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Title: Aerodynamically light particles for pulmonary
drug delivery
United States Patent:
6,977,087
Issued: December 20, 2005
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.: 090418
Filed: March 1, 2002
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Patheon
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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 μm and 30 μm. 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 α-hydroxy-acid polyester backbone having at least one
amino acid group incorporated herein and at least on 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 μm, 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 a wide variety
of incorporated agents.
SUMMARY OF THE INVENTION
Improved aerodynamically light particles for delivery to the pulmonary
system, and methods for their preparation and administration are provided.
In a preferred embodiment, the particles are made of a biodegradable
material, have a tap density less than 0.4 g/cm3 and a mean
diameter between 5 μm and 30 μm. In one embodiment, for example, at least
90% of the particles have a mean diameter between 5 μm and 30 μm. The
particles may be formed of biodegradable materials such as biodegradable
synthetic polymers, proteins, or other water-soluble materials such as
certain polysaccharides. For example, the particles may be formed of a
functionalized polyester graft copolymer with a linear α-hydroxy-acid
polyester backbone with at least one amino acid residue incorporated per
molecule therein and at least one poly(amino acid) side chain extending from
an amino acid group in the polyester backbone. Other examples include
particles formed of water-soluble excipients, such as trehalose or lactose,
or proteins, such as lysozyme or insulin. The particles can be used for
delivery of a therapeutic or diagnostic agent to the airways or the alveolar
region of the lung. The particles may be effectively aerosolized for
administration to the respiratory tract and can be used to systemically or
locally deliver a wide variety of incorporated agents. The particles
incorporating an agent can optionally be co-delivered with larger carrier
particles, not carrying an incorporated agent, which have, for example, a
mean diameter ranging between about 50 μm and 100 μm.
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 μm 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 μm. The selected range within
which a certain percentage of the particles must fall may be, for example,
between about 5 and 30 μm, or optionally between 5 and 15 μm. In one
preferred embodiment, at least a portion of the particles have a diameter
between about 9 and 11 μm. 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 μm) 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
μm, 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 μm. 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 μm, 6.0-8.0 μm, 6.5-8.5 μm, 7.0-9.0 μm, 7.5-9.5 μm,
8.0-10.0 μm, 8.5-10.5 μm, 9.0-11.0 μm, 9.5-11.5 μm, 10.0-12.0 μm, 10.5-12.5
μm, 11.0-13.0 μm, 11.5-13.5 μm, 12.0-14.0 μm, 12.5-14.5 μm or 13.0-15.0 μm.
Preferably the above-listed percentages of particles have diameters within a
1 μm range, for example, 6.0-7.0 μm, 10.0-11.0 μm or 13.0-14.0 μm.
Particles having a tap density less than about 0.4 g/cm3 and a
mean diameter of at least about 5 μm 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 μm) 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 μm)
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 μm 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 GeoPyc™
(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 μm), 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:
where the envelope mass ρ 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 μm. 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:
where d is always greater than 3 μm. For example, aerodynamically light
particles that display an envelope mass density, ρ=0.1 g/cm3,
will exhibit a maximum deposition for particles having envelope diameters as
large as 9.5 μm. 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[(p-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., American
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 α-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-co-lysine-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 ε 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 ε-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 ε-amino groups of linear poly(L-lactic acid-co-L-lysine)
copolymers initiate the ring opening polymerization of an amino acid N-ε
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. α-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 ε-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
ε-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
propagates 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 ε-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, CH2Cl2, 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 he 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, inmiunomodulating 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,
C2F6, C3F8, C4F8,
SF6, C2F4, and C3F6.
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 co-delivered 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 μm.
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 10 Claims
1. A method of increasing systemic bioavailability of a hormone
administered by inhalation comprising:
administering to the respiratory system of a patient or animal in need of
said hormone aerodynamically light particles that have a mass mean
diameter greater than 5 μm, an aerodynamic diameter less than 4.7 μm and
that include said hormone,
wherein the particles are delivered and deposited to the patient's or
animal's lungs and the hormone is released in the patient's or animal's
blood stream for at least 4 hours and the particles having a tap density
less than about 0.4 g/cm3.
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