CN105944106A - Method for local intervention treatment of osteosarcoma by degradable multiple drug-loading controlled-release internal implant - Google Patents

Method for local intervention treatment of osteosarcoma by degradable multiple drug-loading controlled-release internal implant Download PDF

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CN105944106A
CN105944106A CN201610291629.5A CN201610291629A CN105944106A CN 105944106 A CN105944106 A CN 105944106A CN 201610291629 A CN201610291629 A CN 201610291629A CN 105944106 A CN105944106 A CN 105944106A
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implants
drug
degradable
medicine carrying
plla
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刘萍
王永会
周东生
孙亮
张鹏
贺宇
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • A61K9/0024Solid, semi-solid or solidifying implants, which are implanted or injected in body tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/34Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyesters, polyamino acids, polysiloxanes, polyphosphazines, copolymers of polyalkylene glycol or poloxamers

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • General Health & Medical Sciences (AREA)
  • Dermatology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Neurosurgery (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Inorganic Chemistry (AREA)
  • Medicinal Preparation (AREA)

Abstract

The invention belongs to the technical field of clinical treatment of orthopedic surgery, novel drug development and special drug research and discloses a method for local interventional treatment of osteosarcoma by degradable multi-drug-loading controlled-release internal implants, which comprises the following steps: the method comprises the following steps: preparing individual degradable multiple drug-loading controlled-release inner plants; step two: preparing the components of the rapid prototyping raw materials and setting the process parameters. The invention has the advantages of individual customization, no need of secondary operation, multiple drug loading, controllable release, precise entity manufacture, diversified materials, no need of assembly, short manufacture time, small manufacture required space, high portability, little amount of waste byproducts, no design space limitation, no manufacturing technology barrier, no direct association between manufacture cost and design complexity, no direct association between manufacture cost and manufacture diversification, optimized treatment effect, minimized drug side effect and avoidance of drug resistance and drug abuse.

Description

The degradable multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy
Technical field
Present invention relates particularly to the degradable multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, belong to bone Surgical clinical treatment, newtype drug development, special medicaments studying technological domain.
Background technology
Osteosarcoma is the tumor that primary marrow inner height is pernicious, is modal malignant bone tumor, accounts for whole body constitutional and dislikes The 40% of property bone tumor, poor prognosis, there are high fatality rate and disability rate.Osteosarcoma is apt to occur in the teenager in 10-20 year, good Sending out position is distal femur, proximal tibia, proximal humerus, especially metaphysis (91%) and key (9%).Osteosarcoma is sent out in recent years Sick rate constantly rises violently, and up to (4-5)/106, newly make a definite diagnosis Patients with Osteosarcoma and be up to more than 5000 people, to countless patients and family Bring considerable distress.Classical clinical treatment of osteosarcoma mode by preoperative high-dose chemotherapy, radical-ability osteosarcoma excision, postoperative big dose Quantify to treat three part compositions, disease free survival rate can be improved to 60%-80% by preoperative and postoperative high-dose chemotherapy.But it is Reach focus local drug concentration and the side effect of whole body high-dose chemotherapy is obvious, bone marrow depression, hepatic and renal function injure, maincenter god Be probably fatal through system damage, convenient administration mode not only could not effectively extend the survival of patients time limit, makes patient raw on the contrary Bioplasm amount drastically declines.
Medicine carrying implants is to be combined with biocompatible materials by medicine, inserts internal rear slow Slow release, whereby Reach the effect that local is treated.Suitably making material is also the key building good inner matter, is clinical conventional biological material One of material.In Orthopedic Clinical is treated, PLLA, as Biodegradable material, both can make pediatric Orthopaedics inside-fixture, it is possible to Make tissue-engineered scaffolds, have that good biocompatibility, plasticity is strong, degradation speed can be relatively uniform with bone defect healing etc. Advantage.Tradition medicine carrying inner matter can only carry a kind of medicine, and drug release rate, concentration are uncontrollable, need secondary hands Art, can not individualized treatment.
Summary of the invention
The technical problem to be solved in the present invention overcomes existing defect, it is provided that degradable multiple medicine carrying controlled release implants local The osteosarcomatous method of interventional therapy, individuation customization, without second operation, multiple medicine carrying, discharge controlled, accurate physical make, Material diversification, without assembling, Production Time is short, make that requisite space is little, portability is high, waste by-product amount is few, without setting Meter space limit, various with making without direct correlation, cost of manufacture with design complexity without manufacturing technology barrier, cost of manufacture Change without direct correlation, can effectively solve the problem in background technology.
In order to solve above-mentioned technical problem, the invention provides following technical scheme:
The present invention provides the degradable multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, comprises the following steps: Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;Step 2: the preparation of rapid shaping material composition and technique Parameter sets.
As a preferred technical solution of the present invention, described step one includes that the CAD of medicine carrying implants stereochemical structure sets Meter.
As a preferred technical solution of the present invention, described CAD design includes: mimics, autoCAD are soft for (1), utilization Part, according to human anatomy feature and solid geometry principle design spheroid or cylinder or fan arc or the different geometric shape of lamellar Implants, and carry out computer contrast and detection;(2), design methotrexate, cisplatin, doxorubicin, ifosfamide etc. are single carries The medicine of medicine and many medicine carryings various combination implants joins mode for cloth and manufacturing process.
As a preferred technical solution of the present invention, described step 2 includes: prepared by (1), PLLA: grind preparation PLLA Granule, studies different-diameter PLLA granule internal inside plants compact structure and the impact of porosity after screening;(2), bonding Prepared by agent: comparative study different formulations organic solution is as the performance of PLLA binding agent;(3), technological parameter research: research difference Shower nozzle moves speed, nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, overlay thickness, spraying number of times, spray angle, spraying position Put, drip spacing, distance between centers of tracks, the saturation coefficient impact on Rapid Prototyping technique.
The present invention is reached to provide the benefit that: degradable multiple medicine carrying controlled release implants partial interventional therapy is osteosarcomatous Method, can make strong chemotherapeutic drug combination targetedly according to Patient drug's sensitivity tests and tumor pathological characteristics, And various dose or the medicine carrying implants of variable dose can be made according to patient's own situation, thus realize single medicine carrying, double Medicine carrying, the four the most multiple medicine carryings of medicine carrying discharge simultaneously, alternately release, gradient release, make the release concentration of medicine and speed all Precisely controlled, and rapid shaping technique simultaneously can be according to concrete condition or surgical outcome systems such as cancer position, forms Make the implants of different shape and size to adapt to the demand of different patient, can make according to the concrete condition of therapeutic scheme Bone marrow is interior, the selectivity individuation medicine carrying implants of perilesional soft tissue, metastasis site, makes therapeutic effect optimization, medicine Side effect minimizes, and avoids the generation of drug resistance and Drug Abuse simultaneously.
Detailed description of the invention
Hereinafter the preferred embodiments of the present invention are illustrated, it will be appreciated that preferred embodiment described herein is only used In the description and interpretation present invention, it is not intended to limit the present invention.
Medicine carrying implants is to be combined with biocompatible materials by medicine, inserts internal rear slow Slow release, whereby Reach the effect that local is treated.Suitably making material is also the key building good inner matter, the poly-left side selected by this experiment Rotation lactic acid (PLLA) has been used safely as suture nearly 30 years, and its good biocompatibility and biodegradability are by extensively Accept, be one of clinical conventional biomaterial.In Orthopedic Clinical is treated, PLLA, as Biodegradable material, both can make Make pediatric Orthopaedics inside-fixture, it is possible to make tissue-engineered scaffolds, have that good biocompatibility, plasticity is strong, degradation speed Can be relatively uniform with bone defect healing etc. advantage.Tradition medicine carrying inner matter can only carry a kind of medicine, and drug release rate, Concentration is uncontrollable, need second operation, can not individualized treatment.
Embodiment 1:
Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;By the CAD to medicine carrying implants stereochemical structure Design, uses mimics, autoCAD software, according to human anatomy feature and solid geometry principle design spheroid or cylinder Or fan arc or lamellar difference geometric shape implants, and carry out computer contrast and detection, design methotrexate, cisplatin, many The medicine of soft medicine carrying more single than star, ifosfamide etc. and many medicine carryings various combination implants joins mode for cloth and manufacturing process;
Step 2: the preparation of rapid shaping material composition and processing parameter setting;(1) prepared by PLLA: grind preparation PLLA granule, sieve Different-diameter PLLA granule internal inside plants compact structure and the impact of porosity is studied after choosing;(2) prepared by binding agent: right Than studying the different formulations organic solution performance as PLLA binding agent;(3) technological parameter research: study different shower nozzles with phase Same speed moves, and keeps nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, overlay thickness, spraying number of times, angle of spray Degree, spraying position, a spacing, distance between centers of tracks are identical with saturation coefficient, the impact on Rapid Prototyping technique.
Embodiment 2:
Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;By the CAD to medicine carrying implants stereochemical structure Design, uses mimics, autoCAD software, according to human anatomy feature and solid geometry principle design spheroid or cylinder Or fan arc or lamellar difference geometric shape implants, and carry out computer contrast and detection, design methotrexate, cisplatin, many The medicine of soft medicine carrying more single than star, ifosfamide etc. and many medicine carryings various combination implants joins mode for cloth and manufacturing process;
Step 2: the preparation of rapid shaping material composition and processing parameter setting;(1) prepared by PLLA: grind preparation PLLA granule, sieve Different-diameter PLLA granule internal inside plants compact structure and the impact of porosity is studied after choosing;(2) prepared by binding agent: right Than studying the different formulations organic solution performance as PLLA binding agent;(3) technological parameter research: study different shower nozzles with not Same speed moves, and keeps nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, overlay thickness, spraying number of times, angle of spray Degree, spraying position, a spacing, distance between centers of tracks are identical with saturation coefficient, the impact on Rapid Prototyping technique.
Embodiment 3:
Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;By the CAD to medicine carrying implants stereochemical structure Design, uses mimics, autoCAD software, according to human anatomy feature and solid geometry principle design spheroid or cylinder Or fan arc or lamellar difference geometric shape implants, and carry out computer contrast and detection, design methotrexate, cisplatin, many The medicine of soft medicine carrying more single than star, ifosfamide etc. and many medicine carryings various combination implants joins mode for cloth and manufacturing process;
Step 2: the preparation of rapid shaping material composition and processing parameter setting;(1) prepared by PLLA: grind preparation PLLA granule, sieve Different-diameter PLLA granule internal inside plants compact structure and the impact of porosity is studied after choosing;(2) prepared by binding agent: right Than studying the different formulations organic solution performance as PLLA binding agent;(3) technological parameter research: study identical shower nozzle with phase Same speed moves, and keeps nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, overlay thickness, spraying number of times, angle of spray Degree, spraying position, a spacing, distance between centers of tracks are identical with saturation coefficient, the impact on Rapid Prototyping technique.
Embodiment 4:
Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;By the CAD to medicine carrying implants stereochemical structure Design, uses mimics, autoCAD software, according to human anatomy feature and solid geometry principle design spheroid or cylinder Or fan arc or lamellar difference geometric shape implants, and carry out computer contrast and detection, design methotrexate, cisplatin, many The medicine of soft medicine carrying more single than star, ifosfamide etc. and many medicine carryings various combination implants joins mode for cloth and manufacturing process;
Step 2: the preparation of rapid shaping material composition and processing parameter setting;(1) prepared by PLLA: grind preparation PLLA granule, sieve Different-diameter PLLA granule internal inside plants compact structure and the impact of porosity is studied after choosing;(2) prepared by binding agent: right Than studying the different formulations organic solution performance as PLLA binding agent;(3) technological parameter research: the shower nozzle that differs of research with Different speed moves, and keeps nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, overlay thickness, spraying number of times, spraying Angle, spraying position, a spacing, distance between centers of tracks are identical with saturation coefficient, the impact on Rapid Prototyping technique.
Conclusion: rapid shaping technique is prepared the sharpest edges of individuation degradable multiple medicine carrying controlled release implants and is individuality Change, strong chemotherapeutic drug combination targetedly can be made according to Patient drug's sensitivity tests and tumor pathological characteristics, and And various dose or the medicine carrying implants of variable dose can be made according to patient's own situation, thus realize single medicine carrying, double load Medicine, the four the most multiple medicine carryings of medicine carrying discharge simultaneously, replace release, gradient release, make the release concentration of medicine and speed all obtain To accurately controlling, and rapid shaping technique can make according to the concrete conditions such as cancer position, form or surgical outcome simultaneously Go out the implants of different shape and size to adapt to the demand of different patient, bone can be made according to the concrete condition of therapeutic scheme Marrow is interior, the selectivity individuation medicine carrying implants of perilesional soft tissue, metastasis site, makes therapeutic effect optimization, medicine secondary Effect minimizes, and avoids the generation of drug resistance and Drug Abuse simultaneously.
Finally it is noted that the foregoing is only the preferred embodiments of the present invention, it is not limited to the present invention, Although being described in detail the present invention with reference to previous embodiment, for a person skilled in the art, it still may be used So that the technical scheme described in foregoing embodiments to be modified, or wherein portion of techniques feature is carried out equivalent. All within the spirit and principles in the present invention, any modification, equivalent substitution and improvement etc. made, should be included in the present invention's Within protection domain.

Claims (4)

1. the degradable multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, it is characterised in that: include following step Rapid:
Step one: the preparation of individuation degradable multiple medicine carrying controlled release implants;
Step 2: the preparation of rapid shaping material composition and processing parameter setting.
The degradable the most according to claim 1 multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, its It is characterised by: described step one includes the CAD design of medicine carrying implants stereochemical structure.
The degradable the most according to claim 2 multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, its It is characterised by: described CAD design includes:
(1), mimics, autoCAD software is used, according to human anatomy feature and solid geometry principle design spheroid or cylinder Body or fan arc or lamellar difference geometric shape implants, and carry out computer contrast and detection;
(2), single medicine carrying such as design methotrexate, cisplatin, doxorubicin, ifosfamide etc. and many medicine carryings various combination implants Medicine joins mode for cloth and manufacturing process.
The degradable the most according to claim 1 multiple medicine carrying controlled release osteosarcomatous method of implants partial interventional therapy, its It is characterised by: described step 2 includes:
(1), prepared by PLLA: grinds preparation PLLA granule, studies different-diameter PLLA granule internal inside plants structure after screening Compactness and the impact of porosity;
(2), prepared by binding agent: comparative study different formulations organic solution is as the performance of PLLA binding agent;
(3), technological parameter research: the different shower nozzle of research moves speed, nozzle diameter, hydrojet rheological parameter, hydrojet liquid-drop diameter, laying Thickness, spraying number of times, spray angle, spraying position, droplet spacing, distance between centers of tracks, the saturation coefficient impact on Rapid Prototyping technique.
CN201610291629.5A 2016-05-05 2016-05-05 Method for local intervention treatment of osteosarcoma by degradable multiple drug-loading controlled-release internal implant Pending CN105944106A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2652547C1 (en) * 2018-01-09 2018-04-26 Алексей Валерьевич Юмашев Method of complex treatment of patients with lower jaw osteosarcoma

Citations (1)

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CN101862230A (en) * 2009-04-17 2010-10-20 华中科技大学同济医学院附属协和医院 Controlled-release multilayer drug-loaded artificial bone and preparation method thereof

Patent Citations (1)

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CN101862230A (en) * 2009-04-17 2010-10-20 华中科技大学同济医学院附属协和医院 Controlled-release multilayer drug-loaded artificial bone and preparation method thereof

Non-Patent Citations (3)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2652547C1 (en) * 2018-01-09 2018-04-26 Алексей Валерьевич Юмашев Method of complex treatment of patients with lower jaw osteosarcoma

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Application publication date: 20160921