BIODEGRADABLE DRUG ELUTING MICROSPHERE FOR THE TREATMENT OF SOLID TUMORS

Abstract

Polymer microspheres for embolizing blood vessels and optionally delivering therapeutic agents are provided.

Claims

1. A polymer microsphere consisting essentially of poly-lactide-co-glycolide 50:50 (PLGA) and a therapeutic agent, both being distributed substantially evenly throughout the microsphere.

2. The polymer microsphere of claim 1, having a smooth surface.

3. The polymer microsphere of claim 1, wherein the PLGA has an average molecular weight selected from the group consisting of 5,600 Daltons, 16,000 Daltons, and 8,300 Daltons.

4. The polymer microsphere of claim 1, configured to release the therapeutic agent in vitro over a period of approximately 3 weeks.

5. The polymer microsphere of claim 1, configured to release the therapeutic agent in vitro in an initial burst lasting no more than approximately two days, followed by a steady-state release lasting approximately 15-20 days.

6. The polymer microsphere of claim 1, configured to release the therapeutic agent in vitro in a single burst lasting no more than approximately two days.

7. The polymer microsphere of claim 1, configured to release the therapeutic agent in vitro at a steady-state over approximately 15-20 days.

8. The polymer microsphere of claim 1, wherein the therapeutic agent is present at 5 wt %.

9. The polymer microsphere of claim 1, wherein the therapeutic agent is present at 10 wt %.

10. A method of treating a patient, the method comprising: placing, within a body lumen of a patient, a polymer microsphere consisting essentially of poly-lactide-co-glycolide 50:50 and 5-10 wt % therapeutic agent.

11. The method of claim 10, wherein the body lumen is a blood vessel which provides blood to a hepatocellular carcinoma.

12. The method of claim 11, wherein the step of placing the polymer microsphere within the body lumen includes flowing a fluid suspension including the polymer microsphere through a catheter and into the blood vessel.

13. The method of claim 12, further comprising the step of fluoroscopically imaging the polymer microsphere within the blood vessel, and wherein the polymer microsphere includes a contrast agent.

14. The method of claim 11, wherein the step of placing the polymer microsphere in the body lumen includes at least partially occluding the blood vessel.

15. A kit, comprising: a polymer microsphere consisting essentially of poly-lactide-co-glycolide 50:50 and 5-10 wt % therapeutic agent, the polymer microsphere being disposed in a vessel with a gas.

16. The kit of claim 15, further comprising a syringe having a bore sized to permit the inflow of the polymer microsphere, the syringe being configured to couple to a catheter.

17. The kit of claim 15, wherein the PLGA has an average molecular weight selected from the group consisting of 5,600 Daltons, 16,000 Daltons, and 8,300 Daltons.

18. The kit of claim 15, wherein the polymer microsphere is configured to release the therapeutic agent in vitro over a period of approximately 3 weeks.

19. The kit of claim 18, wherein the polymer microsphere is configured to release the therapeutic agent in vitro in an initial burst lasting no more than approximately two days, followed by a steady-state release lasting approximately 15-20 days.

20. The kit of claim 15, further comprising a written set of instructions for performing a method, the method including the step of placing the polymer microsphere within a body lumen.

Description

DRAWINGS

[0010] Aspects of the invention are described below with reference to the following drawings in which like numerals reference like elements, and wherein:

[0011] FIG. 1 shows a scanning electron micrograph (SEM) of drug eluting microspheres according to an embodiment of the present invention.

[0012] FIG. 2 shows in vitro drug elution profiles of microspheres according to the present invention which incorporate 50:50 PLGA polymer phases having an average molecular weights of 5,600 Da (1 A), 16,000 Da (2 A) or 50,000 Da (4 A).

[0013] FIGS. 3A through 3C show the effects of embolization of swine kidney using drug eluting microspheres of the present invention comprising polymer only (FIG. 3A), polymer and 5% paclitaxel (FIG. 3B) or 10% paclitaxel (FIG. 3C).

[0014] FIGS. 4A and 4B show low magnification (FIG. 4A) and high-magnification (FIG. 4B) computerized tomography (CT) images of radiopaque drug eluting microspheres according to the present invention.

[0015] Unless otherwise provided in the following specification, the drawings are not necessarily to scale, with emphasis being placed on illustration of the principles of the invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

Microspheres Generally:

[0016] Drug eluting microspheres as disclosed in the present invention are based on biocompatible, hydrophilic, and non-toxic polymers. The microspheres can be any suitable size or shape depending on their desired use, though in preferred embodiments the microspheres are characterized by one or more of the following features: they are injectable through a needle of 18 gauge or smaller, they are generally spherical, and are capable of eroding, hydrolyzing, and/or otherwise being resorbed or degraded by endogenous processes such as phagocytosis.

[0017] While preferred embodiments of the present invention utilize PLGA 50:50, any suitable polymer or copolymer composition can be used (including, without limitation, PLGA 85:15, 75:25, 50;50 and poly-lactic acid (PLA) containing compositions), subject to the following preferences: first, the polymer is preferably capable of forming microspheres using an emulsion process; second, the polymer is preferably one in which a therapeutic agent such as a small molecule drug is compatible; and third, the polymer is preferably biocompatible. Preferred polymers are typically hydrophobic, to facilitate their extended residence and release of drug within the body.

[0018] Drug eluting microspheres according to the various embodiments of the present invention have drug release kinetics that can be varied somewhat during the manufacturing process by changing one or more variables of production, including (1) the average molecular weight of the PLGA polymer used, (2) the amount of drug initially loaded into the particles during manufacture (which may be expressed as a fraction of the total mass of the polymer phase used to generate the microspheres; i.e. a wt %), and (3) the size of the particles (small particles generally having a greater surface area-to volume, thereby permitting more rapid diffusion of drug out of the particle). The release of drug also generally varies with the rate of degradation of the polymer, as a more rapid rate of degradation will tend to result in a more rapid release of drug. In general, the greater the proportion of glycolide to lactide, the more rapid the degradation of the microspheres and, hence, the more rapid the release of drug. In addition, drug release rates can be modified by the inclusion of excipients such as polyvinylpyrrolidone (PVP).

[0019] In use, microspheres and embolic compositions of the present invention are used to embolize and optionally deliver drug to any structure or region in which embolization and drug therapy is desired. In some cases, the microspheres do not include any therapeutic agent, and are simply used to embolize a solid tumor or growth in the liver, uterus, prostate, kidney, etc. For instance, PLGA microspheres of the present invention, without any drug loading, may be used to embolize part or all of the prostate in order to treat benign prostatic hyperplasia.

[0020] In preferred embodiments, however, PLGA/Ptx microspheres are used to embolize and deliver Ptx to a heptatocellular carcinoma or another tumor growing in the liver. In other cases, the microspheres (loaded with Ptx or another drug) are used to treat one or more other solid tumor types in a different region, such as the mouth and/or neck, kidney, pancreas, breast, lung, and prostate. In these cases, the size and drug loading can be tailored to the tumor type and location.

[0021] Finally, in addition to treatment of various cancers with chemotherapeutic or antiproliferative drugs, microspheres of the present invention can be loaded with any other therapeutic agents such as analgesics for the localized delivery of pain medications. Other drugs that can be loaded into microspheres of the present invention include, without limitation, ketorolac, tamsulosin, everolimus and sorafenib.

EXAMPLES

[0022] The principles of the invention are further illustrated In the following non-limiting examples:

Example 1

Preparation of PLGA/Ptx Beads

[0023] A single emulsion method can be used for PLGA/Ptx microsphere preparation. PLGA and Ptx were first dissolved into dichloromethane solvent with 10-30% concentration, then this solution was added to 0.2% PVA aqueous solution with appropriate agitation to form a liquid droplet. This liquid droplet was transferred subsequently to 0.02% PVA-in-water solution to further harden the microspheres by removing the dichloromethane solvent from the polymer phase; the hardening step lasts for a few (e.g. 2-6) hours, and is followed by a wash with water to remove PVA before the microspheres are dried under vacuum at room temperature overnight (e.g. 10-14 hours). The resulting microspheres were comprised predominantly (i.e. essentially) of PLGA and Ptx. Their size distribution ranged from 50 micron to 250 micron. The drug loadings within microsphere can change from 0 to 90% depending on the polymer to drug ratio used in the formulation. PLGA being used for microsphere formations include PLGA 50:50, PLGA 75:25, and PLGA 85:15 with various molecular weights. FIG. 1 shows a scanning electron microscope (SEM) image of PLGA/Ptx microsphere.

Example 2

Drug Release Profile of PLGA/Ptx Beads

[0024] To show that the drug release profile and duration of microspheres of the present invention can be adjusted, in vitro drug elution of microspheres formed with different molecular weight grades of PLGA, (1 A, 2 A and 4 A) was measured. The impact of different grades of PLGA on drug release profiles is summarized in FIG. 2, which shows that, while microspheres made from different grades of PLGA are all characterized by some degree of burst-release and steady-state release, the quantity of drug released by the microspheres (as a wt %) at a given timepoint tends to decrease as the molecular weight of the PLGA used increases. This decrease affects both the initial burst of drug release as well as the slower, steady-state drug release that follows. As the figure shows, very little drug elutes from microspheres formed with 4 A PLGA, while almost all of the drug content in 1 A microspheres elutes in a single rapid burst. Interestingly, the microspheres formed from 2 A PLGA had a relatively small degree of burst release but a long period (20 days) of steady-state release, while microspheres made of a 50/50 mix of 1 A and 2 A were characterized by both burst release and about 15 days of steady-state release.

Example 3

In Vivo Embolization and Drug Effect in Animal Study

[0025] Polymer only microsphere (PLGA 50:50 4 A) and drug loading microsphere (5% and 10% drug loading in PLGA 50:50 1 A:2 A mixture formulation) were injected into swine kidneys to assess their effects in vivo. The kidneys were explanted at 30 days to investigate gross effect of beads embolization and drug effects. FIGS. 3A-C demonstrate that all three microsphere compositions caused some degree of necrosis, but the 5% and 10% Ptx loaded beads showed, at least qualitatively, a greater degree of necrosis than the polymer-only microspheres.

Example 4

Preparation and Evaluation of Radiopaque Beads

[0026] Beads were prepared as described in Example 1 with the exception that lipiodol was dissolved in DCM along with PLGA to give a lipiodol loading in the beads of 40% (wt/wt). The beads were injected into porcine liver and kidney and imaged post mortem using 2D CT. FIG. 4 shows CT image of beads in the kidney. As the image shows, the microspheres are readily visible and appear to fully occlude the blood vessels in which they have been deposited.

[0027] The phrase and/or, as used herein should be understood to mean either or both of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Other elements may optionally be present other than the elements specifically identified by the and/or clause, whether related or unrelated to those elements specifically identified unless clearly indicated to the contrary. Thus, as a non-limiting example, a reference to A and/or B, when used in conjunction with open-ended language such as comprising can refer, in one embodiment, to A without B (optionally including elements other than B); in another embodiment, to B without A (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc.

[0028] The term consists essentially of means excluding other materials that contribute to function, unless otherwise defined herein. Nonetheless, such other materials may be present, collectively or individually, in trace amounts.

[0029] As used in this specification, the term substantially or approximately means plus or minus 10% (e.g., by weight or by volume), and in some embodiments, plus or minus 5%. Reference throughout this specification to one example, an example, one embodiment, or an embodiment means that a particular feature, structure, or characteristic described in connection with the example is included in at least one example of the present technology. Thus, the occurrences of the phrases in one example, in an example, one embodiment, or an embodiment in various places throughout this specification are not necessarily all referring to the same example. Furthermore, the particular features, structures, routines, steps, or characteristics may be combined in any suitable manner in one or more examples of the technology. The headings provided herein are for convenience only and are not intended to limit or interpret the scope or meaning of the claimed technology.

[0030] Certain embodiments of the present invention have described above. It is, however, expressly noted that the present invention is not limited to those embodiments, but rather the intention is that additions and modifications to what was expressly described herein are also included within the scope of the invention. Moreover, it is to be understood that the features of the various embodiments described herein were not mutually exclusive and can exist in various combinations and permutations, even if such combinations or permutations were not made express herein, without departing from the spirit and scope of the invention. In fact, variations, modifications, and other implementations of what was described herein will occur to those of ordinary skill in the art without departing from the spirit and the scope of the invention. As such, the invention is not to be defined only by the preceding illustrative description.