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Pharm/Biotech Resources
Title: Aerodynamically light particles for pulmonary
drug delivery
United States Patent: 6,942,868
Issued: September 13, 2005
Inventors: Edwards; David A. (Boston, MA); Caponetti;
Giovanni (Somerville, MA); Hrkach; Jeffrey S. (Cambridge, MA); Lotan; Noah
(Haifa, IL); Hanes; Justin (Baltimore, MD); Ben-Jebria; Abdellaziz (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.: 441948
Filed: May 20, 2003
Abstract
Improved aerodynamically light particles for drug delivery to the
pulmonary system, and methods for their synthesis and administration are
provided. In a preferred embodiment, the aerodynamically light particles are
made of biodegradable material and have a tap density of 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 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 μm, can be used for enhanced
delivery of a therapeutic agent to the alveolar region of the lung. The
aerodynamically light particles incorporating a therapeutic agent may be
effectively aerosolized for administration to the respiratory tract to
permit systemic or local delivery of wide variety of therapeutic agents.
SUMMARY OF THE INVENTION
Improved aerodynamically light particles for drug delivery to the
pulmonary system, and methods for their synthesis 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
polymers, proteins, or other water-soluble materials. 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 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 aerodynamically light particles can be used for enhanced
delivery of a therapeutic agent to the airways or the alveolar region of the
lung. The particles incorporating a therapeutic agent may be effectively
aerosolized for administration to the respiratory tract to permit systemic
or local delivery of a wide variety of therapeutic agents. They optionally
may be co-delivered with larger carrier particles, not carrying a
therapeutic 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 of
therapeutic agents to the respiratory tract are provided. The particles can
be used in one embodiment for controlled systemic or local drug delivery to
the respiratory tract via aerosolization. In 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 aerodynamically light 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
range 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 said 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.
The aerodynamically light particles incorporating a therapeutic drug, and
having a tap density less than about 0.4 g/cm3, with mean
diameters of at least about 5 μm, are more capable of escaping inertial and
gravitational deposition in the oropharyngeal region, and are targeted to
the airways or the deep lung. The use of larger particles (mean diameter at
least about 5 μm) is advantageous since they are able to aerosolize more
efficiently than smaller, non-light aerosol particles such as those
currently used for inhalation therapies.
In comparison to smaller non-light particles, the larger (at least about 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. Phagocytosis of particles by alveolar macrophages diminishes
precipitously as particle diameter increases beyond 3 μm. Kawaguchi, H. et
al., Biomaterials 7: 61-66 (1986); Krenis, L. J. and Strauss, B.,
Proc. Soc. Exp. Med., 107:748-750 (1961); and Rudt, S. and Muller, R.
H., J. Contr. Rel., 22: 263-272 (1992). 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
a therapeutic agent. 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 drug can be delivered relatively slowly into the
alveolar fluid, and at a controlled rate into the blood stream, minimizing
possible toxic responses of exposed cells to an excessively high
concentration of the drug. The aerodynamically light particles thus are
highly suitable for inhalation therapies, particularly in controlled release
applications. The preferred mean diameter for aerodynamically light
particles for inhalation therapy is at least about 5 μm, for example between
about 5 and 30 μm.
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 therapeutic agent may be administered to target
different regions of the lung in one administration.
Particle Density and Deposition
The particles having a diameter of at least about 5 μm and incorporating a
therapeutic or diagnostic agent preferably are 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:
Medpham 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 (˜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
In order to serve as efficient and safe drug carriers in drug delivery
systems, the aerodynamically light particles preferably are biodegradable
and biocompatible, and optionally are capable of biodegrading at a
controlled rate for delivery of a drug. 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. For example, ceramics may 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, the
disclosure of which is incorporated herein by reference.
In another embodiment, bulk eroding polymers such as those based on
polyesters including poly(hydroxy acids) can be used. For example,
polyglycolic acid (PGA) or polylactic acid (PLA) or copolymers thereof may
be used to form the aerodynamically light particles, wherein the polyester
has incorporated therein a charged or functionalizable group such as an
amino acid as described below.
Other polymers include polyamides, polycarbonates, polyalkylenes such as
polyethylene, polypropylene, poly(ethylene glycol), poly(ethylene oxide),
poly(ethylene terephthalate), poly vinyl compounds such as polyvinyl
alcohols, polyvinyl ethers, and polyvinyl esters, polymers of acrylic and
methacrylic acids, celluloses and other polysaccharides, and peptides or
proteins, or copolymers or blends thereof which are capable of forming
aerodynamically light particles with a tap density less than about 0.4 g/cm3.
Polymers may be selected with or modified to have the appropriate stability
and degradation rates in vivo for different controlled drug delivery
applications.
Polyester Graft Copolymers
In one preferred embodiment, the 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 disclosures of which are
incorporated herein by reference. The functionalized graft copolymers are
copolymers of polyesters, such as poly(glycolic acid) or poly(lactic acid),
and another polymer including functionalizable or ionizable groups, such as
a poly(amino acid). In a preferred embodiment, comb-like graft copolymers
are used which include a linear polyester backbone having amino acids
incorporated therein, and poly(amino acid) side chains which extend from the
amino acid residues in the polyester backbone. The polyesters may be
polymers of α-hydroxy acids such as lactic acid, glycolic acid,
hydroxybutyric acid and hydroxy valeric acid, or derivatives or combinations
thereof. The inclusion of ionizable side chains, such as polylysine, in the
polymer has been found to enable the formation of more aerodynamically light
particles, using techniques for making microparticles known in the art, such
as solvent evaporation. Other ionizable groups, such as amino or carboxyl
groups, may be incorporated, covalently or noncovalently, into the polymer
to enhance surface roughness and porosity. For example, polyalanine could be
incorporated into the polymer.
An exemplary polyester graft copolymer, which may be used to form
aerodynamically light polymeric particles is the graft copolymer,
poly(lactic acid-co-lysine-graft-lysine) (PLAL-Lys), which has a polyester
backbone consisting of poly(L-lactic acid-co-L-lysine) (PLAL), and grafted
poly-lysine chains. PLAL-Lys is a comb-like graft copolymer having a
backbone composition, for example, of 98 mol % lactic acid and 2 mol %
lysine and poly(lysine) side chains extending from the lysine sites of the
backbone.
PLAL-Lys may be synthesized as follows. First, the PLAL copolymer consisting
of L-lactic acid units and approximately 1-2% 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) comblike
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 good
control over the degree of polymerization when the monomer to initiator
ratio (M/I) is less than 150. Kricheldorf, H. R. in Models of Biopolymers
by Ring-Opening Polymerization, Penczek, S., Ed., CRC Press, Boca
Raton, 1990, Chapter 1; Kricheldorf, H. R. 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 of the lysine side chain attacks C-5 of the NCA leading to ring
opening and formation of the amino acid amide, along with the evolution of
CO2. Propagation takes place via further attack of the amino
group of the amino acid amides on subsequent NCA molecules. The degree of
polymerization of the poly(amino acid) side chains, the corresponding amino
acid content in the graft copolymers and their resulting physical and
chemical characteristics can be controlled by changing the M/I ratio for the
NCA polymerization—that is, changing the ratio of NCA to lysine ε-amino
groups of pLAL. Thus, in the synthesis, the length of the poly(amino acid),
such as poly(lysine), side chains and the total amino acid content in the
polymer may be designed and synthesized for a particular application.
The poly(amino acid) side chains grafted onto or incorporated into the
polyester backbone can include any amino acid, such as aspartic acid,
alanine or lysine, or mixtures thereof. The functional groups present in the
amino acid side chains, which can be chemically modified, include amino,
carboxylic acid, 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 amino acid
side chain lengths, for example, about 10-100 or more amino acids, and with
an overall amino acid content of, for example, 7-72% or more depending on
the reaction conditions. The grafting of poly(amino acids) from the pLAL
backbone may be conducted in a solvent such as dioxane, DMF, or CH2Cl2,
or mixtures thereof. In a preferred embodiment, the reaction is conducted at
room temperature for about 2-4 days in dioxane.
Alternatively, the aerodynamically light particles for pulmonary drug
delivery may be formed from polymers or blends of polymers with different
polyester/amino acid backbones and grafted amino acid side chains, For
example, poly(lactic acid-co-lysine-graft-alanine-lysine) (PLAL-Ala-Lys), or
a blend of PLAL-Lys with poly(lactic acid-co-glycolic acid-block-ethylene
oxide) (PLGA-PEG) (PLAL-Lys-PLGA-PEG) may be used.
In the synthesis, the graft copolymers may be tailored to optimize different
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.
Formation of Aerodynamically Light Polymeric Particles
Aerodynamically light polymeric particles may be prepared using single and
double emulsion solvent evaporation, spray drying, solvent extraction and
other methods well known to those of ordinary skill in the art. The
aerodynamically light particles may be made, for example using methods for
making microspheres or microcapsules known in the art.
Methods developed for making microspheres for drug delivery are described in
the literature, for example, as described by Mathiowitz and Langer, J.
Controlled Release 5,13-22 (1987); Mathiowitz, et al., Reactive
Polymers 6, 275-283 (1987); and Mathiowitz, et al., J. Appl. Polymer
Sci. 35, 755-774 (1988), the teachings of which are incorporated herein.
The selection of the method depends on the polymer selection, the size,
external morphology, and crystallinity that is desired, as described, for
example, by Mathiowitz, et al., Scanning Microscopy 4, 329-340
(1990); Mathiowitz, et, al., J. Appl. Polymer Sci. 45, 125-134
(1992); and Benita, et al., J. Pharm. Sci. 73, 1721-1724 (1984), the
teachings of which are incorporated herein.
In solvent evaporation, described for example, in Mathiowitz, et al.,
(1990), Benita, and U.S. Pat. No. 4,272,398 to Jaffe, the polymer is
dissolved in a volatile organic solvent, such as methylene chloride. Several
different polymer concentrations can be used, for example, between 0.05 and
0.20 g/ml. The drug, either in soluble form or dispersed as fine particles,
is added to the polymer solution, and the mixture is suspended in an aqueous
phase that contains a surface active agent such as poly(vinyl alcohol). The
aqueous phase may be, for example, a concentration of 1% poly(vinyl alcohol)
w/v in distilled water. The resulting emulsion is stirred until most of the
organic solvent evaporates, leaving solid microspheres, which may be washed
with water and dried overnight in a lyophilizer.
Microspheres with different sizes (1-1000 microns) and morphologies can be
obtained by this method which is useful for relatively stable polymers such
as polyesters and polystyrene. However, labile polymers such as
polyanhydrides may degrade due to exposure to water. For these polymers,
solvent removal may be preferred.
Solvent removal was primarily designed for use with polyanhydrides. In this
method, the drug is dispersed or dissolved in a solution of a selected
polymer in a volatile organic solvent like methylene chloride. The mixture
is then suspended in oil, such as silicon oil, by stirring, to form an
emulsion. Within 24 hours, the solvent diffuses into the oil phase and the
emulsion droplets harden into solid polymer microspheres. Unlike solvent
evaporation, this method can be used to make microspheres from polymers with
high melting points and a wide range of molecular weights. Microspheres
having a diameter for example between one and 300 microns can be obtained
with this procedure.
Targeting of Particles
Targeting molecules can be attached to the aerodynamically light particles
via reactive functional groups on the particles. For example, targeting
molecules can be attached to the amino acid groups of functionalized
polyester graft copolymer particles, such as PLAL-Lys particles. Targeting
molecules permit binding interaction of the particle with specific receptor
sites, such as those within the lungs. The particles can be targeted by
attachment of ligands which specifically or non-specifically bind to
particular targets. Exemplary targeting molecules include antibodies and
fragments thereof including the variable regions, lectins, and hormones or
other organic molecules capable of specific binding for example to receptors
on the surfaces of the target cells.
Therapeutic Agents
Any of a variety of therapeutic, prophylactic or diagnostic agents can be
incorporated within the aerodynamically light particles. The aerodynamically
light particles can be used to locally or systemically deliver a variety of
therapeutic agents to an animal. Examples include synthetic inorganic and
organic compounds, proteins and peptides, polysaccharides and other sugars,
lipids, and nucleic acid sequences having therapeutic, prophylactic or
diagnostic activities. Nucleic acid sequences include genes, antisense
molecules which bind to complementary DNA to inhibit transcription, and
ribozymes. The agents to be incorporated can have a variety of biological
activities, such as vasoactive agents, neuroactive agents, hormones,
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 can be
encapsulated, for example, between 100 and 500,000 grams per mole.
Proteins are defined as consisting of 100 amino acid residues or more;
peptides are less than 100 amino acid residues. Unless otherwise stated, the
term protein refers to both proteins and peptides. Examples include insulin
and other hormones. Polysaccharides, such as heparin, can also be
administered.
The aerodynamically light polymeric aerosols are useful as carriers for a
variety of inhalation therapies. They can be used to encapsulate small and
large drugs, release encapsulated drugs over time periods ranging from hours
to months, and withstand extreme conditions during aerosolization or
following deposition in the lungs that might otherwise harm the encapsulated
therapeutic.
The aerodynamically light particles may include a therapeutic agent for
local delivery within the lung, such as agents for the treatment of asthma,
emphysema, or cystic fibrosis, or for systemic treatment. For example, genes
for the treatment of diseases such as cystic fibrosis can be administered,
as can beta agonists for asthma. Other specific therapeutic agents include,
but are not limited to, 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, albuterol,
and vallium.
Administration
The particles including a therapeutic agent may be administered alone or in
any appropriate pharmaceutical carrier, such as a liquid, for example
saline, or a powder, for administration to the respiratory system. They can
be co-delivered with larger carrier particles, not including a therapeutic
agent, the latter possessing mass mean diameters for example in the range 50
μm-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, Esevier, Amsterdam, 1985, the disclosures
of which are incorporated herein by reference.
The greater efficiency of aerosolization by aerodynamically light particles
of relatively large size permits more drug to be delivered than is possible
with the same mass of non-light aerosols. The relatively large size of
aerodynamically light aerosols depositing in the deep lungs also minimizes
potential drug losses caused by particle phagocytosis. The use of
aerodynamically light polymeric aerosols as therapeutic carriers provides
the benefits of biodegradable polymers for controlled release in the lungs
and long-time local action or systemic bioavailability. Denaturation of
macromolecular drugs can be minimized during aerosolization since
macromolecules are contained and protected within a polymeric shell.
Coencapsulation of peptides with peptidase-inhibitors can minimize peptide
enzymatic degradation.
Claim 1 of 23 Claims
1. A mass of biocompatible particles comprising particles having a nucleic
acid and wherein the particles have a mass mean diameter of 5 to 30 μm, a
mass mean aerodynamic diameter of less than 4 μm and a tap density of less
than about 0.4 g/cm3.
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