Library · Biology & lab methods

What Targeted Drug Delivery Systems got wrong, from 43 theses

Summary written by a model from the records below: The records evaluate various targeted drug delivery systems across physiological barriers, carrier formulations, and administration routes. Many approaches encountered significant hurdles including rapid clearance from target sites, structural instability of delivery carriers, impaired pulmonary distribution, and ineffective cellular uptake. These records come from graduate theses, 2021 to 2026, each labeled with its degree where the repository states it, and each links to its thesis. They were extracted by language models reading the full text, so treat each as a lead to read, not a verdict.

43
theses
17
institutions
49
failure records
6
failure modes

Plus 10 problems the authors left open, listed at the end.

Failure modes, by theses reporting them

Select a mode to jump to its records.

Rapid clearance and lack of retention undermine unencapsulated or unmodified therapeutics
12
12 theses · 7 institutions · 13 records
Carrier instability, membrane leakage, and processing defects disrupt formulation delivery
10
10 theses · 6 institutions · 10 records
Suboptimal lipid and vector designs impair intracellular delivery and nucleic acid transfection
6
6 theses · 4 institutions · 7 records
Aerosolization and physical constraints hinder targeted pulmonary drug delivery
7
7 theses · 6 institutions · 7 records
Targeting ligands and surface conjugation fail to outperform unconjugated or full antibody controls
6
6 theses · 5 institutions · 7 records
Physiological transport barriers prevent delivery across vascular and blood-brain barriers
4
4 theses · 3 institutions · 5 records

Rapid clearance and lack of retention undermine unencapsulated or unmodified therapeutics

12 theses · 7 institutions

Unprotected small molecules, soluble cytokines, and unmodified nanoparticles frequently suffer from rapid tissue clearance and fail to accumulate in target sites such as lymph nodes or joints. Systemic and intra-articular administration of unencapsulated payloads leads to undetectable circulating concentrations, severe off-target organ clearance, and toxic inflammatory responses.

Tried and failed

Unconjugated small-molecule donor delivery applied to enhancing tissue nanoparticle penetration. Outcome: no signal. Reason: Free small molecule donor lacked targeted localization needed to modulate tracer uptake in vivo

Engineered biomaterials for drug delivery and therapeutic modulation in lymphatic tissues · Georgia Tech · PhD

Tried and failed

intravenous administration of rigid polymer nanoparticles applied to lymph node targeting and accumulation. Outcome: no signal. Reason: particles exhibited baseline-level accumulation and lacked preferential delivery over systemic clearance organs

Analysis of Nanomaterial Physiochemical Property Influences on Lymph Node Accumulation and Leukocyte Association · Georgia Tech · PhD

Considered and rejected

Considered and rejected: Intratumoral delivery of free STING agonists was rejected due to rapid washout, lack of cell selectivity, and failure to address systemic occult metastases.

An Ultra-pH-Sensitive Logic Decodes Cancer Imaging and Immunotherapy · UT Southwestern · Doctorate

Tried and failed

immunogen delivery without membrane-anchoring tag applied to protein subunit vaccine delivery. Outcome: worse than baseline. Reason: rapid clearance from injection site resulted in negligible sustained follicular dendritic cell accumulation

Investigating the impact of vaccine formulations on humoral response via single-cell analysis · MIT · PhD

Tried and failed

low-dose soluble cytokine delivery applied to sustained macrophage phenotype repolarization. Outcome: no signal. Reason: rapid clearance and lack of sustained presentation fail to maintain persistent activation phenotypes

Macrophage-hitchhiking Anisotropic Microparticles for Therapeutic and Diagnostic Applications · MIT · PhD

Tried and failed

surface modification for sustained drug release applied to mesoporous biomaterial vaccine delivery systems. Outcome: did not generalise. Reason: in vitro release kinetics failed to predict in vivo rapid clearance indistinguishable from unmodified controls

Developing strategies to enhance immune responses induced by mesoporous silica rod vaccines · Harvard · PhD

Tried and failed

intra-articular injection for systemic drug delivery applied to bacteriophage systemic pharmacokinetic tracking. Outcome: no signal. Reason: circulating concentrations remained below the limit of detection following local intra-articular administration

DEFINING BACTERIOPHAGE DOSING AND PHARMACOKINETIC PARAMETERS FOR STAPHYLOCOCCUS EPIDERMIDIS PROSTHETIC JOINT INFECTION · Harvard · Master's

Tried and failed

direct unencapsulated cell injection applied to joint cartilage repair in osteoarthritis. Outcome: worse than baseline. Reason: lack of biomaterial encapsulation reduced therapeutic retention and sustained chondroprotective paracrine signaling

Identification of cellular attributes that relate to the therapeutic efficacy of Mesenchymal Stromal Cells for treatment of Osteoarthritis · Georgia Tech · PhD

Considered and rejected

Considered and rejected: Liposome and systemic delivery of PRR/STING agonists were rejected due to off-target hepatic/renal clearance and systemic inflammatory toxicity

Cellular Localization Of Inflammatory Signaling As A Determinant Of Tumor-Immune Biology · Penn · PhD

Tried and failed

uncoated protein nanoparticle delivery applied to intranasal mucosal vaccination. Outcome: worse than baseline. Reason: lack of mucoadhesive or mucodiffusive coatings led to rapid clearance and poor long-term systemic humoral responses

Surface Engineering of Protein Nanoparticles for Intranasal Delivery · Georgia Tech · PhD

Considered and rejected

Considered and rejected: Unmodified/non-PEGylated nanoparticles were rejected for vaginal delivery applications due to inducing neutrophil infiltration into the vaginal lumen and showing inferior retention compared to PEG-functionalized mucus-penetrating particles.

Engineering placenta-tropic VEGF mRNA lipid nanoparticles for the treatment of pre-eclampsia · Penn · PhD

Tried and failed

systemic unencapsulated small molecule drug delivery applied to lymphatic vessel function stimulation. Reason: lack of tissue specificity caused severe off-target toxicity and failed to improve local vessel pumping

Engineered biomaterials for drug delivery and therapeutic modulation in lymphatic tissues · Georgia Tech · PhD

Tried and failed

water-in-oil emulsion delivery applied to peptide antigen lymph node targeting. Outcome: worse than baseline. Reason: did not enhance lymphatic drainage or lymph node accumulation compared to free peptides

Protein Engineering for Personalized therapy and diagnosis · EPFL · PhD

Carrier instability, membrane leakage, and processing defects disrupt formulation delivery

10 theses · 6 institutions

Nanoparticles and liposomes often fail due to premature payload leakage, shell dissolution in acidic conditions, or physical disruption during microfluidic scale-up. In addition, mechanical issues such as nozzle clogging during printing and poor vehicle viscosity cause severe loss of injectability and reduced bioavailability.

Tried and failed

layer-by-layer polymer coating for sustained oligonucleotide delivery applied to in vivo target gene knockdown in wounds. Outcome: unstable. Reason: Transient initial knockdown was lost over extended timepoints due to inadequate sustained release or rapid target recovery

Systematic engineering of controlled, localized oligonucleotide delivery systems for wound angiogenesis · MIT · PhD

Tried and failed

chitosan coating for acid-resistant encapsulation applied to liposomal oral drug delivery. Outcome: unstable. Reason: rapid dissolution of chitosan coating in acidic gastric medium compromised payload retention

Synthesis and Characterization of Liposomes for pH-triggered Delivery of Hydrophilic and Lipophilic Bioactives · Cornell · PhD

Tried and failed

gas-pressurized jet injection of nanoparticles applied to mucosal tissue delivery. Reason: excessive delivery pressure caused gas backflow that stripped mucus and blew nanoparticles away from target tissue

High Velocity Delivery of Biologics from Self-Pressurized Oral Capsules to the Gastrointestinal Tract · Georgia Tech · PhD

Tried and failed

layer-by-layer assembly under mild ionic strength applied to nanoparticle coating for drug delivery. Outcome: worse than baseline. Reason: increased layer thickness hindered payload bioavailability and reduced therapeutic efficacy

Layer-by-Layer Nanoparticles for Cytokine Delivery · MIT · PhD

Tried and failed

nanoparticle formulation via microfluidic mixing applied to in vivo targeted mRNA delivery. Outcome: did not generalise. Reason: re-testing and scale-up drastically reduced encapsulation efficiency and shifted organ biodistribution from target to clearance organs

Design and Formulation Optimization of Lipid Nanoparticles Carrying MRNA to the Heart and the Pancreas · Georgia Tech · PhD

Tried and failed

suspending microparticles in pure low-viscosity vehicle applied to syringe delivery of microparticle suspensions. Reason: insufficient viscous drag force caused rapid particle sedimentation and complete loss of injectability

Microscale polymeric-based technologies for controlled vaccine delivery · MIT · PhD

Considered and rejected

Considered and rejected: Rejected using mRNA Spleen SORT formulations (containing 18:1 PA) for pDNA delivery because they exhibited poor pDNA encapsulation (24%) and misdirected tropism to the lungs

Engineering Lipid Nanoparticle-Mediated Delivery of Nucleic Acids to Lymphoid Organs and Immune Cells · UT Southwestern

Considered and rejected

Considered and rejected: Rejected using dendrimersomes as nanocarriers for small hydrophilic drug retention due to inherent membrane semipermeability to small molecules (<600 Da).

Self-assembled vesicular nanostructures for bacterial applications · Imperial · PhD

Considered and rejected

Considered and rejected: Rejected inkjet printing (IJP) for biomacromolecule delivery devices due to persistent nozzle clogging from protein adsorption and salt precipitation.

Implementing 3D Printing for the Long-Term Release of Biomacromolecules · Nottingham · PhD

Tried and failed

direct liposomal encapsulation without charge complexation applied to pore-forming antimicrobial peptides. Reason: failed to prevent membrane lytic activity and leakage prior to intended release

Activity-based molecular circuits for programmable medicine · Georgia Tech · PhD

Suboptimal lipid and vector designs impair intracellular delivery and nucleic acid transfection

6 theses · 4 institutions

Neutral, anionic, or poorly matched cationic lipid nanoparticle compositions fail to achieve efficient mRNA transfection or cellular delivery compared to optimized controls. Similarly, viral and non-viral vectors frequently suffer from low transduction efficiency, batch variability, or misdirected organ biodistribution.

Lost to a baseline

Non-charge modified proteins (e.g., nanobodies, affibodies, Omomyc) failed to achieve effective intracellular delivery using the K27-optimized B6 LNP formulation compared to K27-D30.

LIPID NANOPARTICLES ALLOW INTRACELLULAR PROTEIN DELIVERY FOR MODULATION OF DIFFICULT THERAPEUTIC TARGETS · Penn · PhD

Lost to a baseline

Cationic lipid library (e.g., X10-C12) and PEG-mediated RNP delivery achieved parity but failed to surpass control methods (TransIT-2020 and dried protein) in preliminary biolistic Cas9 RNP editing

Improving biolistic delivery for DNA and protein systems in plants · Iowa State · PhD

Lost to a baseline

Pfizer-BioNTech LNP underperformed Moderna LNP and IMD1/IMD2 in functional aVHH mRNA delivery across lymph node APCs.

Next-Generation Lipid Nanoparticle Formulations for Non-Liver Delivery of Nucleic Acid-Based Therapies and Vaccines · Georgia Tech · PhD

Tried and failed

neutral or anionic lipid nanoparticle formulation applied to systemic mRNA delivery to lungs. Outcome: no signal. Reason: neutral and anionic helper lipids failed to facilitate measurable pulmonary biodistribution or transfection

Next-Generation Lipid Nanoparticle Formulations for Non-Liver Delivery of Nucleic Acid-Based Therapies and Vaccines · Georgia Tech · PhD

Tried and failed

incorporating cationic cholesterol in lipid nanoparticles applied to intratumoral mRNA delivery. Outcome: worse than baseline. Reason: negatively enriched compared to neutral cholesterol formulations during in vivo screening

Translational Design of Lipid Nanoparticles (LNPs) to Deliver mRNA Therapies to Solid Tumors and to the Lungs · Georgia Tech · PhD

Lost to a baseline

18:0 TAP SORT LNPs exhibited lower lung selectivity (80%) and higher off-target liver/spleen delivery compared to 18:1 TAP SORT LNPs.

Elucidating the Impact of Endogenous Proteins on Lipid Nanoparticle Organ-Targeting Outcomes · UT Southwestern · Doctorate

Lost to a baseline

In vitro mRNA delivery with chitosan-IAA nanoparticles showed negligible GFP transfection compared to the Lipofectamine control.

Utilizing Combinatory Adjuvant-Loaded Chitosan-Derived Nanoparticles for a Joint SARS-CoV-2/Influenza Vaccine · Georgia Tech · PhD

Aerosolization and physical constraints hinder targeted pulmonary drug delivery

7 theses · 6 institutions

Inhalable formulations and nebulized nanoparticles frequently fail because concentrated suspensions clog delivery mesh pores or produce particle sizes too large for deep lung delivery. Furthermore, aerosol nebulization and intravenous routes achieve substantially lower pulmonary concentrations than local instillation or nasal delivery.

Tried and failed

intravenous delivery of large PEGylated nanoparticles applied to targeted delivery to lung tissue. Outcome: worse than baseline. Reason: intravenous administration resulted in substantially lower pulmonary biodistribution compared to local intrapulmonary administration

Engineering Protease Activity Sensors and Machine Learning Methods to Detect and Characterize Disease · Harvard · PhD

Tried and failed

vibrating mesh nebulization of concentrated lipid nanoparticles applied to pulmonary nucleic acid delivery. Reason: concentrated nanoparticle formulation clogged the vibrating mesh pores and abolished in vivo expression

Development of non-viral systems for pulmonary nucleic acid delivery and gene editing · UT Austin · PhD

Tried and failed

post-formulation concentration of high-peg nanoparticles applied to inhalable lipid nanoparticle mrna delivery. Outcome: worse than baseline. Reason: concentrating formulations with high peg content reduced lung and alveolar cell transfection efficacy

Translational Design of Lipid Nanoparticles (LNPs) to Deliver mRNA Therapies to Solid Tumors and to the Lungs · Georgia Tech · PhD

Tried and failed

spray drying with large nozzle diameter applied to inhalable microparticle formulation. Reason: produced particle sizes greater than 10 µm, unsuitable for deep lung delivery

Construction of a highly potent inhalable microparticles combination therapy to treat pulmonary tuberculosis · Imperial · PhD

Lost to a baseline

Medium VMN delivered a lower proportion of dose to the lung (25.4%) compared to intranasal MAD delivery (51.9%).

Respiratory immunisation and mucosal immunity against influenza · Oxford · PhD

Considered and rejected

Considered and rejected: Ultrasonic spray freeze-drying rejected in favour of pneumatic spray freeze-drying due to limitations in achieving sufficient fine particle fraction for pulmonary delivery.

Particle Engineering via Spray Freeze-Drying for Pulmonary Drug Delivery Applications · Politecnico di Torino · PhD

Considered and rejected

Considered and rejected: Rejected aerosol nebulizer delivery for antibody pulmonary bioavailability in favor of nasal drip because aerosolization achieved negligible lung concentration (0.026 vs 7.66 µg/mL) and required far more protein.

Contributions of antibodies binding defined epitopes to protection against B. pertussis and SARS-CoV-2 · UT Austin · PhD

Targeting ligands and surface conjugation fail to outperform unconjugated or full antibody controls

6 theses · 5 institutions

Conjugating single-chain antibody fragments or lower-density peptide blocks to nanoparticles often fails to improve cellular uptake or delivery potency compared to full monoclonal antibodies. In other cases, conjugation does not enhance local retention over free therapeutics, and broad tissue inflammation can suppress delivery pathways entirely.

Tried and failed

cell-specific targeting and dose escalation applied to overcoming inflammation-reduced nanoparticle delivery. Outcome: no signal. Reason: Inflammation broadly suppressed delivery pathways regardless of vehicle targeting or higher dosing.

UTILIZING HIGH-THROUGHPUT IN VIVO NANOPARTICLE SCREENS TO IMPROVE DRUG DELIVERY · Georgia Tech · PhD

Lost to a baseline

scFv-conjugated LNP formulations failed to outperform monoclonal antibody (104D2 mAb) conjugated LNPs in delivery

Antibody-Conjugated Lipid Nanoparticles Could Enable Targeted Delivery to Long-Term Hematopoietic Stem Cells to Treat Blood Diseases · Harvard · Master's

Considered and rejected

Considered and rejected: Rejected VMAT2-mediated targeting via DTBZ in favor of GLP-1R-mediated delivery after uptake kinetics showed no advantage over GLP-1R in dispersed islet cells.

Entwicklung neuartiger gewebespezifischer Therapiekonzepte zur Behandlung von Diabetes · Leibniz Universität Hannover · PhD

Considered and rejected

Considered and rejected: Decided against using poly(glutamic acid) block with 60 units (biotin-PEG2k-b-GA60) for targeted delivery because its lower surface ligand density failed to improve cellular uptake compared to GA10.

Non-covalent polymer and drug complexes as targeted delivery system for pulmonary delivery · Nottingham · PhD

Tried and failed

nanoparticle conjugation for targeted delivery applied to therapeutic antibodies for immune checkpoint blockade. Outcome: no signal. Reason: conjugation did not increase or alter local retention or draining lymph node accumulation versus free antibody

Analysis of Nanomaterial Physiochemical Property Influences on Lymph Node Accumulation and Leukocyte Association · Georgia Tech · PhD

Tried and failed

polymeric nanoparticle delivery of antigen applied to immunocompromised metabolic syndrome models. Outcome: worse than baseline. Reason: nanoparticles failed to improve germinal center or antibody response compared to soluble antigen

Immune Organoids to Study Antigen Presentation · Cornell · PhD

Tried and failed

scFv targeting moieties instead of full antibodies applied to targeted lipid nanoparticle delivery. Outcome: worse than baseline. Reason: scFv conjugated nanoparticles failed to outperform full monoclonal antibody conjugates in delivery potency

Antibody-Conjugated Lipid Nanoparticles Could Enable Targeted Delivery to Long-Term Hematopoietic Stem Cells to Treat Blood Diseases · Harvard · Master's

Physiological transport barriers prevent delivery across vascular and blood-brain barriers

4 theses · 3 institutions

Oral dosing limits and systemic intravenous delivery prove inadequate to overcome the blood-brain barrier without targeted arterial delivery or cellular carrier mediation. Furthermore, unconjugated passive particles and concentrated drugs encounter steep diffusion barriers and lack the active transport mechanisms needed to cross endothelial layers.

Tried and failed

systemic intravenous delivery of permeabilizing agent applied to blood-brain barrier opening for drug delivery. Outcome: worse than baseline. Reason: intravenous administration yields substantially lower barrier permeabilization and contrast enhancement than targeted intra-arterial delivery

From the body to the brain: Studying drug delivery and physiological interactions using MRI · MIT · PhD

Tried and failed

intravenous delivery of free synthetic microdevices applied to blood-brain barrier crossing to brain. Outcome: no signal. Reason: Free microdevices cannot cross the intact blood-brain barrier without cellular carrier mediation.

Bridging the Invasiveness–Precision Gap: Autonomous Biohybrid Nanoelectronics Enable Surgery-Free Focal Neuromodulation · MIT · PhD

Tried and failed

increasing local drug concentration applied to intratumoral drug delivery. Reason: cell death fraction reaches an asymptotic plateau due to transport limitations and diffusion barriers

Modeling and simulation of biomedical applications using finite element method · Texas Tech · PhD

Tried and failed

unconjugated nanoparticle delivery across endothelial barriers applied to in vitro trans-endothelial migration. Outcome: no signal. Reason: passive particles lack active biological transport mechanisms to effectively cross the endothelial barrier

Bridging the Invasiveness–Precision Gap: Autonomous Biohybrid Nanoelectronics Enable Surgery-Free Focal Neuromodulation · MIT · PhD

Considered and rejected

Considered and rejected: Orthotopic brainstem xenograft delivery of navitoclax was rejected in favor of a subcutaneous flank model due to navitoclax's inability to cross the intact blood-brain barrier.

Identifying the Mechanisms Behind Radiation Resistance in Treatment Naïve Diffuse Intrinsic Pontine Glioma Models · University of Washington · PhD

Left open by the authors

Problems the authors named and did not get to.

Left open

Improve the porosity-permeability relationship accuracy within biphasic deformation models for brain tissue drug delivery. Blocker: None

A mathematical framework for mechanically controlled brain drug delivery · Imperial · PhD

Left open

Deliver therapeutic mRNA including CRISPR/Cas9 to the brain using lipid nanoparticles. Blocker: Requires a wet lab, chemical synthesis, microfluidic equipment, and in vivo animal models for brain delivery.

Development of Chemically-Defined Platform Materials for Localized Delivery of RNA Therapeutics · MIT · PhD

Left open

Model drug delivery mechanisms including aerosol flow rate, delivered volume, payload release kinetics, and environmental interactions within the nanoparticle selection framework. Blocker: None

Design Tool Used for the Selection of Nanoparticle Drug Delivery Systems in the Treatment of Respiratory Diseases · Harvard · Master's

Left open

Investigate delivery methods to transport alpha-Synuclein targeting DNA aptamers across the blood-brain barrier in vivo. Blocker: Requires a wet lab, animal models, and in vivo delivery assays.

Biomolecular design of DNA aptamers to target α-Synuclein oligomers in Parkinson’s disease - Metal interactions of α-Synuclein probed by NMR amide-proton exchange · Imperial · PhD

Left open

Synthesize varying size drug delivery vehicles and evaluate differential targeting of tissue-migratory versus lymph node-resident antigen-presenting cells. Blocker: Requires wet lab facilities for nanoparticle synthesis and in vivo/in vitro immunological testing

Engineered Nanotechnology for the Delivery of Cancer Immunotherapies to Lymph Nodes to Modulate Anti-Tumor T Cell Immunity · Georgia Tech · PhD

Left open

Develop in vitro and in vivo delivery strategies for DdCBEs to evaluate therapeutic potential in mitochondrial disease models. Blocker: Requires wet lab, cell cultures, and animal disease models for delivery experimentation

Precision Editing of Nuclear and Mitochondrial Genomes · Harvard · PhD

Left open

Apply the DEAEMA-based nanoparticle delivery system to treat glioblastoma multiforme, colorectal, breast, or liver cancer. Blocker: Requires wet lab synthesis of nanoparticles and biological testing on cancer cell lines or animal models

Polycationic nanoparticles for microRNA delivery in neuroblastoma · UT Austin · PhD

Left open

Evaluate mRNA delivery by barcoded lipid nanoparticles to intratumoral immune cell subtypes in immunocompetent mice with spontaneous tumors. Blocker: Requires wet lab facilities, barcoded LNP formulations, and in vivo animal tumor models

Translational Design of Lipid Nanoparticles (LNPs) to Deliver mRNA Therapies to Solid Tumors and to the Lungs · Georgia Tech · PhD

Left open

Optimize Anakinra dosing regimens and evaluate sustained drug delivery formulations to prolong joint residence time. Blocker: Requires wet lab formulation chemistry, in vitro release assays, or in vivo pharmacokinetic testing

Expanding Indications for Biologic Osteochondral Repair · Penn · PhD

Left open

Investigate in vivo immune responses and neutralizing antibody formation after intra-articular versus systemic delivery of phage vB_SepM_Alex. Blocker: Requires wet lab facilities, in vivo animal models, and biological assays for immune response/antibody titration

DEFINING BACTERIOPHAGE DOSING AND PHARMACOKINETIC PARAMETERS FOR STAPHYLOCOCCUS EPIDERMIDIS PROSTHETIC JOINT INFECTION · Harvard · Master's

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