Evidence map›Paper›PMID 42026374›Full record

ArticlePharmaceutical research2026

Mucolytic Core-Shell Particles to Boost Levofloxacin Penetration Through the Mucus Barrier in Cystic Fibrosis.

Valentina Ruggiero, Francesca Mariano, Domenico Larobina, Gaetano D'Avino, Marco Trofa, Consiglia Tedesco, Pasquale Del Gaudio, Paola Russo

Abstract read
In one paragraph

Article in Pharmaceutical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Valentina RuggieroDepartment of Pharmacy, University of Salerno, Via Giovanni Paolo II, 132, Fisciano, 84084, Italy.
Francesca MarianoDepartment of Pharmacy, University of Salerno, Via Giovanni Paolo II, 132, Fisciano, 84084, Italy.
Domenico LarobinaInstitute of Polymers, Composites and Biomaterials, National Reasearch Council of Italy, P.Le E. Fermi, 1, Portici, 80055, Italy.
Gaetano D'AvinoDipartimento Di Ingegneria Chimica, Dei Materiali E Della Produzione Industriale, Università Degli Studi Di Napoli Federico II, P.Le Tecchio 80, Naples, 80125, Italy.
Marco TrofaDipartimento Di Ingegneria Chimica, Dei Materiali E Della Produzione Industriale, Università Degli Studi Di Napoli Federico II, P.Le Tecchio 80, Naples, 80125, Italy.
Consiglia TedescoDepartment of Chemistry and Biology "A. Zambelli", University of Salerno, Fisciano, SA, 84084, Italy.
Pasquale Del GaudioDepartment of Pharmacy, University of Salerno, Via Giovanni Paolo II, 132, Fisciano, 84084, Italy.
Paola RussoDepartment of Pharmacy, University of Salerno, Via Giovanni Paolo II, 132, Fisciano, 84084, Italy. paorusso@unisa.it.ORCID http://orcid.org/0000-0002-4362-4388

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca code P2022ALA55Ministero dell'Istruzione, dell'Università e della Ricerca CUP D53D23021540001
6 · The paper itself

Abstract

purposeThe purpose of this study was to investigate multi-fluid spray drying as a formulation strategy to engineer inhalable microparticles containing levofloxacin and mucolytic agents, and to evaluate how formulation and process parameters influence particle properties, aerosol performance, and drug release under mucus-relevant conditions.

methodsMicroparticles containing levofloxacin in combination with mucolytic agents were produced using a mini spray dryer equipped with a triple-fluid nozzle. Different compositions and particle architectures were obtained by varying formulation and excipient allocation. The resulting powders were characterized in terms of morphology, bulk, tapped and true density, aerodynamic performance, and in vitro drug release evaluated both in the absence and presence of a mucus layer.

resultsAmbroxol showed greater suitability for spray drying than N-acetylcysteine, resulting in markedly higher process yields (up to 74%). The incorporation of L-leucine as a functional excipient reduced particle agglomeration and improved powder handling and aerosolization, with fine particle fractions exceeding 38% for leucine containing formulations. Drug release experiments demonstrated that spray drying altered release behaviour under diffusion limiting conditions imposed by a mucus layer compared to dissolution under sink conditions.

conclusionsOverall, the results indicate that multi-fluid spray drying enables effective modulation of the physicochemical and aerodynamic properties of inhalable microparticles. This study provides mechanistic insight into how formulation composition and process design influence particle behaviour in mucus-relevant environments, supporting the use of this approach as a flexible platform for the development of inhalable formulations.

Indexed as

Anti-Bacterial AgentsCystic FibrosisExpectorantsLevofloxacinMucusAcetylcysteineAdministration, InhalationAerosolsAmbroxolChemistry, PharmaceuticalDrug CompoundingDrug LiberationDry Powder InhalersExcipientsHumansLeucineAcetylcysteineAerosolsAmbroxolAnti-Bacterial AgentsExcipientsExpectorantsLeucineLevofloxacinPowdersantibioticscystic fibrosisdry powder inhalermucolyticsspray drying

Identifiers

PMID42026374
PMCPMC13269302

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.