|
|
Title:
Micellar drug delivery systems for hydrophobic drugs
United States Patent: 7,875,677
Issued: January 25, 2011
Inventors: Jackson; John K.
(Vancouver, CA), Zastre; Jason (Vancouver, CA), Burt; Helen M. (Vancouver,
CA)
Assignee: The University of
British Columbia (Vancouver, B.C., CA)
Appl. No.: 12/193,648
Filed: August 18, 2008
|
|
|
Training Courses -- Pharm/Biotech/etc.
|
Abstract
This invention provides compositions
comprising a hydrophobic drug, a biocompatible micelle forming polymer,
and a biocompatible low molecular weight, water-soluble polymer. Also
provided are devices for injection of such compositions and for the use of
such compositions to form hydrophobic drug containing micelles within the
body of a patient.
Description of the
Invention
This application is a CON of Ser. No.
11/296,184 filed Dec. 6, 2005 now ABN
Which is a CON of Ser. No. 10/475,453 filed May 28, 2004 now ABN
Which is 371 of PCT/CA02/00542 flied Apr. 22, 2002
Which claims benefit of 60/284,884 filed Apr. 20, 2001.
FIELD OF THE INVENTION
This invention relates to micellar compositions for drug formulation and
drug delivery.
BACKGROUND OF THE INVENTION
There are a large number of therapeutic compounds that, due to poor water
solubility, will not dissolve well in aqueous pharmaceutical carriers
(making administration difficult) and exhibit poor availability. One
solution has been to reformulate such drugs as water-soluble derivatives.
This approach often yields compounds with less efficacy that the parent
compound.
Another solution has been to incorporate hydrophobic drugs into micelles.
Such micellar formulations are expected to achieve some level of
circulation concentration of the drug without precipitation of the drug in
the bloodstream. The principle behind micelle formation is that
amphipathic molecules can form aggregates in an aqueous environment
whereby hydrophobic components of the molecules come together to exclude
water and make up the inner core of the micelle. The hydrophilic
components of the molecules are orientated towards the outside of the
micelle. This aggregation occurs above the critical micelle concentration
(CMC) of the molecules in water. Under careful conditions, hydrophobic
drugs may be solubilized in the inner hydrophobic core of micelles during
their formation. These micellar formulations are utilized almost
exclusively for the systemic administration of drugs and are usually
delivered intravenously or intraperitoneally, but have also been suggested
for oral administration.
The literature describes numerous methods to incorporate hydrophobic drugs
such as methotrexate, indomethacin, paclitaxel and doxorubicin into
micelles made from biocompatible, amphipathic polymeric molecules (e.g.
U.S. Pat. No. 6,322,805; Kim S Y et al. J. Controlled Release (1998)
56:13-22; Inoue T et al. J. Controlled Release (1998) 51:221; and, Kataoka
K I J Controlled Release (2000) 64:143-153). While the literature does
describe formation of hydrophobic drug containing micelles with the
hydrophobic drug and a micelle forming polymer being in aqueous solution
during vigorous agitation or sonication of the solution, the amount of
drug loading is poor as a result of its low solubility. Thus, micellar
compositions are typically made by dissolving a hydrophobic drug in a
water miscible organic solvent in which the drug is soluble, combining the
resulting solution with a micellar composition in an aqueous solution with
mixing by vigorous stirring, agitation, or sonication. For example, the
mixture might be stirred for up to about 24 hours and any remaining drug
not incorporated into micelles then removed. The resulting micellar
solution may then be used directly for administration or freeze-dried into
nanoparticles (which may be resuspended in water at a later time)
providing the solvent is biocompatible and/or is capable of being removed
by freeze-drying or other methods. These methods are complicated,
expensive, and expose potentially water labile drugs to long periods in
aqueous media. In addition there is a need to remove the organic solvent,
which is often not pharmaceutically compatible or desirable.
One process for removal of an organic solvent is by solvent evaporation.
In this method, a hydrophobic drug is typically dissolved in a
water-miscible organic solvent and introduced to an aqueous solution of
micelles. Subsequently, the organic solvent is evaporated off at elevated
temperature. Alternatively, the drug and a micelle forming polymer are
both dissolved in an organic solvent and the solvent is evaporated at
elevated temperature. The resulting mixture is kept at an elevated
temperature while warm water or aqueous solution is added with vigorous
stirring until polymeric micelles containing the drug are formed. Also a
dialysis method can be used, where a suitable water-miscible organic
solvent is used to dissolve the hydrophobic drug and the micelle forming
polymer. The solution is subsequently dialysed against a buffer solution
and then against water. In some cases the duration of dialysis may be as
long as 72 hours (Yu B. G. et al. J Controlled Release (1998) 56:285-291).
U.S. Pat. No. 4,745,160 (Churchill J. R. et al.) teaches a process for
manufacturing micelle compositions from biodegradable amphipathic
copolymers. The patent teaches that in order to incorporate a hydrophobic
drug it is necessary to dissolve the drug in a water miscible organic
solvent such as dioxan, acetic acid, acetonitrile, methanol or ethanol.
U.S. Pat. No. 5,510,103 (Yokoyama M. et al.) and U.S. Pat. No. 5,939,453
(Heller J. et al.) describe micelles made of block copolymers in which
hydrophobic drugs are physically trapped. However, the disclosed methods
of trapping require beating, ultrasonication, and/or the use of organic
solvents and dialysis.
U.S. Pat. No. 6,136,846 (Rubinfeld J. et al.) describes incorporation of
paclitaxel into micelles made from amphipathic block copolymers in which
the hydrophobic block is a lipid tail. Organic solvents are used but the
patent also teaches that polyethylene glycol (PEG) of 300-400 molecular
weight may be used as the "solubilizer". Paclitaxel loading of about 2% is
reported in the examples set out in the patent.
Zhang X. et al. (Int'l. J. Pharmaceutics (1996) 132:195-206) reports the
formation of a matrix containing taxol and a diblock copolymer composed of
methoxy polyethylene glycol (MePEG) and polylactic acid. Only if the
matrix is made with acetonitrile as an organic solvent, will the resulting
matrix be capable of forming micelles following evaporation of the
solvent. The resulting matrix must be heated to melt the polymer and
vigorously agitated in aqueous medium in order to produce drug containing
micelles.
In WO9921908, Zhang, X. et al., teaches the production of a semi-solid
polymer mixture comprising hydrophobic drug, a water soluble polymer such
as MePEG, and a hydrophobic polymer. It was found that the hydrophobic
drug precipitates in the mixture thereby solidifying the material:
SUMMARY OF THE INVENTION
This invention provides micellar compositions for improved hydrophobic
drug loading and compositions comprising hydrophobic drugs capable of
forming drug containing micelles which may be made without a non-polymeric
organic solvent and without heating or agitation. This invention allows
for the formulation and non-oral administration by injection of semi-solid
mixtures into the body of a patient whereby the semi-solid material
spontaneously forms micelles containing the hydrophobic drug which enter
the bloodstream.
In one aspect, the present invention provides for improved hydrophobic
drug loading into micelles by using selected amphipathic diblock
copolymers including those described by Zhang et al. (1996), without an
organic solvent such as acetonitrile being required. The micelles are
formed from a micelle forming composition comprising a biocompatible, low
molecular weight, water soluble polymer (including the PEG "solubilizer"
taught in U.S. Pat. No. 6,136,846 and the micelle forming compositions of
this aspect of the invention exhibit low critical micelle concentrations
(CMC) under about 500 .mu.M to as low as about 20 .mu.M as determined by
standard techniques). Hydrophobic drug loading using this aspect of the
invention can achieve drug levels in the micellar composition in excess of
10% (by weight) and as high as about 25% when the CMC is about 50 .mu.M or
less. This is surprising because Zhang et al. (1996) found such diblock
copolymer formulations required acetonitrile to adequately distribute
taxol in a matrix in order for micelles to be produced from the matrix.
WO9921908 suggests that making a polymeric composition comprising a free
water soluble polymer and a hydrophobic drug will result in precipitation
of the drug, which is counter-productive to the production of micelles.
Further, Zhang et al. (1996) suggests that increasing amounts of a water
soluble polymer (MePEG) in a matrix results in less efficient micelle
production from the matrix and poor distribution of the drug in the
matrix.
This aspect of the invention provides a micelle forming composition
comprising: (a) one or more hydrophobic drugs; (b) one or more
biocompatible, micelle forming polymers; and, (c) one or more
biocompatible, low molecular weight, water soluble polymers, wherein the
micelle forming polymer is a copolymer comprising a hydrophobic and a
hydrophilic portion, the hydrophobic portion being selected from the group
consisting of: a polyester and a polyanhydride; and, the hydrophilic
portion is a polyethylene oxide having a molecular weight of about 750 or
more. Also provided are micelles formed from the aforementioned
composition.
A second aspect of the invention results from the discovery that a
micellar composition comprising a biocompatible micelle forming polymer, a
biocompatible, low molecular weight water soluble polymer; and, a
hydrophobic drug, may be formulated as a semi-solid material (e.g. a wax
like substance or a paste) capable of being injected into a patient and
which will spontaneously form drug containing micelles at the site of
deposition of the material in the patient. The water soluble polymer may
be one that is liquid or semi-solid at about room temperature (e.g. at
about 20-30.degree. C.). Once the material has been injected into a
patient or is simply placed in an aqueous solution, it will form
hydrophobic drug containing micelles without the need for heating or
agitation. This aspect of the invention has the advantage of providing
short to medium term localization of a drug at a specific site of
injection in a patient, with the drug being released inside micelles to
the physiological environment of the site and ultimately to the
bloodstream. This aspect of the invention includes compositions comprising
a hydrophobic drug, a biocompatible micelle forming polymer and a
sufficient amount of a biocompatible low molecular weight water soluble
polymer such that the composition is a semi-solid (e.g. a "paste") at
temperatures at or about room temperature and is injectable through a
syringe.
This aspect of the invention provides a micelle forming composition
comprising: (a) one or more hydrophobic drugs; (b) one or more
biocompatible, micelle forming polymers; and, (c) one or more
biocompatible, low molecular weight, water soluble polymers, wherein the
one or more water soluble polymers are present in an amount sufficient
that the composition is injectable.
This invention also provides methods for using the aforementioned
compositions to form micelles in vitro and in vivo. In vivo methodologies
include injection of the composition to a site in a patient's body where
drug containing micelles are formed at the site.
This invention also provides injection devices such as a syringe
containing a micelle forming composition according to this invention.
DETAILED DESCRIPTION OF THE INVENTION
In the description that follows, a number of terms are used extensively,
the following definitions are provided to facilitate understanding of the
invention.
"Micelle forming polymer" as used herein refers to an amphipathic polymer
that is comprised of both a hydrophilic and a hydrophobic component and
which is capable of forming micelles in water. Numerous examples are known
and are disclosed in the art Micelle forming polymers include block (e.g.
diblock) copolymers comprising a hydrophobic block and a hydrophilic block
such as are disclosed in the prior art documents referred to above and in
WO01/87345. The micelle forming polymers known in the art that are
employed in this invention are those that are biocompatible and thus
pharmaceutically suitable. Such is the case for the specific polymers
disclosed herein.
As used herein, a "hydrophobic drug," is a water insoluble drug. A "drug"
is a therapeutically active substance which is delivered to a living
subject to produce a desired effect, such as to treat a condition of the
subject. A drug is also provided to a subject prophylactically to prevent
the development of a condition or to decrease the severity of a condition
that the subject may develop. A "water insoluble drug" has a solubility of
less than 0.1 mg/mL in distilled water at 250 C. Within the context of the
present invention, a "slightly soluble drug" (solubility: 1-10 mg/mL) and
a "very slightly soluble drug" (solubility: 0.1-1 mg/mL) may also be
referred to. These terms are well-known to those of skill in the art. See,
e.g., Martin (ed.), Physical Pharmacy, Fourth Edition, page 213 (Lea and
Febiger 1993). Examples of hydrophobic drugs include the following agents
including their water soluble derivatives and analogs:
(a) Amphotericin: used for the treatment or prevention of infection of an
open wound by topical administration or for the treatment or prevention of
an infection in an exposed wound after surgery by local application.
Amphotericin is an antifungal and is insoluble in water at pH 6 to 7 (The
Merck Index.). (b) Anthralin: used for the treatment of "wet" psoriasis by
topical application. Anthralin is an agent for psoriasis therapy and is
practically insoluble in water (The Merck Index). (c) Beclomethasone: used
for the reduction of local inflammation by peri-ophthalmic and inside the
eyelid or intranasal (e.g., for the treatment of rhinitis) application.
Beclomethasone is a corticosteroid and is very slightly soluble in water.
See, for example, Gennaro, (ed.), Remington's Pharmaceutical Sciences.
17th Edition, (Mack Publishing Company 1985). (d) Betamethasone: used for
the reduction of local inflammation by oral (e.g., canker sore),
intravaginal, and intrarectal application. Betamethasone is a
corticosteroid and has a solubility of 190 .mu.g/mL water. See, for
example, Gennaro, (ed.), Remington's Pharmaceutical Sciences, 17th
Edition, (Mack Publishing Company 1985). (e) Camptothecin: used for the
treatment of diseases involving cellular proliferation such as cancer,
arthritis, psoriasis, restenosis, surgical adhesions. Camptothecin has a
water solubility of 1-2 .mu.g/mL. (f) Curcumin: a potent antioxidant and
potential antiarthritic drug. Curcumin is practically insoluble in water.
(g) Dexamethasone: used for the reduction of local inflammation by oral
application (e.g., post wisdom tooth removal). Dexamethasone is a
corticosteroid and has a solubility of 10 .mu.g/mL in water (The Merck
Index). (h) Genistein: a tyrosine kinase inhibitor and potentially used
for the treatment of diseases involving cellular proliferation. Genistein
is practically insoluble in water. (i) Indomethacin: used for the
treatment of symptoms of gout by intraarticular or intramuscular injection
or for the reduction of local inflammation by peri-ophthalmic and inside
the eyelid, oral, intranasal, intravaginal and intrarectal application.
Indomethacin is a non-steroidal anti-inflammatory (NSAID) and is
practically insoluble in water (The Merck Index). (j) Lidocaine: provides
local anesthesia by intramuscular injection, or administration by
application to mucus membranes, including periophthalmic and inside the
eyelid, oral, intranasal, intravaginal and intrarectal. Lidocaine is a
local anesthetic and is practically insoluble in water. See, for example,
Gennaro, (ed.), Remington's Pharmaceutical Sciences, 17th Edition, (Mack
Publishing Company 1985). (k) Taxol (e.g. Paclitaxel): used for the
treatment of angiogenic related diseases such as arthritis, cancer,
restenosis, psoriasis, or surgical adhesions. Paclitaxel has a water
solubility of 1-2, .mu.g/mL. (l) Tetracycline: used for the treatment of
eye infections by periophthalmic and inside the eyelid application.
Tetracycline is an antibacterial and has a solubility of 400 pg/mL water.
See, e.g., Gennaro, (ed.), Remington 's Pharmaceutical Sciences, 17th
Edition, (Mack Publishing Company 1985). (m) Tretinoin: a retinoic acid
that is potentially an anticancer agent. Tretinoin is practically
insoluble in water. (n) Therapeutic proteins: proteins that are
practically insoluble in water, such as insulin, are contemplated for use
in this presently described polymeric drug delivery system.
The present invention does not require the use of an organic solvent as
traditionally used for dissolving a hydrophobic drug during preparation of
drug containing micelles. The term "organic solvent" as used herein with
reference to this invention means a non-polymeric solvent, such as an
aromatic hydrocarbon, ester, ether, ketone, amine, alcohol, nitrated
hydrocarbon and chlorinated hydrocarbon, which non-polymeric solvents
include: acetone, ethanol, tetrahydrofuran, acetonitrile and pyrrolidones.
Some of these organic solvents are not biocompatible and organic solvents
are not suitable for injection into various areas of the patients body,
particularly the eye, blood vessels, or the synovial joint.
This invention makes use of a biocompatible, low molecular weight, water
soluble polymer in place of an organic solvent as defined above. This
obviates the need to remove an organic solvent and permits the formation
of hydrophobic drug containing micelles without heating, agitation,
vigorous stirring or sonication. It also makes possible the preparation of
a semi-solid capable of forming micelles in vivo, for administration by
injection to a patient.
The term "injectable" as used herein refers to compositions having a
viscosity that permits injection of the material into the body of a
patient using a syringe and a needle cannula with the amount of pressure
required to inject the material being that which may be comfortably
exerted through hand pressure. Material having viscosities between about 5
and about 200 poise which may be measured using known techniques (for
example with a parallel plate rheometer). Material that is injectable
according to this invention is injectable in a typical temperature range
for injection. Preferably, the material is injectable from about room
temperature to about body temperature. Most preferably, the material is
injectable in a temperature range from about 20.degree. C. to about
40.degree. C.
The terms "substantially free of . . . " or "containing substantially no .
. . " with reference to a possible ingredient in a composition means that
the composition comprises none, or essentially none of the ingredient. By
this definition, the ingredient may be present in such small amounts in
the composition that do not affect the properties or pharmaceutical
utility of the composition.
Micelle forming compositions according to this invention may be prepared
using standard techniques whereby the required polymeric ingredients and a
hydrophobic drug are thoroughly mixed or intermingled. Mechanical mixing
procedures may be employed, such as are taught in the Examples below. The
goal is to achieve a thorough blending of the ingredients of the
composition.
Injection devices such as syringes may be prepared so as to contain
micelle forming compositions of this invention by using any technique
whereby the composition is placed within the injection device in a manner
that the composition becomes injectable by the device. For example, a
composition of this invention may be placed within the barrel of a syringe
by mechanical means or extrusion.
Compositions of this invention may be stored for substantial lengths of
time. When a hydrophobic drug is present in a composition of this
invention, it is preferred that the composition be stored at a temperature
below that of room temperature in accordance with the stability parameters
of the selected drug.
Compositions of this invention may be placed in sterile containers for
subsequent pharmaceutical formulation. Such a container may be a sealed
vial which preferably will contain sufficient space for the subsequent
addition of an aqueous, physiologically acceptable carrier. Thus, the
compositions of this invention may be employed for production of drug
containing micelles within the aforementioned container after introduction
of the aqueous carrier. Dissolution of the composition in the carrier with
concomitant formation of drug containing micelles may be accelerated by
agitation (e.g. shaking) although the compositions of this invention will
dissolve over time, without agitation. Long term or vigorous agitation or
sonication is not necessary.
Methods for administration of compositions according to this invention and
drug containing micellar suspensions made from such compositions may be
done according to methods known in the art. Methodologies for injection of
such compositions or solutions at a selected site within the body of a
patient may be selected and performed by a medical professional.
For injectable compositions of this invention, the composition will
comprise one or more biocompatible micelle forming polymers. Such micelle
forming polymers may be any such polymer known in the art, including the
references referred to above and in WO 01/87345. Preferably, one or more
micelle forming polymers in compositions of this invention will be a
diblock copolymer suitable for formation of micelles as taught in the art
or as specifically described herein. Hydrophobic portions of such diblock
copolymers may comprise one or more hydrophobic polymers, such as
polyesters, polyanhydrides, polyglycolic acids, polybutrylactones,
polyhydroxybutyrates, polylactic acids and polylacaprolactones. The
hydrophobic portion of the copolymer may comprise one or more different
hydrophobic polymers in random or block orientation. Preferably, the
hydrophobic portion of a copolymer will have a molecular weight from about
200 to about 5000.
The preferred micelle forming polymers described above are capable of
forming micelles at very low critical micelle concentrations (CMC), which
allows for loading of high concentrations of hydrophobic drugs.
Preferred hydrophilic portions of micelle forming copolymers that may be
used in this invention have a molecular weight of about 750 or greater up
to about 8000. Preferably, the molecular weight will be in the range of
about 1000 or 2000-3000 or 5000. Most preferred is a molecular weight of
polymer as the hydrophilic portion of the micelle forming polymer being
about 2000.
Biocompatible water soluble polymers for use in this invention include any
suitable water soluble polymer capable bf fluidizing a micelle forming
polymer as used in this invention. Such water soluble polymers include
pluronics that is a liquid or solid at room temperature, or low molecular
weight polyesters such as glycolitic or lactic acid polymers of
sufficiently low molecular weight that the polymer is a liquid or
semi-solid at room temperature (e.g. about 20 to 30.degree. C.). Preferred
water soluble polymers for use in this invention are polyethylene oxides
of a molecular weight of about 1000 or less, including PEG and MePEG.
Weight ratios of hydrophobic and hydrophilic components of micelle forming
polymers used in this invention may be adjusted to provide for a desired
CMC. The amount of water soluble polymer employed in compositions of this
invention may be adjusted to achieve a desired consistency of the
resulting mixture of matrix. For injection, it is preferred that the
amount of water soluble polymer be such that the resulting mixture or
matrix is injectable, as defined herein. The amount of hydrophobic drug
included in the composition will be such as to provide a desired amount of
drug loaded micelles, preferably not exceeding an amount that can be
sufficiently distributed within the micelle forming composition.
Example 1
Manufacture of Diblock Copolymer
Methoxypolyethylene glycol (MePEG) oligomers of molecular weight 750 and
2000 and stannous octoate were obtained from Sigma-Aldrich (St Louis,
Mo.), while .epsilon.-Caprolactone was obtained from Aldrich Milwaukee,
Wis.). Chloroform and dichloromethane (DCM) were HPLC grade (Fisher
Scientific, Fair Lawn, N.J.).
Copolymers of methoxypolyethylene glycol (MePEG) and poly(.epsilon.-caprolactone)
were prepared as follows. MePEG oligomers with molecular weights of 750
and 2000 were combined with .epsilon.-caprolactone in varying weight
ratios to control the final molecular weight of the copolymer. The total
weight of the two reagents was 50 g. The reagents were placed in a round
bottom flask sealed with a ground glass stopper and immersed in a heavy
mineral oil bath heated to 140.degree. C. The temperature was controlled
using a Dyna-Sense MK-1 controller (Scientific Instruments Inc., Skokie,
Ill.). The reagents were stirred using a teflon coated 2.5 cm magnetic
stir bar. After the reagents were mixed for 30 minutes to produce a
homogeneous liquid, 0.15 ml of stannous octoate was added to the flask.
The polymerization reaction was allowed to proceed for 6 hours. Cooling
the polymer to room temperature terminated the reaction.
Example 2A
Manufacture of A Micellar Formulation of Paclitaxel
Fifty mg of paclitaxel (Hauser chemicals), 380 mg of methoxypolyethylene
glycol (MePEG) (molecular weight 350) (Union Carbide Inc.) and 570 mg of
poly-L-lactic acid-MePEG diblock copolymer (Angiotech Pharmaceuticals,
Vancouver Canada) were weighed into a 20 ml glass vial and stirred at
50.degree. C. using a spatula. The mixture formed a miscible composition
in which all the drug was dissolved. The mixture was sucked up into a 1 ml
syringe through an 18 gauge needle and allowed to cool to room
temperature.
The waxy material could be injected easily through a 21-gauge needle
without compromise of the integrity of the composition. When 100 .mu.l of
the mixture was injected into 5 ml of water the mixture slowly dissolved.
There was no precipitation of any of the components. The formulation self
assembled into micelles with a particle size of approximately 10 nm
diameter, as shown in FIG. 1 (see Original Patent). This solution had a
paclitaxel concentration of 1 mg/ml, almost 1000 fold greater than the
free solubility of the drug in water.
Example 2B
Manufacture of Alternate Micellar Formulation of Paclitaxel
Fifty mg of paclitaxel (Hauser chemicals), 95 mg of methoxypolyethylene
glycol (MePEG) (molecular weight 350) (Union Carbide Inc.), 645 mg of
poly-L-lactic acid-MePEG diblock copolymer (Angiotech Pharmaceuticals,
Vancouver Canada), 95 mg each of polycaprolactone-co-methoxypolyethylene
glycol (each containing 17 units of ethylene glycol in the MePEG
conjugated to either one unit of caprolactone (PCL1) or 5 units (PCL5)
were weighed into a 20 ml glass vial and stirred at 50.degree. C. using a
spatula for 5 to 10 minutes. The mixture formed a miscible composition in
which all the drug was dissolved. The mixture was sucked up into a 1 ml
syringe through an 18 gauge needle and allowed to cool to room
temperature.
The waxy material could be injected easily through a 21 gauge needle
without compromising the integrity of the composition. When 100 .mu.l of
the mixture was injected into 5 ml of water and water acidified to pH 1,
the mixture slowly dissolved and there was no precipitation of any of the
components. The formulation self assembled into micelles.
Example 3
Injection of Micellar Formulation of Paclitaxel Along the Perivascular
Margins of the Carotid Artery of A Rat For the Treatment of Restenosis
Wistar rats weighing 400 g to 500 g were anesthetized with halothane. A
vertical incision was made over the trachea and the left external carotid
artery was exposed. Connective tissue around the left common carotid
artery was left untouched. Two ligatures were placed around the external
carotid artery and an arteriotomy was made between them. A 2 French
Fogarty balloon was introduced into the external carotid artery and pushed
into the left common carotid artery and the balloon was inflated with
saline. The balloon was passed up and down the entire length of the
carotid artery three times to stretch the vessel and denude the
endothelium. The balloon was removed and the ligatures tied off on the
external carotid artery. A 3% paclitaxel loaded self-assembling micellar
composition based on poly-L-lactic acid-MePEG blended with MePEG 350 in a
60/40 weight ratio (as described in Example 2A) was injected through a 24
G angiocatheter between a distal segment of the common carotid artery and
the surrounding connective tissue. Typically, 0.1 to 0.2 ml of paste was
applied around the artery in 4 injections in order to cover the whole
circumference of the vessel on a length of approximately 1 cm. The wound
was then closed and the animals recovered.
Using this method various doses of a polymeric dosage form of the
antirestenosis compound paclitaxel was applied to the perivascular side of
the damaged artery without the need for complete exposure of the artery
(as in required for the application of a polymeric film to the artery).
The rats tolerated this method of application well with no adverse effects
noted in any animal. This example demonstrates a non-invasive method of
applying a self assembly micellar formulation of paclitaxel. In this
particular example some invasive surgery was used to apply the balloon
catheter. However in humans the catheter would be applied from a distant
location and it is envisaged that the paste would be applied to the
damaged artery in humans via an angiocatheter without surgical exposure of
the damaged artery. There was no evidence of toxicity from this method of
injection and no sign of drug precipitation at the site of injection along
the artery. At the end of two weeks the animals were examined for the
presence of residual formulation or local toxicity indicative of
non-biocompatible. In all animals treated there was no residual
formulation at the site or any evidence of any toxicity in the animals.
Clearly, the drug and polymer composition were dissolving and self
assembling into a micellar formulation of the drug at the in vivo arterial
site.
Example 4
Manufacture of A 10% Paclitaxel Loaded-Self Assembling Micellar
Formulation of Paclitaxel
Forty mg of paclitaxel (Hauser chemicals), 108 mg of methoxypolyethylene
glycol (MePEG) (molecular weight 350) (Union Carbide Inc.) and 252 mg of
poly-L-lactic acid-MePEG diblock copolymer (Angiotech Pharmaceuticals,
Inc. Vancouver Canada) were weighed into a 20 ml glass vial and stirred at
50.degree. C. using a spatula. The mixture formed a miscible composition
in which all the drug was dissolved. The mixture was sucked up into a 1 ml
syringe through an 18 gauge needle and allowed to cool to room
temperature.
The waxy material could be injected easily through a 21 gauge needle
without compromise of the integrity of the composition. When 100 .mu.l of
the mixture was injected into 5 ml of water
Claim 1 of 37 Claims
1. A micelle-forming composition
comprising: (a) a hydrophobic drug; (b) a biocompatible block copolymer;
and, (c) a biocompatible, water soluble polymer, wherein, the
biocompatible block copolymer includes a hydrophilic portion and a
hydrophobic portion, the hydrophilic portion comprising a polyethylene
oxide and the hydrophobic portion comprising a polyester, and wherein the
water soluble polymer is present in an amount sufficient that the
micelle-forming composition is injectable.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|