DRUG DELIVERY SYSTEM AND METHOD OF TREATING OCULAR DISEASES IN ANIMALS
20170266110 · 2017-09-21
Assignee
Inventors
Cpc classification
A61D7/00
HUMAN NECESSITIES
A61K47/46
HUMAN NECESSITIES
A61L2430/16
HUMAN NECESSITIES
A61K47/42
HUMAN NECESSITIES
A61L27/3604
HUMAN NECESSITIES
A61L27/58
HUMAN NECESSITIES
International classification
A61K9/00
HUMAN NECESSITIES
A61D7/00
HUMAN NECESSITIES
A61K47/46
HUMAN NECESSITIES
Abstract
The present invention relates in general to the field of drug delivery systems for treating ocular diseases in animals, and more specifically, to a drug delivery system and method of treating Infectious Bovine Keratoconjunctivitis (“IBK”) in cattle, commonly known as “pinkeye.” The drug delivery system and method may include a contact lens that has been infused with drugs for treating IBK, such as oxytetracycline, penicillin, streptomycin, tetracycline, gentamicin, cloxacillin or combinations thereof. The medicated contact lens may be placed in contact with the cornea and/or conjunctiva of the afflicted eye of the animal. Drugs are released from the medicated contact lens via diffusion into the cornea and/or conjunctiva of the eye. After treatment, the contact lens may harmlessly dissolve in the eye wherein it is washed away via tear secretions.
Claims
1: A drug delivery system for treating Infectious Bovine Keratoconjunctivitis (“IBK”) in cattle, comprising: a therapeutic contact lens; a therapeutic drug for treating IBK; the therapeutic drug incorporated into the therapeutic contact lens; the therapeutic contact lens placed on an afflicted eye of the animal with IBK without the aid of a veterinarian; the therapeutic contact lens is configured to act as a bandage to promote faster healing, protect the afflicted eye from irritants and flies, and reduce pain for the animal; the therapeutic drug released from the therapeutic contact lens into the afflicted eye of the animal with IBK; wherein the therapeutic drug is released from the therapeutic contact lens into the afflicted eye of the animal with IBK for a sustained period of time; wherein the therapeutic drug released from the therapeutic contact lens into the afflicted eye treats the IBK in the animal within 10 days; wherein a single dosage of the drug delivery system treats IBK in the afflicted eye of the animal; wherein follow-up doses are eliminated by the drug delivery system; wherein the therapeutic contact lens is left in the afflicted eye during and after treatment of the IBK.
2: The drug delivery system of claim 1, further comprising: the therapeutic contact lens is biodegradable; wherein the biodegradable therapeutic contact lens harmlessly dissolves in the afflicted eye of the animal after treatment and is washed away.
3: The drug delivery system of claim 2, further comprising: the therapeutic contact lens provides ocular surface protection to the afflicted eye during treatment; wherein the ocular surface protection guards the afflicted eye from environmental triggers that cause eye irritations.
4: The drug delivery system of claim 1, wherein the therapeutic contact lens comprises: a) collagen; b) amniotic membrane(s); c) hydrogels; or d) combinations thereof.
5: The drug delivery system of claim 3, wherein the therapeutic contact lens comprises: a) a diameter of 6-30 mm; b) a peripheral curvature of 18-32 mm; c) a base curvature of 12-16 mm; and d) a thickness of 10 nm-3 mm.
6: The drug delivery system of claim 5, wherein the therapeutic contact lens releases 0.001-1000 μg of the therapeutic drug into the afflicted eye for a sustained time period between 2 hours-10 days.
7: The drug delivery system of claim 6, wherein an edge of the therapeutic contact lens tapers to a point to prevent the animal from removing the lens during treatment of the IBK.
8. (canceled)
9: A method of treating Infectious Bovine Keratoconjunctivitis (“IBK”) in cattle, comprising: identifying an animal with IBK in a cattle herd; catching and restraining the animal with IBK; providing a drug delivery system for treating IBK in cattle with a single dosage, the drug delivery system comprising: a) a therapeutic contact lens; b) a therapeutic drug for treating IBK; c) the therapeutic drug incorporated into the therapeutic contact lens; d) the therapeutic contact lens is biodegradable; e) the therapeutic contact lens' innate properties stimulate epithelialization in an afflicted eye with IBK during treatment and prevent corneal scaring; f) the therapeutic contact lens configured to act as a bandage to promote faster healing, protect the afflicted eye from irritants and flies, and reduce pain for the animal; placing the therapeutic contact lens on the afflicted eye of the animal with IBK; releasing the therapeutic drug from the therapeutic contact lens into the afflicted eye of the animal with IBK; releasing the animal with IBK back into the cattle herd; treating IBK in the afflicted eye of the animal within 10 days using the drug delivery system; and dissolving the biodegradable therapeutic contact lens in the afflicted eye of the animal after treatment; wherein a single dosage of the drug delivery system treats IBK in the afflicted eye of the animal; wherein follow-up doses are not required by the drug delivery system.
10: The method of treating IBK in cattle of claim 9, wherein the therapeutic contact lens comprises: a) collagen; b) amniotic membrane(s); c) hydrogels; or d) combinations thereof.
11: The method of treating IBK in cattle of claim 10, wherein the therapeutic contact lens comprises: a) a diameter of 6-30 mm; b) a peripheral curvature of 18-32 mm; c) a base curvature of 12-16 mm; and d) a thickness of 10 nm-3 mm.
12: The method of treating IBK in cattle of claim 9, further comprising incorporating the therapeutic drug into the therapeutic contact lens via passive transference.
13: The method of treating IBK in cattle of claim 11, wherein the therapeutic contact lens releases 0.001-1000 μg of the therapeutic drug into the afflicted eye for a sustained time period between 2 hours-10 days.
14: The method of treating IBK in cattle of claim 13, wherein dissolution of the biodegradable therapeutic contact lens ranges between 2 hours-10 days.
15: The method of treating IBK in cattle of claim 9, wherein an edge of the therapeutic contact lens tapers to a point to prevent the animal from removing the lens during treatment of the IBK.
16: The method of treating IBK in cattle of claim 2, wherein the therapeutic drug comprises oxytetracycline, penicillin, streptomycin, tetracycline, gentamicin, cloxacillin or combinations thereof.
17: A method of treating Infectious Bovine Keratoconjunctivitis (“IBK”) in cattle, comprising: identifying an animal with IBK in a cattle herd; catching and restraining the animal with IBK; providing a drug delivery system for treating IBK in cattle with a single dosage, the drug delivery system comprising: a) a desiccated therapeutic contact lens with 50-75% of an aqueous component removed; b) the therapeutic contact lens having a diameter of 6-30 mm, a peripheral curvature of 18-32 mm: a base curvature of 12-16 mm, and a thickness of 10 nm-3 mm; c) the therapeutic contact lens having an edge that tapers to a point to prevent the animal from removing the lens during treatment of the IBK; d) the therapeutic contact lens comprising collagen, amniotic membrane(s), hydrogels, or combinations thereof; e) a therapeutic drug for treating IBK; f) the therapeutic contact lens is biodegradable; g) the therapeutic contact lens' innate properties stimulate epithelialization in an afflicted eye with IBK during treatment and prevent corneal scaring; h) the therapeutic contact lens configured to act as a bandage to promote faster healing, protect the afflicted eye from irritants and flies, and reduce pain for the animal; soaking the desiccated therapeutic contact lens in an aqueous medicated solution of the therapeutic drug for a period of time between 12-24 hours, wherein the concentration of therapeutic drug in the aqueous medicated solution is between 0.000001-1000 μg/mL; incorporating the therapeutic drug into the therapeutic contact lens via passive transference; placing the therapeutic contact lens in contact with a cornea and/or conjunctiva of the afflicted eye of the animal with IBK without the aid of a veterinarian; releasing the therapeutic drug from the therapeutic contact lens into the afflicted eye of the animal with IBK; releasing the animal with IBK back into the cattle herd; treating IBK in the afflicted eye of the animal within 10 days using the drug delivery system; and dissolving the biodegradable therapeutic contact lens in the afflicted eye after treatment; wherein a single dosage of the drug delivery system treats IBK in the afflicted eye of the animal; wherein follow-up repeat doses are eliminated by the drug delivery system.
18: The method of treating IBK in cattle of claim 17, wherein the therapeutic contact lens releases 0.001-1000 μg of the therapeutic drug into the afflicted eye for a sustained time period between 2 hours-10 days.
19: The method of treating IBK in cattle of claim 18, wherein dissolution of the biodegradable therapeutic contact lens ranges between 2 hours-10 days.
20: The method of treating IBK in cattle of claim 19, further comprising applying a fly knockdown spray on the cattle with IBK to reduce contagion of the cattle herd.
Description
DESCRIPTION OF FIGURES
[0021]
[0022]
[0023]
[0024]
[0025]
DETAILED DESCRIPTION OF THE INVENTION
[0026]
[0027]
[0028]
[0029] Collagen.
[0030] The therapeutic contact lens (26) may comprise collagen manufactured from porcine or bovine scleral collagen, transgenic tobacco plants, catgut, amongst other sources standard in the industry. Collagen is a safe and naturally occurring protein that biodegrades in the eye (10) after naturally occurring enzymes in the tear film cause the collagen to dissolve. Dissolution rates may vary depending in part upon the degree of collagen cross-linking induced at the time of manufacture (e.g., 1-10 days). The use of collagen in therapeutic contact lens (26) accelerates epithelialization in the eye (10) after irritants cause corneal and/or conjunctival abrasions (28). Collagen's innate properties further enhance the healing of persistent epithelial defects, neurotrophic corneal ulcers, and lubricates the eye to serve as an adjunct in dry eye therapy.
[0031] Amniotic Membranes.
[0032] As an alternative to collagen or to be used in combination thereof, the therapeutic contact lens (26) may comprise amniotic membranes. Amniotic membranes may be derived from the innermost submucosa of the placenta, an area in which the fetus grows and develops within the mother's uterus. Amniotic membranes may be comprised of a single epithelium layer, a thick basement membrane and an avascular stromal matrix. Amniotic membranes may contain specialized proteins such as fibronectin, laminins, proteoglycans, and glycosaminoglycans. Amniotic membranes may comprise collagen types I, III, IV, V and VII, cytokines and proteinase inhibitors to facilitate wound healing. Amniotic membranes may include antimicrobial qualities and active growth factors that stimulate epithelialization in the eye (10). Epidermal growth factors include transforming growth factor beta (“TGF-b”), fibroblast growth factor (“FGF”), and platelet-derived growth factor (“PDGF”). When incorporated into therapeutic contact lenses (26), amniotic membranes reduce inflammation, angiogenesis, fibrosis and scaring in the cornea (12). Thus, innate properties of amniotic membranes enhance epithelial cell migration, reinforce adhesion of basal epithelial cells, promote epithelial differentiation, and prevent epithelial apoptosis in the eye (10). Amniotic membranes utilized in therapeutic contact lenses (26) typically dissolve in vivo within a period of 1-14 days.
[0033] Hydrogels.
[0034] As a further alternative to collagen and amniotic membranes or to be used in combination thereof, the therapeutic contact lens (26) may comprise hydrogels. Hydrogels may comprise at least two components: a stable crosslinked polymer matrix; and a less stable aqueous component able to exchange oxygen with the surrounding environment (e.g., water). Exemplary materials utilized in hydrogel contact lenses (26) include etafilcon A, vifilcon A, lidofilcon A, polymacon B, vasurfilcon A, silicone, and a tetrapolymer of hydroxymethylmethacrylate, ethylene glycol, dimethylmethacrylate, and methacrylic acid. Other suitable hydrogel materials known to those skilled in the art may also be utilized. The hydrogels may be ionic or non-ionic comprising between 10% and 90% water by weight. Hydrogel therapeutic contact lenses (26) may be insoluble or may be advantageously biodegradable in vivo over a period of time (e.g., 1-10 days). A notable benefit to hydrogel therapeutic contact lenses is that hydrogels enable up to six times more oxygen to pass through to facilitate healing of discoloration and ulceration (28) of the cornea (12) and to help prevent corneal scaring (28).
[0035] As shown in
[0036] Therapeutic drug(s) (30) may be incorporated into the therapeutic contact lens (24). For example, therapeutic drugs (30) may be passively transferred into a desiccated or partially desiccated therapeutic contact lens (26). Desiccation may be facilitated by exposing the therapeutic contact lens (26) to ambient or humidity controlled air, heat, or gases (e.g., N.sub.2). Thus, desiccation may remove between 5-75% of an aqueous component (e.g., water) of the therapeutic contact lens (26). The desiccated or partially desiccated therapeutic contact lens (26) may then be soaked in an aqueous dilute solution of the therapeutic drug(s) (30) (“medicated solution”) for a period of time between approximately 30 minutes-24 hours to produce a medicated therapeutic contact lens (24). Alternatively, a fully hydrated therapeutic contact lens (26) may be placed in the medicated solution for a period of time between approximately 30 minutes-24 hours to produce a medicated therapeutic contact lens (26). The concentration of therapeutic drug(s) (30) in the medicated solution may comprise between 0.000001-1000 μg/mL, wherein higher concentrations may also be utilized to reduce transferal times. The therapeutic drug(s) (30) may also be transferred to the therapeutic contact lens (26) from a non-aqueous solvent (e.g., dimethyl sulfoxide) which may be at least partially removed and replaced with an aqueous solution prior to use. It is contemplated that other means standard in the industry for producing a medicated therapeutic contact lens (26) may also be utilized by the drug delivery system (10) of the present invention.
[0037] The concentration of therapeutic drug(s) (30) in the medicated therapeutic contact lens (26) should be present in a therapeutically effective amount. A “therapeutically effective amount” is meant an amount of a drug sufficient to produce a preventative, healing, curative, stabilizing, or ameliorative effect in the treatment of ocular diseases in animals. For example, the concentration of therapeutic drug(s) (30) in the medicated therapeutic contact lens (26) may be at least 2-10 times less than that of the medicated solution in which it was soaked. Alternatively, the concentration of therapeutic drug(s) (30) in the mediated therapeutic contact lens (26) may be at least 2-10 times more than that of the medicated solution in which it was soaked depending upon the particular drug's and lens' affinity. Other factors may also influence concentration levels, such as the composition of the medicated solution (e.g., ionic strength and pH), time soaked, temperature of the medicated solution, and type of therapeutic drug(s) (30).
[0038] As further shown in
[0039] The drug delivery system (24) of the present invention has additional benefits over traditional approaches for treating ocular diseases in animals. For instance, the therapeutic contact lens (24) may be biodegradable wherein the lens (26) harmlessly dissolves and is washed away from the eye (10) via tear secretions. Dissolution rates of the biodegradable therapeutic contact lens (26) may range between approximately 2 hours-10 days depending on the level of treatment required. Thus, the therapeutic contact lens (26) may be conveniently left in the eye (10) after treatment of the ocular disease without risk of harm to the animal. Another added benefit of the drug delivery system (24) of the present invention is that it provides ocular surface protection to the eye (10) during treatment. A basic necessity for the eye (10) to successfully heal from an ocular disease or trauma is that it must be protected from eye irritations and the blinking action of the eyelids. The therapeutic contact lens (26) when placed in the eye (10) provides the necessary protection from eye irritants and the blinking action of the eyelids during treatment. Thus, the drug delivery system (24) of the present invention may act as a replacement to traditional approaches utilizing an eye patch or tarsorrhaphy to protect the eye (10) from light, flies and other irritants during the healing process which requires additional handling and recapture of the animal for removal.
[0040]
[0041] Collagen.
[0042] The therapeutic contact lens (26) may comprise collagen manufactured from porcine or bovine scleral collagen, transgenic tobacco plants, catgut, amongst other sources standard in the industry. Collagen is a safe and naturally occurring protein that biodegrades in the eye (10) after naturally occurring enzymes in the tear film cause the collagen to dissolve. Dissolution rates may vary depending in part upon the degree of collagen cross-linking induced at the time of manufacture (e.g., 1-10 days). The use of collagen in therapeutic contact lens (26) accelerates epithelialization in the eye (10) after irritants cause corneal and/or conjunctival abrasions (28). Collagen's innate properties further enhance the healing of persistent epithelial defects, neurotrophic corneal ulcers, and lubricates the eye to serve as an adjunct in dry eye therapy.
[0043] Amniotic Membranes.
[0044] As an alternative to collagen or to be used in combination thereof, the therapeutic contact lens (26) may comprise amniotic membranes. Amniotic membranes may be derived from the innermost submucosa of the placenta, an area in which the fetus grows and develops within the mother's uterus. Amniotic membranes may be comprised of a single epithelium layer, a thick basement membrane and an avascular stromal matrix. Amniotic membranes may contain specialized proteins such as fibronectin, laminins, proteoglycans, and glycosaminoglycans. Amniotic membranes may comprise collagen types I, III, IV, V and VII, cytokines and proteinase inhibitors to facilitate wound healing. Amniotic membranes may include antimicrobial qualities and active growth factors that stimulate epithelialization in the eye (10). Epidermal growth factors include transforming growth factor beta (“TGF-b”), fibroblast growth factor (“FGF”), and platelet-derived growth factor (“PDGF”). When incorporated into therapeutic contact lenses (26), amniotic membranes reduce inflammation, angiogenesis, fibrosis and scaring in the cornea (12). Thus, innate properties of amniotic membranes enhance epithelial cell migration, reinforce adhesion of basal epithelial cells, promote epithelial differentiation, and prevent epithelial apoptosis in the eye (10). Amniotic membranes utilized in therapeutic contact lenses (26) typically dissolve in vivo within a period of 1-14 days.
[0045] Hydrogels.
[0046] As a further alternative to collagen and amniotic membranes or to be used in combination thereof, the therapeutic contact lens (26) may comprise hydrogels. Hydrogels may comprise at least two components: a stable crosslinked polymer matrix; and a less stable aqueous component able to exchange oxygen with the surrounding environment (e.g., water). Exemplary materials utilized in hydrogel contact lenses (26) include etafilcon A, vifilcon A, lidofilcon A, polymacon B, vasurfilcon A, silicone, and a tetrapolymer of hydroxymethylmethacrylate, ethylene glycol, dimethylmethacrylate, and methacrylic acid. Other suitable hydrogel materials known to those skilled in the art may also be utilized. The hydrogels may be ionic or non-ionic comprising between 10% and 90% water by weight. Hydrogel therapeutic contact lenses (26) may be insoluble or may be advantageously biodegradable in vivo over a period of time (e.g., 1-10 days). A notable benefit to hydrogel therapeutic contact lenses is that hydrogels enable up to six times more oxygen to pass through to facilitate healing of discoloration and ulceration (28) of the cornea (12) and to help prevent corneal scaring (28).
[0047] As shown in
[0048] A variety of therapeutic drug(s) (30) and drug precursors may be utilized to treat ocular diseases in animals including corticosteroids, steroids, growth factors, antibiotics, vitamins and anti-inflammatory compounds (e.g., cyclosporin, sirolimus, rapamycin, cyclophilin A, B, or D inhibitors and derivatives thereof, including other anti-inflammatory compounds standard in the industry). With regard to treating IBK in cattle, the therapeutic drug(s) (30) may comprise oxytetracycline, penicillin, streptomycin, tetracycline, gentamycin, Cloxicillin or combinations thereof, including other antibiotics standard in the industry. The therapeutic drug(s) (30) may further comprise antiviral medications (e.g., trifluridine, ganciclovir) and/or anti-fungal medications (e.g., polyenes: natamycin, nystatin, and amphotericin B; azoles (imidazoles and triazoles); ketoconazole, miconazole, fluconazole, itraconazole, econazole, and clotrimazole; fluorinated pyrimidines: flucytosine). Treating IBK in cattle is illustrated for exemplary purposes, as it is contemplated that the drug delivery system (24) of the present invention may be used to treat other ocular diseases in a wide variety of animals at all stages in life (e.g., domesticated cats, dogs, horses, cattle, sheep, swine, goats, including undomesticated animals).
[0049] The concentration of therapeutic drug(s) (30) in the medicated therapeutic contact lens (26) should be present in a therapeutically effective amount. A “therapeutically effective amount” is meant an amount of a drug sufficient to produce a preventative, healing, curative, stabilizing, or ameliorative effect in the treatment of ocular diseases in animals. For example, the concentration of therapeutic drug(s) (30) in the medicated therapeutic contact lens (26) may be at least 2-10 times less than that of the medicated solution in which it was soaked. Alternatively, the concentration of therapeutic drug(s) (30) in the mediated therapeutic contact lens (26) may be at least 2-10 times more than that of the medicated solution in which it was soaked depending upon the particular drug's and lens' affinity. Other factors may also influence concentration levels, such as the composition of the medicated solution (e.g., ionic strength and pH), time soaked, temperature of the medicated solution, and type of therapeutic drug(s) (30).
[0050] As further shown in
[0051] As shown
[0052] As further shown in
[0053] The drug delivery system (24) of the present invention and method of treating ocular diseases in animals (32) are universally applicable to all animals, particularly cattle, of all sizes, ages and breeds. Furthermore, the drug delivery system (24) of the present invention and method of treating ocular diseases in animals may be used in any geographic location, indoors or outdoors, at any time of year. Although the invention has been described and illustrated with respect to preferred aspects thereof, it is not to be so limited since changes and modifications may be made therein which are within the full intended scope of the invention.