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Title: Aerodynamically light particles for pulmonary
drug delivery
United States Patent: 6,503,480
Issued: January 7, 2003
Inventors: Edwards; David A. (Boston, MA); Caponetti;
Giovannia (Piacenza, IT); Hrkach; Jeffrey S. (Somerville, MA); Lotan; Noah
(Haifa, IL); Hanes; Justin (Baltimore, MD); Ben-Jebria; Abdell Aziz (State
College, PA); Langer; Robert S. (Newton, MA)
Assignee: Massachusetts Institute of Technology (Cambridge,
MA); The Penn State Research Foundation (University Park, PA)
Appl. No.: 194068
Filed: April 8, 1999
PCT Filed: May 23, 1997
PCT NO: PCT/US97/08895
371 Date: April 8, 1999
102(e) Date: April 8, 1999
PCT PUB.NO.: WO97/44013
PCT PUB. Date: November 27, 1997
Abstract
Improved aerodynamically light particles for delivery to the pulmonary
system, and methods for their preparation and administration are provided.
In a preferred embodiment, the aerodynamically light particles are made of a
biodegradable material and have a tap density less than 0.4 g/cm3 and a
mass mean diameter between 5 .mu.m and 30 .mu.m. The particles may be formed
of biodegradable mat 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, aerodynamically light particles having a large mean diameter,
for example greater than 5 .mu.m, can be used for enhanced delivery of a
therapeutic or diagnostic agent to the alveolar region of the lung. The
aerodynamically light particles optionally can incorporate a therapeutic or
diagnostic agent, and may be effectively aerosolized for administration to
the respiratory tract to permit systemic or local delivery of wide variety
of incrorporated agents.
DETAILED DESCRIPTION OF THE INVENTION
Aerodynamically light, biodegradable particles for improved delivery to
the respiratory tract are provided. The particles can incorporate a
therapeutic or diagnostic agent, and can be used for controlled systemic
or local delivery of the agent to the respiratory tract via aerosolization.
In a preferred embodiment, the particles have a tap density less than
about 0.4 g/cm3. Features of the particle which can contribute to low
tap density include irregular surface texture and porous structure.
Administration of the low density particles to the lung by aerosolization
permits deep lung delivery of relatively large diameter therapeutic
aerosols, for example, greater than 5 .mu.m in mean diameter. A rough
surface texture also 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, throat and
inhaler device.
Density and Size of Aerodynamically Light Particles
Particle Size
The mass mean diameter of the particles can be measured using a Coulter
Counter. The aerodynamically light particles are preferably at least about
5 microns in diameter. The diameter of particles in a sample will range
depending upon depending on factors such as particle composition and
methods of synthesis. The distribution of size of particles in a sample
can be selected to permit optimal deposition within targeted sites within
the respiratory tract.
The particles may be fabricated or separated, for example. by filtration,
to provide a particle sample with a preselected size distribution. For
example, greater than 30%, 50%, 70%, or 80% of the particles in a sample
can have a diameter within a selected range of at least 5 .mu.m. The
selected range within which a certain percentage of the particles must
fall may be, for example, between about 5 and 30 .mu.m, or optionally
between 5 and 15 .mu.m. In one preferred embodiment, at least a portion of
the particles have a diameter between about 9 and 11 .mu.m. Optionally,
the particle sample also can be fabricated wherein at least 90%, or
optionally 95% or 99%, have a diameter within the selected range. The
presence of the higher proportion of the aerodynamically light, larger
diameter (at least about 5 .mu.m) particles in the particle sample
enhances the delivery of therapeutic or diagnostic agents incorporated
therein to the deep lung.
In one embodiment, in the particle sample, the interquartile range may be
2 .mu.m, with a mean diameter for example of 7.5, 8.0, 8.5, 9.0, 9.5,
10.0, 10.5, 11.0, 11.5, 12.0, 12.5, 13.0 or 13.5 .mu.m. Thus. for example,
at least 30%, 40%, 50% or 60% of the particles may have diameters within
the selected ranges of 5.5-7.5 .mu.m, 6.0-8.0 .mu.m, 6.5-8.5 .mu.m,
7.0-9.0 .mu.m, 7.5-9.5 .mu.m, 8.0-10.0 .mu.m, 8.5-10.5 .mu.m, 9.0-11.0 .mu.m,
9.5-11.5 .mu.m, 10.0-12.0 .mu.m, 10.5-12.5.mu.m, 11.0-13.0 .mu.m,
11.5-13.5 .mu.m, 12.0-14.0 .mu.m, 12.5-14.5 .mu.m or 13.0-15.0 .mu.m.
Preferably the above-listed percentages of particles have diameters within
a 1 .mu.m range, for example, 6.0-7.0 .mu.m, 10.0-11.0 .mu.m or 13.0-14.0
.mu.m.
Particles having a tap density less than about 0.4 g/cm3 and a mean
diameter of at least about 5 .mu.m are more capable of escaping inertial
and gravitational deposition in the oropharyngeal region than smaller or
more dense particles, and are targeted to the airways of the deep lung.
The use of larger particles (mean diameter greater than 5 .mu.m) is
advantageous since they are able to aerosolize more efficiently than
smaller, denser particles such as those currently used for inhalation
therapies.
In comparison to smaller, denser particles, the larger (greater than 5 .mu.m)
aerodynamically light particles also can potentially more successfully
avoid phagocytic engulfment by alveolar macrophages and clearance from the
lungs, due to size exclusion of the particles. from the phagocytes'
cytosolic space. For particles of statistically isotropic shape (on
average, particles of the powder possess no distinguishable orientation),
such as spheres with rough surfaces, the particle envelope volume is
approximately equivalent to the volume of cytosolic space required within
a macrophage for complete particle phagocytosis.
Aerodynamically light particles thus are capable of a longer term release
of an incorporated diagnostic or therapeutic agent than smaller, denser
particles. Following inhalation, aerodynamically light biodegradable
particles can deposit in the lungs (due to their relatively low tap
density), and subsequently undergo slow degradation and drug release,
without the majority of the particles being phagocytosed by alveolar
macrophages. The agent 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 agent. The aerodynamically light particles thus are
highly suitable for inhalation therapies, particularly in controlled
release applications.
The particles may be fabricated with the appropriate material, surface
roughness, diameter and tap density for localized delivery to selected
regions of the respiratory tract such as the deep lung or upper airways.
For example, higher density or larger particles may be used for upper
airway delivery, or a mixture of different sized particles in a sample,
provided with the same or different incorporated agent may be administered
to target different regions of the lung in one administration.
Particle Density and Deposition
The particles have a diameter of at least about 5 .mu.m and optionally
incorporate a therapeutic or diagnostic agent. The particles are
preferably aerodynamically light. As used herein, the phrase
"aerodynamically light particles" refers to particles having a tap density
less than about 0.4 g/cm3. The tap density of particles of a dry
powder may be obtained using a Geo Phy.TM. (Micrometrics Instrument Corp.,
Norcross, Ga. 30093). Tap density is a standard measure of the envelope
mass density. The envelope mass density of an isotropic particle is
defined as the mass of the particle divided by the minimum sphere envelope
volume within which it can be enclosed.
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).
The importance of both deposition mechanisms increases in proportion to
the mass of aerosols and not to particle (or envelope) volume. Since the
site of aerosol deposition in the lungs is determined by the mass of the
aerosol (at least for particles of mean aerodynamic diameter greater than
approximately 1 .mu.m), diminishing the tap density by increasing particle
surface irregularities and particle porosity permits the delivery of
larger particle envelope volumes into the lungs, all other physical
parameters being equal.
The low tap density particles have a small aerodynamic diameter in
comparison to the actual envelope sphere diameter. The aerodynamic
diameter, daer, is related to the envelope 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 envelope mass .rho. is in units of g/cm3. Maximal
deposition of monodisperse aerosol particles in the alveolar region of the
human lung (approximately 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 envelope mass density, the actual
diameter d of aerodynamically light particles comprising a monodisperse
inhaled powder that will exhibit maximum deep-lung deposition is:
d=3/.rho..mu.m (where .rho.<1 g/cm3);
where d is always greater than 3 .mu.m. For example, aerodynamically light
particles that display an envelope mass density, .rho.=0.1 g/cm3.
will exhibit a maximum deposition for particles having envelope 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 envelope mass density, in addition to
contributing to lower phagocytic losses.
Particle Materials
The aerodynamically light particles preferably are biodegradable and
biocompatible, and optionally are capable of biodegrading at a controlled
rate for release of an incorporated thereapeutic or diagnostic agent. The
particles can be made of any material which is capable of forming a
particle having a tap density less than about 0.4 g/cm3. Both
inorganic and organic materials can be used. Other non-polymeric materials
(e.g. fatty acids) may be used which are capable of forming
aerodynamically light particles as defined herein. Different properties of
the particle can contribute to the aerodynamic lightness including the
composition forming the particle, and the presence of irregular surface
structure or pores or cavities within the particle.
Polymeric Particles
The particles may be formed from any biocompatible, and preferably
biodegradable polymer, copolymer, or blend, which is capable of forming
particles having a tap density less than about 0.4 g/cm3.
Surface eroding polymers such as polyanhydrides may be used to form the
aerodynamically light 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.
In another embodiment, bulk eroding polymers such as those based on
polyesters, including poly(hydroxy acids), can be used. Preferred
poly(hydroxy acids) are polyglycolic acid (PGA), polylactic acid (PLA) and
copolymers and coblends thereof. In one embodiment, the polyester has
incorporated therein a charged or functionalizable group such as an amino
acid.
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 and other polysaccharides, and peptides or
proteins, or copolymers or blends thereof. 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 aerodynamically light particles are
formed from functionalized polyester graft copolymers, 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 Hydrogels and Biodegradable Polymers for Bioapplications,
ACS Symposium Series No. 627, Raphael M. Ottenbrite et al., Eds., .mu.merican
Chemical Society, Chapter 8, pp. 93-101, 1996. 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 residues in the polyester
backbone. The polyesters may be polymers of .alpha.-hydroxy acids such as
lactic acid, glycolic acid, hydroxybutyric acid and hydroxyvaleric acid,
or derivatives or combinations thereof. The polymers can include ionizable
side chains, such as polylysine and polyaniline. Other ionizable groups,
such as amino or carboxyl groups, may be incorporated into the polymer.
covalently or noncovalently, to enhance surface roughness and porosity.
An exemplary polyester graft copolymer is poly(lactic acid-colysine-graft-lysine)
(PLAL-Lys), which has a polyester backbone consisting of poly(L-lactic
acid-co- L-lysine) (PLAL), and grafted polylysine 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% N .epsilon.
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 E-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.-amino groups of linear poly(L-lactic
acid-co-L-lysine) copolymers initiate the ring opening polymerization of
an amino acid N-.epsilon. carboxyanhydride (NCA) to produce poly(L-lactic
acid-co-amino acid) comb-like graft copolymers. 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 amine initiated ring opening polymerization of NCAs
allows efficient 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, Spriner-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.-amino 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
.epsilon.-amino group of the lysine side chain attacks C-5 of the NCA.
This leads to ring opening to form an amide linkage, accompanied by
evolution of a molecule of CO2. The amino group formed by the
evolution of CO2 propogates the polymerization by attacking
subsequent NCA molecules. The degree of polymerization of the poly(amino
acid) side chains, the amino acid content in the resulting graft
copolymers and the physical and chemical characteristics of the resulting
copolymers can be controlled by adjusting the ratio of NCA to lysine
.epsilon.-amino groups in the PLAL polymer, for example, by adjusting the
length of the poly(amino acid) side chains and the total amino acid
content.
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, thiol, guanido, 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 side chain lengths. The side chains preferably include between 10 and
100 amino acids, and have an overall amino acid content between 7 and 72%.
However, the side chains can include more than 100 amino acids and can
have an overall amino acid content greater than 72%, depending on the
reaction conditions. Poly(amino acids) can be grafted to the PLAL backbone
in any suitable solvent. Suitable solvents include polar organic solvents
such as dioxane, DMF, CH2 Cl2, and mixtures thereof. In a
preferred embodiment, the reaction is conducted in dioxane at room
temperature for a period of time between about 2 and 4 days.
Alternatively, the particles 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 characteristics of the aerodynamically light 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.
Therapeutic Agents
Any of a variety of therapeutic agents can be incorporated within the
particles, which can locally or systemically deliver the incorporated
agents following administration to the lungs of an animal. Examples
include synthetic inorganic and organic compounds or molecules, proteins
and peptides, polysaccharides and other sugars, lipids, and nucleic acid
molecules having therapeutic, prophylactic or diagnostic activities.
Nucleic acid molecules include genes, antisense molecules which bind to
complementary DNA to inhibit transcription, ribozymes and ribozyme guide
sequences. The agents to be incorporated can have a variety of biological
activities, such as vasoactive agents, neuroactive agents, hormones,
anticoagulants, immunomodulating agents, cytotoxic agents, prophylactic
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, for example,
between 100 and 500,000 grams per mole, can be encapsulated.
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.
Aerosols including the aerodynamically light particles are useful for a
variety of inhalation therapies. The particles can incorporate small and
large drugs, release the incorporated 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 agents.
The agents can be locally delivered within the lung or can be systemically
administered. For example, genes for the treatment of diseases such as
cystic fibrosis can be administered, as can beta agonists for asthma.
Other specific therapeutic agents include insulin, calcitonin, leuprolide
(or LHRH), G-CSF, parathyroid hormone-related peptide, somatostatin,
testosterone, progesterone, estradiol, nicotine, fentanyl, norethisterone,
clonidine, scopolomine, salicylate, cromolyn sodium, salmeterol,
formeterol, albeterol, and valium.
Diagnostic Agents
Any of a variety of diagnostic agents can be incorporated within the
particles, which can locally or systemically deliver the incorporated
agents following administration to the lungs of an animal, including gases
and other imaging agents.
Gases
Any biocompatible or pharmacologically acceptable gas can be incorporated
into the particles or trapped in the pores of the particles. The term gas
refers to any compound which is a gas or capable of forming a gas at the
temperature at which imaging is being performed. The gas may be composed
of a single compound such as oxygen, nitrogen, xenon, argon, nitrogen or a
mixture of compounds such as air. Examples of fluorinated gases include
CF4, C2 F6, C3 F8, C4 F8, SF6,
C2 F4, and C3 F6.
Other Imaging Agents
Other imaging agents which may be utilized include commercially available
agents used in positron emission tomography (PET), computer assisted
tomography (CAT), single photon emission computerized tomography, x-ray,
fluoroscopy, and magnetic resonance imaging (MRI).
Examples of suitable materials for use as contrast agents in MRI include
the gatalinium chelates currently available, such as diethylene triamine
pentacetic acid (DTPA) and gatopentotate dimeglumine, as well as iron,
magnesium, manganese, copper and chromium.
Examples of materials useful for CAT and x-rays include iodine based
materials for intravenous administration, such as ionic monomers typified
by diatrizoate and iothalamate, non-ionic monomers such as iopamidol,
isohexol, and ioversol, non-ionic dimers, such as iotrol and iodixanol,
and ionic dimers, for example, ioxagalte.
Particles incorporating these agents can be detected using standard
techniques available in the art and commercially available equipment.
Formation of Aerodynamically Light Polymeric Particles
Aerodynamically light polymeric particles may be prepared using single and
double emulsion solvent evaporation, spray drying, solvent extraction or
other methods well known to those of ordinary skill in the art. The
particles may be made, for example, using methods for making microspheres
or microcapsules known in the art.
Methods for making microspheres are described in the literature, for
example, in Mathiowitz and Langer, J. Controlled Release 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 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).
In solvent evaporation, described for example, in Mathiowitz, et al.,
(1990), Benita, and U.S. Pat. No. 4,272,398 to Jaffe, a 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. An agent to be incorporated, either in soluble form or
dispersed as fine particles, is optionally 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 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 (typically between 1 and 1000 microns)
and morphologies can be obtained. This method is especially useful for
relatively stable polymers such as polyesters and polystyrene. However,
labile polymers such as polyanhydrides may degrade due to exposure to
water. Solvent removal may be a preferred method for preparing
microspheres from these polymers.
Solvent removal was primarily designed for use with polyanhydrides. In
this method, a therapeutic or diagnostic agent can be dispersed or
dissolved in a solution of a selected polymer in a volatile organic
solvent like methylene chloride. The mixture can then be suspended in oil,
such as silicon oil, by stirring, to form an emulsion. As the solvent
diffuses into the oil phase, 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 between one and
300 microns can be obtained using this procedure.
Targeting of Particles
Targeting molecules can be attached to the 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 interactions of the particle with specific receptor sites,
such as those within the lungs. The particles can be targeted by attaching
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 to receptors on the surfaces of the
target cells.
Administration
The particles can be administered to the respiratory system alone or in
any appropriate pharmaceutically acceptable carrier, such as a liquid, for
example saline, or a powder. In one embodiment, particles incorporating a
prophylactic, therapeutic or diagnostic agent are codelivered with larger
carrier particles that do not include an incorporated agent. Preferably,
the larger particles have a mass mean diameter between about 50 and 100 .mu.m.
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, Elsevier, Amsterdam, 1985.
The greater efficiency of aerosolization by aerodynamically light
particles of relatively large size permits more of an incorporated agent
to be delivered than is possible with the same mass of relatively dense
aerosols. The relatively large particle size also minimizes potential drug
losses caused by particle phagocytosis. When the particles are formed from
biocompatible polymers, the system can provide controlled release in the
lungs and long-time local action or systemic bioavailability of the
incorporated agent. Denaturation of macromolecular drugs can be minimized
during aerosolization since macromolecules are contained and protected
within a polymeric shell. The enzymatic degradation of proteins or
peptides can be minimized by co-incorporating peptidase-inhibitors.
Diagnostic Applications
The particles can be combined with a pharmaceutically acceptable carrier,
then an effective amount for detection administered to a patient via
inhalation. Particles containing an incorporated imaging agent may be used
for a variety of diagnostic applications, including detecting and
characterizing tumor masses and tissues.
Claim 1 of 35 Claims
What is claimed is:
1. A particulate system for delivery to the pulmonary system comprising
particles which comprise a biodegradable material and a therapeutic,
prophylactic or diagnostic agent, have a tap density of less than 0.4
g/cm3 and a mass mean diameter between about 5 .mu.m and about 30 .mu.m.
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