polym 2022;286:119303. doi: 10.1016/j.carbpol.2022.119303
  48. Sun H., Choi D., Heo J. et al. Studies on the drug loading and release profiles of degradable chitosan-based multilayer films for anticancer treatment. Cancers 2020;12(3):593. doi: 10.3390/cancers12030593
  49. Hsu B.B., Park M.H., Hagerman S.R., Hammond P.T. Multimonth controlled small molecule release from biodegradable thin films. Proc Natl Acad Sci USA 2014;111(33):12175–80. doi: 10.1073/pnas.1323829111
  50. Voznyuk A.A., Makarets Y.A., Advakhova D.Y. et al. Biodegradable local chemotherapy platform with prolonged and controlled release of doxorubicin for the prevention of local tumor recurrence. ACS Appl Bio Mater 2024;7(4):2472–87. doi: 10.1021/acsabm.4c00078
  51. Moreira A.F., Rodrigues C.F., Jacinto T.A. et al. Poly(vinyl alcohol)/chitosan layer-by-layer microneedles for cancer chemo-photothermal therapy. Int J Pharm 2020;576:118907. doi: 10.1016/j.ijpharm.2019.118907
  52. Jiang Y., Jin Y., Feng C. et al. Engineering hyaluronic acid microneedles loaded with Mn2+ and temozolomide for topical precision therapy of melanoma. Adv Healthc Mater 2024;13(8):2303215. doi: 10.1002/adhm.202303215
  53. Shaha S., Rodrigues D., Mitragotri S. Locoregional drug delivery for cancer therapy: preclinical progress and clinical translation. J Control Release 2024;367:737–67. doi: 10.1016/j.jconrel.2024.01.072
  54. Zhang H., Tian Y., Zhu Z. et al. Efficient antitumor effect of co-drug-loaded nanoparticles with gelatin hydrogel by local implantation. Sci Rep 2016;6(1):26546. doi: 10.1038/srep26546
  55. Wang M., Chen J., Li W. et al. Paclitaxel-nanoparticles-loaded double network hydrogel for local treatment of breast cancer after surgical resection. Mater Sci Eng C Mater Biol Appl 2020;114:111046. doi: 10.1016/j.msec.2020.111046
  56. Sabino I.J., Lima-Sousa R., Alves C.G. et al. Injectable in situ forming hydrogels incorporating dual-nanoparticles for chemo-photothermal therapy of breast cancer cells. Int J Pharm 2021;600:120510. doi: 10.1016/j.ijpharm.2021.120510
  57. Mohebian Z., Babazadeh M., Zarghami N., Mousazadeh H. Anticancer efficiency of curcumin-loaded mesoporous silica nanoparticles/nanofiber composites for potential postsurgical breast cancer treatment. J Drug Deliv Sci Technol 2021;61:102170. doi: 10.1016/j.jddst.2020.102170
  58. Wilhelm S., Tavares A.J., Dai Q. et al. Analysis of nanoparticle delivery to tumours. Nat Rev Mater 2016;1(5):16014. doi: 10.1038/natrevmats.2016.14
  59. Wang X., Burgess D.J. Drug release from in situ forming implants and advances in release testing. Adv Drug Deliv Rev 2021;178:113912. doi: 10.1016/j.addr.2021.113912
  60. Lugovoi M.E., Karshieva S.S., Usatova V.S. et al. The design of the spheroids-based in vitro tumor model determines its biomimetic properties. Biomater Adv 2025;169:214178. doi: 10.1016/j.bioadv.2025.214178
  61. Shapira-Furman T., Serra R., Gorelick N. et al. Biodegradable wafers releasing Temozolomide and Carmustine for the treatment of brain cancer. J Control Release 2019;295:93–101. doi: 10.1016/j.jconrel.2018.12.048
  62. Yanev P., van Tilborg G.A.F., Boere K.W.M. et al. Thermosensitive biodegradable hydrogels for local and controlled cerebral delivery of proteins: MRI-based monitoring of in vitro and in vivo protein release. ACS Biomater Sci Eng 2023;9(2):760–72. doi: 10.1021/acsbiomaterials.2c01224
  63. Ostergaard J., Nielsen L.H., Larsen S.W. et al. Development of a bio-relevant in vitro release testing method for subcutaneous and intramuscular oil depot formulations. J Drug Deliv Sci Technol 2024;102:106412. doi: 10.1016/j.jddst.2024.106412
  64. Sintzel M.B., Merkli A., Tabatabay C., Gurny R. Influence of irradiation sterilization on polymers used as drug carriers – a review. Drug Dev Ind Pharm 2008;23(9):857–78. doi: 10.3109/03639049709148693
  65. United States Pharmacopeia. Bacterial Endotoxins Test < 85>. USP-NF. 2017. doi: 10.31003/uspnf_m98830_02_01
  66. ICH Harmonised Tripartite Guideline Q1A(R2): Stability Testing of New Drug Substances and Products. International Conference on Harmonisation. 2003 URL: https://pharmadvisor.ru/document/tr3520/.
  67. Guidance for Industry: Container Closure Systems for Packaging Human Drugs and Biologics. U.S. Food and Drug Administration. 1999. URL: https://www.fda.gov/media/70788/download.
  68. GLIADEL® WAFER (carmustine implant), for intracranial use. U.S. Food and Drug Administration. 2018. URL: https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/020637s029lbl.pdf.
  69. About ClinicalTrials.gov. National Library of Medicine. 2025 updated: June 0, 2024. URL: https://clinicaltrials.gov/about-site/about-ctg.
  70. Bastiancich C., Malfanti A., Préat V., Rahman R. Rationally designed drug delivery systems for the local treatment of resected glioblastoma. Adv Drug Deliv Rev 2021;177:113951. doi: 10.1016/j.addr.2021.113951

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2026 ABV-Press

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС77-53039 от  04.03.2013.