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Development of wound care formulations for PVP/NO: A novel nitric oxide releasing platform with potent antimicrobial and anti-biofilm properties

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 1R43AI145770-01A1
Agency Tracking Number: R43AI145770
Amount: $299,356.00
Phase: Phase I
Program: SBIR
Solicitation Topic Code: NIAID
Solicitation Number: PA19-272
Solicitation Year: 2019
Award Year: 2020
Award Start Date (Proposal Award Date): 2020-09-04
Award End Date (Contract End Date): 2021-08-31
Small Business Information
950 DANBY RD STE 300
Ithaca, NY 14850-5714
United States
DUNS: 824978477
HUBZone Owned: No
Woman Owned: No
Socially and Economically Disadvantaged: No
Principal Investigator
 (607) 330-2307
Business Contact
Phone: (607) 227-7522
Research Institution

The central goal of this SBIR research effort is to advance and commercialize a novel biomaterial with a nitric
oxide (NO)-based delivery system for the wound care market. This Phase I proposal will build on iFyber’s
strong preliminary data for this biomaterial as a potent antimicrobial and anti-biofilm platform. Specifically,
through past in vitro studies, iFyber has shown this system to exhibit excellent antibacterial and anti-biofilm
properties as evidenced by both in vitro and ex vivo biofilm models where it significantly outperforms
commercially available wound care dressings for Gram positive/negative bacteria, yeast, and mold. Results
form pilot animal studies have shown activity of this system, in vivo, but have highlighted formulation
development as a key focus area prior to advancing the technology further. If funded, iFyber aims to use this
Phase I project to advance effective and wound-relevant topical formulations that provide stable and sustained
NO-release. These formulations will be further advanced in a full battery of animal studies planned for Phase II.
Nitric oxide-releasing technologies offer a compelling alternative to standard antimicrobial treatments and
antibiotics currently used to combat infection in wounds. Our current data set clearly demonstrate the potential
clinical utility of PVP/NO in addressing microbial infection in general, and more importantly, prevention and
treatment of microbial biofilms that plague chronic skin wounds. An important milestone for this Phase I project
will be to expand on the PVP/NO technology by developing candidate PVP/NO-based topical formulations
that will serve as a non-antibiotic prophylactic treatment against microbial infection and as a treatment
for chronically infected wounds – two unmet needs within the wound care field.
Completion of Phase I efforts will result in a compelling data set that outlines the efficacy and defines the
minimal requirements for product formulation in terms of topical application. Together, these studies will help in
the transition to broader Phase II studies aimed to support entry of a PVP/NO-based product into the FDAandapos;s
regulatory process. iFyber will address the efficacy of the newly developed formulations of the NO-releasing
biomaterial through the Phase I aims and tasks outlined below:
AIM 1. Identify lead and contingency topical formulations through a screening campaignTask 1. Screen PVP/NO-based topical formulations for adherence to target product profile (TPP)requirements. Past Randamp;D efforts have established that NO release from the PVP/NO is rapid if notprotected from simultaneous exposure to H+/water. This can be difficult to control, in vivo, wheresustained release is desired. This can be done by controlling the exposure of PVP/NO to H+/water as wehave recently shown through a balanced hydrophilicity-lipophilicity organic acid “BHLOA” approach tocontrolling pH change in these systems. In Phase I we will build on these preliminary findings by furtheradvancing the BHLOA formulation approach to provide lead and back up PVP/NO formulations that willbe selected based on test results from the NO-release and ex vivo model studies (Task 2) followed bypilot in vivo studies (Tasks 3 and 4).Task 2. Verify anti-biofilm efficacy and select lead and contingency formulations. The goal of thistask is to evaluate the efficacy of the candidate formulations from Task 1 in an ex vivo porcine dermalmodel of biofilm to define suitable antimicrobial and anti-biofilm semi-solid dressings for wounds. A maingoal in this task will be to down-select formulations for pilot animal studies (Tasks 3 and 4).
AIM 2. Guide PVP/NO prototype development through pre-clinical pilot studies
Task 3. Conduct in vivo testing on selected formulations. Promising formulations identified through
Tasks 1-2 will be evaluated in two pilot in vivo studies conducted in the laboratory of Prof. Steven Davis
at the University of Miami. These studies will establish efficacy in biofilm prevention (study 1) and
reduction in an existing biofilm-associated infection (study 2), and results of these studies will help to
further down-select PVP/NO formulations for future Phase II development.
Task 4. Determine the baseline in vivo biocompatibility profile of PVP/NO. In addition to assessing
infection prevention and anti-biofilm efficacy, the effects of the candidate PVP/NO formulations on non-
infected wounds will also be assessed with respect to the wound healing process (study 3); specifically,
inflammatory response, erythema, re-epithelialization, granulation tissue formation, and initial molecular
screens for healing and inflammatory processes.Project NarrativeAcute wounds as well as chronic, slow-healing wounds are aggravated by relentless microbial
infections that promote remarkable tolerance to classical anti-infectious treatments, including systemic and
topical antibiotics, and general topical biocides. The reason for this tolerance has been attributed to microbial
biofilms, which are complex microbial communities with numerous protective mechanisms that make treatment
difficult. The current SBIR research effort aims to advance the development of a new class of biomaterial for
the prevention and treatment of both acute and chronic wound infections using a novel active ingredient that is
expected to improve treatment and patient health with improved outcomes by addressing the biofilm
component of microbial infections.

* Information listed above is at the time of submission. *

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