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Title: Microparticle protection of therapeutic agents
United States Patent: 6,887,857
Issued: May 3, 2005
Inventors: Naimark; Wendy (Cambridge, MA); Palasis; Maria (Wellsley,
MA)
Assignee: SciMed Life Systems, Inc. (Maple Grove, MN)
Appl. No.: 845080
Filed: April 27, 2001
Abstract
The present invention is directed to the use of microparticles to protect
the pharmaceutical effectiveness of a pharmaceutically active agent.
According to one embodiment, a pharmaceutically acceptable suspension is
provided that comprises microparticles and a pharmaceutically active agent.
This pharmaceutically acceptable suspension is then exposed to a component
or condition that is incompatible with the pharmaceutically active agent,
such that the microparticles provide a pharmaceutical effectiveness that is
greater than it would have been in the absence of the microparticles.
Preferably, the microparticles result in a pharmaceutical effectiveness of
the pharmaceutically active agent that is at least 10% greater than the
pharmaceutical effectiveness of the pharmaceutically active agent would have
been in the absence of the micro particles. Polymer microparticles, such as
polystyrene microparticles, are one preferred class of microparticles. The
microparticles preferably range from 0.01 to 100 microns in largest
dimension, more preferably 0.1 to 10 microns in largest dimension. The
microparticles are preferably provided in an amount of 0.1 to 1 wt % within
the suspension. Agents comprising polynucleotides, including cells, plasmids
and viral vectors, are a preferred class of pharmaceutically active agent.
Other embodiments on the invention are directed to pharmaceutically
acceptable suspensions, medical devices for parenteral injection, and
methods of treatment.
Description of the Invention
FIELD OF THE INVENTION
This invention relates to the protection of therapeutic agents and more
particularly to novel techniques and compositions for the protection of
therapeutic agents using microparticles.
BACKGROUND OF THE INVENTION
As noted in related U.S. Ser. Nos. 09/429,178 and 09/503,586, devices
having metallic and polymeric components are used extensively in the medical
field. In many cases, such medical devices are used for delivery of a
solution or suspension containing a pharmaceutically active agent, and the
pharmaceutically active agent comes into contact with the metallic or
polymeric component during the course of its delivery. Metallic materials
used in such devices include stainless steel and nickel-titanium
superelastic alloys (e.g., nitinol). Polymeric components used in such
devices include polycarbonate, polyimide, acrylonitrile/butadiene/styrene
resins (ABS), poly ether ether ketone (PEEK), epoxy-based adhesives (such as
FDA2 or FDA23) and nylon (such as nylon 6,6). The inventors in related U.S.
Ser. Nos. 09/429,178 and 09/503,586 have found, however, that despite their
reputation as being substantially inert, such materials can be incompatible
to varying degrees with certain pharmaceutically active agents.
The present invention provides a simple and unexpected way of overcoming the
above and other incompatibilities.
SUMMARY OF THE INVENTION
According to an embodiment of the present invention, a method is provided
in which microparticles are used to protect the pharmaceutical effectiveness
of a pharmaceutically active agent. The method comprises: (a) providing a
pharmaceutically acceptable suspension comprising the pharmaceutically
active agent and microparticles; and (b) exposing the pharmaceutically
acceptable suspension to a component or condition that is incompatible with
the pharmaceutically active agent, such that the microparticles result in a
pharmaceutical effectiveness of the pharmaceutically active agent that is
greater than it would have been in the absence of the microparticles.
Preferably, the microparticles result in a pharmaceutical effectiveness of
the pharmaceutically active agent that is at least 10% greater than the
pharmaceutical effectiveness of the pharmaceutically active agent would have
been in the absence of the microparticles.
Components incompatible with the pharmaceutically active agent include
metals (such as certain stainless steel and nickel-titanium alloys),
polymers (such as certain poly ether ether ketones, polyimides, epoxies,
nylons, acrylonitrile/butadiene/styrene polymers and polycarbonates) and
glass.
Conditions incompatible with the pharmaceutically active agent include
freeze-thaw transformations.
The microparticles preferably range from 0.01 to 100 microns in largest
dimension, more preferably 0.1 to 10 microns in largest dimension. The
microparticles are preferably provided in an amount ranging from 0.1 to 1 wt
% within the suspension. Polymer microparticles, such as polystyrene
microparticles, are one preferred class of microparticles.
According to another embodiment of the invention, a method of treatment is
provided. The method comprises: (a) providing a pharmaceutically acceptable
suspension comprising a pharmaceutically active agent and microparticles;
(b) providing a medical device having a component that is incompatible with
the pharmaceutically active agent; and (c) parenterally injecting the
pharmaceutically active agent into a patient via the device while at the
same time removing the microparticles from the pharmaceutically acceptable
suspension. Preferred devices include parenteral injection devices, such as
vascular catheters and syringes.
According to another embodiment of the invention, a device for parenteral
injection is provided that comprises: (a) a pharmaceutically acceptable
suspension comprising a pharmaceutically active agent and microparticles;
(b) a device component that contacts the suspension and is incompatible with
the pharmaceutically active agent; and (c) a separator that acts to remove
the microparticles from the pharmaceutically acceptable suspension prior to
parenteral injection.
According to another embodiment of the invention, a pharmaceutically
acceptable suspension is provided. The suspension comprises: (a) a
pharmaceutically active agent; and (b) microparticles that prevent a
substantial reduction in pharmaceutical effectiveness of the
pharmaceutically active agent upon being exposed to a material or condition
that is incompatible with the pharmaceutically active agent.
One advantage associated with the present invention is that the efficacy of
pharmaceutically active agents can be protected in a simple manner.
Another advantage of the present invention is that a pharmaceutically active
agent can be stored in a storage container or delivered from a medical
device that contains materials that would otherwise result in a substantial
reduction in the pharmaceutical effectiveness of the pharmaceutically active
agent.
Another advantage of the present invention is that a pharmaceutically active
agent can be stored under conditions that would otherwise result in a
substantial reduction in the pharmaceutical effectiveness of the
pharmaceutically active agent.
Yet another advantage of the present invention is that an agent (i.e.,
microparticles) can be provided to protect the efficacy of the
pharmaceutically active agent, but need not be introduced into a patient at
the time of administration.
DETAILED DESCRIPTION OF THE INVENTION
As a preliminary matter, it is noted that "pharmaceutical article", as
defined herein, means any article that comes into contact with a
pharmaceutically active material.
By "pharmaceutical effectiveness" or "pharmaceutical efficacy" is meant any
desired pharmaceutical result. As a specific example, the pharmaceutical
effectiveness of a virus can be measured by the ability of that virus to
infect cells. As another example, the pharmaceutical effectiveness of a
protein can be measured by its activity within an ELISA assay.
Pharmaceutical effectiveness is said to be "substantially reduced", is
"substantially lower" or is said to undergo a "substantial reduction" when
it is reduced, for example, by at least 5%, more commonly 10%, 20%, 30%,
40%, 50% or more. An "incompatible component" is a component that causes a
substantial reduction in pharmaceutical effectiveness upon contacting a
pharmaceutically active material. A condition is an "incompatible condition"
that, when encountered by a pharmaceutically active material, results in a
substantial reduction in pharmaceutical effectiveness.
Pharmaceutical effectiveness is said to be "substantially increased", is
"substantially higher" or is said to undergo a "substantial increase" when
it is increased, for example, by at least 5%, more commonly 10%, 20%, 30%,
40%, 50% or more.
At present, many pharmaceutical articles, including various medical devices,
are known in which solutions or dispersions of pharmaceutically active
agents come into contact with materials prior to delivery to the body.
However, as seen below in the Examples, and as further shown in related U.S.
Ser. Nos. 09/429,178 and 09/503,586, where certain pharmaceutically active
agents contact substrates comprising certain materials, their pharmaceutical
effectiveness is substantially reduced.
For instance, it has been found that where viral particles contact certain
metallic materials, such as certain stainless steel and/or nickel-titanium
alloys (e.g., nitinol), or they contact certain polymeric materials, such as
certain poly ether ether ketones (PEEK), polyimides, epoxies, nylons,
acrylonitrile/butadiene/styrene resins (ABS) and/or polycarbonates, viral
transfection may be substantially reduced. This is surprising, since it is
normally assumed that such metallic and polymeric materials are
substantially inert and hence unlikely to adversely affect pharmaceutically
active agents.
The present invention overcomes these and other difficulties through the use
of microparticles that substantially protect the pharmaceutical
effectiveness of pharmaceutically active agents upon encountering materials
or conditions that are incompatible with the active agents.
It is well within the skill of those of ordinary skill in the art to
determine which materials, in addition to those specifically listed above,
are incompatible with a given pharmaceutically active agent. Possible
mechanisms for a substantial reduction in pharmaceutical effectiveness
include inactivation (e.g., through denaturation, precipitation, damage, and
so forth) and adsorption of the pharmaceutically active agent. It is also
well within the skill of those of ordinary skill in the art to determine
which conditions are incompatible with a given pharmaceutically active
agent.
The present invention utilizes microparticles to substantially protect the
pharmaceutical effectiveness of pharmaceutically active agents upon
contacting incompatible materials or encountering incompatible conditions.
The microparticles and the pharmaceutically active agent are preferably
provided in a suspension. As a result of the presence of the microparticles
in the suspension, the pharmaceutically active agent is substantially
protected upon contact with the incompatible materials or exposure to the
incompatible conditions.
By "substantially protected" is meant that effectiveness of the
pharmaceutically active agent is substantially greater in the presence of
the microparticles, relative to the effectiveness of the pharmaceutically
active agent in the absence of the microparticles.
The microparticles of the present invention can be made of essentially any
material that is effective to achieve protection of the pharmaceutically
active agent, without resulting in a pharmaceutically unacceptable outcome
(e.g., unacceptable levels of toxicity). These materials include materials
that are not incompatible with the pharmaceutically active agent, including
certain metals (e.g., gold, titanium and platinum), ceramics/glasses (e.g.,
quartz), polymers, and combinations of the same.
Polymers appropriate for the practice of the invention may be crosslinked or
uncrosslinked, linear or branched, natural or synthetic, thermoplastic or
thermosetting, or biostable, biodegradable, bioabsorbable or dissolvable.
Exemplary polymers include the following polymers and copolymers:
polycarboxylic acid polymers and copolymers including polyacrylic acids
(e.g., acrylic latex dispersions and various polyacrylic acid products such
as HYDROPLUS, available from Boston Scientific Corporation, Natick Mass. and
described in U.S. Pat. No. 5,091,205, the disclosure of which is hereby
incorporated herein by reference, and HYDROPASS, also available from Boston
Scientific Corporation); acetal polymers and copolymers; acrylate and
methacrylate polymers and copolymers; cellulosic polymers and copolymers,
including cellulose acetates, cellulose nitrates, cellulose propionates,
cellulose acetate butyrates, cellophanes, rayons, rayon triacetates, and
cellulose ethers such as carboxymethyl celluloses and hydoxyalkyl
celluloses; polyoxymethylene polymers and copolymers; polyimide polymers and
copolymers such as polyether block imides, polybismaleinimides,
polyamidimides, polyesterimides, and polyetherimides; polysulfone polymers
and copolymers including polyarylsulfones and polyethersulfones; polyamide
polymers and copolymers including nylon 6,6, polycaprolactams and
polyacrylamides; resins including alkyd resins, phenolic resins, urea
resins, melamine resins, epoxy resins, allyl resins and epoxide resins;
polycarbonates; polyacrylonitriles; polyvinylpyrrolidones (cross-linked and
otherwise); anhydride polymers and copolymers including maleic anhydride
polymers; polymers and copolymers of vinyl monomers including polyvinyl
alcohols, polyvinyl halides such as polyvinyl chlorides, ethylene-vinylacetate
copolymers (EVA), polyvinylidene chlorides, polyvinyl ethers such as
polyvinyl methyl ethers, polystyrenes, styrene-butadiene copolymers,
acrylonitrile-styrene copolymers, acrylonitrile-butadiene-styrene
copolymers, styrene-butadiene-styrene copolymers and
styrene-isobutylene-styrene copolymers, polyvinyl ketones,
polyvinylcarbazoles, and polyvinyl esters such as polyvinyl acetates;
polybenzimidazoles; ionomers; polyalkyl oxide polymers and copolymers
including polyethylene oxides (PEO); glycosaminoglycans; polyesters
including polyethylene terephthalates and aliphatic polyesters such as
polymers and copolymers of lactide (which includes lactic acid as well as
d-,1- and meso lactide), epsilon-caprolactone, glycolide (including glycolic
acid), hydroxybutyrate, hydroxyvalerate, para-dioxanone, trimethylene
carbonate (and its alkyl derivatives), 1,4-dioxepan-2-one,
1,5-dioxepan-2-one, and 6,6-dimethyl-1,4-dioxan-2-one (a copolymer of
polylactic acid and polycaprolactone is one specific example); polyether
polymers and copolymers including polyarylethers such as polyphenylene
ethers, polyether ketones, polyether ether ketones; polyphenylene sulfides;
polyisocyanates (e.g., U.S. Pat. No. 5,091,205 describes medical devices
coated with one or more polyisocyanates such that the devices become
instantly lubricious when exposed to body fluids); polyolefin polymers and
copolymers, including polyalkylenes such as polypropylenes, polyethylenes
(low and high density, low and high molecular weight), polybutylenes (such
as polybut-1-ene and polyisobutylene), poly-4-methyl-pen-1-enes,
ethylene-alpha-olefin copolymers, ethylene-methyl methacrylate copolymers
and ethylene-vinyl acetate copolymers; fluorinated polymers and copolymers,
including polytetrafluoroethylenes (PTFE),
poly(tetrafluoroethylene-co-hexafluoropropene) (FEP), modified ethylene-tetrafluoroethylene
copolymers (ETFE), and polyvinylidene fluorides (PVDF); silicone polymers
and copolymers; polyurethanes (e.g., BAYHYDROL polyurethane dispersions); p-xylylene
polymers; polyiminocarbonates; copoly(ether-esters)such as polyethylene
oxide-polylactic acid copolymers; polyphosphazines; polyalkylene oxalates;
polyoxaamides and polyoxaesters (including those containing amines and/or
amido groups); polyorthoesters; biopolymers, such as polypeptides, proteins,
polysaccharides and fatty acids (and esters thereof), including fibrin,
fibrinogen, collagen, elastin, chitosan, gelatin, starch, glycosaminoglycans
such as hyaluronic acid; as well as blends and copolymers of the same.
Those of ordinary skill in the art will be able to determine which polymers
are most appropriate for a given pharmaceutically active material with
relative ease using, for example, techniques like those used in the
Examples.
Latex beads represent one preferred class of polymer microparticles that are
useful in connection with the present invention. Natural latexes as well as
synthetic latexes (e.g., latexes formed by emulsion polymerization from
polystyrene, styrene-butadiene copolymers, acrylate polymers, polyvinyl
acetate, and so forth) are preferred, with polystyrene latexes being more
preferred.
The term "microparticle" as used herein refers to small particles ranging in
largest dimension from 0.01 to 1000 microns, preferably 0.01 to 100 microns,
more preferably 0.1 to 10 microns, and even more preferably about 1 micron.
While substantially spherical particles (including both spheres and beads)
are preferred, particles of any shape, including rod-shaped particles and
irregularly shaped particles, are contemplated.
The microparticles and pharmaceutically active agents are provided within
any physiologically acceptable liquid medium known in the art, including
physiological saline, phosphate buffered saline, and solutions containing
trehalose, sucrose, glycerol, tris(hydroxymethyl)aminomethane buffer and/or
MgCl2. Additional adjuvants known in the art are also
contemplated.
Preferred amounts of the microparticles range from 0.01 to 10 wt % within
the suspension, more preferably 0.1 to 1 wt %.
Preferred amounts of the pharmaceutically active agents are therapeutically
effective amounts; such amounts are well within the ability of those of
ordinary skill in the art to determine.
"Pharmaceutically active agents", "pharmaceutically active materials",
"therapeutic agents", "drugs" and other related terms are used
interchangeably herein and include genetic therapeutic agents, non-genetic
therapeutic agents and cells. Pharmaceutically active agents useful in
accordance with the present invention may be used singly or in combination.
Therapeutic agents include cells of human origin (autologous or allogeneic),
including stem cells, or from an animal source (xenogeneic), which can be
genetically engineered if desired to deliver proteins of interest. Cell
types include bone marrow stromal cells, endothelial progenitor cells,
myogenic cells including cardiomyogenic cells such as procardiomyocytes,
cardiomyocytes, myoblasts such as skeletomyoblasts, fibroblasts, stem cells
(e.g., mesenchymal, hematopoietic, neuronal and so forth), pluripotent stem
cells, macrophage, satellite cells and so forth. Cells appropriate for the
practice of the present invention also include biopsy samples for direct use
(e.g., whole bone marrow) or fractions thereof (e.g., bone marrow stroma,
bone marrow fractionation for separation of leukocytes). Where appropriate,
media can be formulated as needed to maintain cell function and viability.
Therapeutic agents also include both polymeric (e.g., proteins, enzymes) and
non-polymeric (e.g., small molecule therapeutics) agents and include
Ca-channel blockers, serotonin pathway modulators, cyclic nucleotide pathway
agents, catecholamine modulators, endothelin receptor antagonists, nitric
oxide donors/releasing molecules, anesthetic agents, ACE inhibitors, ATII-receptor
antagonists, platelet adhesion inhibitors, platelet aggregation inhibitors,
coagulation pathway modulators, cyclooxygenase pathway inhibitors, natural
and synthetic corticosteroids, lipoxygenase pathway inhibitors, leukotriene
receptor antagonists, antagonists of E- and P-selectins, inhibitors of
VCAM-1 and ICAM-1 interactions, prostaglandins and analogs thereof,
macrophage activation preventers, HMG-CoA reductase inhibitors, fish oils
and omega-3-fatty acids, free-radical scavengers/antioxidants, agents
affecting various growth factors (including FGF pathway agents, PDGF
receptor antagonists, IGF pathway agents, TGF-β pathway agents, EGF pathway
agents, TNF-α pathway agents, Thromboxane A2 [TXA2] pathway modulators, and
protein tyrosine kinase inhibitors), MMP pathway inhibitors, cell motility
inhibitors, anti-inflammatory agents, antiproliferative/antineoplastic
agents, matrix deposition/organization pathway inhibitors,
endothelialization facilitators, blood rheology modulators, as well as
integrins, chemokines, cytokines and growth factors.
Therapeutic agents also include genetic therapeutic agents and proteins,
such as ribozymes, anti-sense polynucelotides and polynucleotides coding for
a specific product (including recombinant nucleic acids) such as genomic
DNA, cDNA, or RNA. The polynucleotide can be provided in "naked" form or in
connection with vector systems that enhances uptake and expression of
polynucleotides. These can include DNA compacting agents (such as histones),
non-infectious vectors (such as plasmids, lipids, liposomes, cationic
polymers and cationic lipids) and viral vectors such as viruses and
virus-like particles (i.e., synthetic particles made to act like viruses).
The vector may further have attached peptide targeting sequences, antisense
nucleic acids, and DNA chimeras which include gene sequences encoding for
ferry proteins such as membrane translocating sequences ("MTS") and herpes
simplex virus-1 ("VP22").
Further therapeutic agents include:
 | Anti-sense DNA and RNA |
 | tRNA or rRNA to replace defective or deficient endogenous molecules
|
 | Gene delivery agents, which may be either endogenously or exogenously
controlled. Examples of endogenous control include promoters that are
sensitive to a physiological signal such as hypoxia or glucose elevation.
Exogenous control systems involve gene expression controlled by
administering a small molecule drug. Examples include tetracycline,
doxycycline, ecdysone and its analogs, RU486, chemical dimerizers such as
rapamycin and its analogs, etc. |
 | Angiogenic molecules including:
 | growth factors: such as acidic and basic fibroblast growth factors,
vascular endothelial growth factor, epidermal growth factor,
transforming growth factor alpha and beta, platelet-derived endothelial
growth factor, platelet-derived growth factor, platelet derived
endothelial cell growth factor, tumor necrosis factor α, hepatocyte
growth factor, insulin like growth factor, placental growth factor;
PR39, angiogenin, prostaglandin E1 and E2, interleukin 8, angiopoietins
(I, II, III, IV, etc), androgens, proliferin, granulocyte colony
stimulating factor, estrogens |
 | transcription factors: such as Hif1a, Del1, |
 | protein kinases: such as Akt |
|
 | Cytotoxic factors or cell cycle inhibitors, including CD inhibitors:
such as p53, thymidine kinase ("TK") and other agents useful for
interfering with cell proliferation |
 | The family of bone morphogenic proteins ("BMP's"): including BMP-2,
BMP-3, BMP-4, BMP-5, BMP-6 (Vgr-1), BMP-7 (OP-1), BMP-8, BMP-9, BMP-10,
BMP-11, BMP-12, BMP-13, BMP-14, BMP-15, and BMP-16. Currently preferred
BMP's are any of BMP-2, BMP-3, BMP-4, BMP-5, BMP-6 and BMP-7. These
dimeric proteins can be provided as homodimers, heterodimers, or
combinations thereof, alone or together with other molecules.
Alternatively or, in addition, molecules capable of inducing an upstream
or downstream effect of a BMP can be provided. Such molecules include any
of the "hedgehog" proteins, or the DNA's encoding them. |
 | Cell survival molecules: including Akt, insulin-like growth factor 1,
NF-kB decoys, 1-kB, |
 | Other therapeutic agents: including Madh6, Smad6, Apo A-1, |
 | Small molecule activators or inhibitors of the genes described above
including decoys. |
 | Vectors and gene transfer agents including:
 | Viral vectors: such as adenoviruses, gutted adenoviruses, adeno-associated
virus, retroviruses, alpha virus (Semliki Forest, Sindbis, etc.),
lentiviruses, herpes simplex virus, ex vivo modified cells (i.e., stem
cells, fibroblasts, myoblasts, satellite cells, pericytes,
cardiomyocytes, sketetal myocytes, macrophage, etc.), replication
competent viruses (ONYX-015, etc.), and hybrid vectors. |
 | Nonviral vectors: artificial chromosomes and mini-chromosomes,
plasmid DNA vectors (pCOR), cationic polymers (polyethyleneimine,
polyethyleneimine (PEI) graft copolymers such as polyether-PEI and
polyethylene oxide-PEI, neutral polymers PVP, SP1017 (SUPRATEK), lipids
or lipoplexes, nanoparticles and microparticles with and without
targeting sequences such as the protein transduction domain (PTD). |
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A "polynucleotide" is a nucleic acid molecule polymer, such as DNA, RNA and
their analogs, having as few as 3 nucleotides, and can include both double-
and single-stranded sequences. A "protein" is a polymer of as few as two (dimer)
amino acid residues.
Preferably, the pharmaceutically active material is a cell or
polynucleotide, more preferably a cell or polynucleotide that is present in
the form of a plasmid or that is present in conjunction with virus or
virus-like particles. Specific examples of preferred cells include
cardiomyocytes, skeletal myoblasts, endothelial cells, and stem cells.
Specific examples of preferred virus or virus-like particles include
adenovirus, paroviruses such as adeno-associated virus, lentivirus,
retrovirus, alpha-virus, papilloma virus, murine leukemia virus, Semliki
Forest virus, and so forth.
To form the suspensions of the present invention, the microparticles and the
pharmaceutically active agent are commingled in a liquid medium by
essentially any known means, including stirring, shaking, and so forth.
After commingling, the suspension containing the microparticles and the
pharmaceutically active agent can be stored in any manner known in the art.
In one preferred embodiment, the suspension is stored in an ampoule (i.e., a
sealed container, typically glass or plastic, which contains a sterile
solution for parenteral injection) until the time of administration.
The use of the microparticle suspensions of the present invention with (a)
manufacturing articles, including fermentors, glassware, plasticware, probes
and tubing, (b) other storage and transport articles, including storage
vessels, transport vessels, stoppers, lids and septums, and (c) analytical
articles, including needles, pipette tips, cell culture apparatus and
analytical equipment, is also contemplated.
Where the therapeutic agent is in solution or is substantially smaller than
the microparticles used, separation of the therapeutic agent and
microparticles can be carried out with relative ease. For example, the
microparticles can be separated from the therapeutic agent by straining the
microparticles from the suspension, for example, by passing the suspension
through a filter of an appropriate pore size (or, as another example,
through a screen of appropriate mesh) prior to administration to a patient.
Preferred patients are mammalian patients, more preferably human patients.
For instance, as set forth in the Examples below, the addition of 1-micron
polystyrene latex beads to a virus suspension has been shown to essentially
retain virus activity when exposed to an incompatible material. In these
Examples, the beads are on the order of 10 times the size of the viral
particles. As a result of this large size differential, the polymeric beads
can be easily excluded from an injectate by placing a size exclusion mesh at
the distal end of a delivery lumen, permitting injection of the viral
particles without injection of the polymeric beads. Similarly, where loss of
activity is related to storage and where the medical device is not
incompatible with the therapeutic agent, the beads can be separated prior to
association of the therapeutic agent with the medical device.
Alternatively, by selecting biocompatible microparticles, the microparticles
can be administered to a patient along with the therapeutic agent. Referring
again to the Examples below, the latex polystyrene beads are tissue
compatible and may be injected along with the viral particles to the
patient. Injection of the beads is believed to enhance both cellular gene
transfer and in vivo stability.
In many preferred embodiments of the present invention, the microparticle
suspensions are administered to patients via drug-delivery medical devices
and accessories. Contemplated medical devices are numerous. For example, the
medical devices contemplated for use in connection with the present
invention can be those used for systemic treatment or those used for local
treatment of a tissue or organ. Non-limiting examples include tumors; organs
including but not limited to the heart, lung, brain, liver, kidney, bladder,
urethra and ureters, eye, intestines, stomach, pancreas, ovary, and
prostate; skeletal muscle; smooth muscle; breast; cartilage; and bone.
Essentially any medical device for parenteral injection (i.e., a
administration by a route other than the alimentary canal, including
subcutaneous, intramuscular, intravenous, intravascular, intraorbital,
intracapsular, intraspinal and intrasternal administration) is contemplated
for use in connection with the present invention.
Preferred medical devices include catheters, including endoluminal catheters
such as needle injection catheters (e.g., for endocardial, epicardial, and
pericardial agent administration), balloon catheters, diagnostic catheters
and perfusion catheters, conventional needle syringes, hypodermic needles,
intravenous injection devices, biopsy needles and devices, tissue ablation
devices, aspirating needles, stents, and so forth. Specific examples of
devices for drug delivery to the heart include, for example, those found in
the following patents and patent applications: U.S. Pat. No. 5,450,846, U.S.
Pat. No. 5,840,059, U.S. Pat. No. 5,878,751, U.S. Pat. No. 5,551,427, U.S.
Pat. No. 5,931,834, U.S. Pat. No. 5,925,012, U.S. Pat. No. 5,925,033, U.S.
Pat. No. 5,538,504, WO 99/39624, WO 99/44656, WO 99/21510, WO 99/29251, EP A
99-06 0895752, and EP A 99-01 0888750, each of which is incorporated herein
by reference.
In some cases, the microparticles are provided because the entire medical
device is composed of an incompatible material. In other cases, only a
portion of the medical device is composed of such incompatible materials.
The present invention is particularly useful in connection with viral
delivery from percutaneous transcatheter devices.
In other preferred embodiments of the present invention, the microparticles
are used to protect the effectiveness of pharmaceutically active agents
under conditions related to storage. For example, the microparticles can be
used to protect the activity of virus suspensions during storage and during
freeze-thaw.
Claim 1 of 18 Claims
1. A method of using polymer microparticles to protect pharmaceutical
effectiveness of a pharmaceutically active agent comprising:
combining in a physiologically acceptable liquid medium (a) a
pharmaceutically active agent with (b) previously formed polymer
microparticles to form a pharmaceutically acceptable suspension; and
introducing said pharmaceutically acceptable suspension into an
endoluminal drug delivery catheter for delivery, either with or without
said polymer microparticles, of said pharmaceutically acceptable
suspension to a patient, wherein introduction of said pharmaceutically
acceptable suspension into said endoluminal drug delivery catheter results
in contact of said pharmaceutically acceptable suspension with an
incompatible component of said endoluminal drug delivery catheter that is
incompatible with said pharmaceutically active agent, wherein said
incompatible component comprises a metal or a polymer, and wherein said
polymer microparticles protect the pharmaceutical effectiveness of said
pharmaceutically active agent upon said contact of said pharmaceutically
acceptable suspension with said incompatible component.
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