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Title: Temperature sensitive gel for sustained delivery
of protein drugs
United States Patent: 6,482,435
Issued: November 19, 2002
Inventors: Stratton; Lewis P. (Greenville, SC); Carpenter;
John F. (Littleton, CO); Manning; Mark C. (Fort Collins, CO)
Assignee: University Technology Corporation (Boulder, CO)
Appl. No.: 232288
Filed: January 15, 1999
Abstract
Pharmaceutical compositions for the delivery of pharmacologically active
proteins are provided by the present invention. The compositions of the
present invention comprise a polymeric matrix having thermal gelation
properties in which is incorporated a discrete suspension of at least one
biologically active macromolecular polypeptide which retains greater than 90
percent of its biological activity. Furthermore, the concentration of the
macromolecular polypeptide is greater than 0.5 percent by weight of the
composition.
DETAIL DESCRIPTION OF THE PREFERRED EMBODIMENT
The pharmaceutical device or composition of the present invention provides
a delivery system for the controlled and sustained administration of fully
native macromolecular polypeptides or therapeutic agents to a human or
animal. The biodegradable, biocompatible matrix for drug delivery is
formed by suspending soluble and insoluble particles of fully native
macromolecular polypeptides having a concentration of 5 mg/ml or greater,
and other protein stabilizing components uniformly and discretely
throughout a pharmaceutical vehicle or polymer matrix that exhibits
reverse thermal gelation characteristics. As with previously known
systems, the suspended particles and other components are released through
a combination of diffusion and dissolution mechanisms as the device
hydrates and subsequently erodes or dissolves. However, unlike known
polymeric matrix systems which deliver macromolecules, the composition of
this invention comprises a suspension as opposed to a solution of native
polypeptide(s). Consequently, high polypeptide concentrations are attained
as a result of the suspension, thus achieving the ability for sustained
administration of the therapeutic agent for a time period of days, weeks
or months as opposed to hours. Furthermore, stabilizing agents may be
incorporated into the composition of the present invention thereby further
minimizing the degradation of these drugs, which directly impacts the
efficacy of the drug and the ability to store or ship the device to
worldwide markets.
The pharmaceutical composition of the present invention is a serendipitous
discovery that was made during a research project, the goal of which was
simply to identify a drug delivery system that was amenable to study the
effect of polymeric matrices on protein structure. In that study, Fourier
transform infrared spectroscopy was employed, because it can be used to
analyze protein secondary structure in solutions, suspensions, and solids.
Of the various protein drug delivery matrices disclosed in the literature,
those employing the polymeric detergent, Pluronic.RTM. F-127, which forms
a temperature sensitive gel, were the most attractive for infrared
spectroscopic studies, as it did not appear (based on the structures of
poloxamer) that poloxamers would have an infrared absorbance that would
interfere with the protein absorbance signal, which is needed for
structural evaluation. Furthermore, it had previously been established
that poloxamers, at sufficient concentrations, have the characteristics of
being liquid at temperatures below room temperature but will form into gel
as they are warmed. Thus, a further objective of the study was to
determine what effect this liquid to gel transition of the poloxamer would
have on the protein's structure. In order to study protein structure with
infrared spectroscopy it is necessary to have protein concentrations of at
least 15-20 mg/ml, thus a protein concentration of 20 mg/ml was prepared
in the presence of sufficient poloxamer to allow gelling during warming.
The resulting protein solution formed a fine, milky suspension, which was
initially very disappointing, because the formation of such suspensions
often indicates that a solution component (e.g., the polymeric detergent)
caused the protein to denature and to form non-native or inactive protein
aggregates, thus indicating failure of the test. However, infrared
spectroscopy can, fortunately, be used to analyze protein structures in
suspension, so the suspension was analyzed anyway. Surprisingly, when the
protein suspension was analyzed with the Fourier transform infrared
spectroscopy, instead of finding the expected non-native or inactive
protein aggregates, it was unexpectedly found to be fully native.
In accordance with the present invention, the pharmaceutical composition
of the present invention comprises a polymer such as a polyoxyalkylene
block copolymer of formula:
HO (C2 H4 O)b (C3 H6 O)a (C2 H4
O)b H (I)
which has the unique feature, in the preferred embodiment, of being liquid
at ambient or lower temperatures and existing as a semi-solid gel at
mammalian body temperatures wherein a and b are integers in the range of
20 to 80 and 15 to 60, respectively. A preferred polyoxyalkylene block
copolymer for use as the pharmaceutical vehicle of this invention is a
polyoxyethylene-polyoxypropylene block copolymer having the following
formula:
HO--(CH2 CH2 O)b --(CH2 (CH3)CHO)a
--(CH2 CH2 O)b --H (II)
wherein a and b are integers such that the hydrophobe base represented by
(CH2 (CH3)CHO)a has a molecular weight of at least about
4,000, as determined by hydroxyl number; the polyoxyethylene chain
constituting about 70 percent of the total number of monomeric units in
the molecule and where the copolymer has an average molecular weight of
about 12,600. Pluronic.RTM. F-127, also known as Poloxamer 407, is such a
material.
The procedures used to prepare aqueous solutions which form gels of
polyoxyalkylene block copolymer are well known. For example, either a hot
or cold process for forming the solutions can be used. The cold technique
involves the steps of dissolving the polyoxalkylene block copolymer at a
temperature of about 5oC. to 10oC. in water or in a
buffer, such as a phosphate buffer. The water, if used in forming the
aqueous solution, is preferably purified, as by distillation, filtration,
ion-exchange or the like. When the solution is complete it is brought to
room temperature whereupon it forms a gel. If the hot process of forming
the gel is used, the polymer is added to water or a buffer and heated to a
temperature of about 75oC. to 85oC. with slow stirring
until a clear homogenous solution is obtained, upon cooling a clear gel
forms.
Any macromolecular polypeptide may be mixed with the pharmaceutical
vehicle to form the pharmaceutical composition of this invention wherein
the concentration of macromolecular polypeptide is in the range of 0.5 to
50 percent by weight of the composition. The choice of polypeptides which
can be delivered in accordance with the practice of this invention is
limited only by the requirement that they be at least very slightly
soluble in an aqueous physiological media such as plasma, interstitial
fluid, and the intra and extracellular fluids of the subcutaneous space
and mucosal tissues.
Exemplary classes of polypeptides include, among others, proteins,
enzymes, nucleoproteins, glycoproteins, lipoproteins, hormonally active
polypeptides, and synthetic analogues including agonists and antagonists
of these molecules.
Specific examples of polypeptides suitable for incorporation in the
delivery system of the present invention include the following
biologically active macromolecules: interferons, interleukins, insulin,
enzyme inhibitors, colony-stimulating factors, plasminogen activators,
growth factors and polypeptide hormones.
The list of macromolecular polypeptides recited above are provided only to
illustrate the types of active agents which are suitable for use in
practicing the present invention, and are not intended to limit the scope
of the present invention.
The pharmaceutical composition of the present invention can be readily
prepared using any solution forming technique which achieves the
concentration of polyoxyalkylene block copolymer necessary for gelling.
Preferably the pharmaceutical vehicle and polypeptide mixture are prepared
separately and the polypeptide mixture having a concentration of 5 mg/ml
or greater is added thereto at a temperature of about 0oC. to
10oC. When combined the protein forms a homogenous suspension of
fine particles in the polymer solution, which then has a "milky"
appearance. By light microscopy the particles are approximately 5-10
microns in diameter. Raising the sample temperature above the gel point of
the poloxamer results in an even distribution of protein particles
throughout the polymer gel. Due to the high viscosity of the gel matrix,
the particles remain homogeneously distributed and do not "settle out."
The liquid to gel transition is fully reversible upon cooling.
Furthermore, when the gel is exposed to an aqueous solution, the gel
matrix and protein particles dissolve, releasing the fully native protein
which retains greater than 90 percent of its biological activity.
The pharmaceutical composition of the present invention can be implanted
directly into the body by injecting it as a liquid, whereupon the
pharmaceutical composition will gel once inside the body. In the
alternative, the pharmaceutical composition may be introduced into a small
implantable pump which is then introduced into the body.
In another embodiment, protein-stabilizing solutes, can be incorporated
into the pharmaceutical device of the present invention described above.
Initially, stabilizers were added to the pharmaceutical device of the
present invention to increase the stability of the macromolecular
polypeptides as such stabilization would be crucial for use of the present
invention for sustained delivery of protein in the body. However, in doing
so it was discovered that protein-stabilizing solutes, such as sucrose not
only aid in protecting and stabilizing the protein, but also allow the
poloxamer to form suitable gels at lower concentrations than needed in
water or buffer alone. Thus, the working range of polymer concentration
can be widened. As discussed previously, the concentration of the
polyoxyalkylene block copolymer is an important parameter. It is known
that a gel will not form when the concentration of
polyoxyalkylene-polyoxypropylene block copolymer in water or dilute buffer
is outside of the range of about 20 to 30 percent by weight, as shown in
FIG. 1 and exemplified by the line having open triangles. However, by
introducing protein-stabilizing solutes to the pharmaceutical device of
the present invention the gel-sol transition temperature may be
manipulated, while also lowering the concentration of
polyoxyethelene-polyoxypropylene block copolymer which is necessary to
form a gel.
In a third embodiment, polypeptide concentrations at the high end of the
0.5 to 50 percent by weight range can be achieved by centrifuging the
pharmaceutical composition of the present invention at low temperatures in
the range of -10oC. to 10oC., and preferably 0-4o
C. for a period of time sufficient to sediment the protein particles. For
example, a sample of the pharmaceutical composition described previously
comprising 20 mg/ml protein can be centrifuged at 4oC. so that the
insoluble protein particles sediment. Then supernatant equivalent to half
the volume could be removed and the sediment resuspended in the remaining
liquid. This will result in a suspension containing almost 40 mg/ml.
In the Examples which follow the pharmaceutical composition of the present
invention was prepared according to the following preparation procedure.
Since the polyoxyalkylenes dissolve more completely at reduced
temperatures, the preferred methods of solubilization are to add the
required amount of copolymer to the amount of water or buffer to be used.
Generally after wetting the copolymer by shaking, the mixture is capped
and placed in a cold chamber or in a thermostatic container at about
0oC. to 10oC. in order to dissolve the copolymer. The
mixture can be stirred or shaken to bring about a more rapid solution of
the polymer. The polypeptides and various additives such as stabilizers
can subsequently-be added and dissolved to form a suspension.
The following non-limited examples provide methods for preparing
temperature sensitive polymers for the sustained delivery of
pharmaceutical agents comprising high concentrations of fully native
macromolecular polypeptide agents. All scientific and technical terms have
the meanings as understood by one with ordinary skill in the art. The
specific examples which follow, illustrate the representative polypeptides
and concentrations capable of being achieved by the present invention and
are not to be construed as limiting the invention in sphere or scope. The
methods may be adapted to variation in order to produce compositions or
devices embraced by this invention but not specifically disclosed. Further
variations of the methods to produce the same compositions in somewhat
different fashion will be evident to one skilled in the art.
All temperatures are understood to be in Centigrade (oC.) when not
specified. The infrared (IR) spectral description was measured on a
Nicolet Magna-IR 550 Spectrometer. Commercially available chemicals were
used without purification.
Claim 1 of 10 Claims
The embodiments of the invention in which an exclusive property or
privilege is claimed are defined as follows:
1. A method of varying the liquid-gel transition temperature of a
polyoxyalkylene block copolymer having the formula: HO(C2 H4
O)b (C3 H6 O)a (C2 H4 O)b H, wherein a
is 20 to 80 and b is 15 to 60, the method comprising adding a solute
selected from the group consisting of a sugar and a polyether glycol to an
aqueous solution of said copolymer so as to increase or decrease said
transition temperature.
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