english questionnaire - World Health Organization

4. Goldberg, A.I., et al. (1998). Physician assessments of patient compliance with medical
treatment, Soc. Sci. Med., 47(11): 1873–1876.
5. Playle, J.F. and Keeley, P. (1998). Non-compliance and professional power, J. Adv. Nurs. 27: 304–
311.
6. Bredenberg, S., et al. (2003). In vitro and in vivo evaluation of a new sublingual tablet system for
rapid oramucosal absorption using fentanyl citrate as the active substance, Eur. J. Pharm.
Biopharm., 20: 327–334.
7. de Vries, M.E., et al. (1991). Developments in buccal drug delivery, Cri. Rev. Ther. Drug Carr. Sys.
8: 271–303.
8. Rathbone, M.J. and Hadgraft, J. (1991). Absorption of drugs from the human oral cavity, Int. J.
Pharm., 74: 9–24.
9. Squier, C.A. (1991). The permeability of oral mucosa, Cri. Rev. Oral Biol., Med. 2: 13–32.
10. Lee, H.J. (2002). Protein drug oral delivery: The recent progress, Arch. Pharm. Res., 25: 572–84.
11. Pillay, V. and Fassihi, R. (1999a). In vitro release modulation from crosslinked pellets for sitespecific
drug delivery to the gastrointestinal tract: I. Comparison of pH-responsive drug release
and associated kinetics, J. Contr. Rel., 59: 229–242.
(Approximately 400 words)
7.* Explain which new and innovative approaches and mechanisms to supporting
financing and coordination of R&D this project would demonstrate?
(This is a very important part to be filled. The idea of these demonstrations projects is
“to address identified gaps that disproportionately affect developing countries,
particularly the poor, and for which immediate action can be taken” (WHA66.22). 66 th
WHA considered these demonstration projects as part of the efforts to “take forward
action in relation to monitoring, coordination and financing for health research and
development”. The assembly decided to identify such projects that: “(a) address
identified research and development gaps related to discovery, development and/or
delivery, including promising product pipelines, for diseases that disproportionally
affect developing countries, particularly the poor, and for which immediate action can
be taken; (b) utilize collaborative approaches, including open-knowledge approaches,
for research and development coordination; (c) promote the de-linkage of the cost of
research and development from product price; and (d) propose and foster financing
mechanisms including innovative, sustainable and pooled funding; (2) The
demonstration projects should provide evidence for long-term sustainable solutions.”)
Address research and development gaps:
This project aims to design and develop an ultra-fast disintegrating WaferMat formulation that
utilizes and alternative platform with several differentiating features for optimal buccal
administration of antiretrovirals in paediatric HIV. The proposed WaferMat formulation is designed
for oral antiretroviral drug delivery directly into the systemic circulation via the buccal mucosa
(inside of the cheek) and avoids the GIT issues as highlighted earlier. The WaferMat is envisaged to
be a small (8x3mm 2 ) disc-shaped formulation that can be placed on the inside of the cheek where it
dissolves in less than 3 seconds. There is no risk of accidentally swallowing the WaferMat because
it rapidly adheres to the buccal mucosa while dissolving. The antiretroviral drug is released and
absorption occurs through the inside of the cheek and reaches the systemic circulation without
drug been swallowed. This strategy is crucial since antiretroviral drugs have poor solubility and
permeability when delivered orally to the GIT. There are a few orodispersible adult dosage forms
4