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Title: Porous particles for deep lung delivery
United States Patent: 6,254,854
Inventors: Edwards; David A. (Boston, MA); Caponetti;
Giovanni (Somerville, MA); Hrkach; Jeffrey S. (Cambridge, MA); Lotan; Noah
(Haifa, IL); Hanes; Justin (Baltimore, MD); Langer; Robert S. (Newton,
MA); Ben-Jebria; Abdellaziz (State College, PA)
Assignee: The Penn Research Foundation (University Park,
PA)
Appl. No.: 569153
Filed: May 11, 2000
Abstract
Improved porous particles for drug delivery to the pulmonary system,
and methods for their synthesis and administration are provided. In a
preferred embodiment, the porous particles are made of a biodegradable
material and have a mass density less than 0.4 g/cm3 /. The
particles may be formed of biodegradable materials such as biodegradable
polymers. For example, the particles may be formed of a functionalized
polyester graft copolymer consisting of a linear .alpha.-hydroxy-acid
polyester backbone having at least one amino acid group incorporated
therein and at least one poly(amino acid) side chain extending from an
amino acid group in the polyester backbone. In one embodiment, porous
particles having a relatively large mean diameter, for example greater
than 5 .mu.m, can be used for enhanced delivery of a therapeutic agent to
the alveolar region of the lung. The porous particles incorporating a
therapeutic agent may be effectively aerosolized for administration to the
respiratory tract to permit systemic or local delivery of wide variety of
therapeutic agents.
DETAILED DESCRIPTION OF THE INVENTION
Biodegradable particles for improved delivery of
therapeutic agents to the respiratory tract are provided. The particles
can be used in one embodiment for controlled systemic or local drug
delivery to the respiratory tract via aerosolization. In one embodiment,
the particles are porous particles having a mass density less than 1.0
g/cm3, preferably less than about 0.4 g/cm3. The
porous structure permits deep lung delivery of relatively large diameter
therapeutic aerosols, for example greater than 5 .mu.m in mean diameter.
The particles also may include a rough surface texture which can reduce
particle agglomeration and provide a highly flowable powder, which is
ideal for aerosolization via dry powder inhaler devices, leading to lower
deposition in the mouth and throat.
Mass Density and Diameter of Porous Particles
As used herein the term "porous particles" refers to particles
having a total mass density less than about 0.4 g/cm3. The mean
diameter of the particles can range, for example, from about 100 nm to 15
.mu.m, or larger depending on factors such as particle composition, and
the targeted site of the respiratory tract for deposition of the particle.
Particle Size
In one embodiment, particles which are macroscopically porous, and
incorporate a therapeutic drug, and having a mass density less than about
0.4 g/cm3, can be made with mean diameters greater than 5 .mu.m,
such that they are capable of escaping inertial and gravitational
deposition in the oropharyngeal region, and are targeted to the airways or
the deep lung. The use of larger porous particles is advantageous since
they are able to aerosolize more efficiently than smaller, non-porous
aerosols such as those currently used for inhalation therapies.
The large (>5 .mu.m) porous particles are also advantageous in that
they can more successfully avoid phagocytic engulfment by alveolar
macrophages and clearance from the lungs, in comparison to smaller
non-porous particles, due to size exclusion of the particles from the
phagocytes' cytosolic space. Phagocytosis of particles by alveolar
macrophages diminishes precipitously as particle diameter increases beyond
3 .mu.m. Kawaguchi, H. et al., Biomaterials 7: 61-66 (1986); Krenis, L. J.
and Strauss, B., Proc. Soc. Exp. Med., 107: 748-750 (1961); and Rudt, S.
and Muller, R. H., J Contr. Rel., 22: 263-272 (1992). The porous particles
thus are capable of a longer term release of a therapeutic agent.
Following inhalation, porous degradable particles can deposit in the lungs
(due to their relatively low mass density), and subsequently undergo slow
degradation and drug release, without the majority of the particles being
phagocytosed by alveolar macrophages. The drug can be delivered relatively
slowly into the alveolar fluid, and at a controlled rate into the blood
stream, minimizing possible toxic responses of exposed cells to an
excessively high concentration of the drug. The porous polymeric particles
thus are highly suitable for inhalation therapies, particularly in
controlled release applications. The preferred diameter for porous
particles for inhalation therapy is greater than 5 .mu.m, for example
between about 5-15 .mu.m.
The particles also may be fashioned with the appropriate material,
diameter and mass density for localized delivery to other regions of the
repiratory tract such as the upper airways. For example higher density or
larger particles may be used for upper airway delivery.
Particle Deposition
Inertial impaction and gravitational settling of aerosols are predominant
deposition mechanisms in the airways and acini of the lungs during normal
breathing conditions. Edwards, D. A., J. Aerosol Sci. 26: 293-317 (1995).
Both deposition mechanisms increase in proportion to the mass of aerosols
and not to particle volume. Since the site of aerosol deposition in the
lungs is determined by the intrinsic mass of the aerosol (at least for
particles of mean aerodynamic diameter greater than approximately 1 .mu.m),
diminishing particle mass density by increasing particle porosity permits
the delivery of larger particles into the lungs, all other physical
parameters being equal.
The low mass porous particles have a small aerodynamic diameter in
comparison to the actual sphere diameter. The aerodynamic diameter, daer,
is related to the actual sphere diameter, d (Gonda, I., "Physico-chemical
principles in aerosol delivery," in Topics in Pharmaceutical Sciences
1991 (eds. D. J. A. Crommelin and K. K. Midha), pp. 95-117, Stuttgart:
Medpharm Scientific Publishers, 1992) by the formula:
daer =d.rho.
where the particle mass density .rho. is in units of g/cm3.
Maximal deposition of monodisperse aerosol particles in the alveolar
region of the human lung (.about.60%) occurs for an aerodynamic diameter
of approximately daer =3 .mu.m. Heyder, J. et al., J Aerosol
Sci., 17: 811-825 (1986). Due to their small mass density, the actual
diamter d of porous particles comprising a mondisperse inhaled powder that
will exhibit maximum deep-lung deposition is:
d=3/.rho. .mu.m (where .rho.<1);
where d is always greater than 3 .mu.m. For example, porous particles that
display a mass density, p=0.1 g/cm3, will exhibit a maximum
deposition for particles having actual diameters as large as 9.5 .mu.m.
The increased particle size diminishes interparticle adhesion forces.
Visser, J., Powder Technology, 58:1-10. Thus, large particle size
increases efficiency of aerosolization to the deep lung for particles of
low mass density.
Particle Materials
The porous particles preferably are biodegradable and biocompatible, and
optionally are capable of biodegrading at a controlled rate for delivery
of a drug. The porous particles can be made of any material which is
capable of forming a porous particle having a mass density less than about
0.4 g/cm3. Both inorganic and organic materials can be used.
For example, ceramics may be used. Other non-polymeric materials may be
used which are capable of forming porous particles as defined herein.
Polymeric Particles
The particles may be formed from any biocompatible, and preferably
biodegradable polymer, copolymer, or blend, which is capable of forming
porous particles having a density less than about 0.4 g/cm3.
Surface eroding polymers such as polyanhydrides may be used to form the
porous particles. For example, polyanhydrides such as
poly[(.rho.-carboxyphenoxy)-hexane anhydride] ("PCPH") may be
used. Biodegradable polyanhydrides are described, for example, in U.S.
Pat. No. 4,857,311, the disclosure of which is incorporated herein by
reference.
In another embodiment, bulk eroding polymers such as those based on
polyesters including poly(hydroxy acids) can be used. For example,
polyglycolic acid ("PGA") or polylactic acid ("PLA")
or copolymers thereof may be used to form the porous particles, wherein
the polyester has incorporated therein a charged or functionalizable group
such as an amino acid as described below.
Other polymers include polyamides, polycarbonates, polyalkylenes such as
polyethylene, polypropylene, poly(ethylene glycol), poly(ethylene oxide),
poly(ethylene terephthalate), poly vinyl compounds such as polyvinyl
alcohols, polyvinyl ethers, and polyvinyl esters, polymers of acrylic and
methacrylic acids, celluloses, polysaccharides, and peptides or proteins,
or copolymers or blends thereof which are capable of forming porous
particles with a mass density less than about 0.4 g/cm3.
Polymers may be selected with or modified to have the appropriate
stability and degradation rates in vivo for different controlled drug
delivery applications.
Polyester Graft Copolymers
In one preferred embodiment, the porous particles are fomed from
functionalized polyester graft coppolymers, as described in Hrkach et al.,
Macromolecules, 28:4736-4739 (1995); and Hrkach et al., "Poly(L-Lactic
acid-co-amino acid) Graft Copolymers: A Class of Functional Biodegradable
Biomaterials" in Hydrogel and Biodegradable Polymers for
Bioapplications, ACS Symposium Series No. 627, Raphael M. Ottenbrite et
al., Eds., American Chemical Society, Chapter 8, pp. 93-101, 1996, the
disclosures of which are incorporated herein by reference. The
functionalized graft copolymers are copolymers of polyesters, such as
poly(glycolic acid) or poly(lactic acid), and another polymer including
functionalizable or ionizable groups, such as a poly(amino acid). In a
preferred embodiment, comb-like graft copolymers are used which include a
linear polyester backbone having amino acids incorporated therein, and
poly(amino acid) side chains which extend from the amino acid groups in
the polyester backbone. The polyesters may be polymers of a .alpha.-hydroxy
acids such as lactic acid, glycolic acid, hydroxybutyric acid and valeric
acid, or derivatives or combinations thereof. The inclusion of ionizable
side chains, such as polylysine, in the polymer has been found to enable
the formation of more highly porous particles, using techniques for making
microparticles known in the art, such as solvent evaporation. Other
ionizable groups, such as amino or carboxyl groups, may be incorporated,
covalently or noncovalently, into the polymer to enhance porosity. For
example, polyaniline could be incorporated into the polymer.
An exemplary polyester graft coppolymer, which may be used to form porous
polymeric particles is the graft copolymer, poly(lactic
acid-co-lysine-graft-lysine) ("PLAL-Lys"), which has a polyester
backbone consisting of poly(L-lactic acid-co-Z-L-lysine) (PLAL), and
grafted lysine chains. PLAL-Lys is a comb-like graft copolymer having a
backbone composition, for example, of 98 mol % lactic acid and 2 mol %
lysine and poly(lysine) side chains extending from the lysine sites of the
backbone.
PLAL-Lys may be synthesized as follows. First, the PLAL copolymer
consisting of L-lactic acid units and approximately 1-2%
Ne-carbobenzoxy-L-lysine (Z-L-lysine) units is synthesized as described in
Barrera et al., J. Am. Chem. Soc., 115:11010 (1993). Removal of the Z
protecting groups of the randomly incorporated lysine groups in the
polymer chain of PLAL yields the free .epsilon.-amine which can undergo
further chemical modification. The use of the poly(lactic acid) copolymer
is advantageous since it biodegrades into lactic acid and lysine, which
can be processed by the body. The existing backbone lysine groups are used
as initiating sites for the growth of poly(amino acid) side chains.
The lysine .epsilon.-amine groups of linear poly(L-lactic
acid-co-L-lysine) copolymers initiate the ring opening polymerization of
an amino acid N-carboxyanhydride (NCA) to produce poly(L-lactic
acid-co-amino acid) comb-like graft copolynmers. In a preferred
embodiment, NCAs are synthesized by reacting the appropriate amino acid
with triphosgene. Daly et al., Tetrahedron Lett., 29:5859 (1988). The
advantage of using triphosgene over phosgene gas is that it is a solid
material, and therefore, safer and easier to handle. It also is soluble in
THF and hexane so any excess is efficiently separated from the NCAs.
The ring opening polymerization of amino acid N-carboxyanhydrides (NCAs)
is initiated by nucleophilic initiators such as amines, alcohols, and
water. The primary amino initiated ring opening polymerization of NCAs
allows good control over the degree of polymerization when the monomer to
initiator ratio (M/I) is less than 150. Kricheldorf, H. R. in Models of
Biopolymers by Ring-Opening Polymerization, Penczek, S., Ed., CRC Press,
Boca Raton, 1990, chapter 1; Kricheldorf, H. R., .alpha.-Aminoacid-N-Carboxy-Anhydrides
and Related Heterocycles, Springer-Verlag, Berlin, 1987; and Imanishi, Y.
in Ring-Opening Polymerization, Ivin, K. J. and Saegusa, T., Eds.,
Elsevier, London, 1984, Volume 2, chapter 8. Methods for using lysine
.epsilon.-amine groups as polymeric initiators for NCA polymerizations are
described in the art. Sela, M. et al., J. Am. Chem. Soc., 78:746 (1956).
In the reaction of an amino acid NCA with PLAL, the nucleophilic primary
e-amine of the lysine side chain attacks C-5 of the NCA leading to ring
opening and formation of the amino acid amide along with the evolution of
CO2. Propagation takes place via further attack of the amine
group of the amino acid amides on subsequent NCA molecules. The degree of
polymerization of the poly(amino acid) side chains, the corresponding
amino acid content in the graft copolymers and their resulting physical
and chemical characteristics can be controlled by changing the M/I ratio
for the NCA polymerization - that is, changing the ratio of NCA to lysine
e-amine groups of pLAL. Thus, in the synthesis, the length of the
poly(amino acid), such as poly(lysine), side chains and the total amino
acid content in the polymer may be designed and synthesized for a
particular application.
The poly(amino acid) side chains grafted onto or incorporated into the
polyester backbone can include any amino acid, such as aspartic acid,
alanine or lysine, or mixtures thereof. The functional groups present in
the amino acid side chains, which can be chemically modified, include
amino, carboxylic acid, sulfide, guanidino, imidazole and hydroxyl groups.
As used herein, the term "amino acid" includes natural and
synthetic amino acids and derivatives thereof. The polymers can be
prepared with a range of amino acid side chain lenghts, for example, about
10-100 or more amino acids, and with an overall amino acid content of, for
example, 7-72% or more depending on the reaction conditions. The grafting
of poly(amino acids) from the pLAL backbone may be conducted in a solvent
such as dioxane, DMF, or CH2 C12 or mixtures
thereof. In a preferred embodiment, the reaction is conducted at room
temperature for about 2-4 days in dioxane.
Alternatively, the porous particles for pulmonary drug delivery may be
formed from polymers or blends of polymers with different polyester/amino
acid backbones and grafted amino acid side chains. For example,
poly(lactic acid-co-lysine-graft-alanine-lysine) ("PLAL-Ala-Lys"),
or a blend of PLAL-Lys with poly(lactic acid-co-glycolic
acid-block-ethylene oxide) ("PLGA-PEG") ("PLAL-Lys-PLGA-PEG")
may be used.
In the synthesis, the graft copolymers may be tailored to optimize
different characteristic of the porous particle including: i) interactions
between the agent to be delivered and the copolymer to provide
stabilization of the agent and retention of activity upon delivery; ii)
rate of polymer degradation and, thereby, rate of drug release profiles;
iii) surface characteristics and targeting capabilities via chemical
modification; and iv) particle porosity.
Formation of Porous Polymeric Particles
Porous polymeric particles may be prepared using single and double
emulsion solvent evaporation, spray drying, solvent extraction and other
methods well known to those of ordinary skill in the art. Methods
developed for making microspheres for drug delivery are described in the
literature, for example, as described by Mathiowitz and Langer, J.
Controlled Release Vol. 5:13-22 (1987); Mathiowitz, et al., Reactive
Polymers, 6:275-283 (1987); and Mathiowitz, et al., J. Appl. Polymer
Sci.35: 755-774 (1988), the teachings of which are incorporated herein.
The selection of the method depends on the polymer selection, the size,
external morphology, and crystallinity that is desired, as described, for
example, by Mathiowitz, et al., Scanning Microscopy 4:329-340 (1990);
Mathiowitz, et al., J. Appl. Polymer Sci. 45:125-134 (1992); and Benita,
et al., J. Pharm. Sci 73:1721-1724 (1984), the teachings of which are
incorporated herein.
In solvent evaporation, described for example, in Mathiowitz, et al.,
(1990), Benita, and U.S. Pat. No. 4,272,398 to Jaffe, the polymer is
dissolved in a volatile organic solvent, such as methylene chloride.
Several different polymer concentrations can be used, for example, between
0.05 and 0.20 g/ml. The drug, either in soluble form or dispersed as fine
particles, is added to the polymer solution, and the mixture is suspended
in an aqueous phase that contains a surface active agent such as
poly(vinyl alcohol). The aqueous phase may be, for example, a
concentration of 1% poly (vinyl alcohol) w/v in distilled water. The
resulting emulsion is stirred until most of the organic solvent
evaporates, leaving solid microspheres, which may be washed with water and
dried overnight in a lyophilizer.
Microspheres with different sizes (1-1000 microns) and morphologies can
obtained by this method which is useful for relatively stable polymers
such as polyesters and polystryrene. However, labile polymers such as
polyanhydrides may degrade due to exposure to water. For these polymers,
solvent removal may be preferred.
Solvent removal was primarily designed for use with polyanhydrides. In
this method, the drug is dispersed or dissolved in a solution of a
selected polymer in a volatile organic solvent like methylene chloride.
The mixture is then suspended in oil, such as silicon oil, by stirring, to
form an emulsion. Within 24 hours, the solvent diffuses into the oil phase
and the emulsion droplets harden into solid polymer microspheres. Unlike
solvent evaporation, this method can be used to make microspheres from
polymers with high melting points and a wide range of molecular weights.
Microspheres having a diameter for example between one and 300 microns can
be obtained with this procedure.
Targeting of Particles
Targeting molecules can be attached to the porous particles via reactive
functional groups on the particles. For example, targeting molecules can
be attached to the amino acid groups of functionalized polyester graft
copolymer particles, such as PLAL-Lys particles. Targeting molecules
permit binding interaction of the particle with specific receptor sites,
such as those within the lungs. The particles can be targeted by
attachment of ligands which specifically or non-specifically bind to
particular targets. Exemplary targeting molecules include antibodies and
fragments thereof including the variable regions, lectins, and hormones or
other organic molecules capable of specific binding for example to
receptors on the surfaces of the target cells.
Therapeutic Agents
Any of a variety of therapeutic, prophylactic or diagnostic agents can be
delivered. Examples include synthetic inorganic and organic compounds,
proteins and peptides, polysaccharides and other sugars, lipids, and
nucleic acid sequences having therapeutic, prophylactic or diagnostic
activities. Nucleic acid sequences include genes, antisense molecules
which bind to complementary DNA to inhibit transcription, and ribozymes.
The agents to be incorporated can have a variety of biological activities,
such as vasoactive agents, neuroactive agents, hormones, anticoaguulants,
immunomodulating agents, cytotoxic agents, antibiotics, antivirals,
antisense, antigens, and antibodies. In some instances, the proteins may
be antibodies or antigens which otherwise would have to be administered by
injection to elicit an appropriate response. Compounds with a wide range
of molecular weight can be encapsulated, for example, between 100 and
500,000 grams per mole.
Proteins are defined as consisting of 100 amino acid residues or more;
peptides are less than 100 amino acid residues. Unless otherwise stated,
the term protein refers to both proteins and peptides. Examples include
insulin and other hormones. Polysaccharides, such as heparin, can also be
administered.
The porous polymeric aerosols are useful as carriers for a variety of
inhalation therapies. They can be used to encapsulate small and large
drugs, release encapsulated drugs over time periods ranging from hours to
months, and withstand extreme conditions during aerosolization or
following deposition in the lungs that might otherwise harm the
encapsulated therapeutic.
The porous particles may include a therapeutic agent for local delivery
within the lung, such as agents for the treatment of asthma, emphysema, or
cystic fibrosis, or for systemic treatment. For example, genes for the
treatment of diseases such as cystic fibrosis can be administered.
Administration
The particles including a therapeutic agent may be administered alone or
in any appropriate pharmaceutical carrier, such as a liquid, for example
saline, or a powder, for administration to the respiratory system.
Aerosol dosage, formulations and delivery systems may be selected for a
particular therapeutic application, as described, for example in Gonda, I.
"Aerosols for delivery of therapeutic and diagnostic agents to the
respiratory tract," in Critical Reviews in Therapeutic Drug Carrier
Systems, 6:273-313 (1990), and in Moren, "Aerosol dosage forms and
formulations," in Aerosols in Medicine. Principles, Diagnosis and
Therapy, Moren, et al., Eds., Esevier, Amsterdam, 1985, the disclosures of
which are incorporated herein by reference.
The greater efficiency of aerosolization by porous particles of relatively
large size permits more drug to be delivered than is possible with the
same mass of nonporous aerosols. The relative large size of porous
aerosols depositing in the deep lungs also minimizes potential drug losses
caused by particle phagocytosis. The use of porous polymeric aerosols as
therapeutic carriers provides the benefits of biodegradable polymers for
controlled released in the lungs and long-time local action or systemic
bioavailability. Denaturation of macromolecular drugs can be minimized
during aerosolization since macromolecules are contained and protected
within a polymeric shell. Coencapsulation of peptides with
peptidase-inhibitors can minimize peptide enzymatic degradation.
Claim 1 of 28 Claims
What is claimed is:
1. An essentially dry composition comprising:
biodegradable particles for delivering a therapeutic, prophylactic or
diagnostic agent to the deep lung, wherein the particles have a mass
density less than 0.4 g/cm3, a mass mean diameter between 5 .mu.m
and 30 .mu.m and an aerodynamic diameter less than the mass mean diameter
and between 1 and 5 .mu.m and comprise a therapeutic, prophylactic or
diagnostic agent.
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