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Title: Pharmaceutical
formulation composed of a polymer blend and an active compound for
time-controlled release
United States Patent: 7,326,425
Issued: February 5, 2008
Inventors: Kohn; Joachim B.
(South Plainfield, NJ), Schachter; Deborah M. (Edison, NJ)
Assignee: Rutgers, The
State University (New Brunswick, NJ)
Appl. No.: 10/169,350
Filed: January 2, 2001
PCT Filed: January 02, 2001
PCT No.: PCT/US01/00045
371(c)(1),(2),(4) Date:
December 23, 2002
PCT Pub. No.: WO01/49311
PCT Pub. Date: July 12,
2001
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Outsourcing Guide
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Abstract
A formulation containing a biologically
active compound having a structure with hydrogen bonding sites blended
with a first polymer having a structure with complementary hydrogen
bonding sites and a second polymer that degrades to form degradation
products that promote the release of the active compound from the first
polymer.
Description of the
Invention
BACKGROUND OF THE INVENTION
The literature is replete with examples of the delayed or pulsed release
of active agents using polymeric materials. However, it is possible to
divide these systems into two basic categories; those that depend on an
environmental stimulus to induce release of the active agent from the
polymeric matrix and those that are designed to release the drug after
particular intervals of time have elapsed. Examples of environmental
stimuli that have been used are electrical impulses, pH or temperature
changes, application of magnetic fields, or ultrasound.
Those systems that are time-controlled can further be divided into those
that use a barrier technology that is placed around the active agent that
is designed to degrade or dissolve after a certain time interval, and
those that use the degradation of the polymer itself to induce the release
of the active agent.
One approach has been to prepare a polymeric hydrogel composed of
derivitized dextran and to incorporate into the hydrogel, a model protein,
I.sub.gG, with an enzyme, endo-dextranase that degrades the hydrogel. It
was observed that without the enzyme the release of the protein was very
slow. However, when the enzyme was included in the formulation, the
release rate was dependent on the concentration of the enzyme. At high
concentrations, the release was fast and complete. At low concentrations,
the release was delayed.
Delayed release in association with hydrolytic degradation of the polymer
has also been investigated. Heller's so-called "3.sup.rd generation"
poly(ortho esters) are viscous ointments at room temperature and when
mixed with a model protein, lysozyme, demonstrated a delayed release
profile. The length of the delay time was found to correlate with polymer
molecular weight and alkyl substituent of the polymer.
Ivermectin, a water insoluble antiparasitic agent for veterinary
applications, was encapsulated in PLGA (50:50) microspheres and the
subsequent pulsed release of this agent, in vivo, was shown to be
dependant on the degradation rate of the polymer matrix. Pulsed and
delayed release of active agents from PLGA microspheres was most intensely
studied by Cleland et al. The PLA or PLGA microspheres were processed
using a high kinematic viscosity of polymer solution and a high ratio of
polymer to aqueous solution. This produced dense microspheres, which
required severe bulk erosion of the polymer to release the drug. These
conditions yield microspheres that have low loading (generally 1% w/w),
moderate bursts, and lag times during which significant leaching of drug
occurs.
SUMMARY OF THE INVENTION
The technology described in this disclosure represents a departure from
the prior art. In this system, bonding interactions between the polymer
and the active compound are used to lock the active compound into the
polymeric matrix. While one can envision several different types of
interactions (adsorption, pi-bonding, ionic), hydrogen bonding
interactions seem to be most suitable.
Therefore, according to one aspect of the present invention, a formulation
containing a biologically active compound is provided having a structure
with hydrogen bonding sites, blended with a first polymer having a
structure with complementary hydrogen bonding sites, and a second polymer
that degrades to form degradation products that promote the release of the
active compound from the first polymer.
The formulation thus consists of three components, two polymers and a
biologically active compound all blended together. The present invention
thus provides new implantable or injectable drug release systems that
release a pharmaceutically or biologically active compound in a
time-controlled fashion, allowing the design of delay times prior to
release, the design of pulsatile release, and the design of systems with
high loadings that are resistant to "burst" (e.g., the immediate and
uncontrolled release of a substantial amount of the loaded drug within a
very short initial period of use).
The present invention uses the degradation products of one polymer to
trigger the release of the active compound from the other polymer. In
addition, the delayed release of the active compound can be achieved
without the use of barrier systems that require complex and sophisticated
formulation techniques. Further, the present invention relies on the
formation of hydrogen-bonds between the active compound and the slow
degrading, hydrophobic matrix polymer. This feature makes it possible to
incorporate unexpectedly high loadings of water-soluble active compounds
into the system without any burst (as defined above). Unlike the behavior
that is observed when water-soluble peptides are incorporated into any of
the commonly used alpha-hydroxy acid based polymers such as poly(lactic
acid), poly(glycolic acid) or polydioxanone, in the system of the present
invention, the formation of hydrogen-bond mediated interactions between
the polymeric matrix and the active compound prevents burst, even at
exceptionally high loadings.
There are many drugs that are more effective when given to the patient in
a pulsatile manner as opposed to a continuous release fashion. For
example, an area of great interest, currently, for this type of delivery
system is single-shot immunization. Immunity is best induced by a
pulsatile delivery of the antigen, hence the need for booster shots. It
has been suggested that it would be more economical and effective,
especially in third world countries, if a delivery system for antigens
such as tetanus toxoid or gp120 (under development for an AIDS vaccine)
could be implanted once into the patient and provide for the release of
booster doses at preprogrammed time periods.
Therefore, the present invention also includes a method for the pulsatile
delivery of a biologically active compound to a patient in need thereof by
administering to the patient the formulation of the present invention.
This type of drug delivery is also important for hormonal based drug
delivery. Fertility and birth control drug therapy for both animals and
humans is not continuous, but rather cyclic in nature since these
therapies work synergistically with the menstrual cycle and the
corresponding hormonal flux. This is another direction in drug delivery in
which delayed and/or pulsed release of an active compound would be
applicable.
Agricultural applications which require the timed dosing of fertilizers,
weed-killers, and other active agents is another area where this invention
would be important.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The first polymer in the blend is a slowly degrading, relatively
hydrophobic and biocompatible polymer. In order to encourage the formation
of hydrogen bonding interaction with the biologically active compound, it
is also necessary to choose a highly functional polymer system as the
first polymer. In its broadest embodiment, the slow degrading,
hydrophobic, biocompatible polymer can be any such polymer that contains
hydrogen-bonding sites as part of its chemical structure. In its most
preferred embodiment, this slow degrading and hydrophobic polymer is
selected from the tyrosine-derived polyarylate libraries disclosed in U.S.
Pat. No. 5,216,115 and WO 99/52962, the disclosures of both of which are
incorporated herein by reference. Members of this library all share the
same highly functional structural template but are distinguished from one
another by subtle structural changes. The functional groups of the main
template provide sites for interactions. These are pi stacking of its
aromatic rings with an aromatic ring of a peptide, or hydrogen bonding of
the .alpha.-amido carboxylate region with a corresponding group in the
peptide. The small structural variations between members allow the
fine-tuning of these interactions to suit particular proteins or peptides.
Also preferred are any of the polymers that can be derived from the
tyrosine-derived diphenol compounds of U.S. Pat. No. 5,587,507 and the
tyrosine-derived dihydroxy monomers of WO 98/36013, the disclosures of
both of which are also incorporated herein by reference. In addition to
the above-referenced polyarylates, examples include the polycarbonates of
U.S. Pat. No. 5,099,060, the polyiminocarbonates of U.S. Pat. No.
4,980,449, the polyphosphazenes and polyphosphates of U.S. Pat. No.
5,912,225, polyurethanes, including the polyurethanes of U.S. Pat. No.
5,242,997, the random poly(alkylene oxide) block copolymers of U.S. Pat.
No. 5,658,995, and a wide range of other polymers that can be derived from
the above-referenced tyrosine-derived diphenol compounds, the
tyrosine-derived dihydroxy compounds and similar peptides. All of the
above referenced patent publications are incorporated herein by reference.
Notably, corresponding polymers of the tyrosine-derived dihydroxy
compounds can be made by any of the processes of any of the
above-referenced patents disclosing polymers of tyrosine-derived diphenol
compounds.
A particularly preferred first polymer is the poly(desaminotyrosyltyrosine
hexyl ester adipate (Poly(DTH adipate)) of FIG. 1 (y=4; R=hexyl, see Original
Patent). Poly(DTH adipate) having a weight-average molecular weight
between about 80,000 and about 200,000 daltons is particularly preferred.
Any biologically active moiety with hydrogen-bonding sites that can be
physically dispersed within the polymer blend can be used as a
biologically active compound for release. Examples of hydrogen bonding
sites include primary and secondary amines, hydroxyl groups, carboxylic
acid and carboxylate groups, carbonyl (carboxyl) groups, and the like.
While one can apply the current invention to any active compound that has
hydrogen bonding sites, including natural and unnatural antibiotics,
cytotoxic agents and oligonucleotides, amino acid derived drugs such as
peptides and proteins seem to be most appropriate for this technology. The
compositions of the present invention overcome some of the difficulties
encountered in previous attempts to formulate controlled release devices
that show reproducible release profiles without burst and/or lag effects.
In its most preferred embodiment, the active compound is a peptide that is
stable under mildly acidic conditions.
Peptide drugs suitable for formulation with the compositions of the
present invention include natural and unnatural peptides, oligopeptides,
cyclic peptides, library generated oligopeptides, polypeptides and
proteins, as well as peptide mimetics and partly-peptides. Peptide drugs
of particular interest include platelet aggregation inhibiting (PAI)
peptides, which are antagonists of the cell surface glycoprotein Iib/IIIa,
thus preventing platelet aggregation, and ultimately clot formation.
Preferred PAI peptides include the PAI peptides disclosed by WO 90/15620,
the disclosure of which is incorporated herein by reference, particularly
INTEGRILIN.TM. (FIG. 2, see Original
Patent), a medically useful cyclic PAI heptapeptide.
In the case of peptide drugs, interactions between the peptide and the
first polymer inhibit the release of the peptide. These interactions are
composed of hydrogen bonding and hydrophobic forces. It has been
discovered that these interactions can be weakened under conditions of low
pH, resulting in the release of the peptide. Thus, one method of achieving
this is to blend in a second polymer that degrades into acidic byproducts,
into the matrix, for example, poly(glycolic acid-co-lactic acid) (PGLA).
The PGLA degradation products lower the pH of the matrix, causing an
interruption in the interactions and the subsequent release of the
peptide. Control of the timing of the release can easily be done by the
choice of the initial molecular weight of this fast degrading polymer, the
copolymer ratio of lactic acid and glycolic acid within the PGLA polymer,
and the choice of capping of the copolymer. Since all of these factors
determine the kinetics of degradation, these factors can also be used to
control the release of active agents from these devices. Other useful
polymers producing pH-lowering (acidic) degradation products include
poly(glycolic acid), poly(lactic acid), polycaprolactone,
poly(hydroxyalkanoic acids) such as polyhydroxybutyric acid) and
poly(hydroxyvaleric acid), and the like.
It is impotant to note that the invention resides in the selection of a
second polymer that is relatively more hydrophilic than the first polymer.
Thus, when the first polymer is highly hydrophobic, a relatively less
hydrophobic polymer may be used as the second polymer, even though it
might otherwise ordinarily be considered hydrophobic as well. Likewise,
when the second polymer is highly hydrophilic, a relatively less
hydrophilic polymer may be used as the first polymer, even though it might
otherwise ordinarily be considered hydrophilic as well. Thus, suitable
compositions may be prepared using two polymers listed here as first
polymers, or two polymers listed here as second polymers, provided that
the first one hydrogen bonds with the active compound, and the second one
is more hydrophilic than the first and degrades to form degradation
products that promote the release of the biologically active compound from
the first polymer. One of ordinary skill may even recognize combinations
in which one of the first polymers functions as the second polymer and
vice versa.
The compositions of the present invention are suitable for applications
where localized drug delivery is desired, as well as in situations where
systemic delivery is desired. Therapeutically effective dosages may be
determined by either in vivo or in vitro methods. For each particular
compound of the present invention, individual determinations may be made
to determine the optimal dosage required. The range of therapeutically
effective dosages will naturally be influenced by the route of
administration, the therapeutic objectives, and the condition of the
patient. For the various suitable routes of administration, the absorption
efficiency must be individually determined for each drug by methods well
known in pharmacology. Accordingly, it may be necessary for the therapist
to titer the dosage and modify the route of administration as required to
obtain the optimal therapeutic effect. The determination of effective
dosage levels, that is, the dosage levels necessary to achieve the desired
result, will be within the ambit of one skilled in the art. Typically,
applications of compound are commenced at lower dosage levels, with dosage
levels being increased until the desired effect is achieved. The release
rate of the drug from the formulations of this invention are also varied
within the routine skill in the art to determine an advantageous profile,
depending on the therapeutic conditions to be treated.
A typical dosage might range from about 0.001 mg/kg to about 1000 mg/kg,
preferably from about 0.01 mg/kg to about 100 mg/kg, and more preferably
from about 0.10 mg/kg to about 20 mg/kg. Advantageously, the compounds of
this invention may be administered several times daily, and other dosage
regimens may also be useful.
The compositions may be administered subcutaneously, intramuscularly,
colonically, rectally, nasally, orally or intraperitoneally, employing a
variety of dosage forms such as suppositories, implanted pellets or small
cylinders, aerosols, oral dosage formulations and topical formulations,
such as ointments, drops and transdermal patches. Liposomal delivery
systems may also be used, such as small unilamellar vesicles, large
unilamellar vesicles and multilamellar vesicles.
Claim 1 of 10 Claims
1. A formulation comprising a
biologically active compound having a chemical structure with hydrogen
bonding sites, a first biocompatible, hydrolytically degrading polyarylate
with hydrogen bonding sites comprising tyrosine-derived diphenol monomer
units, and a second biocompatible polymer that is less hydrophobic than
said polyarylate, so that said second polymer degrades hydrolytically to
form acidic degradation products that promote the release of said active
compound, and wherein said second polymer is selected from the group
consisting of a second polyarylate comprising tyrosine-derived diphenol
monomer units, a poly(glycolic acid), a poly(lactic acid), a poly(glvcolic
acid-co-lactic acid) (PGLA), a polycaprolactone and a poly(hydroxyalkanoic
acid). ____________________________________________
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