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Title: Topical application of antibodies for prophylaxis
against sexually transmitted diseases and pregnancy
United States Patent: 6,045,786
Inventors: Cone; Richard A. (Baltimore, MD); Whaley; Kevin J.
(Baltimore, MD)
Assignee: Johns Hopkins University (Baltimore, MD)
Appl. No.: 011837
Filed: February 1, 1993
Abstract
Certain antibody molecules are so stable and so potent at immobilizing
sperm as well as the pathogens for sexually transmitted diseases (STDs)
that they make possible new prophylactic contraceptive methods: (a) for
men, a skin lotion containing antibodies against sperm and against STD
pathogens to be applied to the penis and external genitals during sexual
activity, thereby delivering prophylactically effective doses of
antibodies to virtually all areas of skin and epithelia across which most
STDs, including AIDS, are usually transmitted, and, during vaginal
intercourse, the penis will deliver a contraceptively reliable dose of the
antibodies to the cervical region of the vagina; and (b) for women,
intrauterine devices (IUDs) and intravaginal devices (IVDs) that release
antibodies into the uterus or into the vagina to provide continuous
protection against pregnancy and STDs for periods of months to years.
SUMMARY OF THE INVENTION
Each embodiment of this invention includes a selection of
one or more antibodies that best suits the desires of an individual user.
For protection against the exchange of sperm (contraception) one or more
antibodies that immobilize sperm in mucus are included. Similarly, for
each toxin or STD pathogen for which protection is desired, one or more
antibodies are included that will immobilize that toxin or STD pathogen in
mucus. In each embodiment, enough of each antibody is included to deliver
a dose sufficient to exert the desired immobilizing effect(s).
In one embodiment, suitable for men, the selection of antibodies desired
by the user is incorporated in a pharmaceutically acceptable lotion to be
applied, during sexual activity, to the external genitals and to any other
area of skin or epithelium where protection against sperm, toxins, and/or
STD pathogens is desired: The lotion can be directly applied by hand to
all areas of skin in need of protection and indirectly by the penis and
fingers to all internal mucus epithelial surfaces that may require
protection (e.g., vagina, mouth, rectum).
In another embodiment, suitable for women, the selection of antibodies is
incorporated in a sustained release device for insertion, and retention,
in the vagina, an Intra-Vaginal Device, IVD, for the sustained release of
the selection of antibodies desired by the user: such an IVD can readily
be inserted, and removed by the user without the assistance of trained
personnel.
In another embodiment suitable for women, the selection of antibodies is
incorporated in a sustained release device for insertion and retention in
the uterus, an Intra-Uterine Device, IUD, for the sustained release of the
selection of antibodies desired by the user.
In another embodiment of the invention, the selection of antibodies
desired by the user can be included in any of several existing
contraceptive methods to enhance their contraceptive reliability and/or to
add to them prophylactic efficacy against STDs and toxins e.g. sustained
release devices for delivering the selection of antibodies can be
incorporated in IUDs, IVDs, and cervical caps, including those devices
that release hormones (e.g., progestins and estrogens) as active
ingredients.
In another embodiment of the invention, the selection of antibodies
desired by the user can be included in any of several detergent-based, or
detergent-enhanced, prophylactic contraceptives similar to those now
available, (e.g., vaginal suppositories, jellies, creams, tablets, and
foams; diaphragm plus jelly, the "sponge", and detergent-coated
condoms) to extend the duration of protection and to enhance protection
against STD pathogens, especially detergent-resistant toxins and STD
pathogens.
In yet another embodiment of this invention, existing detergent-based or
detergent-enhanced topical and barrier contraceptives (e.g., vaginal
suppositories, jellies, creams, tablets, and foams; diaphragm plus jelly,
the "sponge", and condoms) can be converted to detergent-free
methods for individuals who are highly irritated by detergents by
substituting an appropriate selection of contraceptive and/or prophylactic
antibodies for the detergent.
Claim 1 of 8 Claims
1. A method of prophylaxis in a female mammal which
comprises continuously introducing into the vaginal cavity or uterus of
said female mammal, over a prolonged period of time at a controlled rate a
prophylactically effective amount of at least one pan semen antibody
capable of binding, directly or indirectly, to cells and pathogens in
semen, thereby trapping said cells and pathogens in semen, including
sexually transmitted disease pathogens and cells infected with sexually
transmitted disease pathogens, in mucus secretions present in said vaginal
cavity or uterus;
by means of a biologically compatible prolonged released carrier therefor,
wherein said at least one pan semen antibody is contacted with and binds,
directly or indirectly, to said cells and pathogens in semen and thereby
effects said trapping.
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