Research Appraisalother

Toward animal-free approaches in subcutaneous drug delivery: A pain management case study.

Journal of controlled release : official journal of the Controlled Release SocietyEugster, Remo, Manten, Niklaas, Buttitta, Giorgio et al.10 June 2026DOI

Clinical Snapshot

70CEBM
Evidence: Moderateother

PICO Framework

P — PopulationPreclinical drug development models (ex vivo skin models, 3D-printed constructs, agarose hydrogels, rodent datasets)
I — InterventionAnimal-free experimental and computational approaches for subcutaneous drug delivery testing
C — ComparatorTraditional animal testing methods for pharmacokinetic assessment
O — OutcomesDrug release profiles, pharmacokinetic parameter prediction accuracy, translational relevance to in vivo data

Bottom Line

This methodological study presents a promising framework combining ex vivo models, 3D-printed constructs, and machine learning to reduce animal testing in subcutaneous drug delivery development. While the multi-modal approach addresses important ethical and regulatory needs, the abstract provides limited statistical validation data. The framework shows potential for pharmaceutical development, particularly given increasing regulatory support for animal alternatives. However, more comprehensive validation studies with detailed statistical analysis would strengthen confidence in these methods. The approach aligns well with Australian regulatory trends toward 3Rs implementation, though practical adoption will require investment in specialized equipment and computational resources. Clinicians should view this as an important step toward more ethical drug development rather than an immediately applicable clinical tool.

Evidence: Moderate

Key Findings

  • P Value: Not reported in abstract

  • Effect Size: Strong agreement between ML predictions and in vivo data (specific metrics not provided)

  • Primary Outcome: Development of animal-free framework for subcutaneous drug delivery testing

  • Nnt Or Sensitivity: Predictive accuracy of machine learning models for PK parameters (specific values not provided)

  • Confidence Interval: Not reported in abstract

Clinical Application

Requires specialized equipment (3D printing, computational resources) but potentially more accessible than animal studies Highly relevant to TGA regulatory framework supporting 3Rs principles and Australian pharmaceutical industry reducing animal testing requirements Pharmaceutical researchers and regulatory scientists developing subcutaneous drug delivery systems

Abstract

Subcutaneous (s.c.) administration offers practical advantages for long-acting drug delivery, yet its complex tissue environment, lack of standardized models, and limited regulatory guidance pose challenges for predicting pharmacokinetics (PK). Here, we present a complementary set of experimental and computational approaches to reduce reliance on animal testing while maintaining translational relevance. Ex vivo skin models captured the influence of tissue variability, while 3D-printed constructs and molded agarose hydrogels enabled standardized, reproducible in vitro drug release studies. In parallel, machine learning models trained on curated rodent datasets predicted key PK parameters with strong agreement to in vivo data, providing an alternative that bypasses additional animal experiments and resource-intensive assays. Finally, a liposomal carprofen formulation case study demonstrated the translational potential of these methods in veterinary applications. Together, these strategies illustrate routes toward animal-free drug development: simplified experimental systems that mimic s.c. release and computational models that predict systemic PK. By combining them conceptually, we outline a framework that advances the 3Rs principles while supporting mechanistic and predictive understanding of s.c. drug delivery.

References

  1. 1.Eugster, R., Manten, N., Buttitta, G., Chwatal, G., Schürch, S., Bergadano, A., Aleandri, S., & Luciani, P. (2026). Toward animal-free approaches in subcutaneous drug delivery: A pain management case study. Journal of Controlled Release, 114863. https://doi.org/10.1016/j.jconrel.2026.114863
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